Orthopaedic procedures in elderly patients are challenging and costly. As the population ages these costs will continue to escalate. ORTHOPAEDIC ISSUES IN OSTEOPOROSIS weaves together theory and applications to provide the first reference available on the orthopaedic aspects of osteoporosis. The focus on the management of patients who have had a fracture sets this book apart. Featuring extensive coverage of surgical management of osteoporotic fractures, it highlights the challenges of internal repair in osteoporotic bone. The chapters combine the basic and clinical essentials of osteoporosis with the latest orthopaedic findings in applied research and surgical treatment. Fractures associated with osteoporosis account for the majority of the money spent on this condition. However, the orthpaedic treatment of osteoporotic bone is a formidable surgical problem, and one not covered explicitly in any book - until now. With over 300 tables, line drawings, equations, and macro or X-ray photographs, ORTHOPAEDIC ISSUES IN OSTEOPOROSIS is a long overdue resource. About the Editor: Yuehuei H. (Huey) An, MD, graduated from the Harbin Medical University, Harbin, Northeast China in 1983 and was trained in orthopaedic surgery at the Beijing Ji Shui Tan Hospital (Residency), and in hand surgery at Sydney Hospital (Clinical Fellow), Australia. In 1991, Dr. An joined with Dr. Richard J. Friedman in the Department of Orthopaedic Surgery at the Medical University of South Carolina to establish the MUSC Orthopaedic Research Laboratory, which is now a multifunctional orthopaedic research center. Dr. An has published more than 100 scientific papers and book chapters and more than 100 abstracts and edited 6 books, including Animal Models in Orthopaedic Research (CRC Press 1999) and Mechanical Testing of Bone and the Bone-Implant Interface (CRC Press 2000). He is an active member of eight academic societies in the fields of orthopaedics, biomaterials, biomechanics, and

The book offers a comprehensive and up-to-date guide to the cutting edge arthroscopic transosseous techniques for the treatment of rotator cuff tears, which are gradually taking over from the common open surgical approach, defined as the gold standard for RCR. With the help of numerous figures, it presents step by step a novel all-arthroscopic anchorless transosseous suture technique that is less invasive and easier to perform. After discussing the etiopathogenesis, histopathology and radiological classification of rotator cuff tears, the book reviews all possible arthroscopic procedures and explores in detail suture management, describing single and double tunnel options. It also examines the complications and post-operative rehabilitation and imaging, while the closing chapter addresses the economic aspects of daily use. Intended primarily for arthroscopic surgeons interested in the field of shoulder joint repair, this exhaustive guide is also a valuable resource for residents and shoulder specialists.

ACL surgery involves the repair or reconstruction of the anterior cruciate ligament in the knee. The procedure is usually performed by arthroscopic surgery. This book is a comprehensive guide to ACL surgery for practising orthopaedic surgeons. Comprising 34 chapters, the text covers the latest advances and explains all the different techniques. 'Pearls and pitfalls' of each technique are described in depth. The book includes discussion on improving outcomes, rehabilitation, prevention of degenerative changes, elimination of laxity, and patient satisfaction. The text is highly illustrated with clinical photographs, diagrams and tables, and each topic features 'tips and tricks' from expert surgeons. Key points Comprehensive guide to anterior cruciate ligament (ACL) knee surgery for orthopaedic surgeons Explains latest advances and techniques with 'pearls and pitfalls' Includes discussion on improving outcomes and rehabilitation Highly illustrated with clinical photographs, diagrams and tables

In 50 Landmark Papers every Acute Care Surgeon Should Know, editors Stephen Cohn and Peter Rhee have compiled a selection of the most influential recent contributions to the specialty of acute care surgery/emergency surgery. This book comprises 50 thought-provoking and relevant topics, reviewing carefully selected papers to update the readers on what has been published in the last decade. 50 key papers cover the most relevant studies from a wide range of topics from Acute Cholecystitis to Ventilator-Associated Pneumonia. This book is of interest to surgical residents and trainees, Trauma and Surgical Critical Care fellows and all members of the Acute Care team. This is both an informative and personal look at evidence-based topics, and is relevant to all general and acute care surgeons. About the Editors Stephen M. Cohn, MD FACS Hackensack Meridian School of Medicine at Seton Hall University Nutley, New Jersey, USA Peter Rhee New York Medical College Westchester Medical Center Valhalla, New York, USA

Rotator cuff surgery is currently the most common surgical procedure involving the shoulder. Unfortunately despite major technical advances, there is still a significant rate of failure of primary rotator cuff repair, ranging from 10% to 40%. This book describes the diagnosis, classification, assessment, and management of failed rotator cuff repairs. It also explores the etiology of the failed repairs, presents a series of treatment options, and discusses the complications. In a multidisciplinary format it addresses both how to prevent failure and how to diagnose and manage the failed rotator cuff, including imaging, laboratory testing, nutrition, surgery and rehabilitation. This comprehensive book, published in collaboration with ISAKOS, appeals to all stakeholders in orthopedic medicine and surgery.

