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.

It has by now been established that carpal ligamentary lesions may lead to instability and ultimately to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of grasping this ligamentary pathology. Clinical analysis and traditional investigation techniques must successfully address the complexity of the wrist, which is largely due to the number of synchronized bones involved in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone, making paraclinical examinations also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscans and soon MRI. As for repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book presents the findings of an expert group in the field of wrist pathology. It seeks to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this initial synthesis an inspiration to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.

The definitive interdisciplinary reference work for wound ballistics Fundamentals in Physics, arms and ammunition, ballistics Simulating gunshot wounds: Virtopsy - a virtual autopsy method, combining CT, MRT and surface scanning and Materials that reproduce the interaction of soft tissue, bone and blood vessels with a bullet that penetrates the body. Wound ballistics for Short-range and long-range weapons, fragments, such as those from bombs and hand grenades, gas jets from blanks, gas weapons, etc., "Non-lethal" weapons as used by the police, in military operations or in urban settings Specialist knowledge and reference detailed tables: ballistic tables for typical ammunition, ballistic values for numerous types of ammunition, including older types, materials properties, plus additional, hard-to-find data. Most tables are in both metric and U.S. units., an extensive trilingual glossary of specialized terminology in German, English and French NEW: the latest diagnostic / simulation methods and the latest types of ammunition The practice and application of wound ballistics in: forensic medicine, surgery - especially emergency and war surgery and international conventions Globalized conflict zones, terrorism and crime - these issues affect a wider circle than just the armed forces and medical services abroad. Police officers, surgeons, forensics specialists and criminalists also need to be familiar with ballistics and gunshot wounds and must be able to assess the complex factors involved. The practice and application of wound ballistics in forensic medicine. surgery - especially emergency and war surgery and International conventions. Globalized conflict zones, terrorism and crime - these issues affect a wider circle than just the armed forces and medical services abroad. Police officers, surgeons, forensics specialists and criminalists also need to be familiar with ballistics and gunshot wounds and must be able to assess the complex factors involved.

Whether switching on the TV, picking up a newspaper or simply logging on to the internet, one is constantly faced with images of natural disasters, conflict and human suffering. Humanity has experienced these problems throughout time and we have evolved methods and mechanisms for alleviating suffering, from trauma care following a traffic accident to international pacts and the Millennium Development Goals. In exploring such diverse cases of aid intervention, Disaster Medicine: A Case Based Approach provides interesting, easily accessible content and context for understanding disaster medicine and global health. In each case the reader will be put in the position of the decision maker and as in real life some of the cases will portray success and some will show failure. It is hoped the reader will consider the issues and problems for themselves and perhaps consider things they would choose to do differently. Written by a team of experts with extensive experience in the field and a progressive perspective Disaster Medicine: A Case Based Approach is a valuable text for students and professionals of disaster medicine.

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 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.

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."

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.

Don t miss it The second, completely revised and expanded edition of the successful surgical manual on minimally invasive spine surgery includes 51 chapters (including more than 20 new chapters) covering all current minimally invasive techniques in spine surgery. A complete survey of all microsurgical and endoscopic techniques with a special focus on semi-invasive injection techniques for diagnostic and therapeutic purposes in low back pain is given. The clear chapter structure with terminology, history, surgical principles, advantages/disadvantages, indications, access principles, complications, and results facilitates navigation through the manual. Topics include the principles of microsurgical and endoscopic treatment, spinal navigation and computer-assisted surgery, minimally invasive reconstruction, fusion, dynamic stabilization in fractures, degenerative disc disease, spinal stenosis, low back pain and deformities. The didactic presentation of surgical steps makes the reader familiar with all types of new minimally invasive techniques in clinical use or still in ongoing clinical trials such as minimally invasive spine arthroplasty."

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

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.

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."

