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This book brings together a comprehensive set of chapters that cover the basic principles of fast track surgery, clinical enhancements, but also important aspects of project management and change management in Hip and Knee Arthroplasty. Although the value of care pathways and fast track surgery are probably well known by almost everyone, there are still too many differences in arthroplasty care not only around the world, but also within countries. How can it be that the fast track principles are implemented so poorly? Probably because it looks so simple, yet it's so complex that many doctors don't know where to start. This handy book, published in collaboration with ESSKA, provides an easy-to-consult guide that summarize the most important notions in a concise, accessible way.

This book provides an easy-going, high-quality and updated work focused on the most common diagnoses of Traumatology and Orthopaedics. It's structured with several sub-headings, including bullet-point tips for basic concepts.Each chapter is focused on a specific pathology and includes the following sub-headings: short introduction, applied anatomy and physiology, prevalence, classification, diagnosis (including anamnesis, physical examination and complementary imaging, from plain x-ray to cross-sectional imaging), treatment (conservative-surgical options), controversies, complications, future directions and author's preference for treatment apart from references. Orthopaedics and Trauma - Current Concepts will be an inspiration to the young orthopaedic resident, fellow or even general orthopaedic surgeon and senior medical student. It will definitely help with their careers and also be a useful tool to prepare for the board certified orthopaedic examination.

This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients'native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

This practical and comprehensive book provides succinct and up-to-date information on the value of the various diagnostic radiological measurements made using all the imaging modalities currently employed in the management of a wide spectrum of musculoskeletal disorders, including developmental, paediatric, traumatic, degenerative, metabolic, tumoural and rheumatological conditions. The book has a unique design, with three distinct but dove-tailed sections. In the first section, the physico-chemical principles of the various imaging modalities used in measurements are explained, and the strengths and weaknesses of each modality are considered. The second section examines the application of the imaging modalities to obtain accurate measurements across all musculoskeletal anatomical sites. The final section focusses on the role of measurements in specific disease states, namely arthritis, metabolic bone disease, bone marrow disease and tumours of bone and soft tissue. All chapters arewritten by experts in the field, drawn from across Europe, and the book is lavishly illustrated throughout. It will provide an invaluable and easy-to-use reference on the performance and significance of imaging-based measurements at different anatomical sites and in different disease states.

This book is designed as a comprehensive educational resource not only for basketball medical caregivers and scientists but for all basketball personnel. Written by a multidisciplinary team of leading experts in their fields, it provides information and guidance on injury prevention, injury management, and rehabilitation for physicians, physical therapists, athletic trainers, rehabilitation specialists, conditioning trainers, and coaches. All commonly encountered injuries and a variety of situations and scenarios specific to basketball are covered with the aid of more than 200 color photos and illustrations. Basketball Sports Medicine and Science is published in collaboration with ESSKA and will represent a superb, comprehensive educational resource. It is further hoped that the book will serve as a link between the different disciplines and modalities involved in basketball care, creating a common language and improving communication within the team staff and environment.

Degenerative conditions of the knee place an increasing burden on health economies and lead to pain and functional loss for sufferers. Although arthroplasty may not offer a level of functional restoration that meets all patients'expectations, joint preservation through osteotomy is a viable option in younger, more physically active patients. This volume is a comprehensive technical guide to performing knee-preserving surgery to treat degenerative conditions and malalignment-associated knee instability. Drawing on their extensive experience of these procedures, the authors provide valuable insights into identifying patients who may benefit, as well as planning and performing the procedures with a high degree of precision, and explaining the results that can be achieved. This book both initiates novices and provides technical tips for experienced surgeons, and as such is an indispensible resource for all clinicians who treat patients with knee conditions.

