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Install & Scott Surgery of the Knee, Fifth Edition
W. Norman Scott
ISBN 13:
Elsevier/ Churchill Livingstone 2012      1504 Pages with Expert Consult online access!
List Price:  $399.99

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     Knee surgery remains one of the most dynamic of all the common procedures performed by orthopedists.  Whether a new technique was developed or alternative materials for knee replacement were introduced, Insall & Scott Surgery of the Knee has been dutifully adding advances in the field for several decades now.  The success of this title surely lies in its comprehensive nature and inclusion of information that might just be a step before its time which turns out to be quite useful over the print lifetime of the current edition.  Whatever individual surgeons like most about this title, it can be said that there are many surgeons who have adopted this title as one of the few they keep in their office.

     This 5th edition seems to be written with the same core objectives that those preceding it were developed upon, namely strong foundational coverage with an eye toward future practice.  The first section of the book on the basic science of the knee begins the process of setting this book apart from its competitors.  The reader is immersed in the anatomy of the knee in the sense that MRI, photographs and colored illustrations are used in combination to bring anatomical relationships to the forefront.  These relationships, which are so important to surgical technique, are often left almost solely to textual description in other texts on knee surgery.  The editors have done well to emphasize the anatomy of the knee in the basic science section rather than only in the context of various procedures.  Other aspects of foundational knowledge in orthopedic surgery that are particularly well represented are the various chapters on anterior cruciate ligament repair and revisions which are some of the most commonly performed procedures in the field. 

     For those surgeons who are actively involved in the use of robotic assistance during joint replacement, there is plentiful information in this text which is one of the areas which the editors look toward the future.  The robotic option is looked at from an objective viewpoint and even those surgeons not currently using this technique, whether due to access or choice, will be able to take a fresh look at developments in this area.

     Readers are also able to go beyond the textbook and peruse a vast array of videos showing a selection of knee procedures.  There are also a number of book chapters which are strictly online content and are marked so within the book by a computer mouse icon, although a complete outline of the chapter is included in the print version.  This goes a long way in providing much additional coverage which would not have been allowed for within a one volume cover.  Being a single volume facilitate its use as a reference along with the online access.  For those interested in staying up to date with the newly manufactured implants, the online content also contains a handy table of those materials as well.

     From trainee to experienced surgeon, Insall and Scott Surgery of the Knee 5th Edition is an excellent choice for a reference on the knee that can be turned to again and again over the years.  Those highly focused on subspecialty areas of knee surgery, such as cartilage repair will still find a good basic reference but will certainly need additional volumes for their specific purposes.  All in all, this is an excellent value for the sheer amount of information at your fingertips.

Ratings (1-4 , 4 being the highest):

Organization of information:    4

Usefulness of book:     4

Suitable for intended audience:    4

Authorís objectives met:      4

Significant number of illustrations:     4

Quality of illustrations:    4


Online and in print, Insall & Scott Surgery of the Knee, edited by W. Norman Scott, MD, and 11 section editors who are experts in their fields, is your complete, multimedia guide to the most effective approaches for diagnosis and management of the full range of knee disorders affecting patients of all ages. From anatomical and biomechanical foundations, to revision total knee replacement, this authoritative reference provides the most up-to-date and complete guidance on cutting-edge surgical procedures, the largest collection of knee videos in one knee textbook. Expanded coverage and rigorous updates-including 40 online-only chapters-keep you current with the latest advances in cartilage repair and regeneration, allograft and autografts, computer robotics in total knee arthroplasty, and other timely topics. This edition is the first book ever endorsed by The Knee Society. Access the full text - including a wealth of detailed intraoperative photographs, a robust video library, additional online-only chapters, a glossary of TKR designs, quarterly updates, and more - at www.expertconsult.com.

Key Features:
  • Get all you need to know about the clinical and basic science aspects of the full range of knee surgeries as well as the latest relevant information, including imaging and biomechanics; soft tissue cartilage; ligament/meniscal repair and reconstructions; partial and total joint replacement; fractures; tumors; and the arthritic knee.
  • Master the nuances of each new technique through step-by-step instructions and beautiful, detailed line drawings, intraoperative photographs, and surgical videos.
  • See exactly how it's done. Watch master surgeons perform Partial and Primary TKR, Revision TKR, Tumor Replacement, Fracture Treatment, and over 160 videos on the expertconsult.com.
  • Find information quickly and easily thanks to a consistent, highly templated, and abundantly illustrated chapter format and streamlined text with many references and chapters appearing online only.

