Therapy for Amputeesis a book for ALL those who work with amputees. Written by a multidisciplinary team for a multidisciplinary readership, the book addresses all aspects of care and rehabilitation for this group of clients. The approach of the book is practical and easy to follow making it appropriate for use by the amputees themselves and those caring for them at home. It addresses the day to day problems of rehabilitation therapists and their clients in a practical way and considers the provision of care and rehabilitation for amputees as it is managed today. Originally published under the title Physiotherapy for Amputees the Roehampton Approach this new edition takes a broad team approach to this area of rehabilitation which reflects current practice. It acknowledges that the majority of clients now receive rehabilitation therapy in the general hospital setting or at home in the community.Takes a practical, problem-based approach which is easy to follow Follows a logical structure from assessment of the problems and the psychological impact on the client to evidence-based practice, audit and care protocolsAddresses the concerns of the client with a chapter on Different Perspectives; The Users Point of View,and through practical advice and information for the amputees and their carers, on all aspects of their rehabilitation including details of patient/user support groups Uses the terminology adopted for International StandardsExtensively referenced with contact points for access to further information on technical detail and new developments in hardware availability Highly illustrated with 280 photographs and line drawingsIncludes details of producers and suppliers of prosthetic equipment and components Book now multidisciplinary and multiauthor with 11 contributors from 2 expert UK based multidisciplinary teams working in Oxford and London There are 3 new chapters on: The Psychological Impact of Amputation Different Perspectives ; the users point of view (addresses patient/user support groups; patient empowerment; professional special interest groups etc) Therapy Service Quality addresses the issues of evidence based practice, standards/audit/outcome measurement: risk management, clinical guidelines, care protocols etc. Improvements to existing chapters include:In chapter 2 more on the Community Care Act, the Carer's Recognition and Services Act, continuing healthcare provision including eligibility criteria etc. In chapter 5 more on check sockets, The Amputee Mobility Aid (AMA), advantages and disadvantages of early mobility equipment, prescription of indoor/outdoor powered wheelchairs.In chapter 9 Update on motion analysis laboratory measurements and physiotherapy biofeedback machines. In chapter 20 more on osseointegration; surgery to problem stumps; meningococcal septicaemia.Chapter 21 on Multipathology and Complex Cases extensively revised and improved. Total update of terminology to align with International Standards.Total update of information on upper and lower limb prosthetic components, (sockets, liners, cosmesis etc and now including recreational prostheses). Total update of information on wheelchairs.All 23 chapters are extensively referenced and give contact points for access to further technical detail and new developments in hardware availability from producers of prosthetic equipment and components. Incorporates information from the perspectives of providing rehabilitation in both developed and developing countries.Gives practical advice and information for the amputees and their carers concerning all aspects of their rehabilitation Also includes a general bibliography for further reading. 280 illustrations (174 line and 106 photographs of which over 60 are completely new)

Hand Surgery Study Guide, developed from a successful hand surgery review course to prepare students for the Orthopaedic-In-Training Examination, provides a targeted review based on the topics in Hand Surgery that have been covered over the last twenty years in the Orthopaedic-In-Training Examination. Recommended readings and practice questions are listed at the end of each chapter. The text is augmented by more than 100 figures, including original drawings, photographs, radiographs, and photomicrographs. This text offers an unparalleled guide for the study of hand surgery for those students, residents, practicing physicians and therapists who are looking for a handy refresher or a way to help prepare for In-Training, Self-Assessment, Certification and Recertification examinations.

Die international stark beachtete Multizenterstudie uber Becken- und Acetabulumfrakturen umfasst die Analyse von 1722 Patienten inklusive Nachuntersuchungsergebnisse. Anhand von Ubersichten, Diskussion und Wertung bisher bekannter Verfahren erhalt der Leser einen schnellen Uberblick uber aktuelle Definitionen, Diagnostik und Behandlungskonzepte zur Therapie von Beckenfrakturen, die den Studiendaten unter mauert werden./This multi-centre-study, highly recognized on the international level, comprises the analysis of 1722 patients including the results of post-operative care. By means of key notes, discussion and evaluation of techniques the reader is provided with a survey on up-to-date definitions, diagnostic and therapeutic concepts in pelvic fractures, which are supported by the results of the study.

