Minimally invasive joint replacement has become one of the
hottest topics in the orthopedic world. In the case of the knee,
however, this concept has been widely misunderstood. All too
frequently it is taken to mean keyhole surgery in which traditional
components are implanted with a shorter surgical time. Such an
approach in fact has few benefits and various possible dangers.
In this book, international experts discuss truly minimally
invasive knee reconstruction techniques that involve tissue-sparing
surgery and small implants and permit preservation of both the
anterior and the posterior cruciate ligament. These techniques have
the key advantage of respecting the physiological joint
biomechanics. They also entail minimal removal of bone tissue from
the tibia and only a small skin incision that avoids damage to the
extensor apparatus. All of the most innovative techniques used in
uni- and bicompartmental knee reconstruction are covered in detail,
including computer-assisted procedures. Long-term results are
reported, and pitfalls, highlighted. The reader will learn how,
with careful selection of patients and rigorous surgical technique,
compartmental reconstruction offers a valid alternative to total
knee replacement.
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