Written by authors who have performed more than 800 total knee and hip replacement surgeries, this full-color book offers step-by-step guidance on this type of procedure Hip and knee replacement surgery can improve the quality of life significantly in a wide variety of conditions and disorders, but total knee and hip replacement surgeries are special operations. The surgeons require the highest order of aseptic precaution, surgical skill, and a team of specialists in preoperative, perioperative, and postoperative techniques and protocols. This book fully explains step-by-step procedures and precautions to be observed in undertaking this kind of surgery. Full-color photographs and a DVD of surgical procedures enhance the book's usefulness. Ajit Kumar Mehta, MBBS, D Ortho, MS (Ortho), is Consultant Orthopedic Surgeon, Orthopedic and Joint Replacement Centre, Jagjivan Ram Hospital, Mumbai, India Contents Chapter 1 Introduction History and clinical examination 1 Investigations 2 Physiotherapy, education and training 3 Consent for surgery 3 Patient and relative?s signature for risk/benefit ratio 4 Preoperative planning for TKR 4 Arrangement of neurovascular structures around the knee 6 Blood supply to the knee 6 Preparation of the patient for surgery and arranging blood 7 Chapter 2 Total Knee Replacement (Cruciate-Substituting Fixed Bearing TKR) 8 Tourniquet application 8 Positioning 8 Scrubbing 8 Draping 9 Incision 10 Tibial cut 11 Femoral cuts 12 Resurfacing of patella 21 Tibial preparation 23 Cementing 24 Application of tibial insert 27 Wound closure 28 Postoperative advice 28 Follow-up schedule 34 Assessment during follow-up 34 Chapter 3 Difficult Situations and Important Points 36 Total knee replacement (TKR) in difficult situations 36 Post HTO TKR 45 Important points 49 Take care of (precautions to prevent peroperative complications) 52 Avoid silly mistake 53 Contraindications of TKR 53 Ideal indicated patients for successful TKR 53 Complications 53 Implants and cement required for primary TKR 54 Summary of TKR (steps in sequence) 55 Instruments required for TKR 56 Chapter 4 Rotating Platform High Flexed TKR (RPF) 59 Fixed bearing versus mobile bearing TKR (RPF) 59 Instruments required for RPF TKR 63 Chapter 5 Management of Complications after TKR 64 Periprosthetic fracture 64 Infection 66 Knee arthrodesis with LRS in cases of infected TKR 71 Aseptic loosening 75 Revision TKR 76 Implants required for revision TKR 86 Instruments required for revision TKR 87 Chapter 6 OT Setup for Joint Replacement Surgery 89 Introduction 89 Vertical laminar flow ventilation 90 Prevention of infection 91 Chapter 7 Total Hip Replacement 92 Preoperative planning 92 Positioning ? Lateral position 101 Draping 102 Posterior approach 103 Cemented THR (C-stem) 104 Instruments required for cemented THR (C-stem) 110 Features of triple taper C-stem 111 Bone cements 112 Uncemented THR (Summit stem) 115 Combinations in hip replacement 123 Assessment during follow-up 128 Instruments required for uncemented THR (Summit stem) 130 Implants and cement required for cemented THR (C-stem) 131 Implants required for uncemented THR (Summit stem) 131 Implants required for metal on metal, Articulating surface replacement (ASR) 132 Instruments required for metal on metal, ASR and Pinnacle 133 Implants for metal on metal or ceramic on ceramic, Pinnacle cup and head 134 Different measurements of femoral stem 134 Features of summit tapered hip system 135 Important points 136 Summary of THR (Steps in sequence for cemented and uncemented) 143 Proxima hip 144 Proxima instruments 147 Proxima implants 147 Chapter 8 Patient's Guide to Arthritis and Joint Replacement 148 Chapter 9 High Tibial Osteotomy by Hemicallotasis Using a Dynamic Axial Fixator 151 Bibliography 171 Index 175