Total Knee Arthroplasty by Richard D. Scott MD

By Richard D. Scott MD

One of many world's major professionals on knee arthroplasty-Dr. Richard D. Scott-gives you the advantage of his 30 years of medical and examine adventure during this functional easy-to-use consultant to overall knee arthroplasty. each one bankruptcy walks you thru a distinct, self-contained presentation on an important medical problem in knee alternative and lines amazing scientific images, drawings, and considerable precis tables. at the integrated DVD, Dr. Scott's observation publications you thru movies illustrating key recommendations for either common and intricate knee replacements.Single writer brings a constant, unified approach.Addresses themes of curiosity to surgeons of all degrees of experience.User-friendly index permits quick access to the knowledge you are looking for.Hundreds of distinctive, full-color illustrations make reference simple.Key thoughts established on an advantage DVD-ROM with videos from Dr. Scott's own assortment.

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I ask my patients to send in a written progress report at 3 months and to see me for an examination and radiograph at 1 year. Future examinations will occur at 2, 5, 7, 10, 12, and 15 years postoperatively assuming no worrisome symptoms appear during the intervals. References 1. Masini MA, Madsen-Cummings N, Scott RD: Ipsilateral total knee arthroplasty after arthrodesis of the hip. J Orthop Tech 1995;3:1–5. 2. Olcott CW, Scott RD: The Ranawat Award: femoral component rotation during total knee arthroplasty.

In these patients, long films are required to fully evaluate the bowing and guide the surgeon as to where to enter the medullary canal at the level of the tibial plateau. In some tibias, the bow is so excessive that an intramedullary alignment rod cannot be accommodated. If the surgeon insists upon its use, the tibial resection will be prejudiced into significant valgus. In knees undergoing revision where the surgeon is using a long-press-fit intramedullary tibial extension, intramedullary alignment devices are appropriate.

As the valgus deformity progresses, there is loss of lateral compartment joint space and gradual attenuation of the medial collateral ligament (MCL) (Fig. 6–2). A skyline view of the patella often shows patellofemoral involvement and possibly patellar dysplasia, with a very thin patella that is partially dislocated laterally, developing a concave shape to the lateral facet that mates with the convex shape of the lateral femoral condyle (Fig. 6–3). Patella alta often is present and can be appreciated on both the anteroposterior (AP) and lateral radiographs.

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