What's New about this edition? :

  • Access the fully searchable contents of the book online at www.expertconsult.com, including 40 online-only chapters, a downloadable image library, expanded video collection, quarterly updates, and a glossary of TKR designs with images and text from various device manufacturers.
  • Grasp and apply the latest knowledge with expanded coverage of cartilage repair and regeneration techniques, expanded ligament techniques in allograft and autografts, computer robotics in surgical prognostics, fitting and techniques in partial and total knee arthroplasty, and more.
  • Consult with the best. Renowned knee surgeon and orthopaedic sports medicine authority Dr. W. Norman Scott leads an internationally diverse team of accomplished specialists-many new to this edition-who provide dependable guidance and share innovative approaches to reconstructive surgical techniques and complications management.


  • Table of Contents:

    Section 1. Basic Science

    1. Anatomy


    2. Anatomic Aberrations


    3. Clinical Examination of the Knee


    4. Gene therapy in the Treatment of Knee Disorders


    Section 2. Imaging of the Knee

    5. Knee Imaging Techniques and Normal Anatomy


    6. Imaging of Osseous Knee Trauma


    7. Internal Derangements: Ligaments and Tendons


    8. Internal Derangements: Menisci and Cartilage


    9. Arthropathies, Osteonecrosis and Bursitis


    10. Imaging of Total Knee Arthroplasty


    11. Tumor and Tumor-like Conditions


    Section 3. Biomechanics

    12. Three-Dimensional Morphology of the Knee


    13. Fluoroscopic Analysis of Total Knee Replacement


    14. Biomechanics and Vibroarthrogaphy of the Patellofemoral Joint


    15. Contact Mechanics of the Human Knee


    16. In Vivo Mechanics and Vibration of the Knee Joint


    17. Does strain in the patella change after TKA? A finite element investigation of natural and implanted patellae


    18. Simulation Testing of Knee Implants


    19. Knee Wear


    Section 4. Sports Medicine: Articular Cartilage and Meniscus

    20. Articular Cartilage: Biology, Biomechanics, and Healing Response


    &' || 'nbsp;

    21. Articular Cartilage Injury and Adult OCD: Treatment Options and Decision Making


    22. International Experience With Autologous Chondrocyte Implantation With Periosteum (Autologous Chondrocyte Implantation), Including Scaffold Guided Techniques and Tissue Engineered Matrix Support


