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Minimally invasive surgery (MIS) is changing the way orthopedic surgery is practiced and is now considered state-of-the-art. There are rapid advances in the surgical techniques with the introduction of n- igation and robotics, which assist the surgeon in performing the p- cedure with limited visualization. This edition of MIS Techniques in Orthopedics elaborates on current techniques for the hip and knee, and also introduces the most recent sections on the upper extremity and computer navigation. The contributing authors are experts in the ?eld and share with the reader their experiences and surgical pearls. Keeping pace with new techniques and technologies in orthopedic surgery can be very demanding; our hope is that surgeons will ?nd this text a useful reference as they embark upon minimally invasive surgery. Giles R. Scuderi, MD Alfred J. Tria, Jr. , MD Richard A. Berger, MD vii Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Section I The Shoulder and Elbow Chapter 1 Mini-Incision Bankart Repair for Shoulder Instability . . . . . . . . . . . . . . . . . . . . . . . . 3 Edward W. Lee and Evan L. Flatow Chapter 2 Mini-Open Rotator Cuff Repair . . . . . . . . . . . . . . . 21 Jason A. Schneider and Frances Cuomo Chapter 3 Mini-Incision Fixation of Proximal Humeral Four-Part Fractures . . . . . . . . . . . . . . . . . . . . . . . . 32 Jim Hsu and Leesa M. Galatz Chapter 4 Minimally Invasive Approach for Shoulder Arthroplasty . . . . . . . . . . . . . . . . . . . . . . 45 Theodore Blaine, Ilya Voloshin, Kevin Setter, and Louis U. Bigliani Chapter 5 Mini-Incision Medial Collateral Ligament Reconstruction ofthe Elbow . . . . . . . . . . . . . . . . . 71 Steven J. Thornton, Andrew Willis, and David W. Altchek Chapter 6 Mini-Incision Distal Biceps Tendon Repair . . . . . .

Minimally invasive surgery (MIS) is changing the way orthopedic surgery is practiced and is now considered state-of-the-art. There are rapid advances in the surgical techniques with the introduction of n- igation and robotics, which assist the surgeon in performing the p- cedure with limited visualization. This edition of MIS Techniques in Orthopedics elaborates on current techniques for the hip and knee, and also introduces the most recent sections on the upper extremity and computer navigation. The contributing authors are experts in the ?eld and share with the reader their experiences and surgical pearls. Keeping pace with new techniques and technologies in orthopedic surgery can be very demanding; our hope is that surgeons will ?nd this text a useful reference as they embark upon minimally invasive surgery. Giles R. Scuderi, MD Alfred J. Tria, Jr. , MD Richard A. Berger, MD vii Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Section I The Shoulder and Elbow Chapter 1 Mini-Incision Bankart Repair for Shoulder Instability . . . . . . . . . . . . . . . . . . . . . . . . 3 Edward W. Lee and Evan L. Flatow Chapter 2 Mini-Open Rotator Cuff Repair . . . . . . . . . . . . . . . 21 Jason A. Schneider and Frances Cuomo Chapter 3 Mini-Incision Fixation of Proximal Humeral Four-Part Fractures . . . . . . . . . . . . . . . . . . . . . . . . 32 Jim Hsu and Leesa M. Galatz Chapter 4 Minimally Invasive Approach for Shoulder Arthroplasty . . . . . . . . . . . . . . . . . . . . . . 45 Theodore Blaine, Ilya Voloshin, Kevin Setter, and Louis U. Bigliani Chapter 5 Mini-Incision Medial Collateral Ligament Reconstruction ofthe Elbow . . . . . . . . . . . . . . . . . 71 Steven J. Thornton, Andrew Willis, and David W. Altchek Chapter 6 Mini-Incision Distal Biceps Tendon Repair . . . . . .

