Total_Knee_Arthroplasty.pdf

Johan Bellemans

Michael D. Ries

Jan M. K. Victor

Total Knee Arthroplasty

A Guide to Get Better Performance

Johan Bellemans (Editor)

Michael D. Ries (Editor)

Jan M. K. Victor (Editor)

Total Knee

Arthroplasty

A Guide to Get Better Performance

With 323 Figures, 137 in Color, and 39 Tables

123

Johan Bellemans, Professor

Universitair Ziekenhuis

Weligerveld 1

3212 Pellenberg-Leuven

BELGIUM

Michael D. Ries, Professor

Chief of Arthroplasty

Department of Orthopedic Surgery

San Francisco Medical Center

500 Parnassus Ave., MU 320-W

San Francisco, CA 94143

USA

Jan M. K. Victor, M. D.

AZ St-Lucas Hospital

Sint-Lucaslaan 29

8310 Brugge

BELGIUM

ISBN 10 3-540-20242-0 Springer Berlin Heidelberg New York

ISBN 13 978-3-540-20242-4 Springer Berlin Heidelberg New York

Springer Medizin Verlag Heidelberg

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Preface

Few domains in orthopedics have evolved so dramatically over the past decades as our knowledge and understand-

ing of knee physiology and knee replacement surgery.

Long ago are the days that hinged knees or unconstrained flat on flat components with gamma irradiated in air

polyethylene were the standard. Since those days, an unstoppable evolution has taken place towards refinement and

better results. Some designs and theories have thereby withstood the test of time better than others, while some debates

have been significant. Cemented or uncemented fixation, resurfacing of the patella and mobile or fixed bearings, are

some of the issues that are still open today. Despite the fact that some issues have dominated the literature and the

public forum during the eighties and nineties, most of us have realised in the meantime that these issues are less

fundamental in our quest towards optimal knee joint restoration.

In addition, we have discovered previously neglected or unknown aspects. New terminology and technology has

emerged. Paradoxical motion, lateral lift off, asymmetrical roll-back were never heard of during the nineties, and are

public domain in today’s knee forum. Computer assisted surgery, minimal invasive technology, cross-linked poly-

ethylene and ceramics have entered the world of knee surgeons. All with the same goal in mind; to optimize the per-

formance of the knees we treat.

This book attempts to assemble all these evolutions and new insights into a standard work, in an attempt to provide

the reader with a current update on the most modern views on knee arthroplasty.

Experts from all over the world have contributed to achieve this goal. All have published extensively in peer-

reviewed journals, and have taken the opportunity to bundle their knowledge in the allocated chapter in this book,

thereby providing the reader with a unique work summarising the current scientific knowledge on knee arthroplasty.

The editors are grateful to them for their excellent contributions to this work, and hope with all of those who were

involved, that this book may serve as a modern basis for achieving better performance in knee arthroplasty.

Finally, the editors would like to express their special and sincere gratitude to the publishing editor Thomas Guenther

from Springer Verlag for his competent and professional support, which allowed us to present this work according to

the highest standards available today in medical literature. Thomas Guenther, who always spoke about this work as

his baby, suddenly passed away from us during the finalizing weeks of this work.

This book will therefore be the last book that Thomas made. Together with many surgeons who published for

Springer-Verlag, Thomas will stay in our minds as a hard and dedicated worker, with a perpetual drive towards

perfection. The success of this work is therefore also a last homage to Thomas Guenther.

The Editors

Johan Bellemans

Michael D. Ries

Jan M. K. Victor

May 2005

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