With the technical advances made in MRI technology and the wider availability of MRI units, this diagnostic modality has by now - doubtedly gained a crucial role in joint imaging.The excellent detail recognition of MRI provides views of the various joint structures once only available through direct arthroscopic and surgical pro- dures. The acceptance, usefulness, and role of any diagnostic modality, however, critically relies on the experience, clinical expertise, and dedication of those who use it.With this in mind, a renowned int- disciplinary team of authors have brought together expert kno- edge from their respective fields in compiling this MRI atlas. Peter Teller and Hermann Konig are two highly experienced MRI radiologists with backgrounds in both clinical work and research. Ulrich Weber and Peter Hertel are two leading orthopedic surgeons and traumatologists in the fields of joint surgery/microsurgery and sports injuries. It is the vast radiologic experience in the interpretation of c- plex image information - an experience that takes into account the clinical requirements from the perspective of orthopedic surgeons and traumatologists - as well as the authors'didactic approach that make for the singular character of this book. Berlin, November 2001 Bernd Hamm, MD Professor and Chairman Department of Radiology Charite Medical School Humboldt-Universitat zu Berlin Preface MRI of diseases and injuries of the head, neck, and spinal column has become firmly established as a diagnostic tool since examiners could easily apply their previous experience gained in CT to MRI in these areas."

It is a great pleasure and honor to be asked to participate in the translation of this important and historical volume on thoracic surgery and to provide this foreword. Martin Kirschner of Mannheim/Heidelberg was an early pioneer in thoracic and esophageal surgery. His operation for bypass of the esophagus using the entire stomach remains a standard of the surgical armamentarium to this date. The original Kirschner Textbook of Surgery was a standard in its day. We are fortunate that Professors H. Pichlmaier and F.W. Schildberg and other colleagues have provided us with this important modern successor of a classic textbook. The reader is rewarded by an extensive treatise which includes not only the most up to date techniques in pulmonary, esophageal, mediastinal, and chest wall (including breast) surgery but also provides an excellent perspective on the techniques used by pioneers in the field. Although some of these early techniques are not commonly used today, knowledge of their use and application broadens the capability of the thoracic surgeon. Changing times bring renewed problems with infectious diseases. Knowledge of the management of the pleural space and pulmonary infectious problems is a critical part of the education of the thoracic surgeon.

Trauma to various organ systems is a common medical problem in the pediatric age group. With the increase in vehicular traffic and active participation in contact sports, as well as a change in the social atmosphere, the incidence of injury to children is increasing. There is considerable morbidity associated with these injuries and accidents are the most common cause of death in this population group. The radiologist, using the various diagnostic radiological moda lities available, becomes involved in practically all cases of trauma of any degree of seriousness. The radiological methods lend themselves not only to determining the specific diagnosis but also to assessing the extent of the injury. This is important in determining of the patient as in recent years a more conserva the management tive type of therapy is advocated in several types of injury. As has been said, "Children are not like adults," hence injuries are of different types from those seen in adults. The ligaments and tendons of children are stronger than the bone structure, thus sprains and strains are not as common as fractures. Certain organs are in a less protected position in a child and may readily be injured from relatively minor trauma. Injury due to violent action of others such as gunshot and stab wounds are not as common as in the adult population but they are increasing in the teenage group. Blunt trauma or that due to rapid deceleration is the usual type of trauma seen in childhood."

This book is not a learned treatise. Its purpose is to render practical instruction to all those physicians. surgeons, adminis trators, and paramedical personnel who have to act in war or disaster situations. As a manual it is in no way a substitute for existing detailed and specialized texts on the various aspects of trauma surgery and management: rather have we attempted to collate the most essenlial knowledge required to organize and afTord medical aid whenever civilian or military disaster strikes. The man on the spot is hardly ever a specialist, hence the need for a imple s general manual of instruction. The organizational aspects of medical services in war are very similar to those required for coping with a disaster: indeed the military are often called to cope with civilian disasters. Our duty is to be prepared, so as not to lose life and limb for lack of foresight. There are repetitions in the book for which no apologies are made, since they always concern invaluable knowledge. The chapters are organized to afford an understanding of the organization of medical services, the cause of wounds and trau matic disease, and the pathophysiological processes resulting from the different kinds of trauma. The management of treating casualties is divided in each section into the three basic eche lons: on site (at the actual place of wounding), at the medical (battalion) aid station and in the field or base hospital."

