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An increasing percentage of the population has at least one prosthetic joint. Imaging is required for both initial assessment and routine follow-up of the implant, and this book is intended as an informative and up-to-date guide to the subject. After an introductory section covering a range of background topics, the level of information offered by different imaging techniques in presurgical planning and postimplantation assessment is analyzed. The application of imaging to different joints is then carefully explored in chapters devoted to the foot and ankle, hip, knee, shoulder, and elbow, wrist and hand. In addition, two innovative chapters focus on periprosthetic DXA as the gold standard in monitoring implant survival and on the role of drug therapy in helping to ensure the durability of the prosthesis. A central feature of the book is its combination of the clinical and radiological perspectives; it will be of value to radiologists and orthopedic specialists, as well as residents in these disciplines.
The treatment of humeral fractures is a complex issue and the source of considerable controversy. In the case of fractures of the proximal humerus, early range of motion is the main aim of treatment. If a fracture modifies the anatomy or function of the glenohumeral and scapulothoracic joints, the surgeon must adhere meticulously to treatment principles in order to ensure a satisfactory outcome. Humeral shaft fractures are frequent, accounting for 1% to 3% of all fractures in adults; while excellent functional results have been reported with nonoperative management, open reduction and internal fixation is preferred in specific clinical settings. In contrast, intra-articular fractures of the distal humerus are frequently complex and full functional recovery is difficult to achieve. This volume clearly explains the concepts that are central to an understanding of humeral fractures from the proximal to the distal tip. Indications for different forms of treatment, including nonsurgical, are presented in detail, and all of the commonly used fixation techniques are described with the help of high-quality illustrations. Further important aspects such as complications, rehabilitation, and treatment of sequelae are also fully considered. This book will be an invaluable and comprehensive aid for all surgeons who treat humeral fractures.
This concise, well-illustrated monograph explains the true pathogenesis, hitherto unsolved, of five key pain syndromes of the arm and describes diagnosis, indications for surgery, surgical techniques and results. The syndromes in question are tennis elbow, golf elbow, proximal radial nerve compression syndrome, so-called coracoiditis and Sudeck s dystrophy. In each case, the neurogenic pathogenesis is identified and deficiencies of other interpretations, for example that these conditions are the result of degenerative processes, are discussed. Appropriate surgical techniques in resistant cases are described in the context of pathogenesis and treatment outcomes are documented. The fact that these outcomes are excellent in the large majority of cases may be taken as support for the author s interpretation of pathogenesis. This book will be informative and instructive for all hand, orthopedic, trauma, plastic, general and neurosurgeons as well as neurologists and hand therapists."
This richly illustrated case-based atlas thoroughly depicts the role of MR imaging in the assessment of patients presenting with pain due to degenerative disease of the spine and will serve as an excellent guide to differential diagnosis. Importantly, generic radicular compression is the main reason for the painful symptomatology in only a limited number of cases, and this book illustrates and emphasizes how various anatomic elements of the spine can be responsible. The imaging features of a range of disorders involving both the anterior and posterior elements of the spine are described, including active inflammatory osteochondrosis, atypical herniated discs, facet joint disorders, spondylolysis, and degenerative-inflammatory changes of the spinal ligaments and posterior perispinal muscles. Each example is supported by clinical data, and a series of unusual cases are also presented. MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation to allow better visualization or highlighting of various inflammatory changes in the spine. Radiologists, neuroradiologists, neurosurgeons, orthopedists, and rehabilitation physicians will all find this atlas a valuable asset in their practice.
This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.
Choosing an uncemented femoral prosthesis means first choosing a concept and to be effective, an operator has to have access to all the information that will allow them to reach the desired goals. This is the first step to be made.
The quality of a surgical procedure does not depend on the manual skills of the surgeon performing it, but on how he has prepared and performed the operation virtually before actually performing it. This is the second step.
An operating technique must be adapted to the chosen concept and the purpose of every surgical procedure must be clearly formulated and understood by the operator. This is the third step.
Every surgeon has to have a reliable and rigorous radiological method of analysis for evaluating overall results and which suggests ways of improving results."
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.
In addition to such topics as the theoretical foundation of orthopedagogics and diagnosis and assistance, the essentials of various developmental and learning problems experienced by children - including handicapped children - are discussed in depth. There is also a section on orthopedagogical research.