This book is designed to meet the needs of both novice and senior researchers in Orthopaedics by providing the essential, clinically relevant knowledge on research methodology that is sometimes overlooked during training. Readers will find a wealth of easy-to-understand information on all relevant aspects, from protocol design, the fundamentals of statistics, and the use of computer-based tools through to the performance of clinical studies with different levels of evidence, multicenter studies, systematic reviews, meta-analyses, and economic health care studies. A key feature is a series of typical case examples that will facilitate use of the volume as a handbook for most common research approaches and study types. Younger researchers will also appreciate the guidance on preparation of abstracts, poster and paper presentations, grant applications, and publications. The authors are internationally renowned orthopaedic surgeons with extensive research experience and the book is published in collaboration with ISAKOS.

This superbly illustrated book is a comprehensive and detailed guide to the contemporary arthroscopic management of intraarticular fractures. The opening section addresses a variety of basic aspects and key issues, including the difficulties posed by intraarticular fractures, principles of fixation, cartilage healing, and rehabilitation. The minimally invasive surgical techniques appropriate to individual types of fracture are then fully described and depicted, covering fractures of the shoulder and elbow, wrist, pelvis and hip, knee, and ankle. Guidance is also provided on avoidance and management of complications and rehabilitation. The closing section addresses relevant miscellaneous issues, including arthroscopic management of temporomandibular joint fractures and extended indications for endoscopy-assisted fracture fixation. This volume will be of value for both trainee and experienced surgeons when treating patients with these complex fractures.

• Aims to combine the rational approach to patient care and the sharing of expert knowledge and surgical techniques • It is the amalgamation of authors from various regions of the globe and this provides a combination of varied views to create a document that can provide excellent advice to novice as well as senior surgeons • Divides into six sections—the first section on Science of Arthroplasty introduces the essential basics and core concepts of arthroplasty along with concepts needed for pre- and perioperative management of all arthroplasty patients. • Second section covers the surgical procedures as well as management algorithms for simple including complex primaries including severe deformities. • Third section covers all the recent advances as well as technical guide to complex situations in revision total knee arthroplasty (TKA). • The next two sections focus on primary total hip replacement (THR) and revision THR and provide an excellent overview of every aspect of these surgeries. • Sixth section is focused on prosthetic joint replacement and is contributed by the group who are world renowned for their work in the area • It is written in a fluid format with abundant use of images and pictures • Covers the basics and the complex areas of arthroplasty along with recent advances.

整形外科の領域において、手術時のコンピュータナビゲーションはわが国に導入されてすでに15年以上が経過している。また、手術教育においてもvirtual reality、augmented realityを用いた取り組みもはじまっており、さらには人工知能を用いた画像診断の開発もすすめられている。本特集号では最先端の画像、動態解析、ロボット技術はもちろんのこと、症例が蓄積されてきたプランニングやナビゲーション技術の有用性や、使用することによって明確になってきた手術目標などの知見についても紹介した。

This book includes operative videos and teaches the reader how to perform all currently available minimally invasive spine surgery (MISS) techniques. Each chapter covers a MISS procedure and includes an introduction, indications and contraindications, surgical technique, pitfalls and pearls, discussion, conclusion, references, videos and figures. Minimally Invasive Spine Surgery Techniques is aimed at spine surgeons who are interested in learning or improving their MISS skills.

This book is a comprehensive guide to proprioceptive rehabilitation after orthopaedic and sports surgery. In addition, it equips readers with a thorough understanding of the neurophysiology and assessment of proprioception and clearly explains the relationships between surgical procedures, injuries, and anatomy and proprioception. Proprioception is still an unclear topic for most clinicians and scientists, and this is the first book specifically on proprioception in the context of orthopaedics and sports injuries, surgery, and rehabilitation. After an opening section describing key basic knowledge, individual chapters discuss proprioception after injuries and surgery to different parts of the body and explain the role of proprioceptive training in optimal rehabilitation. Among other topics addressed are proprioception after soft tissue regenerative treatment and the relation between osteoarthritis and proprioception. The book includes numerous descriptions of exercises, photographs, and tables documenting rehabilitation strategies. It will be of value for all students, clinicians, and academicians with an interest in the subject.