This manual is conceived as an aid to AO course participants both in grasping theoretical principles and in performing practical exercises, as well as a practical guide for clinicians in the application of AO principles. These principles are discussed in Part I and related to notions of stability, biomechanics, and technique. In addition to interfragmentary fixation and load bearing, the technique of external fixation is explained. The use of rigid external fixators with the mandible is proposed as a replacement for pin fixation, which has been obsolete for over two decades. Part II is a practical guide to the theoretical principles set forth in the first section of the volume, with the focus on case studies classified according to fracture type. This section provides a solid empirical basis of particular value in establishing indications and selecting appropriate techniques. Equally important is the anatomy of surgical points of access. In Part III, the increasing variety of indications for rigid internal fixation is confirmed. Three areas take on particular relevance here: the surgical treatment of pseudarthrosis, the by-pass of primary defects as an integral part of mandibular tumor surgery, and sagittal splinting and condylar replacement for orthopedic interventions involving the locomotor system of the mandible. A foldout entitled "AO Classification of Mandibular Fractures" is inserted at the back of the book. Its purpose is to help the clinician confronted by an acute case to determine its classification.

For more than 100 years, congenital dislocation of the hip has been an area of concern in orthopedics. This publications on the subject are al most too numerous to count. Yet our knowledge of the basic principles of congenital hip dislocation and its management is constantly being expanded by new research. In Germanspeaking countries, Kaiser pub lished the last comprehensive textbook on congenital hip dislocation in 1958, and Schlegel followed with a comprehensive handbook in 1961. In the Angloamerican world, Coleman's monograph was pub lished in 1978, Somerville's in 1982, and Wilkinson's in 1985. In 1982 Tachdjian compiled a volume on congenital hip dislocation that con tained contributions from 44 authorities. The purpose of the present book is to provide an overview of our pre sent state of knowledge of congenital hip dislocation, covering basic principles, diagnosis, methods of closed and open treatment, and indi cations. In the process, an attempt is made to trace progress in the field from its beginnings to the present time. Many authors describe the diagnosis and treatment of congenital hip dysplasia and dislocation in terms of specific age groups. We believe it is more prudent to take an individualized approach based on arthro graphic findings and the degree of severity of pathologic changes. Less emphasis is placed here on the management of patients by age group."

Our decision to dedicate several years to the writing of this Atlas was based on the professional acknowledgement of negative surgical results due to incorrect or incomplete approaches to the bones or joints requiring treatment. We are convinced that in order to obtain the best possible anatomic and functional results in surgery of the locomotor apparatus, it is necessary to obey several rules of behaviour con- stituting the basis for correct surgical execution: a) to respect the anatomy of the muscular and neural formations; b) to safeguard the vascularization of these anatomical elements and consequently of the osteoarticular apparatus; c) to use the most appropriate surgical approaches fully respecting the regional anatomy and the least traumatic exposure of the skeleton; d) to correctly perform surgery, thus creating the best conditions for the excel- lent recovery of the function of the limb. The anatomic findings and surgical approaches to the extremities described here are not complete: we have based our selection of the former on their frequency in the normal surgical activity of any specialised ward, and the latter on the surgi- cal approaches most commonly used by the 3rd Division of the Rizzoli Orthopaedic Institute. Wide surgical approaches for the surgical treatment of bone tumors have been excluded as they deal with specific "compartmental" methods which do not involve the anatomic rules to be followed in the normal treatment of orthopaedic and trau- matologic affections of the extremities.

Flaps: Decision Making in Clinical Practice is an excellent readable guide for surgeons utilizing multiple techniques in plastic and reconstructive surgery. The authors have organized a pragmatic guide, specifically focused on those flaps which surgeons find difficult and challenging, with the latest technical developments in all anatomical areas.

Over the past three decades, the flexible intramedullary nailing (FIN) technique that originated in the University of Nancy in France has evolved to the point where it is becoming the gold standard for the treatment of many fractures in children. This comprehensive textbook on FIN is written by Pierre Lascombes and his colleagues from the University of Nancy and covers all its potential applications. The book is divided into three parts. The first part focuses on general considerations such as biomechanics, choice of implant, basic principles of surgical technique, and rehabilitation. The second part describes in detail the techniques developed for each particular fracture type with the aid of numerous high-quality illustrations. In the final part, a range of further indications for FIN in children are discussed. By clearly explaining the basic principles and various uses of FIN, this book will prove of value to both novice and experienced traumatologists and orthopedic surgeons.

