The reader is enthusiastically encouraged to tackle this second edition text in two ways. The first is simply to scan chapters with their introductions, summaries and conclusion points. Second, is to delve into those sections of seeming greater interest depending upon one’s s- cialty and role. The expansion and quality of this material speak to the success of the first edition by these editors and many similar authors. In addition, the continued and enlarged interest in computer assisted Orthopedic surgery indicates the relevance and enduring importance of this advance in our field of musculoskeletal surgery. I suggest that no other discipline in surgery is so appropriately suited to computer assistance including robotic performance. Orthopedics has always seemed unique to this author in that it focuses more than any other medical field on gross physical, mechanical structure. We deal nearly exclusively in physical repair of broken elements, rearrangement of deformed ones, and resurfacing or refurbishing those that are diseased in a way that has altered their mechanical integrity, shapes, and other structural aspects.

Sole reference in the field of orthopedic surgery

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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Responding to the growing demand for minimally invasive procedures, this book provides a comprehensive overview of the current technological advances in image-guided surgery. It blends the expertise of both engineers and physicians, offering the latest findings and applications. Detailed color images guide readers through the latest techniques, including cranial, orthopedic, prostrate, and endovascular interventions.

Surgical orthopedic procedures such as hip replacements, arthroscopy or knee replacements are surrounded by pre- and post-operative complications, and there are varying different methods for the procedures themselves. This book, for the first time, brings together the best evidence for treatments as well as any complications. Not only does it cover the evidence base for orthopedic surgery, but also orthopedic conditions requiring medical treatment, and pediatric orthopedics. Using the approved EBM methodology, and edited by teachers of evidence-based medicine, this is a genuine EBM textbook for all orthopedic specialists and trainees.

In this issue of Orthopedic Clinics, guest editors from the esteemed Campbell Clinic bring their considerable expertise to the topic of Intraoperative Challenges. Eleven top experts discuss a wide variety of potential surgical challenges that require the surgeon to make important judgment calls and decide the proper course of action. Areas covered include knee and hip reconstruction, hand and wrist, foot and ankle, shoulder and elbow, spine, trauma, and pediatrics. - Contains 14 relevant, practice-oriented topics including challenges with intraoperative imaging for pelvic and acetabular surgery; neuromonitoring changes in spinal deformity surgery; intraoperative challenges in hand surgery; managing intraoperative fractures during total ankle replacement; intraoperative vertebral artery injury: evaluation, management and prevention; and more. - Provides in-depth clinical reviews on intraoperative challenges, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Section 1: Science of Arthroplasty 1. How to Establish a Successful Arthroplasty Practice 2. Critical Surgical Anatomy for Safe Total Knee Arthroplasty 3. Surgical Anatomy for Total Hip Arthroplasty 4. Kinematics of Knee Arthroplasty 5. Biomechanics of the Hip Joint 6. Modern Cement Technology in Arthroplasty 7. Bearing Surfaces for Total Hip Arthroplasty: Material and Design 8. Mechanical Failure of Hard-on-Hard Bearings in Arthroplasty and Preventive Measures 9. Alternative Bearings in Total Hip Arthroplasty 10. Essential Knowledge about Polyethylene 11. The Science of Ligament Balancing 12. Scientific Basis for Unicompartmental Knee Replacement: Technical Implications 13. Thromboprophylaxis in Total Joint Arthroplasty 14. Patellofemoral Kinematics in Total Knee Arthroplasty Design 15. Understanding Mid-Flexion Instability in Total Knee Arthroplasty Section 2: Primary Knee Arthroplasty 16. Surgical Approaches to the Knee 17. Concepts Underlining Balancing in Total Knee Arthroplasty 18. Components Rotational Alignment in Total Knee Arthroplasty 19. Posterior Cruciate Ligament in Total Knee Arthroplasty: Balancing the Controversy 20. Algorithm for Dealing with Varus Deformity 21. Algorithm for Dealing with Fixed Flexion Deformity 22. Classification and Treatment Algorithm of a Valgus Knee 23. Total Knee Replacement in Valgus Knees: An Algorithmic Approach 24. Dealing with Severe Valgus Knee 25. Total Knee Arthroplasty after High Tibial Osteotomy 26. Total Knee Replacement in Complex Multiplanar and Segmental Knee Deformities 27. Rotating Mobile-bearing Total Knee Arthroplasty 28. High-flexion TKA: View through the Mist 29. Navigation in Total Knee Replacement 30. Extensor Mechanism Deficiency in Total Knee Arthroplasty 31. Patellofemoral Arthroplasty 32. Noncemented Primary Total Knee Arthroplasty 33. Current Role of Patient-specific Instrumentation in Total Knee Arthroplasty 34. UKA: The Mobile-bearing Option 35. Fixed-bearing Unicondylar Knee Arthroplasty 36. Minimal Invasive Unicondylar Knee Arthroplasty 37. Multicompartment UKR and ACL Reconstruction Section 3: Revision Total Knee Arthroplasty 38. Surgical Approaches for Revision Total Knee Arthroplasty 39. Evaluation of Painful Total Knee Arthroplasty 40. Management of Major Bone Defects in Revision TKR: Unility of Cones and Sleeves 41. Dealing with Bone Loss in Total Knee Arthroplasty 42. Knee Balancing in Revision Total Knee Arthroplasty 43. Rationale for Stem Extension Selection in Revision TKA 44. Management of the Disrupted Quadriceps Mechanism in Revision Total Knee Arthroplasty Section 4: Primary Total Hip Arthroplasty 45. Surgical Approaches for the Hip Replacement 46. Modern Cementing Techniques 47. Restoration of Center of Rotation and Balance of THR 48. Altered Hip Center in Total Hip Arthroplasty 49. Cemented Total Hip Arthroplasty 50. Cementless Stem: The Scientific Basis of Choice 51. Tapered Cementless Stem in THR 52. S-ROM in Primary and Revision THA: Technical Details and Surgical Tips 53. Cups and Diametric Considerations in Primary Total Hip Arthroplasty 54. Total Hip Arthroplasty for Developmental Dysplasia of the Hip 55. Total Hip Arthroplasty in High Grade Developmental Dysplasia of Hip 56. Role of Dual Mobility Cup in Total Hip Arthroplasty 57. Surgical Management of Hip Dislocations following Total Hip Arthroplasty 58. Minimally Invasive Surgery: Posterior Approach Variant 59. Bipolar Hip Arthroplasty 60. Total Hip Arthroplasty in Acetabular Fractures Section 5: Revision Total Hip Arthroplasty 61. Principles of Revision Total Hip Arthroplasty 62. Pathomecha