This book is designed to help improve the medical care of athletes across the world who play team handball – including not only handball itself but also such sports as beach volleyball and mini-handball. It provides concise practical information on the nature of frequently encountered injuries, the management of these injuries, injury prevention, and rehabilitation following treatment. Individual sections also focus on physiologic, endocrinologic, biomechanical, and nutritional aspects; special considerations in particular groups of players; and psychological issues. The medical needs of a handball team are explained, and guidance offered on preparticipation assessment and screening. All of the authors are leaders in their field. Their excellent teamwork ensures that the book, published in collaboration with ESSKA, will represent a superb, comprehensive educational resource. It will meet the needs of both handball medical caregivers and handball personnel, providing readily accessibleanswers to a wide range of medical questions and facilitating effective collaboration among the various professionals involved in team handball.

In this booklet, experts from across the world, including members of the ISAKOS Knee Arthroplasty Committee, offer clear, up-to-date guidance on all aspects of soft tissue or ligament balancing in primary total knee arthroplasty with the aim of enabling the reader to achieve optimal patient outcomes. After an introduction explaining the normal soft tissue condition in the native knee, surgical procedures are described, including techniques for the management of severe deformity. The most striking feature of the booklet, however, is the many pages devoted to the accurate evaluation and clinical relevance of ligament balancing. Different techniques and devices for intraoperative soft tissue assessment are discussed, highlighting, for example, the use of gap-measuring devices or trial liners with load-bearing sensors to achieve more objective evaluation. Above all, special attention is devoted to the crucial issue of the impact of intraoperative soft tissue balance on postoperative results. In the closing chapter, very experienced surgeons introduce intraoperative troubleshooting in order to assist successful completion of arthroplasty.

Dieses Buch thematisiert die Unterschiede/Hintergründe und die Vor- und Nachteile, die man bei der Indikationsstellung für oder gegen eine Kurzschaftendoprothese am Hüftgelenk abwägen sollte. Grundsätzlich liegt das Bestreben der orthopädischen Chirurgie darin, eine hüftendoprothetische Primärversorgung möglichst knochensparend und weichteilschonend durchzuführen, um so den Grundstein für eine erfolgreiche Revisionsoperation zu legen. Aufgrund der noch ausstehenden Langzeitresultate von Kurzschaftprothesen werden aber konventionelle Standardschäfte gegenüber knochensparenden Hüftimplantaten nach wie vor bevorzugt. Auf dem neusten Stand der Entwicklung diskutieren die Autoren osteologische Aspekte der Kurzschaftendoprothesen. Sie setzen sich vor dem Hintergrund der rasanten Entwicklung immer weiterer Modelle mit der Nomenklatur und Einteilung der verschiedenen Kurzschaftendoprothesen auseinander und stellen darüber hinaus die gängigsten Modelle ausführlich vor.

This book offers a comprehensive overview of the basic science and clinical evidence for non-arthroplasty interventions in the adult knee. It aims to cover all aspects of joint-preserving knee surgery, from injectable therapies such as platelet-rich plasma and stem cell therapies to surgical interventions such as meniscal repair and replacement, ligament reconstructions, and osteotomies. Following discussion of clinical assessment and imaging, individual chapters focus on specific clinical problems, including patellofemoral joint disorders, chondral injuries, and bone tumors. For each condition, a thorough overview is provided, describing clinical assessment, management (including surgical and non-surgical methods), and novel therapies. The contributors are experts in their fields from across Europe and are drawn from the worlds of clinical and academic orthopedic surgery. This book is unique in its coverage of the entire span of non-arthroplasty knee surgery and its focus on both clinical and basic science aspects. It will be helpful for knee surgeons and those engaged in research on knee-related topics, but also for students and other physicians involved in the care of patients with disorders of the knee.

