Essentials in Total Knee Arthroplasty

Javad Parvizi, MD completed his medical training in the United Kingdom, graduating from University of Sheffield in 1991. He then completed his surgical training at the Mayo Clinic in Rochester, MN, where he also attained a master’s degree from the Mayo Foundation in Molecular Biology involving evaluating bone healing and cartilage repair, which sparked his interest in both basic science and clinical research in the field of orthopedics. His fellowship training was completed under the direction of Professor Reinhold Ganz at Inselspital, Bern, Switzerland. Dr. Parvizi is currently a Professor of Orthopedic Surgery at Rothman Institute and Thomas Jefferson University in Philadelphia, PA. He also is the director of clinical research and a member of the education committee. His dedication to education encompasses a number of activities including publication of numerous books and book chapters, and over 240 peer-reviewed publications. Dr. Parvizi’s desire to provide succinct, accurate, and relevant information was the impetus behind this book.Brian A. Klatt, MD graduated from the University of Pittsburgh School of Medicine in 1997. After completing his orthopedic surgery residency at the University of Pittsburgh, he served 4 years on active duty with the United States Air Force. The final 2 years in the military were spent working with the residency program at Wilford Hall Medical Center, and it was there that his commitment to education was solidified. After an honorable discharge from the military, Dr. Klatt completed a fellowship in adult reconstruction at the Rothman Institute, Thomas Jefferson University in Philadelphia. His decision to attend a fellowship at the Rothman Institute was a direct result of meeting Dr. Rothman at a lecture in San Antonio. Dr. Klatt has been lucky to be mentored by many of the great names in orthopedic surgery today. He is currently an Assistant Professor of Orthopedic Surgery at the University of Pittsburgh. Dr. Klatt returned to the University of Pittsburgh, where he continues to dedicate himself to the education of medical students and residents. His research interests are varied and encompass both clinical and basic science topics. He was honored to work with Dr. Parvizi in producing this text. Dr. Klatt hopes that this book will provide a quick and easy source for residents who seek to understand the essential information required to master total knee arthroplasty.

• Dedication Acknowledgments About the Editors Contributing Authors Preface Foreword by Richard H. Rothman, MD, PhD Chapter 1 Applied Anatomy of Total Knee Arthroplasty Arjun Saxena, MD; Sarah Lombardo, MD; and Javad Parvizi, MD Chapter 2 Knee Biomechanics and Biomaterials Nitin Goyal, MD and William Hozack, MD Chapter 3 Arthritides Bruce Hopper, MD Chapter 4 Nonsurgical Alternatives/Conservative Management Peter C. Vitanzo Jr, MD and Barry E. Kenneally, MD Chapter 5 Surgical Alternatives to Total Knee Arthroplasty Hany Bedair, MD and David Backstein, MD, MEd, FRCSC Chapter 6 The History of Modern Total Knee Arthroplasty Jennifer K. Bow, MD, FRCSC and Javad Parvizi, MD Chapter 7 Indications for Total Knee Arthroplasty Harvey E. Smith, MD and Craig J. Della Valle, MD Chapter 8 Preoperative Patient Evaluation for Total Knee Arthroplasty Benjamin Bender, MD; Ashok L. Gowda, BS; and Javad Parvizi, MD Chapter 9 Surgical Approaches to Total Knee Arthroplasty Gregg R. Klein, MD and Mark A. Hartzband, MD Chapter 10 Operating Room Set-Up Manny Porat, MD and William Hozack, MD Chapter 11 Surgical Principles of Total Knee Arthroplasty Gregory K. Deirmengian, MD and Carl A. Deirmengian, MD Chapter 12 Avoiding and Overcoming Your Nightmares Michael R. Pagnotto, MD and Brian A. Klatt, MD Chapter 13 Postoperative Analgesia Options for the Total Knee Arthroplasty Patient Eric Schwenk, MD; Kishor Gandhi, MD MPH; and Eugene R. Viscusi, MD Chapter 14 Controversies in Total Knee Arthroplasty James J. Purtill, MD and Khalid A. Azzam, MD Chapter 15 Early Failure in Primary Total Knee Arthroplasty William V. Arnold, MD, PhD Chapter 16 Mechanisms of Failure in Total Knee Arthroplasty Peter F. Sharkey, MD and Omar Abdul-Hadi, MD Chapter 17 Patella Fracture Following Total Knee Arthroplasty Alvin Ong, MD Chapter 18 Periprosthetic Fractures in Total Knee Arthroplasty Garen Daxton Steele, MD and Brian A. Klatt, MD Chapter 19 Total Knee Infection Michael Williamson, MD and Javad Parvizi, MD Chapter 20 Aseptic Loosening Zachary Post, MD Chapter 21 Complex Primary Total Knee Arthroplasty Benjamin Bender, MD; Luis Pulido, MD; and Javad Parvizi, MD Chapter 22 Total Knee Arthroplasty Revision Matthew S. Austin, MD and Eric L. Grossman, MD Chapter 23 Total Knee Arthroplasty Rehabilitation Catherine J. Fedorka, MD; Katie OÆShea, PT, DPT, MBA; Kristen Vogl, PT, DPT; and Kristen Huber, PT, MSPT Financial Disclosures Index