《膝关节置换术 第三版》

English | 2024 | ISBN-10: 303161979X | 520 pages| Epub PDF (True) | 243 MB

Now in a fully revised and updated third edition, this comprehensive text covers all aspects of revision total knee arthroplasty (TKA), complete with step-by-step descriptions of surgical techniques. Sensibly divided into four thematic sections, part I discusses evaluation and diagnosis of the failed TKA, including imaging, updates on implant bearings, and rationale for reoperation. General principles of revision surgery are presented in part II, addressing skin and extensile exposure, component removal, allografts, metaphyseal sleeves and cones, femoral and tibial alignment, and restoration of stability. Part III presents the many special considerations that come into play with revision TKA, including periprosthetic fracture, infection, stiffness and other post-operative complications and complexities. The role of arthrodesis and the economics of revision TKA are also elucidated. A final, brand new section describes cutting edge topics for TKA in the near future, such as patient specific 3D implants, the use of robotics, and sensor and digital technology.

现在，这部全面的著作在修订并更新后的第三版中涵盖了一系列主题内容，涉及全膝关节置换术（TKA）的所有方面，其中包括手术技术的详细步骤描述。该书被合理地分为四个主题部分：第一部分讨论了失败TKA的评估和诊断，包括影像学检查、植入轴承的最新信息以及重新手术的理由。第二部分概述了翻修手术的一般原则，涉及皮肤和可扩展暴露、组件移除、异体移植、干骺端套管和锥体、股骨和胫骨对齐以及稳定性的恢复。第三部分呈现了与翻修TKA相关的许多特殊考虑因素，包括周围假体骨折、感染、僵硬和其他术后并发症和复杂性。还阐明了融合术的作用及翻修TKA的经济影响。最后一部分描述了未来即将成为焦点的话题，如针对患者的定制3D植入物、机器人技术的应用以及传感器和数字技术的使用。

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