The goal of tissue engineering is to repair or replace tissues and organs by delivering implanted cells, scaffolds, DNA, proteins, and/or protein fragments at surgery. Tissue engineering merges aspects of engineering and biology, and many rapid achievements in this field have arisen in part from significant advances in cell and molecular biology. Functional Tissue Engineering addresses the key issues in repairing and replacing load-bearing structures effectively. What are the thresholds of force, stress, and strain that normal tissues transmit or encounter? What are the mechanical properties of these tissues when subjected to expected in vivo stresses and strains, as well as under failure conditions? Do tissue engineered repairs and replacements need to exactly duplicate the structure and function of the normal tissue or organ? When developing these implants in culture, how do physical factors such as mechanical stress regulate cell behavior in bioreactors as compared to signals experienced in vivo? And finally, can tissue engineers mechanically stimulate these implants before surgery to produce a better repair outcome? Chapters written by well-known researchers discuss these matters and provide guidelines and a summary of the current state of technology. Functional Tissue Engineering will be useful to students and researchers as it will remind tissue engineers of the clinical importance of restoring function to damaged tissue and structures. Further, the book clarifies the identification of critical structural and mechanical requirements needed for each construct. Functional Tissue Engineering also provides an invaluable resource to help tissue engineers incorporate these functionalcriteria into the design, manufacture, and optimization of tissue engineered products. Finally it serves as a reference and teaching text for the rapidly increasing population of students and investigators in the field of tissue engineering.

The second edition of Osteoporosis in Clinical Practice provides a concise review of the current knowledge of osteoporosis. It is aimed at the busy practitioner who is increasingly involved in the management of osteoporosis and who wants accurate and practical answers to questions that arise in daily clinical practice. All the major aspects are covered including diagnosis, fractures, prevention and treatment. Concise chapters have been written by recognised experts in the area providing the reader with the most up-to-date and authoritative knowledge on each of the topics discussed. This makes the book an invaluable source of reference for those in primary care who are increasingly having to deal with patients with osteoporosis in their daily clinical practice. A must-have for every clinician treating patients with osteoporosis. It gives the latest information on diagnosis and treatment, founded on evidence-based medicine.

This book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text. Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.

Dieter Grob It is the merit of the "Bone and Joint in view of the generally reduced Decade" to draw our attention with health situation of the involved - increased intensity to the problem of tients. The important role of the the changes related to aging of our biphosphonates in the treatment, and musculoskeletal system and the asso- perhaps even more so in the prev- ciated socioeconomic implications. tion, of osteoporosis is emphasized In view of the increasing age of the by Fleisch. worldwide population the impact Any successful surgical treatment seems to be tremendous. I congratu- starts with accurate diagnostic pro- late the editors of the present supple- dures. The profound knowledge and ment of the European Spine Journal sophisticated diagnostic techniques in picking up this interesting topic of the complex pathoanatomical and engaging opinion leaders to con- changes in the spine including the tribute their knowledge in this sup- involvement of the neural structures plement. The various contributions (contribution by Dvorak) often go cover some of the important prob- beyond the capacity of a spine s- lems, which are included in the vast geon. Teamwork and adequate c- specter of aging spine: osteoporosis, munication is mandatory.

Primary care providers (physicians, nurse practitioners, physician assistants) make decisions on a daily basis regarding treatment for musculoskeletal problems, including referrals to orthopedic surgeons and other specialists. Despite the large number of patients presenting with musculoskeletal complaints, primary care providers often feel poorly educated about how to assess and manage these conditions. Now in its fully revised second edition, Principles of Orthopedic Practice for Primary Care Providers continues to be a go-to resource for clinicians interested in the effective treatment of musculoskeletal disorders. Written by expert orthopedic, physical medicine and pain management specialists at major Harvard teaching hospitals, the second edition of Principles of Orthopedic Practice for Primary Care Providers represents a high-yield and succinct resource on the assessment and management of musculoskeletal conditions. Chapters overview specific body parts, typical presentations of disease, options for diagnostic testing, treatment paradigms, and anticipated outcomes of management both in the primary care setting and following specialist consultation. The text offers suggested pathways for working up and treating these problems with an emphasis on when referral to a specialist, or surgical intervention, is needed. While all previous chapters have been fully revised, this edition also includes nine brand new chapters, including chapters on pain management, hip-spine syndrome, adult spinal deformity, sports-related injuries, and cost and quality in musculoskeletal care.

