Total Knee Arthroplasty: Medical and Biomedical Engineering and Science Concepts provides an extensive overview of the most recent advancements in total knee arthroplasty (TKA) through a thorough review of the literature in medicine, engineering, and technology. Coverage includes the most recent engineering and computing techniques, such as robotics, biomechanics, artificial intelligence (AI), deep learning (DL), machine learning (ML), and optimization, as well as the medical and surgical aspects of pre-existing conditions, surgical procedure types, surgical complications, patient care, and psychological factors. This book will be a valuable introduction to TKA concepts and advances for academics, students, and researchers.
Author(s): Emre Tokgoz, Sarah Levitt, Diana Sosa, Nicholas A. Carola, Vishal Patel
Publisher: Springer
Year: 2023
Language: English
Pages: 271
City: Cham
Preface
Contents
About the Authors
Chapter 1: Surgical Approaches Used for Total Knee Arthroplasty
1.1 Introduction
1.2 Medial Parapatellar Approach
1.2.1 Minimally Invasive – Limited MPA
1.3 Subvastus Approach
1.3.1 Modified Subvastus Approach
1.3.2 Mini-Subvastus Approach
1.4 Midvastus Approach
1.4.1 Mini-Midvastus Approach
1.5 Trivector Approach
1.5.1 Mini-Trivector Approach
1.6 Lateral Approach
References
Chapter 2: Preexisting Conditions Leading to Total Knee Arthroplasty
2.1 Introduction
2.2 Osteoarthritis
2.3 Osteonecrosis
2.4 Sickle Cell Disease
2.5 Chronic Kidney Disease
2.6 Crohn’s Disease
2.7 Human Immunodeficiency Virus
References
Chapter 3: Surgical Approach Comparison in Total Knee Arthroplasty
3.1 Introduction
3.2 Preservation of Anatomical Structures
3.3 Operative Comparisons
3.3.1 Length of Operation
3.3.2 Exposure and Visibility
3.4 Length of Hospital Stay
3.5 Postoperative Pain
3.5.1 Narcotic Use
3.6 Range of Motion
3.6.1 Time to Straight Leg Raise
3.6.2 Quadriceps Function
3.6.3 Knee Flexion
3.7 Other Notable Variables
3.7.1 Operability in Large Patients
References
Chapter 4: Perioperative Patient Care for Total Knee Arthroplasty
4.1 Introduction
4.2 Patient Education
4.3 Dietary Considerations
4.4 Preoperative Evaluation
4.5 Surgical Approach
4.6 Analgesia
4.7 Rehabilitation Program
References
Chapter 5: Complications of Total Knee Arthroplasty
5.1 Introduction
5.2 Neurovascular Injuries
5.3 Polyethylene Wear and Osteolysis
5.4 Metallosis After TKA
5.5 Infection
5.6 Joint Stiffness
5.7 Persistent Pain
References
Chapter 6: Ergonomics of Total Knee Arthroplasty
6.1 Introduction
6.2 Importance of Surgeon Ergonomics
6.3 Ergonomics of Total Knee Arthroplasty with Robotic Assistance
6.4 Ergonomics of Traditional Total Knee Arthroplasty
6.5 Managing/Improving Ergonomic Stress
6.6 Discussion
6.7 Summary
References
Chapter 7: Medical Improvement Suggestions for Total Knee Arthroplasty
7.1 Introduction
7.2 Improvements in Overall Surgical Approach
7.3 Improvements in the Comparison of Surgical Approaches
7.4 Improvements in Perioperative Care
7.5 Improvements with Post-surgical Complications
7.6 Improvements to the Ergonomics of Total Knee Arthroplasty
7.7 Summary
References
Chapter 8: Biomechanics of Total Knee Arthroplasty
8.1 Introduction
8.2 Implant Choice
8.3 Bone Quality
8.4 Patient Physiology
8.5 Surgical Factors
8.6 Biomechanical Constraint Characterization
8.7 Ligament Affects
8.7.1 Anterior Cruciate Ligament (ACL)
8.7.2 Posterior Cruciate Ligament (PCL)
8.7.3 Medial Collateral Ligament (MCL)
8.7.4 Lateral Collateral Ligament (LCL)
8.8 Biomechanical Feature Clustering of Patients with Osteoarthritis
8.9 Conclusion and Future Work
References
Chapter 9: Robotics Applications in Total Knee Arthroplasty
9.1 Introduction
9.2 Semi-Active Systems
9.3 Active Robotic Systems
9.4 Unspecified Robotic Systems
9.5 Robotic-Assisted Gait Rehabilitation and Training Systems
9.6 Conclusion and Future Work
References
Chapter 10: Impact of Manufacturing on Total Knee Arthroplasty
10.1 Introduction
10.2 Manufacturer-Provided Surgical Implants for TKA
10.3 Impact of Polyethylene Manufacturing on TKA
10.4 TKA Implant Failure with Creep and Wear Issues
10.5 Impact of Advanced Manufacturing on TKA
10.6 Conclusions and Suggested Future Work
References
Chapter 11: Optimization Investigations on Total Knee Arthroplasty
11.1 Introduction
11.2 Numerical Optimization Results
11.3 Theoretical Constrained Mathematical Optimization Formulation for TKA Applications
11.4 Optimization of Patient Outcomes and Psychological Factors Impacting TKA Patients
11.4.1 Impact of Self-Efficacy on TKA Patients
11.4.2 Impact of Positiveness on TKA Patients
11.4.3 Impact of Vigor on TKA Patients
11.4.4 Impact of Vitality on TKA Patients
11.5 A Case Study: Power of Mind for Recovery
11.6 Conclusions and Suggested Future Research Directions
References
Chapter 12: Artificial Intelligence, Deep Learning, and Machine Learning Applications in Total Knee Arthroplasty
12.1 Introduction
12.2 Preoperative Applications
12.3 Hospital Length of Stay After Revision TKAs
12.4 Diagnosis and Treatment of Knee Osteoarthritis
12.5 Predicting Postoperative Outcomes of TKA
12.6 AI Applications in Economics of TKA
12.7 ML Integration into Biomechanical Properties
12.8 ML Applications on TKA Rehabilitation
12.9 Psychological Factors and Regression Analysis
12.10 Other Considerations
12.11 Conclusions Suggestions and Future Work
References
Chapter 13: Advancing Engineering of Total Knee Arthroplasty
13.1 Introduction
13.2 Impact of Psychological Factors on TKA Patients’ Well-Being
13.3 Suppliers’ Material Quality and Manufacturers’ Production
13.4 AI-, DL-, and ML-Related TKA Improvements
13.5 Impact and Advancements of Robotics on TKA
13.6 TKA Implant Design and Optimization
13.7 Biomechanics Applications on TKA
13.8 Conclusion
References
Epilogue
References
Index