The aim of this book is not only to help climbers and coaches gain a better understanding of medical consultations, but also to offer insights into practical treatment. As regards the medical field, the explanation of the different forces exerted on fingers during climbing allows better assessment of the causes of injuries and can help injured climbers adjust when they return to training. Despite their small size and fragility, fingers are essential in rock-climbing. The publication of this book was motivated by the numerous possible injuries and the required treatments, as well as the desire to connect medicine to this field. Combining scientific and medical research offers a new approach to training and practice. Indeed, promoting cooperation between specialists and coaches for the benefit of climbers can reduce the risk of lesions and improve training.
This work demonstrates that hand and wrist rehabilitation calls for precise anatomical, biomechanical, and physiological expertise, as well as mastery of manual techniques and targeted physiotherapy. Particular attention is given to the complementarity between theoretical knowledge and practical aspects; accordingly, refreshers on the underlying theory; descriptions of the rehabilitation protocols and the specific manual and instrumental techniques; and the type of orthesis used depending on the delay of healing are provided for each pathology. This publication will appeal to a broad readership, from physiotherapists and occupational therapists, to surgeons and practitioners specialized in physical rehabilitation, to students in the fields of physiotherapy and occupational therapy.
The Ilizarov device has revolutionized the treatment of non-healing fractures and the correction of deformities. This book supplies all the information required in order to use the Ilizarov and other external fixation devices optimally; it will serve as an indispensable manual for both trainee and experienced orthopedic surgeons. Biomechanical principles, preoperative preparation, and the use of a system of coordinates to allow safer insertion of K-wires and half pins are thoroughly discussed. External fixation of a variety of fractures in different pathologic settings is then clearly explained in a series of detailed chapters with the aid of high-quality illustrations. Numerous case reports are included to illustrate the results of different treatment methods. In addition, postoperative management and treatment of complications are described. Since the first edition the text has been thoroughly updated, with inclusion of contributions from leading world experts.
Birgit Kumbrink's bestselling guide to K-Taping - now available in its 2nd edition! This richly illustrated hands-on guidebook features a highly successful therapeutic approach to treating orthopedic, traumatological, and many other conditions has now been extended to include 20 additional application techniques for the fields of neurology and gynecology (including pre- and post-natal). This practical guide provides all the background information physiotherapists, sports physiotherapists, medical doctors, occupational therapists and health care professionals need. It serves both as a perfect companion to training courses and as a reference book and refresher and shows how to use the specially developed elastic K-Tape most effectively. A brief introduction to the basic principles of K-Taping, the special elastic tapes used and the method's history is followed by 9 chapters highlighting treatment techniques and their application to nearly 70 frequently seen conditions. Each is featured on a double page with up to five color photos, brief instruction, practical information about symptoms, dosage, progress to be expected and tips regarding variations of techniques. As the benefits of K-Taping in enhancing the effects of other conservative care and surgical treatments are getting more and more appreciated, Birgit Kumbrink's "K-Taping - An Illustrated Guide", developed by Germany based K-Taping Academy, has rapidly established itself as the ultimate reference book for therapists and clinicians in an ever expanding range of medical disciplines.
This book explains how training in arthroscopic skills is best carried out in order to keep up to date with advances in arthroscopy, meet the ever-increasing demand for high-quality care, and respond to changes in available training time. State of the art developments regarding tools, performance monitoring, and learning strategies are presented, and practical guidelines provided for direct implementation in daily clinical practice. The coverage of simulation-based training ranges from the use of wet labs and box trainers through to sophisticated virtual reality simulators. Subsequent sections on objective performance tracking of training outside and in the operating room cover a variety of key aspects, including performance measures, evidence-based thresholds, preclinical training strategies, and the role of global rating scales, for objective monitoring. Readers will find the book invaluable in improving the efficiency and effectiveness of arthroscopic training.
As a result of recent advances in surgical techniques and implant technology it is now possible to perform limb reconstruction in patients with a range of congenital, posttraumatic, and postinfection pathologies. This book is a clear, practical guide to the state-of-the-art surgical procedures employed in limb reconstruction for diverse conditions. It includes precise descriptions of the techniques themselves, accompanied by numerous helpful drawings and photographs. Pearls and pitfalls are highlighted, and thorough advice is also provided on indications, preoperative planning, and postoperative follow-up. The editors have carefully selected the contributors based on their expertise, and many of the authors were themselves responsible for developing the techniques that they describe.
