Download or read book Restoring Knee Function written by David Scott Logerstedt and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The overall goal of this work was to identify the physical impairments, activity limitations, and self-reported outcomes after ACL injury, surgery, and rehabilitation. The development of clinical guidelines and performance standards can provide clinicians with practice patterns and benchmarks to optimize patient outcomes and address complications that may arise. By identifying the physical impairments, activity limitations, and self-reported outcomes and responses to injury, surgery, and rehabilitation, we can better predict which impairments and limitations impact patients' knee function and subsequent recovery and implement interventions to facilitate full knee recovery. Our first experimental study identified a group of individuals with knee function within normal ranges at baseline testing (n=15). Subsequently individuals who did (n=34) or did not (n=52) have a treatment response to perturbation training based on the change scores in the self-report questionnaires and the global knee function question were identified. At baseline testing, responders and nonresponders had lower self-reported outcomes scores than the knee function within normal ranges group. Responders had lower KOS-ADLS and GRS scores than nonresponders. After training, responders and nonresponders had lower self-reported outcomes scores than knee function within normal ranges group. Nonresponders had lower IKDC2000 scores than responders. The involved limb improved in all physical performance measures from baseline to post-training test. Clinicians should implement a battery of tests using performance-based and self-report outcomes to describe patients' function and maximize successful outcomes. Secondly, we prospectively followed 83 subjects after ACL injury to 12 months after ACL reconstruction. Limb-to-limb symmetries are reduced and normal limb symmetry is restored after perturbation training and returned to similar levels 6 months after reconstruction. Performance-based values on the involved limb and selfreported outcomes are sensitive to change over time and were clinically relevant improvements. Based on the current research, we suggest a rehabilitation program consisting of perturbation training and aggressive quadriceps strength pre-operatively and a systematic criteria-based post-operative program in order to restore normal limb symmetry and maximize functional recovery for patients undergoing ACL reconstruction. Additionally, of the 83 subjects we followed prospectively, 55 subjects had complete pre-operative data and IKDC2000 scores at 6 months and 52 subjects had complete pre-operative data and IKDC2000 scores at 12 months to examine the relationship of pre-operative quadriceps strength and post-operative self-reported knee function and to investigate how other pre-operative factors may influence this relationship. Pre-operative quadriceps strength can predict IKDC2000 scores 6 months after ACL reconstruction, but did not predict IKDC2000 scores 12 months after reconstruction. These results confirm the importance of good quadriceps strength prior to ACL reconstruction in predicting better knee function after surgery. Factors, such as gender, meniscal injury, pre-operative BMI, and pre-operative quadriceps activation ratio, that are known to influence quadriceps strength and self-reported outcomes do not influence the relationship between pre-operative quadriceps strength and post-operative IKDC2000 scores. Our last experimental study was to determine if one-legged hop tests conducted pre-operatively and 6 months after surgery would predict self-reported knee function 1 year after ACL reconstruction. Single hop, cross-over hop, triple hop, and 6-m timed hop limb symmetry indexes 6 months after ACL reconstruction significantly predicted self-reported knee function within normal ranges 1 year after surgery. The 6-meter timed hop was the strongest individual predictor of self-reported knee function and had the highest discriminative accuracy. Pre-operative one-legged hop test did not predict self-reported knee function within normal ranges 1 year after ACL reconstruction. A comprehensive test battery may be needed to increase the sensitivity in predicting self-reported knee function. A systematic review was performed to establish performance standards for the single hop for distance after ACL reconstruction. Thirty-two articles were included in the final analysis. Individuals had lower single hop symmetry indexes and hop distances early after surgery that improved up to 13 months after ACL reconstruction. Individuals with patella tendon-bone autografts had lower hop symmetry index and large limb-to-limb differences than other graft types between 3 and 7 months after surgery. Clinicians can use these performance-based standards to guide their expectations after ACL reconstruction and direct their interventions if a patient is not meeting pre-determined criteria to progress their rehabilitation. Two systematic reviews were performed to develop evidence-based clinical practice guidelines for patients with musculoskeletal impairments related to knee ligamentous injuries, and knee meniscal and chondral injuries based on musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). MEDLINE, CINAHL, and the Cochrane Database of Systematic Reviews (1966 through January 2009) were systematically reviewed for any relevant articles related to classification, outcome measures, and intervention strategies for ligament injuries and instabilities of the knee, and meniscal and chondral injuries of the knee. When relevant articles were identified their reference lists were hand-searched in an attempt to identify other articles that might have contributed to the outcome of clinical practice guidelines. Recommendations were made regarding clinical course, risk factors, diagnosis and classification, differential diagnosis, examination, and interventions. Individual clinical research articles were graded and the overall strength of the evidence supporting the recommendations made in these guidelines were also graded.