This book provides the reader with the best available evidence on the most pressing issues relating to reconstruction of the anterior cruciate ligament (ACL) with the goal of supporting surgical reconstruction of the ACL and improving outcomes for patients. Key topics for which evidence-based information is presented include selection of graft material and source, the use of different surgical techniques, graft rupture in relation to surgical technique, and progression to osteoarthritis. The book will aid the surgeon in making decisions with respect to fixation devices and tensioning, the bundles to be reconstructed, and whether to preserve remnants or partial bundle ruptures. An evidence-based stance is taken on evolving topics such as the anatomy of the tibial insertion site of the ACL and the role of the anterolateral capsule and posteromedial corner in high-grade rotatory instability. Furthermore, novel technical developments for measurement of knee laxity and soft tissue navigation are discussed. The reader will also find useful information on general issues concerning physical examination, arthroscopic setup, timing of reconstruction, anesthesia, and anticoagulation.

This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided.

​This book is a rich source of practical guidance on the management of relatively young patients with osteoarthritis of the knee that will assist physicians and allied health professionals in enabling patients to remain active and sustain their quality of life. It provides up-to-date knowledge on the available treatment options, describes the evidence base for each option, and identifies the appropriate timing and indications. The book opens by considering the basic science behind osteoarthritis, which is critical to management. The many nonsurgical treatment modalities are then discussed, with particular focus on the importance of a multidisciplinary approach. Subsequent chapters address the role of surgical management, covering both techniques that attempt to preserve and possibly restore the native knee joint, such as meniscal and chondral surgery, arthroscopic debridement, and osteotomy for realignment of the joint, and those that involve joint replacement. The arthroplasty component of the text encompasses all areas of prosthetic resurfacing, including localized resurfacing, unicompartmental replacement, and total knee replacement. The book has been produced in cooperation with ISAKOS and the authors constitute an international faculty who provide a truly global perspective on the subject.

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapistsspecializing in the ACL. The research evidence will broaden readers'understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

Strong roots in basic science and research enhance clinical practice. This book is a rich source of information for basic scientists and translational researchers who focus on musculoskeletal tissues and for orthopedic and trauma surgeons seeking relevant up-to-date information on molecular biology and the mechanics of musculoskeletal tissue repair and regeneration.The book opens by discussing biomaterials and biomechanics, with detailed attention to the biologic response to implants and biomaterials and to the surface modification of implants, an important emerging research field. Finite element analysis, mechanical testing standards and gait analysis are covered. All these chapters are strongly connected to clinical applications. After a section on imaging techniques, musculoskeletal tissues and their functions are addressed, the coverage including, for example, stem cells, molecules important for growth and repair, regeneration of cartilage, tendons, ligaments, and peripheral nerves, and the genetic basis of orthopedic diseases. State-of-the-art applications such as platellet rich plasma were included. Imaging is a daily practice of scientists and medical doctors. Recent advancements in ultrasonography, computerized tomography, magnetic resonance, bone mineral density measurements using dual energy X-ray absorptiometry, and scintigraphy was covered following conventional radiography basics. Further extensive sections are devoted to pathology, oncogenesis and tumors, and pharmacology. Structure is always related with function. Surgical anatomy was therefore covered extensively in the last section.

運動器疾患に対する画像診断の進歩により、より詳細で正確な術前診断が可能となった。治療の選択には、正確な術前診断は不可欠であり、保存療法か手術療法か、種々の手術療法のどの方法を選択するのかを決定するうえで、画像診断の価値は時代とともに徐々に大きくなっている。しかし一方で器機の進歩は時として極めて急速な展開を見せ、私たちを置き去りにしていることもある。運動器領域の画像診断の現状を知り、その知識を整理することが必要である。

変形性膝関節症は、超高齢社会において予防や治療に最も力が注がれなければならない重要な疾患の一つである。早期診断のためには優れた画像診断、バイオマーカー等の診断技術が必要となるが、本号ではその最新の知見をまとめた。また治療法もさまざまあるが、種々の保存的・手術的治療から、その他今後期待される新しい治療についてまで幅広く取り上げている。

