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全膝关节翻修术:实用指南
$81.15
本书编者的新颖之处在于各章的编写风格完全统一,均以引人深思的卷首语开头,接下来是对本章目标的简要总结,然后结合手术技术、术前和术中计划、思考过程、详细的术中执行和术后注意事项,以便各章主题能成功地传达给读者。根据各部分所呈现的内容不同,编者将文献中及著者自己拥有的临床数据分散纳入各章。通过详细的插图和高质量的术中照片进行了各类技术的展示。每章都有大量的病例介绍,其中包括高分辨率的术前、术中、术后及随访 X 线片作对比。
本书引进自 Springer 出版社,拥有十分完整、清晰的翻修理论和实践体系。全书共 20 章,从初次 TKA 的核心理念入手,系统介绍了复杂初次全膝关节置换术及疼痛评估、全膝关节翻修术的适应证、手术显露及如何去除固定良好的假体,重点阐述了外科重建的原则,对固定技术、限制性髁翻修假体的运动学实用观点、旋转铰链假体、挽救性全膝关节翻修系统、感染管理、整形手术、膝关节翻修术中陈旧性髌骨脱位的处理策略、伸膝装置障碍与同种异体移植重建、关节置换角度看膝关节假体周围骨折、膝关节翻修术的死亡率、如何开始膝关节翻修术等问题进行了补充说明,并分享了个人在膝关节翻修手术方面的宝贵经验。本书重点突出、层次分明、阐释简洁,是翻修理论、技术和操作的集大成者,对于中、高级骨科医生来说是一部真正的实用指南。
Hosam E. Matar 关节置换顾问医师,主要兴趣点集中于翻修手术相关技术。发表过大量文章,在临床研究方面有丰富经验,尤其对改善关节置换患者的治疗效果及循证骨科有独到见解。
[英] Benjamin V. Bloch 关节置换顾问医师,主要兴趣点集中于膝关节翻修技术。在教学和培训方面有深厚造诣,并发表了众多同行评议文章。
[加] Hugh U. Cameron 关节置换外科医生,因其在关节炎(髋关节和膝关节)的关节置换和翻修手术方面的专业知识而享誉国际。在世界各地授课并撰写过大量著作。目前在加拿大多伦多 Sunnybrook 健康科学中心外科及生物工程部担任副教授。
[英] Peter J. James关节外科医生,因其在翻修和复杂膝关节置换方面的成就而享誉国际。在高运动需求患者的高性能膝关节置换及困难膝关节翻修手术方面拥有扎实的专业知识和独到的经验。同时参与膝关节翻修假体 / 系统的设计与评估,并就膝关节初次及翻修手术的各方面知识进行了广泛的讲座。
节置换的理念:不忘初心一、概述二、全膝关节置换的稳定性三、平衡的软组织袖套四、间隙平衡技术五、关于胫骨后倾 六、在伸直位获得膝关节平衡七、在屈曲位平衡膝关节八、一句警示九、活动平台和固定平台十、保留后交叉韧带的间隙平衡问题十一、髌骨置换第 2 章 复杂初次全膝关节置换术一、概述二、复杂全膝关节置换术的常见病因三、手术入路四、陈旧性固定屈曲畸形 五、既往关节周围骨折 六、既往治疗 OA 的减压截骨术七、部分膝关节置换的翻修八、既往髌骨切除术九、髌骨低位和高位十、既往化脓性关节炎十一、初次铰链全膝关节置换十二、患者专用器械第 3 章 全膝关节置换的疼痛评估一、概述二、临床评估第 4 章 全膝关节翻修术的适应证一、概述二、我们的系列研究三、聚乙烯磨损四、固定和无菌性松动五、不稳定六、僵硬第 5 章 手术显露的挑战一、概述二、胫骨嵴截骨术第 6 章 去除固定良好的假体一、概述二、移除假体的先决条件三、骨水泥初次 TKA 的取出四、取出全聚乙烯胫骨假体五、髌骨假体的取出六、非骨水泥初次假体的取出七、翻修假体的取出八、干骺端袖套的取出第 7 章 