A comprehensive introductory text with more than 150 color images and figures, The Foundations of Shoulder and Elbow Surgery provides essential information on shoulder and elbow care for students, residents, fellows, and new doctors. Surgery of the shoulder and elbow has grown more common in recent decades as understanding of anatomy, physiology, and pathology has improved. Additionally, innovations in surgical techniques and implant design have given surgeons the tools to address a higher number of shoulder and elbow pathologies. To adequately care for this increasing patient population, the basics of shoulder and elbow care must be disseminated to those in training. Together with their expert contributors, Drs. Surena Namdari, Benjamin Zmistowski, and Reza Omid explore the foundational concepts of shoulder and elbow surgery, including: Shoulder anatomy and physical examination, shoulder instability, and rotator cuff disease Frozen shoulder (adhesive capsulitis) and injuries to the biceps-labral complex Shoulder arthritis (glenohumeral arthritis), shoulder fractures, and the athlete's shoulder and elbow Scapular disorders and acromioclavicular disorders Elbow anatomy and physical exam, elbow instability, and tendon injuries Neuropathies of the upper extremity Elbow arthritis, fractures of the elbow, and humeral shaft fractures In conjunction with clinical experience, The Foundations of Shoulder and Elbow Surgery will serve as an invaluable resource for orthopedic surgeons-in-training.

Professor Gerhard Kuntscher trat 1940 vor die Deutsche Gesellschaft fUr Chir- urgie und stellte erstmals seine Ergebnisse der Marknagelung zur Behandlung von Frakturen der breiten Offentlichkeit vor. Die uberwiegende Ablehnung der Marknagelung vor dem wissenschaftlichen Forum wurde durch ihren Erfolg in den Kriegsjahren wett gemacht, und die eloquente Kritik der epochalen Opera- tionstechnik wurde in eine unerwartete weltweite Anerkennung der Methode verwandelt. In den Nachkriegsjahren wurde die Osteosynthesetechnik von Frakturen durch das Dogma der rigiden stabilen Osteosynthese gepragt. Die Kuntscher- Technik wurde erneut in den Hintergrund gedrangt. Das alte Argument gegen die Marknagelung, die Zerstorung der intramedullaren Blutversorgung, wurde von Kuntschers Gegnern ebenso heftig diskutiert wie die Gefahr der Rontgen- strahlen wahrend der Durchleuchtung. Das Pendel der Osteosynthesetechnik kehrte jedoch zur biologischen Operation von Kuntscher zuruck. Die klini- schen Ergebnisse zeigten hohe Versagensraten fUr die rigiden Osteosynthesen und Knochenuntergang unter der Platte, dagegen eine biologische Kallushei- lung mit dem Nagel. Unter diesem Eindruck wurde die Marknagelung tech- nisch perfektioniert. Neue Techniken - von Kasmann, sowie von Klemm und Schellman, als auch von Grosse und Kempf entwickelt - eroffneten Behand- lungsindikationen, die dem klassischen Kuntscher-Nagel nicht zuganglich wa- ren und fuhrten zu einer Renaissance der intramedullaren Nagelung und zur Wiederbelebung des Gedankens der naturlichen dynamischen Knochenbruch- heilung. Die Internationale Arbeitsgemeinschaft fUr Dynamische Osteosynthese (ALO. D. ) hat eher als andere die Kernideen von Kuntscher erkannt, weiter aus- gebaut und Osteosyntheseverfahren im Sinne von Kuntscher fur aHe langen Rohrenknochen entwickelt.

"Metastatic Bone Disease: Fundamental and Clinical Aspects" is an expanded version of a workshop on bone metastases which was held in Heidelberg, Germany, in April 1993. Bone metastases very often develop from malignant tumors and lead to complications which considerably diminish the quality of life of the patient. Bone pain, pathological fractures, and hypercalcemic syndrome should be recognized and treated ear- ly, so as to prevent any further morbidity and immobilizati- on. Antiosteolytic substances such as biophosphonate can supplement the established palliative and supportive thera- pies. Highly qualified basic researchers and clinicians in pathophysiology, diagnosis, and treatment of metastatic bone disease have contributed to this book, providing a good overview ofpresent knowledge and research. The book will be of interest not only to specialists, but also to any physi- cian interested in oncology.

In the field of orthopedic surgery, additional areas of application and new indications have been discovered for fibrin glue treatment, for example, hemostasis in pseudotumors in hemophilic patients or in torn ligaments, and in spongiosa transplantation, primarily when nonautologous bone material is being used, or to fill large defects. In maxillofacial surgery fibrin glue is mainly used for osseous contouring of the facial and frontal bones, for alveolar ridge augmentations in preprosthetic surgery, and for soft tissue reconstructions.

