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Fundamentals of Revision Knee Arthroplasty: Diagnosis, Evaluation, and Treatment

David J. Jacofsky, Anthony K. Hedley pp. 275 SLACK Incorporated 2011 ISBN: 978-1556429743

With a surge of primary knee replacements and an ageing population, general arthroplasty surgeons will face an increasing load of revision total knee replacements. Fundamentals of Revision Knee Arthroplasty: Diagnosis, Evaluation, and Treatment is an unique book designed for surgeons who are beginning to encounter more knee revisions, i.e. residents, in fellowship and in early years of practice. Supported by a team of 32 international experts in the field of knee reconstruction, Dr David J. Jacofsky and Dr. Anthony K. Hedley offer step-by-step practical guidance, with an evidence-based focus for the treatment.

There is an appropriately wide range of topics, from the very basic ‘Evaluation of a painful Total Knee Arthroplasty’, to the extreme of ‘Salvage of the Irretrievably Failed Total Knee Arthroplasty’.

It offers current, comprehensive guidance related to disorders of the knee that the reconstruction surgeon needs to know. It helps improve techniques and optimise outcomes by including valuable pearls and pitfalls. The references offer up-to-date guidance on knee revision surgery. All chapters are richly illustrated with figures, diagrams and tables, in full-colour format.

Helpfully, and true to its title (and unlike many other books on revision), this book does not concentrate on those very difficult and challenging cases. Rather, it is intended to guide one through the evaluation of common cases and basic principles of revision arthroplasty.

The chapter on ‘Management of Infection in Total Knee Arthroplasty’ is particulcarly well written. Although it is an uncommon complication, it carries significant consequences to the patient and surgeon. It remains a diagnostic and therapeutic challenge and the prevalence will probably increase as the number of joint replacements continues to rise. It highlights the importance of accurate diagnosis as the basis of the success of treatment.

Terence Chan

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