Peter A. Knoll, MD, James A. Browne, MD Arthroplasty Today

Slides:

Advertisements

Similar presentations

Module #1 James E. Carpenter, MD Peter M. Murray, MD Sterile Technique & Ortho. Surgery Room Setup Developed by the Surgical Skills Task Force of the American.

Advertisements

Knee Sports Medicine Tests. Valgus Stress Test for Knee Instruct the athlete to lie down with the legs extended and relaxed. Place one hand on the medial.

Volume 2, Issue 4, Pages (December 2016)

Total knee arthroplasty in multiple sclerosis

Volume 3, Issue 4, Pages (December 2017)

Volume 1, Issue 2, Pages (June 2015)

Basic Knee Arthroscopy Part 1: Patient Positioning

Proximal tibiofibular osteoarthritis presenting as pain after total knee arthroplasty treated successfully with fusion of the proximal tibial-fibular.

Samuel F. Thompson, BS, Blake E. Peterson, MD, Ajay Aggarwal, MD

Colin D. Canham, MD, Christopher Walsh, MD, Stephen J. Incavo, MD

Volume 4, Issue 2, Pages (June 2018)

Volume 4, Issue 2, Pages (June 2018)

Circular hexapod external fixation for periprosthetic tibial fracture

Volume 3, Issue 4, Pages (December 2017)

Volume 4, Issue 3, Pages (September 2018)

Volume 4, Issue 2, Pages (June 2018)

Volume 2, Issue 2, Pages (June 2016)

Early fracture of the modular neck of a MODULUS femoral stem

Fracture of an uncemented tantalum patellar component

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture Maher Baroudi, MD, Pascale Derome, MD, Michel.

Traumatic anterior knee dislocation after total knee arthroplasty

Volume 4, Issue 3, Pages (September 2018)

Volume 4, Issue 2, Pages (June 2018)

Lumbar chance fracture after direct anterior total hip arthroplasty

Volume 4, Issue 4, Pages (December 2018)

Failure of Emperion modular femoral stem with implant analysis

Volume 4, Issue 1, Pages (March 2018)

Sam splint for wrap and immobilization of snakebite

Late total hip arthroplasty dislocation due to yoga

Zachary C. Lum, DO, Mauro Giordani, MD, John P. Meehan, MD

Arthroplasty in organ transplant patients

Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa,

Volume 4, Issue 1, Pages (March 2018)

Volume 2, Issue 2, Pages (June 2016)

The cyclops lesion after bicruciate-retaining total knee replacement

Total femoral allograft with simultaneous revision total hip and knee arthroplasty: 18 year follow-up Ryan N. Harris, DO, Trevor M. Owen, MD, Joseph.

Volume 4, Issue 2, Pages (June 2018)

Martin Bédard, MD, FRCSC, Simon Corriveau-Durand, MD

Volume 4, Issue 1, Pages (March 2018)

Total knee arthroplasty in patients with extra-articular deformity

Mechanically assisted crevice corrosion of the head-neck taper in a large head metal- on-metal total hip arthroplasty Joseph Moskal, MD, Matthew Stover,

Sivana Leigh Barron, BA, Brian J. McGrory, MD, MS Arthroplasty Today

Tibial tray fracture in a modern prosthesis with retrieval analysis

Volume 2, Issue 3, Pages (September 2016)

Inflammatory demyelinating polyneuropathy after total hip arthroplasty

Volume 4, Issue 3, Pages (September 2018)

Volume 4, Issue 4, Pages (December 2018)

Aspirin: are patients actually taking it?—A quality assessment study

Volume 1, Issue 2, Pages (June 2015)

Volume 4, Issue 2, Pages (June 2018)

Volume 3, Issue 1, Pages (March 2017)

Retrieval analysis of a failed synthetic mesh extensor mechanism reconstruction after total knee arthroplasty Anna Cohen-Rosenblum, MD, Ashley Volaric,

Rapidly destructive osteoarthritis can mimic infection

Volume 2, Issue 4, Pages (December 2016)

Joseph T. Moskal, MD, Susan G. Capps, PhD, John A. Scanelli, MD

The American Joint Replacement Registry—the first 5 years

Volume 3, Issue 3, Pages (September 2017)

Lauren M. Chu, BS, Patrick A. Meere, MD, Cheongeun Oh, PhD, Peter S

Continuing versus discontinuing antiplatelet drugs, vasodilators, and/or cerebral ameliorators on perioperative total blood loss in total knee arthroplasty.

Characterizing extremely negative reviews of total joint arthroplasty practices and surgeons on yelp.com Jaymeson R. Arthur, MD, David Etzioni, MD, Adam.

Total knee arthroplasty in patients with extra-articular deformity

Volume 3, Issue 4, Pages (December 2017)

Tibial tray fracture in a modern prosthesis with retrieval analysis

Procedure coding in the American Joint Replacement Registry

Robotic arm assisted total knee arthroplasty workflow optimization, operative times and learning curve Luis Grau, MD, Max Lingamfelter, DO, Danielle.

Volume 5, Issue 2, Pages (June 2019)

Nontraumatic fracture of the polyethylene tibial post in a bi-cruciate stabilized total knee prosthesis Daan Renson, MD, Wouter Lenaerts, MD, Johan Feyen,

Volume 5, Issue 2, Pages (June 2019)

Volume 5, Issue 2, Pages (June 2019)

Incisional squamous cell carcinoma after total knee arthroplasty

Presentation transcript:

Prepping the knee in maximal flexion: getting into every nook, cranny, and fold Peter A. Knoll, MD, James A. Browne, MD Arthroplasty Today Volume 3, Issue 2, Pages 99-103 (June 2017) DOI: 10.1016/j.artd.2016.08.004 Copyright © 2016 The Authors Terms and Conditions

Figure 1 (a) Example of a knee in extension before revision TKA showing numerous creases and overlapping skin. (b) The same knee as in (a) in maximal flexion, note the skin creases and large folds are now on tension. Arthroplasty Today 2017 3, 99-103DOI: (10.1016/j.artd.2016.08.004) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Example of knee prepped in extension (a) and then brought into flexion (b). Note the large area of inadequate prep where the large skin fold is now on stretch. Arthroplasty Today 2017 3, 99-103DOI: (10.1016/j.artd.2016.08.004) Copyright © 2016 The Authors Terms and Conditions

Figure 3 The knee is stabilized in maximum flexion using the positioning post and one nonsterile hand (a). The anterior, medial, and lateral aspects of the leg are prepped in maximal flexion (b). The knee is then brought into extension and held at the ankle by a nonsterile hand while the posterior aspect of the leg is prepped (c). Before placing the final drape, a strip of Ioban dressing is applied to the posterior aspect of the knee starting proximally on the sterile drapes and extending down to the calf (d). An impervious stockinet is then placed over the foot and extends proximally over the posterior strip of Ioban and wrapped with Coban (e). After sterile drapes are placed, the knee is again flexed and skin prep agent is again applied one last time with the knee in flexion (f). Once the prep solution has dried, Ioban is placed on the anterior aspect of the knee with the knee in flexion (g). The 2 sides of the Ioban are held by surgical staff as the anterior aspect is pressed against the taught anterior skin. After the Ioban has adhered to the anterior surface of the knee, the knee is brought into full extension and the Ioban is then wrapped on the medial and lateral aspects of the leg creating a circumferential seal of the leg by overlapping the posterior strip of Ioban that had been previously placed (h). Arthroplasty Today 2017 3, 99-103DOI: (10.1016/j.artd.2016.08.004) Copyright © 2016 The Authors Terms and Conditions