In this volume a distinguished group of internationally renowned clinicians and basic researchers discuss the present state of knowledge of the etiologyand pathogenesis of Dupuytren's contracture, a disease responsible for a considerable portion of disabilities within the working population allover the world. Although the riddle of how the contracture of the palmar fascia develops is still unsolved, the data on the pathobiochemistry and clinic of Dupuytren's Disease achieved in recent years has led to a better understanding of the biochemical and morphological processes underlying the deformation and malfunction of the afflicted tissues. Research in Dupuytren's Disease now enters the era of molecular medicine, which opens up new experimental means of studying the pathological changes which occur during the formation of the contracture on a molecular level. In particular, data are presented as to the role of specific biological macromolecules influencing the phenotype expression of the palmar fascia cells which are involved in autoimmune reactions and present both at the cell surface as well as in the extracellular matrix to regulate cell-to-cell and cell-to-matrix interactions. In vitro cell culture models to investigate fibro-cytic modulations are available and havebeen applied to study the effects of specific biological molecules on isolated cells from healthy palmar fascia and Dupuytren's contracture. Complementary evaluations of morphological, epidemiological, and clinical data contribute essentially to the present understanding of the etiology and pathogenesis of Dupuytren's Disease. This comprehensive and informative summary of the state of the art is completed by numerous references affixed to the individual contributions.

References, to the reader, are like insulin to the diabetic: when needed they are indispensable, but in excess they induce coma. Moreover, when references are simply shovelled into a text in great gobbets, it is hard to resist the suspicion that the author has not read them all, but has copied some from a previous author's list. The story is told of one author who mischievously included in his list a bogus reference to an obscure foreign journal, and gleefully noted its frequent appearance in future articles. One of the joys of this present book is that the number of references to each topic is very small. But these few have been selected with dis cretion and studied with care. Each group of references is followed by a critical assessment, written with balanced judgment and commendable brevity, and how refreshing it is to find authors who read much but write little. In fact, these authors have followed the pattern of the sister work, Selected References in Orthopaedic Trauma, published in 1989."

Das Buch beschreibt den Ersatz des vorderen Kreuzbandes mit einer Semitendinosussehne (4-fach) in der "all inside" Technik. Der Schwerpunkt liegt dabei auf der Praxis: die Operation wird Schritt fur Schritt beschrieben und zahlreiche brillante Grafiken und Fotos visualisieren die Operation. Daruber hinaus demonstriert ein 10-minutiges Video den Operationsverlauf. So ist die Umsetzung der Theorie in die Praxis auf kurzem Weg moeglich.

Every bone fracture must be held rigid and, because of the long healing process, infringes on the individual's life-style. Treatment with ultrasound, however, may reduce the healing time 30-50% since the piezoelectric effect of ultrasound acts as a callus stimulator. This book documents more than twenty years of clinical experience with ultrasound treatment of fractures. The authors give statistical evidence and show numerous X-rays to document their success. They also include a summary of experimental studies. The method is described in detail so that the practicing physician can easily learn how to apply it.

The review articles in this book discuss vasculitis and rheumatic diseases that are encountered in clinical neurology. Tables, graphs and a comprehensive bibliography make it possible to find information quickly about the immunological aspects that are increasingly important in daily neurological practice. Specifically, the clinician will find information about giant-cell arteritis, granulomatous arteritis, isolated angitis of the CNS and lupus arythematosus.

"Work related musculoskeletal disorders (WRMSDs) are the leading cause of worker impairment, disability, compensation costs and loss of productivity in industrialized countries. The aging of the workforce and the increased diffusion of physically demanding jobs contribute to the widespread concern about musculoskeletal disorders. The effective prevention of work related musculoskeletal disorders needs a multidisciplinary approach, drawing together experience from backgrounds in engineering, mechanics, physiology, occupational medicine and psychology; all considered in the context of ergonomics. This book is a collection of lectures on both back and upper limb musculoskeletal disorders presented at an International Course sponsored by the Nordic Institute for Advanced Training in Occupational Health (NIVA), and the University of Bologna in September 1999. The lectures were given by renowned international researchers on the subject and therefore the book provides a comprehensive overview of all critical issues related to musculoskeletal disorders at work. The book forms an update to the latest research in the field and will interest a wide range of professionals and researchers in ergonomics as well as in the fields from which the material is drawn. The book covers the main topics addressed in dealing with occupational ergonomics including: ""

Die Sachverst ndigengespr che, ausgerichtet durch das Orthop dische Weiterbildungsinstitut M nster in Zusammenarbeit mit der Klinik und Poliklinik f r Allgemeine Orthop die der Westf lischen Wilhelms-Universit t M nster unter der Schirmherrschaft "Initiativkreis Medizinische Begutachtung" sind j hrliche Veranstaltungen, die sich mit der Beurteilung und Begutachtung orthop discher Krankheitsbilder aus interdisziplin rer Sicht befassen.