Prepare with confidence for the FFICM and EDIC with this dedicated guide featuring 300 original multiple choice (MCQ) and single best answer questions (SBAs) covering the whole FICM curricula. Organized into ten practice papers so readers can practice the style and format of the real exam, questions cover a broad range of intensive care topics for postgraduate exams. Each answer includes a full explanation, up-to-date evidence-based guidelines and sources for further reading to ensure high-quality self-assessment. Written by a team of consultants, these original and high-quality questions have been developed over years of clinical experience. This invaluable resource provides intensive care medicine trainees with an ideal companion for the FFICM and EDIC and other postgraduate critical care exams.

Die optimale Versorgung auf einen Blick fur alle relevanten Frakturen: das ausgeklugelte Farbleitsystem ermoglicht die schnelle Einordnung gemass der AO-Klassifikation, die schematische Darstellung der Therapieoptionen fuhrt zum richtigen Implantat, zahlreiche Bildserien mit Versorgungsbeispielen illustrieren die Moglichkeiten der Osteosynthese.

Qualitatsorientiertes Frakturmanagement leicht gemacht: Fur jeden Frakturtyp werden Unfallmechanismus, Klinik und bildgebende Verfahren vorgestellt. Neben der AO-Klassifikation werden weitere gangige Klassifikationen berucksichtigt. Die Instabilitatskriterien der einzelnen Frakturen sind stichpunktartig aufgelistet. Ist die Entscheidung fur eine Osteosynthese gefallen, helfen Tipps und Tricks bei der effektiven Vorbereitung und Durchfuhrung der Operation weiter."

Demand for neuromonitoring in neonatal, pediatric and cardiac intensive care units continues to grow, motivated by increased awareness of the high prevalence of seizures among critically ill neonates and children, and emerging evidence that these seizures can contribute to brain injury. This book provides physicians, nurses and trainees caring for critically ill newborns and children with a practical overview of how to use and interpret continuous neuromonitoring to enhance patient care. Authored by international experts from diverse institutions and professional backgrounds, this is a practical guide that is accessible to intensive care specialists, but also comprehensive enough to serve as a reference book for neurologists and neurophysiologists. Concise enough to be read cover-to-cover and illustrated with over thirty case-based examples, this authoritative reference will guide readers in accurate neuromonitoring interpretation and optimal use of conventional EEG, amplitude-integrated EEG and other quantitative EEG techniques.

This book provides a practical guide to diagnostic radiology, with each chapter presenting a case-based tutorial that illustrates a specific aspect of diagnostic radiology required for undergraduate study. In addition, it discusses and assesses issues concerning basic principles in diagnostic radiology, imaging of head trauma, non-traumatic neurological emergencies, chest radiographs, pediatric radiology, and emerging radiological technologies. Tutorials in Diagnostic Radiology for Medical Students is intended as a self-study guide, and offers a valuable asset for medical students and trainee radiologists, as well as educators.

Best of Five MCQs for the Acute Medicine SCE is a new revision resource designed specifically for this high-stakes exam. Containing over 350 Best of Five multiple choice questions, this dedicated guide will help candidates to prepare successfully. The content mirrors the SCE in Acute Medicine Blueprint to ensure candidates are fully prepared for all the topics that may appear in the exam. Topics range from how to manage acute problems in cardiology or neurology to managing acute conditions such as poisoning. All answers have full explanations and further reading to ensure high quality self-assessment and quick recognition of areas that require further study.

The ability to perform a wide variety of practical procedures safely and competently is essential for any doctor involved in the practice of anesthesia and intensive care. Junior doctors especially are now called upon to gain competence in many invasive practical procedures in an increasingly short space of time, whilst also understanding the theory behind them.
This highly practical book is the only guide needed to the procedures and techniques commonly used in anesthesia and critical care medicine. Step-by-step, it clearly explains each technique and procedure, enabling the reader to fully understand how and why they are performed. Full colour photographs illustrate each technique, and every chapter covers the same essential information: definition, indications, contraindications, complications, equipment, sites, and technique, for ease of use.
This book will be used by all junior trainees in anesthesia, along with junior doctors from other specialities working in intensive care units. It will also be useful to any senior anesthetist who wishes to update or refresh their knowledge, as well as anyone working in the emergency ward who performs any of these procedures.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.

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.