Download or read book Total Knee Arthroplasty written by James Alan Rand and published by Lippincott Williams & Wilkins. This book was released on 1993 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.

Download or read book Personalized Hip and Knee Joint Replacement written by Charles Rivière and published by Springer Nature. This book was released on 2020-06-30 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

Download or read book Reconstruction of the Knee Joint written by S. Niwa and published by Springer. This book was released on 1997-04 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 20 years have passed since the International Symposium on Total Knee Replacement was held in London in 1974. Prosthetic design and operative technique have been greatly improved since then, and there is now an accepted standard concept of total knee arthroplasty. Thirteen years after the London symposium, another international symposium on total knee replacement was held, this time in Nagoya, Japan, in 1987. Its ambitious objective was to push forward the frontiers of continuous investigation and improve ment of total knee replacement. The fruits of the individual efforts presented at the Nagoya symposium were published in a volume of proceedings entitled Total Knee Replacement. In the years since 1987, further investigations have been conducted in various parts of the world regarding prosthetic design, fixation, long-term radiological follow-up, biomechanical evaluation, and biomaterials research. In knee ligament reconstruc tion, rapid progress has been made in the past five years in clinical practice and fundamental research by means of arthroscopic surgery and tissue transplantation, and we have come close to establishing a standard treatment. Under these circumstances, an international symposium on knee joint reconstruc tion was planned for 1994, again to be held in Nagoya, to provide ample opportunity for exchanging information and sharing clinical experience from around the world.

Download or read book Minimally Invasive Functional Reconstruction of the Knee written by Jinzhong Zhao and published by Springer Nature. This book was released on 2023-01-01 with total page 561 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book provides essential surgical techniques to restore knee function, in addition to the anatomical reconstruction. It introduces 44 techniques in separated chapters, which are composized with the same text structure and high-resolution photos. The authors are good at managing and teaching these techniques. The step-by-step descriptions and illustrations are very helpful for the readers of orthopaedic and sports medicine surgeons.

Download or read book Return to Sport after ACL Reconstruction and Other Knee Operations written by Frank R. Noyes and published by Springer Nature. This book was released on 2019-11-05 with total page 709 pages. Available in PDF, EPUB and Kindle. Book excerpt: The wealth of information provided in this unique text will enable orthopedic surgeons, medical practitioners, physical therapists, and trainers to ensure that athletes who suffer anterior cruciate ligament (ACL) injuries, or who require major knee operations for other reasons, have the best possible chance of safely resuming sporting activity at their desired level without subsequent problems. Divided into seven thematic sections, the coverage is wide-ranging and encompasses common barriers to return to sport, return to sport decision-based models, and the complete spectrum of optimal treatment for ACL injuries, including preoperative and postoperative rehabilitation. Advanced training concepts are explained in detail, with description of sports-specific programs for soccer, basketball, and tennis. Readers will find detailed guidance on objective testing for muscle strength, neuromuscular function, neurocognitive function, and cardiovascular fitness, as well as validated assessments to identify and manage psychological issues. In addition, return to sport considerations after meniscus surgery, patellofemoral realignment, articular cartilage procedures, and knee arthroplasty are discussed. Generously illustrated and heavily referenced, Return to Sport after ACL Reconstruction and Other Knee Operations is a comprehensive resource for all medical professionals and support staff working with athletes and active patients looking to get back in the game with confidence.