Designed as a concise guide to the essentials of total knee arthroplasty, as well as revision total knee arthroplasty, the text is ideal for orthopedic residents and surgeons. World-renowned experts cover basic principles and instrumentation, ligament releases, and bone defects. Fixation in total knee arthroplasty, both with cement and cementless, is considered. Complex topics regarding revision arthroplasty are detailed as well, including three-step technique, constrained total knee designs, and two-stage reimplantation for infected total knee arthroplasty. Revision of periprosthetic femur fractures and tibial periprosthetic fractures is also addressed. By highlighting key topics in total knee arthroplasty, this practical book is an invaluable reference to have on hand.

Minimally invasive surgery has evolved as an alternative to the traditional approaches in orthopedic surgery and has gathered a great deal of attention. Many surgeons are now p- forming all types of procedures through smaller surgical felds. Along with changes in the surgical technique, there have been rapid advances in computer navigation and robotics as tools to enhance the surgeon’s vision in the limited operative felds. With these new techniques and technologies, we must ensure that these procedures are performed safely and effectively with predictable clinical outcomes. This book has been expanded from our previous publi- tions to include spine and foot and ankle surgery, along with updated sections on knee arth- plasty, hip arthroplasty, and upper extremity surgery. The clinical information and surgical techniques, along with tips and pearls, provided by experts in the feld allows the reader to grasp a comprehensive understanding of the nuances of MIS. It is our intention that this text will be a valuable reference for all orthopedic surgeons. New York, NY Giles R. Scuderi, MD Piscataway, NJ Alfred J. Tria, MD v BookID 127440_ChapID FM_Proof# 1 - 14/09/2009 Contents Section I The Upper Extremities 1 What Is Minimally Invasive Surgery and How Do You Learn It? . . . . . . . . . . . . . . . . . . . . . 3 Aaron G. Rosenberg 2 Overview of Shoulder Approaches: Choosing Between Mini-incision and Arthroscopic Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Raymond A. Klug, Bradford O. Parsons, and Evan L. Flatow 3 Mini-incision Bankart Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 15 Edward W. Lee, Kenneth Accousti, and Evan L. Flatow 4 Mini-open Rotator Cuff Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Minimally Invasive Surgery in Orthopedics: The Upper Extremity Handbook contains all of the valuable chapters from Section 1 of Scuderi and Tria's 2010 hardcover reference.  Newly available in an affordable softcover format, this book covers minimally invasive procedures and techniques for the shoulder, elbow, wrist and other topics applicable to the upper extremity.  The book is fully illustrated with more than one hundred pictures and clearly written for ease of understanding.  Surgeons, residents, and fellows alike will find this thorough and focused handbook invaluable.

Minimally Invasive Surgery in Orthopedics: Knee Handbook contains all of the valuable chapters from Section III (The Knee) and selections from Section IV (Computer Navigation) of Scuderi and Tria's 2010 hardcover reference. Newly available in an affordable softcover format, this book covers minimally invasive procedures and techniques for the knee as well as computer navigation and robotics. The book is fully illustrated with more than one hundred pictures and clearly written for ease of understanding. Surgeons, residents and fellows alike will find this thorough and focused handbook invaluable.

Minimally Invasive Surgery in Orthopedics: Foot and Ankle Handbook contains all of the valuable chapters from Section III (The Knee) and selections from Section VI (Computer Navigation) of Scuderi and Tria’s 2010 hardcover reference. Newly available in an affordable softcover format, this book covers minimally invasive procedures and techniques for the knee as well as computer navigation and robotics. The book is fully illustrated with more than one hundred pictures and clearly written for ease of understanding. Surgeons, residents and fellows alike will find this thorough and focused handbook invaluable.