わが国の罹患者が700万人を超えるといわれる変形性関節症は、この10年間に関節を構成する骨や軟骨の基礎的あるいは疫学的な研究が大きな進歩を遂げた。また治療においても、ヒアルロン酸製剤などの薬品の開発やさまざまな運動療法の試みといった保存的治療の応用とともに、手術的にも従来ある手技は日々改良され、新しい人工関節に関する研究には目覚しいものがある。本特集号では、このような変形性関節症の現況について、その基礎から臨床までを一冊にまとめ今後の方向を示す。

高齢者の四肢の関節痛を来す疾患の中でも際立って多いのが変形性膝関節症(膝OA)である。このQOLに重要な影響を与える膝OAの病因、病態、治療についてup-to-dataな知見を編集した。

This book is unique in combining an exclusive focus on femoroacetabular impingement (FAI) with an evidence-based approach and the involvement of a diverse group of global experts. It is designed to meet the worldwide need for a summary of current evidence that will readily assist the physician in establishing the most accurate diagnosis and providing the best available treatment. The coverage is wide ranging, encompassing clinical examination, differential diagnosis, imaging, indications for surgery, contemporary arthroscopic and open management, treatment of labial tears, cartilage injury management, non-operative management, rehabilitation, treatment of complications, and revision surgery. Trainees, physicians, surgeons, and allied health care professionals who treat young adults with hip pain will find the book to be an excellent source of information on what procedures are most helpful and how they should be implemented.

This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address “What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?”. In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

This book offers a comprehensive guide to total knee arthroplasty (TKA) that will assist in achieving excellent outcomes based on a sound understanding and technique. After an introductory section on the native knee that covers the anatomy, physiology, biomechanics, and patterns of disease, all aspects of primary knee arthroplasty are discussed in detail. Individual chapters are devoted to topics such as acute pain management, the role of technological aids, prosthetic kinematics, alignment targets, unicompartmental arthroplasty, patellar resurfacing, outcome measures, and cost-effectiveness. An extensive section explains the causes and management of potential complications, including aseptic failure, infections, and periprosthetic fracture. The surgical techniques appropriate for revision knee arthroplasty are described separately, and guidelines on how to deal with bone loss, instability, and extensor mechanism failure are provided. The authors are all respected experts from the United Kingdom, United States, Australia and Europe.

This practical and instructional guidebook, written by international experts in anterior cruciate ligament (ACL) reconstruction, covers all challenging aspects of ACL rupture in the acute and chronic setting. It covers the latest, spectacular anatomical findings, treatment of partial ACL tears, various techniques for single- and double-bundle ACL reconstruction, and complex ACL revision surgery. Important surgical steps are clearly described with the help of instructive, high-quality photographs. Important tips, tricks, and pitfalls are highlighted and intra- and postoperative complications, rehabilitation, and prevention of re-rupture are discussed. All authors are prominent and experienced ACL surgeons.

Knee ligament injuries are very common and are frequently sports related, although they may arise from trauma experienced during everyday activities. This book provides in-depth descriptions of the extra articular surgical techniques that may be employed when performing ligament reconstruction in patients with injuries involving the posterolateral and posteromedial corners of the knee. It is intended as a practical, “how to” manual that will be of value for both the trainee and the more experienced surgeon. Many of the techniques relate to the central pivot of the knee, i.e. the anterior and posterior cruciate ligaments. For each technique, indications, presurgical planning, postsurgical follow-up and complications are discussed in addition to the surgical details. Numerous tips and pearls are provided and the techniques are clearly depicted in informative high-quality illustrations. ​

This book focuses on the problems seen in the adult hip in sport including pre arthritic inflammatory, non inflammatory, and degenerative causes of hip pain. It particularly focuses on our rapidly evolving understanding and treatment of joint preserving surgery. In this book experts in the field discuss the anatomy, diagnosis, investigation and pathophysiology of young adult hip disease with a particular focus on the sporting population. Sports Medicine is now a specialty in its own right. Worldwide, hip and groin pain in elite sport is an unresolved issue. This is an area that has expanded dramatically in the last 5 years and hip arthroscopy as a procedure has arrived in a big way with numbers increasing exponentially and the inception of the ISHA (International Society for Hip Arthroscopy).