Distal radial fractures are still puzzling us 200 years after Colles' classic description. Despite the advent of various new imaging techniques, including 3D CT, the availability of diagnostic adjuncts such as arthroscopy, and treatment options that include more than 30 different volar locking plates, the rate of unsatisfactory treatment results remains very high. Furthermore, while we are aware of more associated injuries, such as carpal ligament tears and injuries to the radioulnar ligament (TFCC), there is still intense debate on the relevance of these injuries. This textbook aims to provide the reader with a complete understanding of distal radius fractures, their inherent problems, and how to manage them successfully. It is written by widely published experts from a part of the globe where distal radius fractures are very common, especially during the winter months. Clear guidance is provided on diagnostic imaging, classification, and assessment of fracture instability. The complete spectrum of operative and nonoperative treatment options are then clearly explained with the aid of step-by-step illustrations. Extensive information is also provided on complications and their treatment. Both students and experienced practitioners will find this book to be an enlightening, practice-oriented reference on the management of these challenging fractures.
With the constant evolution of implant technology, and improvement in the production of allograft and bone substitutes, the armamentarium of the orthopaedic surgeon has significantly expanded. In particular, the recent involvement of nanotechnologies opens up the possibilities of new approaches in the interactive interfaces of implants. With many important developments occurring since the first edition of this well-received book, this updated resource informs orthopaedic practitioners on a wide range of biomechanical advances in one complete reference guide. Biomechanics and Biomaterials in Orthopedics, 2nd edition compiles the most prominent work in the discipline to offer newly-qualified orthopedic surgeons a summary of the fundamental skills that they will need to apply in their day-to-day work, while also updating the knowledge of experienced surgeons. This book covers both basic concepts concerning biomaterials and biomechanics as well as their clinical application and the experience from everyday practical use. This book will be of great value to specialists in orthopedics and traumatology, while also providing an important basis for graduate and postgraduate learning.
This book is a rich source of practical guidance on the management of relatively young patients with osteoarthritis of the knee that will assist physicians and allied health professionals in enabling patients to remain active and sustain their quality of life. It provides up-to-date knowledge on the available treatment options, describes the evidence base for each option, and identifies the appropriate timing and indications. The book opens by considering the basic science behind osteoarthritis, which is critical to management. The many nonsurgical treatment modalities are then discussed, with particular focus on the importance of a multidisciplinary approach. Subsequent chapters address the role of surgical management, covering both techniques that attempt to preserve and possibly restore the native knee joint, such as meniscal and chondral surgery, arthroscopic debridement, and osteotomy for realignment of the joint, and those that involve joint replacement. The arthroplasty component of the text encompasses all areas of prosthetic resurfacing, including localized resurfacing, unicompartmental replacement, and total knee replacement. The book has been produced in cooperation with ISAKOS and the authors constitute an international faculty who provide a truly global perspective on the subject.
This fifteenth volume in the EUROPEAN INSTRUCTIONAL LECTURES series continues the format of educational chapters from across Orthopaedics and Traumatology contributed by distinguished Orthopaedic Educators in Europe. It provides current material and major advances covering a range of topics including General Orthopaedics, Basic Science and Technology, Musculoskeletal Tumours, Infections, Paediatric Orthopaedics, Trauma, Spine, Upper Limb, Hip, Knee and Lower Leg. All the chapters are based on lectures presented at the 16th EFORT Congress in Prague, Czech Republic. The lectures are an authoritative source of information illustrated by radiographs, MRI, CT and PET Scans, operative photographs, tables and line drawings as appropriate. They are an invaluable source of instruction for Surgeons and Trainees alike. This book was edited by Professor George Bentley, Chairman, Scientific Publications Committee of EFORT.
This superbly illustrated book is a comprehensive and detailed guide to the contemporary arthroscopic management of intraarticular fractures. The opening section addresses a variety of basic aspects and key issues, including the difficulties posed by intraarticular fractures, principles of fixation, cartilage healing, and rehabilitation. The minimally invasive surgical techniques appropriate to individual types of fracture are then fully described and depicted, covering fractures of the shoulder and elbow, wrist, pelvis and hip, knee, and ankle. Guidance is also provided on avoidance and management of complications and rehabilitation. The closing section addresses relevant miscellaneous issues, including arthroscopic management of temporomandibular joint fractures and extended indications for endoscopy-assisted fracture fixation. This volume will be of value for both trainee and experienced surgeons when treating patients with these complex fractures.