Strongly recommended for the surgical trainee this, the second of a number of atlas-texts describing the anatomical basis of a range of common surgicalprocedures, is a useful aide-memoir to operative surgery

Rheumatoid arthritis demands intensive interdisciplinary cooperation between the orthopaedic surgeon and internist, and this monograph provides all the information necessary for the specialist dealing with inflammatory changes of the hip joint in rheumatoid arthritis. The reaction of the joint to rheumatoid arthritis is generally uniform, but the diagnoses may vary. For this reason, particular attention is paid to the differential diagnosis of the chronic inflammatory changes at the hip joint. The course of the disease is outlined, so that varying treatment approaches can be understood. The book describes the medical and the physical treatment of the hip joint, including discussion of the mechanisms of action and side effects that may occur. The options for conservative orthopedic treatment and for operative intervention are carefully considered. The broad spectrum of treatment principles, courses of action and results that are discussed will aid every physician interested in the rheumatoid hip.

Demands on a Neurosurgeon Under Routine Clinical Conditions' "Hardly any other field of surgery requires such meticulous asepsis. No other field requires such a protection of the tissue and such reliable hemostasis. No one will question that neurosurgery makes exceedingly high demands. However, the degree of the demands on the personal ity of the surgeon who has to carry out very serious operations to the exclusion of all others and has little opportuinity to recover psycholog ically by working on simpler cases is concealed from the outer world. The mental strain which the coworkers and staff have to tolerate may not be denied." So wrote Wilhelm Tonnis in 1939. Although fifty years have now elapsed, his appraisal is still relevant today - hence my intention to discuss the everyday demands placed on neurosurgeons. My aim is not self-glorification to engender sympathy; rather it is to highlight the effects and repercussions of such demands for the well-being of the patients entrusted to us. The major onerous demands include: - those in the operating theater - those resulting from staff problems in nursing - those resulting from legal developments - those resulting from the increasing administrative tasks that cost valuable time and energy which are lost to our actual work in look ing after patients: science and research also suffer from this. I shall not go into the latter point within this preface. Let me first turn to the strains occurring in the operating theater."

Translation of: Tumori delle ossa e delle parti molli.

Why and Wherefore? Welcome to our little introductory book It appears in response to be ginning students (i.e., especially general radiology residents) who have sought guidance with the methodology of evaluating positional rela tionships of the feet from radiographs. Since my stepwise "how to" technique has been well received both in the Show-Me state (at the University of Missouri.Columbia) and here in Ohio, it is offered to you as well. To simulate my conventional teaching method, the informal text has an interactive flavor, which I hope makes it useful for you. Please don't be offended by a touch of simplified walking.through of material here and there. After all, this is a "primer," not a dignified postgraduate treatise. Comments from readers would of course be appreciated by the author. The majority of illustrations are the result of the collaboration with my dear colleague Tamar, in which she artistically interpreted repre sentative radiographs for you to my specifications. The guidelines I gave her included line drawing outlines of the most pertinent bones, to which straight lines were added as appropriate. As a result certain bones, for example the fibula and many phalanges, are omitted if they are unlikely to enhance the impact of the illustrations. Often, too, the cuneiforms and cuboid remain undifferentiated as one bony element, or only a few of them are drawn, so that attention remains with the key bones involved."

In this significantly expanded "Alumni" edition, graduates of the Orthopaedic Trauma program at the University of Washington's renowned Harborview Medical Center provide succinct and novel tips and tricks gleaned from their years of professional practice. Focusing specifically on the technical aspects of fracture treatment, Harborview Illustrated Tips and Tricks in Fracture Surgery, Second Edition takes a unique issue/solution approach, offering up-to-date guidance you can apply quickly to a care situation with the full trauma team. New chapters touch on fractures of the femur, hardware removal, and navicular and cuboid fractures. Expanded with significantly more tips than the previous edition-all contributed by graduates of Harborview's Orthopaedic Trauma Fellow program. Features to-the-point instructions on the latest techniques to treat fractures of the neck, arm, wrist, ankle, foot, knee, and leg in a fast-paced trauma setting. Chock full of tables and annotated illustrations for a visual context to techniques and the underlying anatomy. Concise bulleted format and standardized organizational structure help you grasp critical material quickly. Topics cover required instruments, optimal patient positioning, imaging, hardware and implants, fixing and setting, and fracture reduction. Perfect for orthopaedic surgeons, trauma surgeons, and orthopaedic surgery residents learning to treat patients in a trauma setting. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Athletes, coaches, and recreationalists are continually seeking ways to maximize their competitive efforts in both exercise and sport, and from 5km runners to Olympians, most athletes recognize that good nutrition is as crucial to success as ongoing practice and regular exercise. Written and edited by top-notch nutrition and exercise authorities, Nutritional Concerns in Recreation, Exercise, and Sport comprehensively covers the major nutritional concerns related to physical activity and the serious recreationalist and athlete, focusing on core questions in the growing field of sports nutrition. This valuable resource discusses the central roles macronutrients (carbohydrates, fats, proteins, and water) and micronutrients (vitamins and minerals) play in healthy nutrition. It includes practical considerations related to hydration, body weight, and the use of nutritional supplements as ergogenic aids. It also discusses the various athletic concerns athletes will likely face during different life stages, such as the young athlete, the pregnant athlete, and the aging athlete. Concise and extensively referenced, Nutritional Concerns in Recreation, Exercise, and Sport provides the knowledge base athletes need to make well-informed dietary decisions, optimize overall health, and achieve personal performance success.