Total joint arthroplasty is an effective surgical procedure for end-stage osteoarthritis of major joints with satisfactory long term clinical outcome. A large and growing number of arthroplasties are performed annually worldwide and a great number of orthopaedic surgeons are practicing arthroplasty surgery as their main surgical activity. The biological behavior of the bone-implant interface is crucial for the long term survival of the artificial joint. All factors which have a positive or negative effect on the interface are of great interest for those practicing arthroplasty surgery. Basic scientists and the industry are continuously searching for new implant fixation mechanisms and improved materials. There is an accumulation of a great amount of basic science data (both biological, material and mechanical) related to the incorporation or loosening of the bone-implant interface. However, basic science data does not always translate to satisfactory clinical application, and orthopaedic practitioners often wonder which piece of information is clinically useful. A further problem is that basic scientists often speak their own scientific language and may not fully appreciate common clinical practice needs. In this textbook the biological and mechanical mechanisms of implant incorporation and loosening will be presented. All new data concerning materials and methods for incorporation enhancement will be critically analyzed. Data useful for clinical application will be stressed.Orthopaedic Surgeons will find information which will improve their clinical practice and basic scientists will be helped to understand and appreciate clinical needs.

This comprehensive book discusses cartilage repair and all its aspects. These aspects vary from basic insights in cartilage biology and regeneration via MRI, to results of existing cartilage repair techniques and upcoming novel approaches. Fundamental cartilage biology is the topic covered within the first chapters of the book. These chapters not only provide an insight in healthy, damaged and regenerative cartilage but also describe developments in gene therapy and methods to enhance chondrogenesis of stemcells and prevent hypertophic differentiation. There is a huge progress in the possibilities of MR imaging of both healthy, damaged and regenerative cartilage. These developments not only enable better monitoring of cartilage repair but may also unravel the pathophysiology of the development of cartilage defects. Different cartilage repair techniques (e.g. allografts, autologous chondrocytes transplantation [ACT], microfracture), there technical aspects (e.g. developments towards an total arthroscopic approach), pitfalls, and outcomes are reported in the following chapters. In these chapters factors important for the results of cartilage repair such as meniscal repair, patient factors are described. Finally, an overview of novel cartilage repair techniques such as minced cartilage, denovo cartilage and more areas are discussed in this comprehensive addition to the literature.

Vor dem Hintergrund einer über 30jährigen Erfahrung zeigt dieses Werk den aktuellen Wissensstand der Endoprothetik. Es ist Dr.med.h.c. Otto Frey-Zünd gewidmet, der in gemeinsamer Pionierarbeit mit orthopädischen Chirurgen, Wissenschaftlern und Ingenieuren aus ganz Europa Kunstgelenke für Hüft-, Knie-, Ellenbogen- und Handgelenke entwickelt hat.

Praktische Erfahrung in der Knieendoprothetik im klinischen Alltag. Hilfe in praktischen Fragen für alle Operateure, aber auch zur Information über aktuelle Leistungsstandards und zukünftige Perspektiven. Sorgfältig aufgebaute, didaktisch wertvolle Abbildungen. Deutschsprachiges umfassendes Standardwerk der Knieendoprothetik von erfahrenen Autoren aus dem In- und Ausland. Systematischer Aufbau von der Indikationsstellung und Alternativen zum künstlichen Gelenkersatz über Planung, operatives Vorgehen bis hin zur Behandlung von aseptischen und septischen Komplikationen sowie Sonderformen, z.B. Knieendoprothetik bei Rheumatikern und kniegelenknahen Tumoren.