In this book are discussed topics of particular importance to critical care cardiovascular diagnosis and management in the perioperative period. Chapter topics are the causes for heart failure; the pathophysiology of heart failure; coronary heart disease and ischemic preconditioning; hypertensive urgencies and emergencies; diagnosis of heart failure; preoperative cardiac risk assessment; hemodynamic monitoring in patients with heart failure; electrocardiography of heart failure - features and arrhythmias; pharmacologic management for patients with heart failure; devices for management of heart failure; pacemaker and internal cardioverter-defibrillator therapies; management of cardiopulmonary arrest; circulatory shock - anaphylactic, cardiogenic, haemorrhagic, septic; prevention and management of cardiac dysfunction during and after cardiac surgery; vasodilator therapy - systemic and pulmonary; and, thromboembolism and anticoagulation. This work represents an important update for anaesthesiologists, cardiologists, cardiac surgeons, emergency care physicians and intensivists caring for patients with acute, life-threatening cardiovascular afflictions.

An authoritative and comprehensive review of the most important clinical issues facing critically ill neurologic and neurosurgical patients. The authors provide pertinent basic, clinical, diagnostic, and management guidelines for all the conditions commonly encountered in the neurocritical care unit, including the management of autonomic disorders that require critical care, postoperative management, and endovascular treatment. The authors also discuss the latest developments in the monitoring of different body systems, emphasizing the management of cardiorespiratory complications and other medical conditions that may threaten the patient's life. Also detailed are the concepts of intracranial physiology and current neuromonitoring techniques, subjects whose understanding is basic to effective management of critically ill neurologic patients. Numerous tables, figures, diagrams, and radiographs simplify and explicate both the diagnostic and therapeutic processes.

The eighth edition of this international bestselling emergency medicine handbook has been completely revised and updated to include the latest evidence-based guidelines and treatment protocols underpinning best practice in emergency medical care. Carefully designed to suit the needs of interns and resident doctors working in the emergency department as well as specialist trainees, the book covers the full range of emergencies - general medical, infectious disease and foreign travel-related, toxicological, surgical, paediatric, obstetric and gynaecological, ophthalmic and psychiatric - as well as practical procedures and administrative and legal issues.

The fully revised, third edition of this bestselling handbook describes best practice of critical care in a succint, concise, and clinically-oriented way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols.
Patient-centered and practical, it will serve the consultant, trainee, nurse or other allied health professionals as both a reference and aide memoir. This is the indispensable Oxford Handbook for all those working within critical care.

Functionally stable internal fixation is of particular relevance to maxillo facial surgery, because it obviates the discomforts and inconveniences of intermaxillary fixation. Given the biomechanics and biophysics of the skeletal system, the true im mobilization of bone can be achieved only through highly technical means. Willenegger speaks of an "advanced school" of bone surgery which, when fully realized, will enable excellent results to be achieved even in the most difficult fractures. To accomplish this goal, ongoing refinements are needed in surgical methods and technology. Advancing the state of operative tech nique has been a central concern of the Association for the Study of Inter nal Fixation since its establishment 25 years ago. For this reason, a major priority of the AOI ASIF has been to develop its own surgical instrumen tation. With the help of technical commissions comprised of experts from medi cine, research and manufacturing, the AOI ASIF has been able to develop and successfully test a line of surgical instruments whose trademark is known and respected the world over. For every specialty in traumatology and orthopaedics, including maxillofacial surgery, the AOIASIF has devel oped both a basic and a special instrument set designed to meet specific anatomic requirements."

Now in full-colour, this eagerly-anticipated second edition continues to be the most comprehensive resource available on non-invasive ventilation (NIV), both in the hospital and at home. Reflecting a global perspective with expert contributors from more than 15 countries, the book: * provides clinical examples of NIV in practice with insightful vignettes * covers home- and intensive care-based ventilation * details NIV use in acute and chronic respiratory failure, plus paediatric and other specialty applications. Disease-specific sections provide best practice in the science, diagnostics and management of conditions such as COPD, cardiac failure, neuromuscular disease and obesity, while features such as 'Common Clinical Questions & Answers', abundant tables and illustrations, chapter summaries and new clinical vignettes showcase the realities of NIV in practice. This is essential reading for pulmonologists, critical care physicians and intensive care medicine specialists.

This atlas depicts and describes the newest arthroscopic and open techniques for dealing with sports orthopaedic injuries and problems. More than 75 surgical procedures are presented step by step with the aid of superb illustrations. Arthroscopic views, artist drawings, X-rays and clinical and operative photographs are all included to demonstrate exactly how each procedure should be performed. Individual sections are devoted to the shoulder, elbow, pelvis/hip, knee and ankle/foot. By offering complete illustrated guidance on the surgical management of sports-related injuries, the Surgical Atlas of Sports Orthopaedics and Sports Traumatology will prove invaluable to both novice and experienced surgeons.

