Knee Arthroscopy: How to Succeed

Description

This concise and handy book offers practical guidance to orthopedic surgeons and residents willing to master knee arthroscopy techniques in their daily practice. Based on scientific evidence but also mirroring expert know-how and best practices, it equips readers with essential information, tips and tricks to avoid and prevent intraoperative minor and major complications. Clearly and uniformly written, and featuring a wealth of intraoperative pictures, the book guides readers step-by-step through each of the presented arthroscopic procedures – from patient positioning, through meniscal suture approaches and hamstring grafting, to ACL, PCL and MPFL reconstructions. Covering all the basic and practical aspects this book is a must-read for residents and young orthopedic surgeons wanting to gain insights into this surgical technique and valuable tool for practicing orthopedists, sports physicians and physiotherapists with an interest in knee arthroscopy.   Foreword Preface Acknowledgments Contents 1: The Basics: Patient’s Positioning, Different Portals of the Knee 1.1 Patient Positioning 1.2 The Different Portals 1.3 The Exploration 2: Meniscal Sutures: All-Inside, Out-In, and Posterior Horn Reinsertion 2.1 Overview 2.1.1 The Abrasion 2.1.2 The All-Inside Suture 2.1.3 Out-In Technique 3: The Hamstring Graft: ACL Reconstruction with Quadruple Bundle Gracilis and Semitendinosus Tendons 3.1 Overview 3.2 Hamstring Tendons Graft Harvesting: Anterior Approach 3.3 Femoral Tunnel: First Part 3.4 Tibial Tunnel 3.5 Femoral Tunnel: Second Part 3.6 Ascent, Tension Adjustment, and Transplant Fixation 4: Quadruple Hamstring Graft: Single Four-Strand Semitendinosus Tendon 4.1 Overview 4.2 Semitendinosus Tendon Harvesting Using the Posterior Popliteal Fossa Approach 4.3 Graft Preparation 4.4 Femoral Tunnel, Out-In Technique 4.5 Tibial Tunnel 4.6 The Ascent, the Tension Adjustment, and Graft Fixation 5: BTB Graft Technique: ACL Reconstruction Using the Patellar Tendon 5.1 Overview 5.2 Patellar Tendon Harvesting 5.3 Preparing the Femoral Intercondylar Fossa 5.4 Tibial Tunnel 5.5 Femoral Tunnel 5.6 Ascent, Tension Adjustment, and Transplant Fixation 5.7 Closure 6: Lateral Tenodesis: Extra-articular Reconstruction with the Fascia Lata Using a Modified Christel-Djian Technique 6.1 Overview 6.2 Harvesting 6.3 Fixation 7: The Posterior Cruciate Ligament: PCL Reconstruction Using the Semitendinosus 7.1 Overview 7.2 The Single Four-Strand Semitendinosus Tendon Harvesting 7.3 Graft Preparation 7.4 A Complete Tunnel Using the Image Intensifier 7.5 Femoral Tunnels In-Out 7.6 Ascent, Tension Adjustment, and Transplant Fixation 8: The MPFL: Double Bundle Reconstruction Using the Gracilis with Femoral and Tibial Rigid Fixations 8.1 Overview 8.2 Patient Positioning 8.3 Gracilis Tendon Harvesting and Length Verification 8.4 Preoperative Skin Marking at the Fixation Sites 8.5 Patellar Tunnel Fixation with Screws 8.6 Femoral Fixation with a Screw in a Complete Tunnel Annex A: Learning on the Simulator Annex B: Graft Preparation During a Quadruple Stranded Semitendinosus Technique Preparation on Operating Table Preparation of the Tibial Extremity