Frank R. Noyes, M. D. Director, Cincinnati Sportsmedicine and Orthopaedic Center Director, Cincinnati Sportsmedicine Research and Education Foundation Professor, Orthopaedic Surgery, University of Cincinnati Adjunct Professor, Noyes Giannestras Biomechanics Laboratory, University of Cincinnati suits? The answers to these questions provide a basis for A view of the advances in knee surgery with the sheer amount of new information, procedures, techniques, patient selection and indications for newer treatment and treatment algorithms is somewhat staggering. Con­ modalities. Most importantly, this knowledge provides sider the past ten years: the number and development the basis upon which an orthopedist counsels a patient of newer arthroscopic procedures, knee ligament re­ regarding the risks and benefits of operative treatment, constructions, meniscus repairs and transplants, revision to provide informed patient consent. knee surgery, ligament allografts, total knee arthroplas­ This textbook provides needed and important knowl­ ties, and treatment of articular cartilage abnormalities. edge to address these issues. The 35 chapters are di­ All of these advances have resulted in corresponding vided into major knee disease or treatment categories, needs for education, training, and knowledge. The knee discussing the prevention, recognition, and treatment of joint is one of the most frequently operated joints in the knee complications.

Die vordere Kreuzbandläsion gehört zu den häufigsten (Sport-) Verletzungen. Mit ca. 28.000 Operationen im Jahr steht sie mit an der Spitze der operativen Eingriffe am Knie. Dieses Buch befasst sich ausschließlich mit dieser Thematik und erläutert in komplexer und strukturierter Form die anatomischen, physiologischen, pathophysiologischen und biomechanischen Grundlagen des gesunden und verletzten vorderen Kreuzbands. Der Weg zur Diagnose sowie die therapeutischen Möglichkeiten – sowohl konservativ als auch operativ – werden, ergänzt durch instruktive Abbildungen, dargestellt. Ein weiterer Schwerpunkt des Buches: Frühfunktionelle Rehabilitation, Auswirkung von Immobilisation und Training auf die Stütz- und Bewegungs-organe, Grundlagen des Kraft- und Muskelaufbautrainings – ein Exkurs in die allgemeine Trainingslehre.

Derived from Sam W. Wiesel and Todd J. Albert's four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains a comprehensive, authoritative review of operative techniques in spine surgery. In one convenient place, you'll find the entire Spine section, as well as relevant chapters from the Oncology and Pediatrics sections of Operative Techniques in Orthopaedic Surgery. Superb full-color illustrations and step-by-step explanations help you master surgical techniques, select the best procedure, avoid complications, and anticipate outcomes. Written by global experts from leading institutions, Operative Techniques in Spine Surgery, Third Edition, clearly demonstrates how to perform the techniques, making this an essential daily resource for residents, fellows, and practitioners.

Worldwide experience with the Lcs• mobile bearing total knee prosthesis has been unpar­ alleled both in terms of enduring popularity and outstanding long-term clinical results. Buechel and Pappas's design was based on the principles of; restoring anatomical joint function to as near normal as possible, minimising contact stresses to avoid wear and darn­ age to the bearing surfaces. and finally the idea that constraint should refiect the need for mobility, to avoid shear stresses and loosening of the implant. In 1977, the LCS® knee was implanted by Dr. Frederick Buechel. This was the first mobile bearing, tri-compartmental knee implant. This was also the first to successfully address the key issues ofloosening, wear and patello-femoral problems associated with earlier designs. The unique design solution was the creation of a common articulating geometry for the tibia and patella on the distal femoral surface. This resulted in a tibial and patellar articulation that was mobile in nature, but with an identical radius of curvature and conformity. The mobile bearing concept was considered sufficiently novel and unproven that the US FDA (Food & Drug Administration) required that it be validated in an Investigational Device Evaluation (IDE). An FDA IDE study involving 25 US surgeons was initiated in 1981. Validation of the clinical success of the device in this study resulted in FDA approval of the LCS, Knee (for cemented, tri-compartmental use) in 1985.

This book approaches the ACL deficient knee from a different perspective than those of the previous classical ways. The common approach is the analysis of closed compartments; anatomy, biomechanics, physical findings, imaging, surgical treatment and rehabilitation. The approach of this book is completely opposite, focusing on questions, controversies, problem analyses and problem solving, besides analyzing the possibility of prevention. Therefore, in each chapter, the biomechanics, anatomy, and other areas that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (acute ACL repair, double bundle reconstruction, chondral lesions treatment or meniscal transplant). These chapters are written by internationally renowned specialists that are pioneers in the topic analyzed. Another interesting aspect of this book are the step by step surgical techniques videos, that will allow a knee specialist to perform the technique presented by the author. Moreover, the videos will include anatomy and physical therapy techniques.