Orthopaedic trauma represents 75% of the casualties in a disaster. Many of these patients will be cared for by international volunteers, but good intentions are not always matched by good preparation. This book explains how best to prepare for missions, how to deal with injuries in austere conditions, how to ensure a positive legacy, and the need for cultural, political, and legal awareness. All of the most common orthopaedic presentations encountered in the austere environment are covered. In addition to evidence-based research, cases and actual experiences from the authors' missions are included to illustrate and bring to life key points. This book, written by a team of international experts with extensive experience of challenging field missions, will be an ideal practical guide for volunteers and health care workers, helping them to deal with confusing, chaotic, and distressing situations with greater confidence and efficacy.
The second edition of this well-received book reflects the state of the art in surgery for malignant bone tumors in children, with a particular focus on epiphysiolysis before excision. With a thorough update, new chapters, a clear presentation of tips and tricks to address complications, as well as supplementary online videos and tutorials, this book addresses the challenges of limb preservation that are posed to the surgeon in this new era of cancer treatment characterized by higher survival rates and longer survival times. The authors are experienced practitioners of Canadell's technique, but the book also explores, thanks to the focused contributions of experts from other fields of medicine, a range of topics from the molecular biology and histological aspects of bone tumors, to the use of imaging techniques and surgical options for epiphyseal preservation. Abundant illustrations and accounts of clinical results make this book an indispensable guide for orthopedic surgeons and pediatric oncologists and give the book an interdisciplinary appeal to practitioners in more general orthopedics, oncology, pediatrics and surgery.
Spine surgery has increasingly become a surgical field of its own, with a distinct body of knowledge. While available textbooks cover the intricacies of spine surgery and provide extensive information on each pathology, these books are not geared towards the requirements of the novice and are insufficiently portable for the busy resident to carry while on rounds or on call. This easy-to-use book, written by acknowledged experts, is designed to meet such needs by providing essential information on spine pathology, diagnostic evaluation, surgical procedures, and other treatments. After an opening general section, degenerative spinal disease, pediatric spine conditions, spine trauma, spine tumors, infections, inflammatory disorders, and metabolic conditions are all discussed in more depth. Alongside description and evaluation of surgical options, important background information is included on pathology, presentation, diagnosis, and nonsurgical treatments. Potential complications of surgery are also carefully considered. Spine Surgery Basics will be an invaluable practical aid for all who are embarking on a career in spinal surgery or require a ready reference that can be consulted during everyday clinical practice.
Now revised and expanded into a major reference work, Scuderi and Tria bring together leaders in the field for this update of their classic 2010 text on minimally invasive surgery in orthopedics. Organized anatomically, each section has been reviewed and revised with the most current information and techniques, both common and complex. An entirely new section on analgesics and anesthesia is included, and the former section on the upper extremities is split into three distinct sections on the shoulder, elbow, and hand, respectively, for a more in-depth presentation of these areas. Subsequent sections on the hip, knee, foot and ankle, and spine are similarly reinforced with the state-of-the-art for each region. The final section is reworked to include not only computer navigation strategies but other innovative technologies in MIS as well. Now, as then, this is the go-to reference for orthopedic surgeons, residents and fellows seeking a practical understanding of minimally invasive techniques in orthopedics.
Proper ultrasound examination and interpretation hinges on thorough knowledge of the relevant anatomy, artifacts, and technique. This book provides an excellent foundation by going beyond pathology and concentrating on these fundamentals. Basic physics and artifact recognition and prevention are outlined. Chapters review essential anatomy and include images and tables that highlight relevant bones, ligaments, tendons, muscles, and nerves. Sites of attachment and the best positions for examination are also noted.Technique is presented via a three-tiered approach and photographs of patients in the transducer position are matched with the resulting ultrasound images and complementary anatomical overlays. The accompanying DVD offers ultrasound technique as performed by experienced radiologists and clinicians. Procedures are detailed with a split screen showing the examination and the corresponding ultrasound image. The dynamic presentation is of value to those just learning the modality as well as physicians wanting to review anatomy and fine-tune their skills.
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