Minimally invasive surgery (MIS) is changing the way orthopedic surgery is practiced and is now considered state-of-the-art. There are rapid advances in the surgical techniques with the introduction of n- igation and robotics, which assist the surgeon in performing the p- cedure with limited visualization. This edition of MIS Techniques in Orthopedics elaborates on current techniques for the hip and knee, and also introduces the most recent sections on the upper extremity and computer navigation. The contributing authors are experts in the ?eld and share with the reader their experiences and surgical pearls. Keeping pace with new techniques and technologies in orthopedic surgery can be very demanding; our hope is that surgeons will ?nd this text a useful reference as they embark upon minimally invasive surgery. Giles R. Scuderi, MD Alfred J. Tria, Jr. , MD Richard A. Berger, MD vii Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii Section I The Shoulder and Elbow Chapter 1 Mini-Incision Bankart Repair for Shoulder Instability . . . . . . . . . . . . . . . . . . . . . . . . 3 Edward W. Lee and Evan L. Flatow Chapter 2 Mini-Open Rotator Cuff Repair . . . . . . . . . . . . . . . 21 Jason A. Schneider and Frances Cuomo Chapter 3 Mini-Incision Fixation of Proximal Humeral Four-Part Fractures . . . . . . . . . . . . . . . . . . . . . . . . 32 Jim Hsu and Leesa M. Galatz Chapter 4 Minimally Invasive Approach for Shoulder Arthroplasty . . . . . . . . . . . . . . . . . . . . . . 45 Theodore Blaine, Ilya Voloshin, Kevin Setter, and Louis U. Bigliani Chapter 5 Mini-Incision Medial Collateral Ligament Reconstruction ofthe Elbow . . . . . . . . . . . . . . . . . 71 Steven J. Thornton, Andrew Willis, and David W. Altchek Chapter 6 Mini-Incision Distal Biceps Tendon Repair . . . . . .

Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collectionof Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee.

The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.

The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work. 

The approach to total hip and total knee arthroplasty is changing around the world. There is now a strong emphasis on a more rapid recovery and on more outpatient surgery. Each step of the process is now being modified with more thorough pre-operative evaluations, streamlined surgical approaches, rapid mobilization and faster return to normal activities. These changes place new pressures on all of the health care providers in the system. This unique text - the first of its kind - is a practical guide for each member of the clinical team with updates by the leading authorities from around the country. Each chapter addresses a specific issue and will outline the important new items that need to be addressed, very similar to a handbook. Topics covered include the implementation of new payment models and outcome measurements, recommendations to streamline the pre-, peri- and post-operative protocols, the utility and application of outpatient joint replacement programs, multimodal pain management and post-acute rehabilitation strategies. There is no publication at present that addresses all of these items together in one convenient place. Rapid Recovery in Total Joint Arthroplasty is written and edited by experienced clinicians and surgeons, sharing their years of experience to create a practical, up-to-date text useful for everyday work.

Now revised and expanded into a major reference work, Scuderi and Tria bring together leaders in the field for this update of their classic 2010 text on minimally invasive surgery in orthopedics. Organized anatomically, each section has been reviewed and revised with the most current information and techniques, both common and complex. An entirely new section on analgesics and anesthesia is included, and the former section on the upper extremities is split into three distinct sections on the shoulder, elbow, and hand, respectively, for a more in-depth presentation of these areas. Subsequent sections on the hip, knee, foot and ankle, and spine are similarly reinforced with the state-of-the-art for each region. The final section is reworked to include not only computer navigation strategies but other innovative technologies in MIS as well. Now, as then, this is the go-to reference for orthopedic surgeons, residents and fellows seeking a practical understanding of minimally invasive techniques in orthopedics.

Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collectionof Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee.

Covering both primary and revision total knee arthroplasty (TKA), each technique-oriented chapter in this book opens with a clinical case and an overview of the challenges and multiple options for management, and each section within the chapter will describe the physical exam, surgical approach, clinical outcome and recent supporting literature. Chapters will utilize bullet points for quick reference and plentiful intra-operative photos to illustrate the various techniques described. Part one covers primary TKA, with cases demonstrating management strategies for the varus and valgus knee, flexion contracture, patellofemoral arthritis, and extra-articular deformity, among others, while part two covers revision TKA, with cases demonstrating acute infection, flexion and global instability, severe tibial and femoral bone loss, and periprosthetic fracture, among others. Written and edited by experts in the field, Complex Cases In Total Knee Arthroplasty: A Collectionof Current Techniques will be a useful reference for orthopedic surgeons, residents and fellows as well as sports medicine specialists and anyone involved in surgical care of the knee.