Attachment of dissimilar materials in engineering and surgical practice is a perennial challenge. Bimaterial attachment sites are common locations for injury, repeated injury, and mechanical failure. Nature presents several highly effective solutions to the challenge of bimaterial attachment that differ from those found in engineering practice. Structural Interfaces and Attachments in Biology describes the attachment of dissimilar materials from multiple perspectives. The text will simultaneously elucidate natural bimaterial attachments and outline engineering principles underlying successful attachments to the communities of tissue engineers and surgeons. Included an in-depth analysis of the biology of attachments in the body and mechanisms by which robust attachments are formed, a review of current concepts of attaching dissimilar materials in surgical practice and a discussion of bioengineering approaches that are currently being developed.

The Manual of Arthroscopic Surgery provides the most up to date state of the art for all those dealing with arthroscopic diagnosis and treatment. A standardised structure of the individual chapters facilitates the retrieval of information: Diagnosis, therapeutic management including decision-making for conservative and operative treatment, arthroscopic results and surgical techniques. The latter are described in a practical how-to-do step-by-step manner. 2,300 brilliant figures illustrate each operative step. The comprehensive manual includes rare conditions as well and provides detailed information on tricks and pitfalls. In its entirety it reflects the most up to date high-tech standard of arthroscopy.

Nach seinen erfolgreichen organspezifischen Werken legt Michael Strobel jetzt eine integrierte Operationslehre zur Arthroskopischen Chirurgie vor.Präzise, klar und praxisorientiert werden alle arthroskopierbaren Räume abgehandelt.-> Der einheitliche Kapitelaufbau erleichtert Ihnen die schnelle Orientierung: Diagnostik, therapeutisches Management mit Entscheidungshilfen zur konservativen oder operativen Behandlung, arthroskopische Befunde und Operationstechnik.-> Die Operationstechniken sind in detaillierten Anleitungen verständlich und nachvollziehbar beschrieben.Brillantes Abbildungsmaterial in einzigartiger Qualität gibt jeden Operationsschritt wieder.-> So ausführlich wie in keinem anderen Werk finden Sie hier auch seltene Fälle behandelt. Hervorgehobene Hinweise auf Fehlerquellen, Probleme und wichtige Details unterstützen Sie zusätzlich.Sichern Sie sich jetzt dieses umfassende, konkurrenzlose Werk mit brillantem Abbildungsmaterial in einzigartiger Qualität.

POSTERIOR CRUCIATE LIGAMENT INJUIRES: A PRACTICAL GUIDE TO MANAGEMENT, presents the orthopaedic surgeon an unprecedented review of the most recent and advanced knowledge needed to diagnosis and treat PCL injuries successfully. This comprehensive and practical volume covers everything from biomechanics and anatomy, non-operative treatment and rehabilitation to the latest surgical treatments of PCL injuries using arthroscopy, grafts and synthetic ligament substitutes. Each of this early written chapters is accompanied by a wealth of line drawings and photographs demonstrating both the surgical and non-surgical approaches to examination and treatment. For any orthopaedic surgeon confronted by knee injuries, this volume is fundamental reading.

Eine gezielte Behandlung von orthopädisch oder neurologisch bedingten Gangproblemen ist nur mit wissenschaftlich fundierten Kriterien der Ganganalyse und entsprechenden Behandlungsstrategien möglich. Dieses Buch behandelt die Analyse der menschlichen Gehbewegung mit Elektromyographie und Goniometrie sowie Einsetzbarkeit und Grundlagen der Methode in Forschung und Praxis. Es beschreibt ausführlich die Möglichkeiten und Grenzen der funktionellen Interpretation von Patientenuntersuchungen.

Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations.