Dr. Brian T. Palumbo, Unicompartmental Knee Arthroplasty - Florida Orthopaedic Institute скачать в хорошем качестве

Dr. Brian T. Palumbo, Unicompartmental Knee Arthroplasty - Florida Orthopaedic Institute

Thank you everyone. Again Dr. Palumbo with the adult reconstruction team at Florida Orthopaedic Institute. All right. So again my topic is a partial knee arthroplasty. Trying to gear this towards a primary care physician. The topic near and dear to my heart. These are my relevant disclosures so the objectives of the talk are discuss near arthritis clinically and radiographically. I define what unique apartmental knee arthroplasty is and its role in reconstruction. Let's talk a little bit about indications and patient selection which are really the bulk of this talk. I think with partial knee arthroplasty probably the most important aspect of achieving good outcomes is really patient selection. And then talk a little bit about outcome and survivorship. So of course as you probably know knee arthritis or osteoarthritis is that wear and tear type of arthritis of the knee joint. It really is a rather complex biochemical and mechanical process in which you get degradation of highland cartilage throughout the knee. I will talk mostly about a various knee. So I'm just for simplicity but in the various knee typically this will begin into your immediately it progresses post yearly with time and as the weather progresses until you get involvement of the Intercondylar notch in development of notch osteophytes along with a pro inflammatory state. You get a milieu for a chemical and mechanical ACL degradation. Once you get ACL or the ACL becomes insufficient you get progression of arthritis to the control lateral compartment and in subsequent tricompartmented arthritis and we're trying to capture those knees with that with regards with regards to patient selection before they progressed to try compartment of arthritis. So here on the left you'll see I have a normal knee healthy joint space about typically about six millimeters of joint space and the medial and lateral compartments and on the right you have a nasty arthritic knee would try compartment of arthritis you have bone on bone where pattern immediately and subtle subluxation of the femur on the tibia with progression of lateral compartment disease. And these are this is really that what we're trying to capture is before they progressed to to tricompartmental arthritis with arthritis with degradation of the ACLU have isolated medial compartment disease in this case and preserved lateral compartment cases where you have severe femoral tibial bone loss with severe deformities. These are obviously not cases where you can consider a partial knee totally arthroplasty is gonna be continues to be the gold standard for knee arthritis even in the case of isolated medial or lateral tibial femoral disease. I think the challenge with total arthroplasty what we've we've we've learned over the last decade or so is that our patients are achieving higher degrees of performance and so are the elderly elder years and their demand is really increasing. And this was really outlined by Phil Noble but outcomes and satisfaction rates with total arthroplasty are somewhat limited at least it had been over the past few decades. Florida Orthopaedic Institute brings highly skilled orthopedic care to Tampa Bay and the surrounding area by offering virtually unmatched expertise in every orthopedic subspecialty. Our physicians are known nationally and throughout the world for their work in orthopedic surgery and have been named among the best orthopedic physicians in America. As Florida’s largest orthopedic group, our mission is to provide an internationally recognized level of orthopedic care, achieving exceptional outcomes through continuing research and specialty expertise. Florida Orthopaedic Institute is supported by a professional staff of more than 500 people, based in a 100,000 sq. ft. facility on a 12-acre campus. The main campus includes a state-of-the-art orthopedic surgery center that serves patients and surgeons. With exceptional expertise in every orthopedic specialty, Florida Orthopaedic Institute is literally a one-stop shop for orthopedic care, with no need to refer patients outside the institute. Website: http://floridaortho.com Facebook:   / florida.orthopaedic.institute   LinkedIn: https://www.linkedin.com/company/flor...