Download or read book The Multiple Ligament Injured Knee written by Gregory C. Fanelli and published by Springer Science & Business Media. This book was released on 2012-08-16 with total page 469 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Multiple Ligament Injured Knee: A Practical Guide to Management includes the most developed knowledge needed to successfully diagnose and treat knee ligament injuries. This thorough work presents anterior and posterior cruciate and collateral ligament anatomy and biomechanics along with non-invasive methods for diagnosing the extent of injury, such as radiographic and arthroscopic evaluation. Various injuries are discussed in addition to useful treatment techniques, including arthroscopic reconstruction, posterolateral and posteromedial corner injury and treatment, assessment and treatment of vascular injuries, assessment and treatment of nerve injuries, rehabilitation, and post-operative results. Each of these clearly written chapters is accompanied by a wealth of line drawings and photographs that demonstrate both the surgical and non-surgical approaches to examination and treatment.

Download or read book Total Knee Arthroplasty written by Johan Bellemans and published by Springer Science & Business Media. This book was released on 2005-08-01 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Take away my knee pain and give me better motion". This is what the arthritic patient expects from a Total Knee Arthroplasty (TKA). By virtue of standardization of the TKA procedure, surgeons can nowadays solve the pain issue for the majority of the patients. Restoration of function is a goal of a different order and forms the scope of this book. The editors confronted today's leading knee surgeons with the limitations of current surgical techniques and technology. They challenged them to define new thresholds of functional capacity after Total Knee Arthroplasty. "A Guide to Get Better Performance in TKA" describes the cutting edge in surgical techniques, prosthetic design and achievement of excellent function for these patients.

Download or read book The ACL Deficient Knee written by Vicente Sanchis-Alfonso and published by Springer Science & Business Media. This book was released on 2012-12-18 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book approaches the ACL deficient knee from a different perspective than those of the previous classical ways. The common approach is the analysis of closed compartments; anatomy, biomechanics, physical findings, imaging, surgical treatment and rehabilitation. The approach of this book is completely opposite, focusing on questions, controversies, problem analyses and problem solving, besides analyzing the possibility of prevention. Therefore, in each chapter, the biomechanics, anatomy, and other areas that are relevant to the topic are reviewed. There are chapters where highly specialized surgical techniques are presented (acute ACL repair, double bundle reconstruction, chondral lesions treatment or meniscal transplant). These chapters are written by internationally renowned specialists that are pioneers in the topic analyzed. Another interesting aspect of this book are the step by step surgical techniques videos, that will allow a knee specialist to perform the technique presented by the author. Moreover, the videos will include anatomy and physical therapy techniques.

Download or read book The Knee written by W. Müller and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new treatise is the most outstanding piece of work on the knee and its associated ligaments currently available. Never before have I seen such an extensive study of the biomechanics of the knee with such a comprehensive review of the literature. The first section of the book, which deals with the functional anatomy (structure and biomechanics), immediately alerts the reader to the necessity of understanding the natural develop ment and action of the related structures, clearly emphasizing that successful diagnosis and treatment cannot otherwise be expected; the many who want an easy standard approach to each classic problem may find this hard to accept. Study what Werner Muller has written and compare it with your own findings from repeated dissection of anatomical specimens. The author goes on to stress that to have a real grasp of reconstructive surgery of the ligaments, one must be properly acquainted with the pathology and the repair of acute lesions. In no other way can one learn to recognize chronic problems. Once this step has been mastered it can be seen that the reconstructive procedures that Muller advocates do, for the most part, follow the laws of Nature rather than create the kind of abnormalities which often disrupt natural anatomical func tion.

Download or read book Revision ACL Reconstruction written by Robert G. Marx and published by Springer Science & Business Media. This book was released on 2013-09-05 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations.

Download or read book The Anterior Cruciate Ligament Reconstruction and Basic Science E Book written by Chadwick Prodromos and published by Elsevier Health Sciences. This book was released on 2007-12-27 with total page 671 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master the very latest clinical and technical information on the full range of anterior cruciate ligament reconstruction techniques. Both inside the remarkably user-friendly printed version of this Expert Consult title and on its fully searchable web site, you'll find detailed coverage of hamstring, allograft and bone-tendon-bone (BTB) ACL reconstruction (including single versus double bundle techniques), and hamstring graft harvesting; plus fixation devices, rehabilitation, revision ACLR surgery, and much more! A "dream team" of ACL surgeons provides the advanced guidance you need to overcome the toughest challenges in this area. A comparison of the full range of graft options for ACL reconstruction makes it easier to choose the best approach for each patient. State-of-the-art information on the latest principles and technical considerations helps you avoid complications. ‘How to' principles of post-op rehabilitation and revision ACL surgery optimize patient outcome. Access to the full contents of the book online enables you to consult it from any computer and perform rapid searches. Also available in an upgradeable premium online version including fully searchable text PLUS timely updates.