'Never, never, never give in', Winston Churchill's famous quotation best sums up the life of Stephen Westaby, the world-leading cardiothoracic surgeon. This book chronicles the triumphs and failures of his surgical life, the lives saved and extended, the innovations (such as artificial hearts) he developed, and his research discoveries. Having spent his childhood in the backstreets of a northern steel town, he went on to become one of the world's foremost heart surgeons. HIs drive for perfection in his profession took him to the world-renowned Harefield Hospital, the foremost heart surgery centre in Birmingham, Alabama, the newly-created Cardiothoracic Centre in Oxford, and then in 2019 in Wuhan he was the first Western doctor to learn about Covid before the virus was identified. Following on from his two earlier best-selling works, Fragile Lives and The Knife's Edge this volume is written with humour and a doctor's reverence for life and his patients. The Trauma Chronicles gives an unmissable insight into the world of one of the greatest living heart surgeons.

This issue of Surgical Clinics of North America focuses on Surgical Critical Care, and is edited by Dr. Cynthia Talley. Articles will include: Brain Death; Indications and Methods of Anticoagulant Reversal; Ultrasound and Other Innovations for the ICU; Severe Sepsis Strategies; Renal Failure in the Critically Ill; Decompensated Cirrhosis and Fluid Resuscitation; Gastrointestinal Complications; Nutrition for the Critically Ill; End of Life and Goals of Care; Resuscitation for Hypovolemic Shock; Ventilator Strategies for COPD and ARDS; Traumatic Brain Injury Management; The Mobility and Impact of Frailty in the ICU; Delirium and PTSD Prevention; and more!

Selected as a Doody's Core Title for 2022! Covering every problem encountered in today's intensive care unit, this leading critical care textbook presents the knowledge and expertise of more than 350 global experts in this fast-changing field. Beginning with the social aspects of medicine, it then discusses monitoring and organ system pathobiology followed by specific diseases states/syndromes. Each chapter begins with immediate concerns and proceeds to broader-based discussions of relevant pathophysiologic and clinical issues. KEY FEATURES: Features new chapters on Critical Care Implications in Acute Care Surgery, The Obstetric Patient, and Brain Death and Management of the Potential Organ Donor; all chapters thoroughly revised including up-to-date discussions of what happens after the patient leaves the ICU. Covers surgical critical care more thoroughly than any other text. Includes expert coverage of pharmacology, nutrition, toxicology and the environment, disaster management, point-of-care testing, bedside ultrasound, surgical infections, and much more. Presents information in a reader-friendly manner, streamlining the print text to focus on the material most important for bedside care in the ICU. Expertly edited by leaders in every area of critical care: Dr. Mihae Yu (surgery), Dr. A. Joseph Layon (internal medicine), and Drs. Layon and Andrea Gabrielli (anesthesiology), who are joined in this edition by Dr. Kenneth Wood (internal medicine). Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time - providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design The ability to highlight text and add notes with one click

The definitive treatment on the medical evacuation and management of injured patients in both peace- and wartime. Edited by eminent experts in the field, this text brings together medical specialists from all four branches of the armed services. It discusses the history of aeromedical evacuation, triage and staging of the injured patient, evacuation from site of injury to medical facility, air-frame capabilities, medical capabilities in-flight, response to in-flight emergencies, and mass emergency evacuation. Specific medical conditions are addressed in detail, including such general surgical casualties as abdominal wounds and soft tissue, vascular, maxillofacial, head and spinal cord injuries, ophthalmologic, orthopaedic, pediatric, obstetric-gynecologic casualties, burns, and more. Over 80 illustrations provide a review of transport equipment and both medical and surgical treatment. A must-have reference for all armed forced physicians and flight surgeons, for general and trauma surgeons, internists, intensive care specialists, orthopaedic surgeons, and public health service physicians.

Editor George Velmahos and authors highlight every important area in Acute Care Surgery for all general surgeons. Topics include obstruction, perforation, bleeding, acute inflammation, hernia emergencies, the open abdomen, necrotizing soft tissue infections, vascular emergencies, thoracic emergencies, and much more!

Dr. Wu has established an expert panel of authors covering the latest in Ultrasound technologies and their use in the ICU. Topics discussed include ocular ultrasound, basic procedures, resuscitation, cardiology, EFAST, and more!

An important review on critical care for the general surgeon! Topics include: heparin induced thrombocytopenia, monitoring devices, mechanical ventilation, removal from mechanical ventilations, common complications in the critically ill patients, common drugs in the SICU, hypovolemic shock resuscitation, sepsis, nutrition, renal management, pain management, family engagement, and more!

Aktuelle Problematik, neue Aspekte der Knieb{nderpathologie unter besondererBer}cksichtigung des vorderen Kreuzbandes mit Anatomie, Biomechanik, Klinik und Chirurgie und den neu- en arthroskopischen Rekonstruktionstechniken, denKomplika- tionen und den Aspekten der Dokumentation und Evaluation.