    23. Osteochondral Autograft Plug Transfer


    24. Osteochondral Allograft Transplantation


    25. Débridement and Microfracture for Full-Thickness Articular Cartilage Defects


    26. Articular Cartilage Repair with Bioscaffolds


    27. Failed Cartilage Repair


    28. Arthroscopic Treatment of Degenerative Arthritis of the Knee


    29. Treatment of Juvenile Osteochondritis Dissecans of the Knee


    30. Secondary, Spontaneous, and Post-Arthroscopy Osteonecrosis of the Knee: Diagnosis and Management


    31. Healing of Knee Ligaments and Menisci


    32. Arthroscopic Meniscal Resection


    33. Arthroscopic Assisted Inside-out and Outside-in Meniscus Repair


    34. Arthroscopic Meniscal Repair - All Inside


    35. Meniscal Allograft Transplantation


    36. Synthetic Meniscal Substitutes (Including CMI)


    Section 5. Sports Medicine: Ligament Injuries

    37. Classification of Knee Ligament Injuries


    38. Sports Knee Rating Systems and Related Statistics


    39. Medial Ligamentous Injuries of the Knee: Acute and Chronic

    Gehron Treme and Robert Schenck


    40. Fibular Collateral Ligament and the Posterolateral Corner


    41. ACL Injuries and Reconstruction:&' || 'nbsp;Indications, Principles, Outcomes


    42. Bone-Patellar Tendon-Bone Autograft ACL Reconstruction


    43. Anterior Cruciate Ligament Reconstruction With Hamstring Tendons


    44. ACL Reconstruction With Central Quadriceps Free Tendon Graft


    45. Allograft ACL Reconstruction


    46. Double Bundle ACL Reconstruction


    47. Anterior Cruciate Ligament Reconstruction via the Anteromedial Portal

    and Single Tunnel, Double Bundle Technique


    48. Complications of Anterior Cruciate Ligament Reconstruction


    49. Revision Anterior Cruciate Ligament Reconstruction: Etiology, Patient Evaluation, and Surgical Technique


    50. Revision ACL Surgery: One Versus Two Stage Technique


    51. Osteotomy and the Cruciate Deficient Knee


    52. Unicompartmental Knee Arthroplasty in Anterior Cruciate Ligament Deficient Knees


    53. Rehabilitation of the Surgically Reconstructed and Non-Surgical Anterior Cruciate Ligament


    54. Knee Bracing for Athletic Injuries


    55. Decision Making and Surgical Treatment of PCL Ruptures


    56. PCL Reconstruction: Posterior Inlay Technique


    57. PCL Reconstruction: Transtibial Double Bundle Technique


    58. PCL Reconstruction: Remnant-preserving Technique


    59. The Dislocated Knee


    60. Dislocation of the Proximal Tibiofibular Joint


    Section 6. Sports Medicine: Patellar and Extensor Mechanism Disorders

    61. Disorders of the Patellofemoral Joint


    62. Distal Realignment of the Patellofemoral Joint: Indications, Effects, Results, And Recommendations


    63. Surgery of the Patellofemoral Joint: Proximal Realignment


    64. Repair and Reconstruction of the Medial Patellofemoral Ligament for Treatment of Lateral Patellar Dislocations: Surgical Techniques and Clinical Results


    65. Sulcus Deepening Trochleoplasty


    66. Quadriceps and Patellar Tendon Disruption


    Section 7. Knee Arthritis


    67. Gout and Other Crystalline Arthropathies


    68. Knee Osteoarthritis


    69. Overview of Psoriatic Arthritis


    70. Systemic Allergic Dermatitis in Total Knee Arthroplasty


    71. Rheumatoid Arthritis of the Knee: Current Medical Management


    Section 8. Miscellaneous Conditions and Treatments


    72. The Synovium: Normal and Pathological Conditions


    73. Hemophilia and Pigmented Villonodular Synovitis


    74. Anesthesia for Knee Surgery


    75. Complex Regional Pain Syndrome of the Knee


    76. Partial Denervation for the Treatment of Painful Neuromas Complicating Total Knee Replacement


    77. HIV Infection and Its Relationship to Knee Disorders


    Section 9. Plastic Surgery


    78. Soft-Tissue Healing


    79. The Problem Wound: Coverage Options


    Section 10. Fractures About the Knee


    80. Distal Femur Fractures


    81. Tibial Plateau Fractures


    82. Fractures of the Patella


    83. Treatment of Periprosthetic Fractures around a Total Knee Arthroplasty


    Section 11. Pediatric Knee


    84. Normal Knee Embryology and Development


    85. Congenital Deformities of the Knee


    86. Meniscal Disorders


    87. Osteochondritis Dissecans


    88. Reconstructing the Anterior Cruciate Ligament in Pediatric Patients


    89. Tibial Spine Fractures


    90. Physeal Fractures about the Knee


    91. Patellar Instability


    Section 12. Joint Replacement and Its Alternatives

    92. Nonoperative Treatment of Knee Arthritis


    93. Scoring Systems and their Validation for the Arthritic Knee


    94. Osteotomy about the Knee: American Perspective


    95. Osteotomy for the Arthritic Knee: A European Perspective


    96. Osteotomy About The Knee: International Roundtable Discussion


    97. Historic Development, Classification, and Characteristics of Knee Prostheses


    98. Unicompartmental Knee Arthroplasty


    99. Unicompartmental Knee Arthroplasty: A European Perspective


    100. Unicompartmental Knee Arthroplasty: International Roundtable Discussion

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