In medical writing brevity is the kiss of life. Nevertheless most articles are unnecessarily lengthy and publications continue to multiply. Pity the poor reader! A succession of unduly long articles is bad enough, but if each is followed by a plethora of references the effect is positively daunting. Even the reader who is impressed by the length of a list may question the author's discrimination. Were all those references needed? Were they helpful? Has the authorreally read every one? All too often we look in vain for evidence of selectivity. Here lies the strength of this book. The authors have combed the literature and culled it ruthlessly, selecting just a few hand-picked references on every important aspect of orthopaedic trauma. They have ranged widely but chosen narrowly, and with a sense of balance. And having selected, they have also distilled, adding a brief and thoughtful commentary on each group of entries. The four authors, of varying vintages, met at frequent intervals to discuss each section in tum and to debate the value of every inclusion. I can almost hear the cut and thrust as well-informed views were exchanged, and also the sighs of relief as differences were resolved. The authors compare their meetings with those of the Editorial Board of the IBIS; since these are a delightful mixture of conflict, entertainment and enlightenment, what a marvellous time they must have had.

Das Buch enthalt Beitrage uber die funktionelle Anpassung des Knochens an seine mechanischen Beanspruchungen, neuere Resultate der Forschung uber genetische Erkrankungen des Skeletts, die Fortschritte in der Diagnostik und Therapie primarer Knochentumoren und Neues aus der Prothesenforschung. Die vorgelegten Ergebnisse aus den vielschichtigen Bereichen der Osteologie zeigen, dass sich ein so weites Feld der wissenschaftlichen und klinischen Medizin nicht einem einzigen Fachgebiet zuordnen lasst, sondern nur interdisziplinare Teamarbeit die besten Forschungsresultate zu bringen vermag.

Langzeitergebnisse sind die Basis jeder medizinischen Behandlung und Weiterentwicklung von Therapiemodalitaten. Dies gilt in der Kinderorthopadie in besonderem Masse. Es ist die vordringliche Aufgabe des Behandlers, Wachstums- und Reifungsprozesse zu beurteilen und wenn notwendig zum richtigen Zeitpunkt lenkend und korrigierend einzugreifen. Ein solcher Eingriff kann eine wichtige Weichenstellung zu einer normalen Entwicklung oder aber im ungunstigen Fall bleibender lebenslanger Behinderung sein. Wir leben in einer Zeit stetiger Veranderungen mit taglichen Neuerungen und Fortschritten in der Medizin. Bei aller Euphorie ist jedoch festzuhalten, dass viele neue Methoden ihre Evaluierung durch den Faktor Zeit noch nicht bestanden haben. Die dargestellten Spatergebnisse belegen u. a. den Vorteil, dass durch den Zeitfaktor die subjektive Sicht des initialen Behandlers meist ausgeschaltet war. Langzeitergebnisse sind daher fur die heute so haufig geforderte Evidenz-basierte Medizin von Bedeutung."

Abundant evidence indicates that TENS can be used effectively to alleviate certain pain syndromes. For patients suffering from chronic musculo-skeletal pain in particular, TENS offers an alternative means of pain management. This book addresses the need among physiotherapists for a practical manual on the application of this relatively new technique. Numerous illustrations provide guidelines for the choice of stimulation parameters, the selection of electrode positions, as well as other aspects related to technique. A brief introduction to the neurophysiological mechanisms of pain and the pain-relieving effects of TENS is also given. These special features make this comprehensive presentation of particular interest to physiotherapists and clinicians actively engaged in the management of patients suffering from pain.