外科重建的原则:又一次从头开始一、概述二、全膝关节翻修术的理念三、髁型假体翻修的方法四、屈曲优先方法五、注意六、处理脆弱的副韧带七、垫块与骨丢失八、恢复股骨后髁偏心距九、限制性与平衡的方法十、髌股关节十一、病例展示第 8 章 全膝关节翻修术中的固定技术一、概述 二、固定技术的原理三、干骺端固定四、干骺端锥体效果五、短骨水泥杆结构效果六、我们把握的干骺端袖套适应证七、袖套的实用优势八、骨水泥袖套九、并发症十、我们在 rTKA 中使用袖套的病例十一、文献中的干骺端袖套概述第 9 章 限制性髁翻修假体的运动学:实用观点一、概述二、限制性的含义三、限制性与运动学四、需要凸轮 - 立柱机制的原因五、固定平台在翻修手术中的表现六、旋转平台 VVC 假体七、限制性对髌股关节的影响第 10 章 旋转铰链假体一、概述 二、使用铰链假体的时机三、固定铰链假体四、铰链装置的位置五、铰链相关的髌股关节问题六、铰链假体运动学的实践思考七、理想的铰链设计八、肿瘤假体的铰链设计九、我们的旋转铰链病例系列第 11 章 挽救性全膝关节翻修术 一、概述二、挽救性手术方案选择三、大型肿瘤假体四、大型肿瘤假体相关问题五、大型肿瘤假体的固定 六、伸肌装置和大型肿瘤假体七、软组织覆盖问题八、关于同侧 THA 问题 九、股骨次全置换十、全股骨置换十一、挽救性假体的禁忌证十二、并发性伸膝肌群功能失效的处理十三、内植物 - 关节融合术十四、截肢 十五、我们最近在挽救性假体方面的经验第 12 章 全膝关节翻修术中的感染管理:实用观点一、概述二、PJI 分类三、诊断 PJI 的实用方法四、识别出微生物种类后,改变慢性PJI 的处置方式五、培养阴性 PJI 六、手术策略七、进行 DAIR 的时机八、DAIR 中植入物取出问题九、DAIR 后抗生素需应用时间十、DAIR 治疗急性 PJI 的效果十一、慢性 PJI 翻修:一期 vs 二期十二、手术技巧十三、我们使用真假体作为关节占位器的原因 十四、我们使用融合钉作为固定型占位器的原因十五、处理窦道的方法十六、一期手术会失败的原因十七、重建时对干骺端压配型套袖的使用十八、我们关于慢性 PJI 的病例系列第 13 章 整形手术与全膝关节翻修术一、概述二、出现膝关节周围软组织缺损的原因三、处理受损软组织四、需要游离皮瓣的时机五、为感染膝关节的组织缺损移植皮瓣的时机第 14 章 全膝关节翻修术中陈旧性髌骨脱位的处理:手术技术一、概述二、历史沿革三、基本原理四、手术技术五、血液供应和缺血性坏死的风险六、文献回顾第 15 章 伸膝装置障碍与同种异体移植重建一、概述二、TKA 术后伸膝装置会失效的原因三、处置方案四、处理急性修复失败或陈旧重建失效五、异体移植临床结果第 16 章 从关节置换术角度看膝关节假体周围骨折一、概述二、处理原则三、我们在 DFR 治疗急性粉碎性假体周围骨折方面的经验第 17 章 膝关节翻修术的死亡率一、概述二、问题的规模三、我们关于感染性和无菌性 rTKA死亡率的系列报道 四、文献中 rTKA 的死亡率五、实际意义第 18 章 如何开始全膝关节翻修术一、培训、指导和支持二、临床网络第 19 章 Hugh U Cameron 的全膝关节翻修术生涯一、翻修的原因二、磨损三、松动四、僵硬五、感染六、不稳定七、疼痛八、涉及工伤保险的膝关节九、感知疼痛十、“平对平”的膝关节十一、瘾君子十二、结论第 20 章 Peter J James 的全膝关节翻修术生涯一、概述二、预则立,不预则废三、框架原理四、限制性的选择五、固定六、感染七、肿瘤假肢八、学习永不停息九、个人病例系列十、翻修膝关节置换术的未来十一、结论
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