Total Knee Arthroplasty A Guide to Get Better Performance
"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 t
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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
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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 Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the internet at This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer Medizin Verlag. A member of Springer Science+Business Media springer.de © Springer Medizin Verlag Heidelberg 2005 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absende of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product leability: The publishers cannot guarantee the accuracy of any information about dosage and application thereof contained in this book. In every individual case the user must check such information by consulting the relevant literature. SPIN 10964880 Cover Design: design & production gmbH, Heidelberg, Germany Typesetting: Goldener Schnitt, Sinzheim, Germany Printing and Binding: Stürtz, Würzburg, Germany Printed on acid-free paper 18/5141 – 5 4 3 2 1 0
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Preface Few domains in orthopedics have evolved so dramatically over the past decades as our knowledge and understanding 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, resurfaci