Download or read book Evidence Based Management of Complex Knee Injuries E Book written by Robert F. LaPrade and published by Elsevier Health Sciences. This book was released on 2020-10-04 with total page 499 pages. Available in PDF, EPUB and Kindle. Book excerpt: The ultimate resource for sports medicine conditions involving the knee, Evidence-Based Management of Complex Knee Injuries is an up-to-date reference that provides practical tools to examine, understand, and comprehensively treat sports medicine conditions in this challenging area. Using a sound logic of anatomy, biomechanics, lab testing, human testing, and outcomes analysis, editors Robert F. LaPrade and Jorge Chahla offer a single, comprehensive resource for evidence-based guidance on knee pathology. This unique title compiles the knowledge and expertise of world-renowned surgeons and is ideal for sports medicine surgeons, primary care physicians, and anyone who manages and treats patients with sports-related knee injuries. Uses a step-by-step, evidence-based approach to cover biomechanically validated surgical techniques and postoperative rehabilitation, enabling surgeons and physicians to more comprehensively treat sports medicine knee injuries. Covers the basic anatomy and biomechanics of the knee alongside more advanced objective diagnostic approaches and easy-to-follow treatment algorithms. Provides an easy-to-understand review of pathology with clear, concise text and high-quality illustrations. Demonstrates the importance and function of the ligaments and meniscus with exquisite anatomical illustrations and numerous biomechanical videos.

Download or read book Sports Medicine written by Freddie H.; Schreiber Verena M. Fu and published by . This book was released on 2010 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Master Techniques in Orthopaedic Surgery: Sports Medicine is aimed at orthopaedic surgery sports medicine specialists. About half of the book is based on sports-related chapters from the Shoulder, Elbow, Knee, and Foot and Ankle volumes of Master Techniques in Orthopaedic Surgery. Other chapters are new to this volume and cover the shoulder, the elbow, the knee, the ankle, and the use of arthroscopy to correct hip problems caused by sports injuries. All chapters assume that the diagnosis is known and focus on selecting the correct technique. The contributors describe their preferred techniques in step-by-step detail, point out pertinent anatomy, and offer pearls and tips for improving results. The book is thoroughly illustrated with full-color, sequential, surgeon's-eye view intraoperative photographs, as well as drawings by noted medical illustrators"--Provided by publisher.

Download or read book Heal Your Knees written by Robert L. Klapper and published by M. Evans. This book was released on 2004-07-25 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Put an end to knee pain! An esteemed surgeon and a water therapy expert team up to tell you the essentials about your knees, how to get them back into shape, and how to prevent further pain and injury. Through careful explanation, they examine each part of the healing process—from basic function to long-term exercises—guiding you to a pain-free life. With detailed information on a variety of healing options, you will learn how to make the right decisions for your knees, understand when and why surgery is appropriate, and how simple exercise in your living room and in the pool can speed the post-surgical healing process.

Download or read book Rotatory Knee Instability written by Volker Musahl and published by Springer. This book was released on 2016-09-27 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is designed to equip the reader with the knowledge and tools required for provision of individualized ACL treatment based on the best available evidence. All major aspects of the assessment of rotatory knee instability are addressed in depth. A historical overview of arthrometers, both invasive and non-invasive, is provided, and newly developed devices for the measurement of rotatory knee laxity are considered. Recent advances with respect to the pivot shift test are explained and evidence offered to support a standardized pivot shift test and non-invasive quantification of the pivot shift. Specific surgical techniques for rotatory laxity are described, with presentation of the experience from several world-renowned centers. In addition, functional rehabilitation and “return to play” are discussed. In keeping with the emphasis on an individualized approach, the book highlights individualization of surgical reconstruction techniques in accordance with the specific injury pattern and grade of rotatory knee laxity as well as the use of individualized rehabilitation techniques. Numerous high-quality images illustrate key points and clear take-home messages are provided.

Download or read book Sports Injuries written by Mahmut Nedim Doral and published by Springer Nature. This book was released on 2015-06-29 with total page 3295 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference.