TKA・UKA　人工膝関節置換術パーフェクト

出版社： 羊土社
著者：
発行日： 2021-06-05
分野： 臨床医学：外科  >  整形外科学
ISBN： 9784758118972
電子書籍版： 2021-06-05 （第1刷）
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商品紹介

豊富な写真や図とともにエキスパートのTKA・UKAの手技を流れで理解できる１冊．術中のコツや，術前・術後に注意すべき内容まで網羅的にフォロー．これから始める人にもステップアップしたい人にもオススメ．

目次

  • 第1章　TKA・UKAの手術までの準備
    1　適応（TKAかUKAかHTOか）
    2　多関節OAに対する戦略
    3　術前の準備
    4　併存症への対応
    5　術前評価しておくべきもの

    第2章　これからTKAを始めるために
    ◆§１．術前
    1　ICの実際
    2　インプラントの種類と構造（長所，短所，術後成績など）
    3　手術の目標：アライメント
    4　手術の目標：靱帯バランス
    5　術前計画およびその実施
    6　手術器具の正しい使い方
    ◆§２．各手術アプローチ
    1　皮切
    2　medial parapatellar approach, midvastus approach, trivector approach
    3　subvastus approach
    4　lateral parapatellar approach
    5　quadriceps snip, V-Y turn down, 脛骨粗面骨切り
    ◆§３．手術手技の実際と注意点
    1　後十字靱帯温存型TKA～medial stabilizing technique～
    2　後十字靱帯機能代償型TKA
    3　Medial Pivot型TKA
    4　両十字靱帯機能代償型TKA
    5　両十字靱帯温存型TKA
    6　kinematically aligned−TKA
    7　膝蓋骨の処置
    8　セメントテクニック
    9　セメントレステクニック（注意点を中心に）
    10　特別な症例に対する注意点
    11　可動域向上の工夫
    12　創閉鎖の工夫
    ◆§４．トラブルシューティング(予防も含めて）
    1　軟部組織バランス不良（ギャップ不足，不安定性，膝蓋骨トラッキング不良）
    2　軟部組織損傷（MCL，膝蓋腱など）
    3　術中骨折
    4　神経・血管損傷
    ◆§５．難治症例の対処
    1　屈曲拘縮
    2　高度内反変形膝
    3　外反変形膝
    4　高度不安定性への対処（PS型，condylar-constrained型，rotating-hinge型）
    5　骨欠損への対処
    ◆§６．コンピュータ支援手術
    1　ナビゲーション
    2　patient specific instrumentation（PSI）
    3　ロボット支援手術

    第3章　これからUKAを始めるために
    ◆§１．術前
    1　ICの実際
    2　UKAインプラントの種類と構造
    3　手術の目標(アライメントと靱帯バランス）と術前計画
    ◆§２．手術手技の実際
    1　内側UKA：mobile bearing型
    2　内側UKA：fixed bearing型
    3　外側UKA
    4　トラブルシューティング

    第4章　合併症対策・術後管理：より安全な手術を行うために
    1　出血対策
    2　周術期疼痛対策
    3　感染予防（手術室，手術着，抗菌薬，など）
    4　深部静脈血栓症対策
    5　腫脹，浮腫予防
    6　超高齢者への配慮
    7　術後リハビリテーション
    8　術後マネジメント（生活指導・スポーツ）
    9　術後晩期疼痛対策

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

第1章 TKA・UKAの手術までの準備

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2) Bedard NA, et al : The John N. Insall Award : Do Intraarticular Injections Increase the Risk of Infection After TKA? Clin Orthop Relat Res, 475 : 45-52, 2017
 
3) Richardson SS, et al : Comparison of Infection Risk with Corticosteroid or Hyaluronic Acid Injection Prior to Total Knee Arthroplasty. J Bone Joint Surg Am, 101 : 112-118, 2019
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6) Kim K, et al : Preoperative Chronic Opioid Use and Its Effects on Total Knee Arthroplasty Outcomes. J Knee Surg, 33 : 306-313, 2020
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8) Furu M, et al : Quadriceps strength affects patient satisfaction after total knee arthroplasty. J Orthop Sci, 21 : 38-43, 2016
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9) Nishitani K, et al : A Multivariate Analysis on the Effect of No Closed Suction Drain on the Length of Hospital Stay in Total Knee Arthroplasty. Knee Surg Relat Res, 31 : 25-30, 2019
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10) White DK, et al : Daily walking and the risk of incident functional limitation in knee osteoarthritis : an observational study. Arthritis Care Res (Hoboken), 66 : 1328-1336, 2014
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12) Tokarski AT, et al : Dental clearance prior to elective arthroplasty may not be needed for everyone. J Arthroplasty, 29 : 1729-1732, 2014
 
13) Lee SH, et al : Effectiveness of iron supplementation in the perioperative management of total knee arthroplasty : a systematic review. Knee Surg Relat Res, 32 : 44, 2020
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P.25 掲載の参考文献
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5) Marchant MH Jr, et al : The impact of glycemic control and diabetes mellitus on perioperative outcomes after total joint arthroplasty. J Bone Joint Surg Am, 91 : 1621-1629, 2009
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6) Stryker LS, et al : Elevated postoperative blood glucose and preoperative hemoglobin A1C are associated with increased wound complications following total joint arthroplasty. J Bone Joint Surg Am, 95 : 808-14, S1, 2013
 
7) Tarabichi M, et al : Determining the Threshold for HbA1c as a Predictor for Adverse Outcomes After Total Joint Arthroplasty : A Multicenter, Retrospective Study. J Arthroplasty, 32 : S263-S267.e1, 2017
 
8) Dhatariya K, et al : NHS Diabetes guideline for the perioperative management of the adult patient with diabetes. Diabet Med, 29 : 420-433, 2012
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9) Stundner O, et al : Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty : perioperative outcomes. J Arthroplasty, 29 : 308-313, 2014
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10) Kobayashi S, et al : Rheumatoid Arthritis Patients Achieve Better Satisfaction but Lower Functional Activities as Compared to Osteoarthritis Patients After Total Knee Arthroplasty. J Arthroplasty, 34 : 478-482.e1, 2019
 
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P.30 掲載の参考文献
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第2章 これからTKAを始めるために

P.34 掲載の参考文献
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2) Nakamura S, et al : Long-Term Durability of Ceramic Tri-Condylar Knee Implants : A Minimum 15-Year Follow-Up. J Arthroplasty, 32 : 1874-1879, 2017
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3) Christ AB, et al : Incidence and Risk Factors for Peripheral Nerve Injury After 383,000 Total Knee Arthroplasties Using a New York State Database (SPARCS). J Arthroplasty, 34 : 2473-2478, 2019
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P.45 掲載の参考文献
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3) Cassar-Gheiti AJ, et al : Evaluation of the Medial Stabilized Knee Design Using Data From National Joint Registries and Current Literature. J Arthroplasty, 35 : 1950-1955, 2020
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4) Watanabe M, et al : Abnormal knee kinematics caused by mechanical alignment in symmetric bicruciate-retaining total knee arthroplasty are alleviated by kinematic alignment. Knee, 27 : 1385-1395, 2020
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P.50 掲載の参考文献
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4) Matsuda S, et al : Postoperative alignment and ROM affect patient satisfaction after TKA. Clin Orthop Relat Res, 471 : 127-133, 2013
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5) Nishitani K, et al : Valgus position of the femoral component causes abnormal kinematics in the presence of medial looseness in total knee arthroplasty : a computer simulation model of TKA for valgus knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc, 27 : 2051-2060, 2019
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P.55 掲載の参考文献
1) Okamoto S, et al : Extension gap needs more than 1-mm laxity after implantation to avoid post-operative flexion contracture in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 22 : 3174-3180, 2014
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2) Ishii Y, et al : Effect of soft tissue tension on measurements of coronal laxity in mobile-bearing total knee arthroplasty. J Orthop Sci, 10 : 496-500, 2005
PubMed
3) Takayama K, et al : Influence of intra-operative joint gaps on post-operative flexion angle in posterior cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 20 : 532-537, 2012
PubMed
4) Lampe F, et al : Do Well-Balanced Primary TKA Patients Achieve Better Outcomes Within the First Year After Surgery? Orthopedics, 39 : S6-S12, 2016
PubMed
5) Ismailidis P, et al : Clinical outcome of increased flexion gap after total knee arthroplasty. Can controlled gap imbalance improve knee flexion? Knee Surg Sports Traumatol Arthrosc, 25 : 1705-1711, 2017
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6) Minoda Y, et al : Joint Gap in Mid-Flexion Is Not a Predictor of Postoperative Flexion Angle After Total Knee Arthroplasty. J Arthroplasty, 33 : 735-739, 2018
PubMed
7) Deshmane PP, et al : Symptomatic flexion instability in posterior stabilized primary total knee arthroplasty. Orthopedics, 37 : e768-e774, 2014
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第3章 これからUKAを始めるために

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第4章 合併症対策・術後管理 : より安全な手術を行うために

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