| SECTION I: PREOPERATIVE QUESTIONS |
| Question 1 | How Do You Decide When a Patient Is “Ready” for a Total Knee
Replacement? Is There a Downside to Waiting Until They Have More Severe Disease?
Carlos Lavernia, MD and Diego Cardona, MD |
| Question 2 | Management of Unicompartmental Osteoarthritis of the Knee
Michael Archibeck, MD |
| Question 3 | I Have a Patient With a Deformity of the Distal Femur and Arthritis of the Knee. Should I Do an Osteotomy to Correct the Deformity at the Time of Total Knee Arthroplasty?
Jess H. Lonner, MD |
| Question 4 | If a Patient Has a Clearly Visible Calcified Vessel in the Posterior
Aspect of Their Knee on the Preoperative Radiograph, Should
I Use a Tourniquet? What About the Patient with a History of Prior Bypass Grafts?Raphael C. Y. Hau, MBBS, FRACS and Bassam A. Masri, MD, FRCSC |
| Question 5 | Should My Patients Donate Blood Prior to Surgery?
Fred Cushner, MD |
| Question 6 | When Do You Do a One-Stage Bilateral Total Knee Arthroplasty
as Opposed to Staging Them?
Steve Lyons, MD |
| Question 7 | Should the Patella Be Routinely Resurfaced at the Time
of Total Knee Arthoplasty?
Javad Parvizi, MD, FRCS and Feridon Jaberi, MD |
| Question 8 | I Have a Patient Who Is Very Concerned About Their Range of Motion.
Should I Use a High Flex Type Component?
Giles R. Scuderi, MD |
| Question 9 | I Have a 43-year Old Male Who Needs a Total Knee: Should I Use
Highly Cross-linked Polyethylene as a Bearing Surface?
Markus A. Wimmer, PhD and Joshua J. Jacobs, MD |
| Question 10 | I Think My Patient May Have a Charcot (Neuropathic) Knee. Is This
a Contraindication to Total Knee Arthroplasty?
R. Michael Meneghini, MD and Jeffery L. Pierson, MD |
| Question 11 | I Am Considering Implementing a Teaching Class Prior to Surgery
for My Patients. Is This Beneficial? What Topics Should be Covered?
Regina Barden, RN, BSN and Kim Chandler, RN |
| | |
| SECTION II: INTRAOPERATIVE QUESTIONS |
| Question 12 | If a Patient Has Had Prior Surgery, How Do I Decide Where
to Make the Skin Incision?
Brett Levine, MD, MS |
| Question 13 | If I Am Doing a Total Knee Arthroplasty and the Patella Does
Not Seem to Track Well, What Should I Do?
Richard A. Berger, MD |
| Question 14 | How Do You Determine Appropriate Femoral Component Rotation
at the Time of Surgery?
Richard Illgen II, MD and Matthew Squire, MD, MS |
| Question 15 | How Do I Determine Tibial Component Rotation in Total Knee
Arthroplasty?
David Manning, MD and Seann Carr, MD |
| Question 16 | How Do I Perform a Lateral Release?
Mark D. Campbell, MD |
| Question 17 | The Femoral Component Sizing Guide Is Measuring Between
Two Sizes. Should I Choose the Smaller or Larger Size?
Frank R. DiMaio, MD |
| Question 18 | What Is Flexion Instability and How Do I Prevent It During Total
Knee Arthroplasty?
David J. Jacofsky, MD |
| Question 19 | I Am Doing a Total Knee in a Patient With a Varus Deformity.
I Have Done My Standard Release and the Knee Is Still Tight
Medially. What Should I Do?
Gregg R. Klein, MD and Mark A. Hartzband, MD |
| Question 20 | When Performing a Total Knee Arthroplasty in a Patient With
a Valgus Deformity, What Structures Do You Release First?
Keith R. Berend, MD |
| Question 21 | If I Am Doing a Total Knee and It Is Too Tight in Extension,
But Otherwise Feels Well Balanced, What Should I Do?
Steven Stuchin, MD |
| Question 22 | The Patella Measures 22 Millimeters Prior to Making My Osteotomy.
How Much Bone Should I Remove?
Hari P. Bezwada, MD and Robert E. Booth, Jr., MD |
| Question 23 | What Should I Do If I Cut the MCL Intraoperatively?
Scott D. Ruhlman, MD; Shanon M. Sara; and Seth S. Leopold, MD |
| Question 24 | When Do You Use Antibiotic-Loaded Cement?
Mohammad Namazian, DO and Paul E. Di Cesare, MD |
| Question 25 | Do You Inject the Capsule With Anything at the End of the Case
in an Effort to Decrease Perioperative Pain?
Amanda Marshall, MD
|
| SECTION III: POSTOPERATIVE QUESTIONS |
| Question 26 | I Have a Patient Who Is 2 Weeks Postoperative From a Primary
Total Knee Arthroplasty and the Wound Is Draining. What Should
I Do?
Carl Deirmengian, MD |
| Question 27 | What Is the Best Method for Preventing Thromboembolic Events
After Total Knee Arthroplasty?
Jay R. Lieberman, MD |
| Question 28 | In the Recovery Room My Patient Does Not Have a Distal Pulse
in the Operative Leg. What Should I Do?
Kevin B. Fricka, MD |
| Question 29 | My Patient Has a Foot-Drop After Surgery. What Should I Do?
Mark F. Schinsky, MD and William Macaulay, MD |
| Question 30 | What Criteria Do You Use for a Manipulation Under Anesthesia?
Harpal Singh Khanuja, MD |
| Question 31 | I Have a Patient Who Fell 3 Months Postoperatively and Fractured
Their Patella. Should I Try and Fix It?
Craig J. Della Valle, MD and Daniel J. Berry, MD |
| Question 32 | I Have a Patient Who Tripped and Fell 3 Months After a Total
Knee Arthroplasty and Has a Supracondylar Femur Fracture.
What Is the Optimal Method of Treatment?
Mark Dumonski, MD and Walter Virkus, MD |
| Question 33 | How Do You Manage Acute Extensor Mechanism Disruptions?
Cory L. Calendine, MD and Kevin B. Fricka, MD
|
| SECTION IV: REVISION QUESTIONS |
| Question 34 | How Do You Evaluate the Patient With a Painful Total Knee
Arthroplasty?
Michael J. Archibeck, MD |
| Question 35 | What Is the Best Test for Diagnosing Periprosthetic Infection?
Craig J. Della Valle, MD |
| Question 36 | If I Am Doing a Revision Total Knee and Can’t Seem to Get Adequate
Exposure, What Should I Do?
Craig J. Della Valle, MD |
| Question 37 | When Doing a Revision Total Knee, Do You Start Reconstructing
the Femur or Tibia First?
David G. Nazarian, MD |
| Question 38 | Should I Use Stems on All of My Revision Total Knee Components?
Steven H. Weeden, MD and Wayne Paprosky, MD |
| Question 39 | If I Use a Stem at the Time of a Revision Total Knee Arthroplasty,
Should I Press-Fit the Stem or Cement It?
Craig J. Della Valle, MD and Aaron G. Rosenberg, MD |
| Question 40 | When Do You Use an Offset Stem During Revision Total Knee
Replacement?
Scott M. Sporer, MD, MS |
| Question 41 | How Do You Handle Massive Bone Loss at the Time of Revision
Total Knee Arthroplasty?
Allan E. Gross, MD, FRCSC, O.Ont |
| Question 42 | How Do I Decide If I Should Retain the Patellar Component
at the Time Of Revision Total Knee Arthroplasty?
Thomas E. Brown, MD; Khaled Saleh, MD, MSc, FRCSC;
Quan Jun Cui, MD, MS; and William Mihalko, MD, PhD |
| Question 43 | How Do You Manage the Patient With Severe Patellar Bone Loss
at the Time of Revision Total Knee Arthroplasty?
Kevin J. Bozic, MD, MBA and Michael D. Ries, MD |
| Question 44 | How Do You Assess Joint Line Position at the Time of Revision
Total Knee Arthroplasty? What Are the Clinical Consequences
If It Is Elevated?
Richard S. Laskin, MD |
| Question 45 | When Should I Use a Constrained Condylar Insert as Opposed
to a Posterior Stabilized Insert?
Kelly G. Vince, MD, FRCS |
| Question 46 | How Should I Manage the Patient With Chronic Extensor Mechanism
Deficiency Associated with a Total Knee Arthroplasty?
R. Stephen J. Burnett, BSc, MD, FRCS(C), Dipl. ABOS
and Robert L. Barrack, MD |
| Question 47 | Do You Use Static or an Articulating Spacer for Resection
Arthroplasty Prior to Reimplantation?
Alexander Siegmeth, FRCS (Tr & Orth) and Donald Garbuz, MD, FRCSC |
| Question 48 | What Are Your Indications for a Knee Fusion?
Andrew A. Freiberg, MD |
| Question 49 | How Do You Manage the Patient with an Unexpectedly Positive
Culture at the Time of a Revision Total Knee Arthroplasty?
Patrick M. Morgan, MD and John C. Clohisy, MD |
| Index | |