This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications.
The techniques described in the book aim to reproduce patients' native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality.
Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery
About the Author: Charles Rivière, MD, PhD, is a French orthopaedic surgeon who specializes in hip and knee joint replacement. He currently performs his surgical practice at different hospitals between London (UK) and Bordeaux-Mérignac (France, Centre de l'Arthrose - Clinique du Sport). He undertakes research at the MSK Lab at Imperial College London, where he is an Honorary Senior Clinical Lecturer in orthopaedics. Dr. Rivière completed 3 years of fellowship training in joint reconstruction at acclaimed institutions in Paris (Prof. T. Judet), London (Mrs. Sarah Muirhead-Allwood), and Montréal (Prof. P. Vendittoli). Another of his mentors is Pr. Justin Cobb, whose expertise in conservative techniques for joint replacement significantly influenced Charles' surgical philosophy. His practice and surgical philosophy for hip and knee replacement is oriented towards personalised (kinematic alignment) and bone-preserving surgical techniques, with promotion of an "à la carte" bespoke surgical strategy in order to provide optimal patient outcomes. Research from Dr. Rivière and his team has been published in peer-reviewed journals and presented at international congresses. He acts as a journal reviewer for multiple notorious international orthopaedic journals.
Pascal-André Vendittoli, MD, MSc, FRCS, is Professor of Surgery and Clinical Researcher in orthopaedic surgery at Maisonneuve-Rosemont Hospital, University of Montreal (UdM). His principal research activities are the evaluation of new surgical techniques, technologies, and orthopaedic implants. He completed a fellowship training in hip and knee reconstruction in Melbourne, Australia and in knee replacement with Paolo Aglietti in Florence, Italy. Dr. Vendittoli has the Research Director of the Orthopaedics Division of UdM and Professor of Surgery, supervised multiple doctors in specialized training in arthroplasty. He is the Program Director of the UdM postdoctoral program in hip and knee reconstruction. He is recognized as a senior clinical researcher by his government's institution (F.R.Q.S.). To date he has published more than 100 articles on hip and knee arthroplasty in peer-reviewed journals. Dr. Vendittoli has received a number of awards, including the John Charnley Award from the American Hip Society (2009), the Founders' Medal for best basic science research work from the Canadian Orthopaedic Association (2010), and the highest recognition from the Canadian Orthopaedic Association, the Edward Samson Award (2016).