Rothman Institute Manual of Total Joint Arthroplasty

Javad Parvizi MD FRCSProfessor, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USA William J Hozack MDResident, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania, USAPeter F Sharkey MDProfessor, Department of Orthopaedics, Riddle Memorial Hospital, Media, Pennsylvania, USAGregory K Deirmengian MDAssociate Professor, Department of Orthopaedic Surgery, Sydney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA

• Section 1: PreoperativeIndications and Contraindications for Total Joint ArthroplastyPreoperative Radiographic EvaluationConsent: When and Where?Perioperative Patient EvaluationAdditional Testing and Preoperative ConsultationManagement of Preoperative MedicationsPrehabilitation for Total Knee Arthroplasty and Total Hip ArthroplastyClinical Examination of the HipClinical Examination of the KneePreoperative Nutritional OptimizationSmoking CessationPerioperative Optimization of the Diabetic PatientOptimization of the Patient with CardiopathyOptimization of the Renal Failure PatientOptimization of Chronic Obstructive Pulmonary DiseaseOptimization of Sleep ApneaOptimization of AnemiaPreadmission Testing and Preoperative ConsultationPreoperative TemplatingImplant Selection for Total Hip ArthroplastyImplant Choices in Total Knee ArthroplastySection 2: PerioperativeIntraoperative Deep Vein Thrombosis ProphylaxisMultimodal Pain Management in Total Knee ArthroplastyMultimodal Pain Management in Total Hip ArthroplastyPeripheral and Neuraxial Blocks for Analgesia After Total Joint Arthroplasty: Indications and TechniquesPreoperative AntibioticsTranexamic AcidIntraoperative Steroid AdministrationAnesthetic Techniques in Total Joint Arthroplasty: Neuraxial AnesthesiaAnesthetic Techniques in Total Joint Arthroplasty: General AnesthesiaSkin PreparationTourniquet Use in Total Knee ArthroplastyOperating Room Universal PrecautionsSurgical Hand Antisepsis PracticesOperating Room TrafficDrapingDirect Anterior Approach to Total Hip ArthroplastySurgical Approaches to Hip: Direct LateralSurgical Approaches: Posterior HipMedial Parapatellar Approach for Total Knee ArthroplastySubvastus and Midvastus Approach to the KneeUnicompartmental Knee ArthroplastyPatellofemoral ArthroplastyTotal Hip Arthroplasty in Patients with Metabolic Bone DiseaseTotal Hip Arthroplasty in Protrusio AcetabuliTotal Hip Arthroplasty in Patients with Proximal Femoral DeformityTotal Knee Arthroplasty for Patients with Severe DeformityAntibiotic CementComputer-Assisted Total Knee ArthroplastyPatient-Specific InstrumentationManagement of Vascular Complications: HipManagement of Vascular Complications in Total Knee ArthroplastySurgical DrainsWound ClosureUrinary Catheter in Primary Total Joint ArthroplastySurgical Dressing in Total Joint ArthroplastyPostoperative X-rays (Hips and Knees)Heterotopic Ossification PreventionSection 3: Postoperative ManagementOperative Note Dictation in Total Joint ArthroplastyPostoperative Fluid ManagementVenous Thromboembolism Prophylaxis for Total Joint ArthroplastyRisk Stratification for Venous Thromboembolism After Total Joint ArthroplastySleeping Aids After Total Joint ArthroplastyPostoperative Gastrointestinal ComplicationsRoutine Postoperative Laboratory InvestigationsPostoperative Antibiotic ProphylaxisWound Care and DressingsTransfusionsFever ManagementOxygen Desaturation ManagementAltered Mental Status and Postoperative Neurologic AbnormalitiesWeight-Bearing After Total Joint ArthroplastyManagement of Urinary Retention After Total Joint ArthroplastyManagement of Cardiac ArrhythmiasManagement of Diagnosed Deep Vein ThrombosisManagement of Diagnosed Pulmonary EmbolismPhysical and Occupational Therapy After Total Knee ArthroplastyPhysical and Occupational Therapy After Total Hip ArthroplastyDischarge Destination: Rehabilitation vs HomeHome Physical Therapy After Total Joint ArthroplastyDischarge Pain MedicationsActivity Modification After Total Hip ArthroplastyContinuous Passive Motion for Rehabilitation After Total Knee ArthroplastyFollow-Up Times and Goals After Total Joint ArthroplastyAntibiotic Prophylaxis for Minor Procedures After Total Joint ArthroplastyRestarting MedicationsSection 4 ComplicationsManagement of Wound Drainage After Total Joint ArthroplastyPostoperative BlisterPostoperative Infection InvestigationManagement of Acute Periprosthetic Hip InfectionManagement of Acute Infection: KneeManagement of Chronic InfectionManagement of Dislocated Hip: Early vs LateManagement of Intraoperative Fractures During Total Hip ArthroplastyManagement of Intraoperative Fractures During Total Knee ArthroplastyManagement of Periprosthetic Hip FracturesManagement of Postoperative Periprosthetic Knee FracturesManagement of the Swollen Limb in the Early Postoperative PatientManagement of Residual Leg Length Discrepancy After Total Hip ArthroplastyManagement of Stiff Knee After Total Knee ArthroplastyManagement of Painful Total Knee ArthroplastyManagement of Neurologic Deficit: HipManagement of Neurologic Deficit: Knee