Dear Colleague and Participant th in Ceramics 2004 . 9 International BIOLOX" Symposium We are proud of the fact that once again we have been able to give you a copy of the proceedingsof this symposium as a part of your registration materials. Thisisa majorachievement that wasonly made possible by the excellent cooperation of the speakers, the publishing house and their staff and the Symposium Administrator and her staff. We would like to thank all of them for their hard work and dedication in meeting the tight deadlinesrequired to make thisa reality. The proceedings of this symposium continue the on-going tradition of providing us with a valuable addition to our reference libraries. We hope that you will be pleased to receive thisbook, since within itscovers.you will find the latestscientific and clinical information regarding the use of ceramics in orthopaedic surgery. This is the first time that the symposium has taken place outside Germany. The reason we chose Paris, France, isobvious.ItisbecauseCeramTec hashad a long and close relationship with the French orthopaedic community and because this community hasbeen an incontestable pioneer in the use of ceramicsin the field of orthopaedics. Forthese reasonsit wasonly fitting to hold the symposiumin the capital city of this much respected country of orthopaedic achievement. CeramTec is pleased that the University Hospital Pitie Solpetriere. our Honorary Presidents Prof. Sedel and Prof. Mittelmeier and our Symposium President, Prof. Lazennec have collaborated with us in the preparation and in the execution of Ceramics 2004 . th 9 International BIOLOX" Symposium.

Dear Colleague and Participant of Bioceramics in Joint Arthroplasty 8'h Biolox" Symposium It is a pleasure for us to be able to present you with the proceedings of this Symposium. This is something that we are very proud of, as it is the first time that we have been able to achieve our objective of distributing this collection of all presentations made at this Symposium in a printed form at this time. The achievement of this goal was reached in great part as a result of the excellent cooperation of all of the speakers as well as the commitment of the publishing house to assist us in every way possible to meet the strict deadlines imposed. Additionally, a special thanks must also be given to some very special people who diligently worked to make sure our objective was met. They are: Gertrud Volkert. M. D. and Petra Elster of the Steinkopff Verlag Publishing company and our own Symposium Administrator, Hedi Kissinger. We believe that you will find this book to be a valuable and useful addition to your reference library. We hope that within its covers, you will find the most up to date scientific and clinical information regarding the use of ceramic solutions to address wear related problems in Orthopedic Surgery.

Fractures of the tibial pilon (plafond) represent some of the most invalidating articular lesions. This volume describes the anatomic and radiological classification of these fractures and discusses contemporary treatments. For tibial pilon fractures in adults, the authors illustrate the distinction between closed lesions and lesions involving soft tissue exposure and trauma, and describe the different options. Tibial fractures in childhood are also discussed, especially regarding the possibility of subsequent deformity. The volume will help readers understand the rationale for the various therapeutic choices as well as the modalities of executing these techniques.

Die Rheumaorthop die hat sich in den letzten Jahrzehnten sowohl im deutschsprachigen Raum als auch im europ ischen Ausland als eigenst ndige Spezialdisziplin innerhalb der Orthop die etabliert und ist eigenst ndiger Schwerpunkt innerhalb der Weiterbildung "Facharzt f r Orthop die und Traumatologie." Die Assoziation Rheumaorthop die - ARO - legt als Herausgeber des Lehrbuchs erstmals ein Standardwerk zur Rheumaorthop die vor. Auch wenn der Schwerpunkt des Buches in der chirurgischen Behandlung rheumatischer Erkrankungen liegt, wird auch umfassend auf Grundlagen, Diagnostik und konservative Therapiema nahmen eingegangen. Ein Wegweiser f r alle rzte die Patienten mit rheumatischen Erkrankungen behandeln.

The global burden of geriatric hip fractures is enormous. From both the patient's and physician's perspective, the injury is complex. A hip fracture often changes a patient's life and/or the life of the patient's family permanently. From the physician's perspective, care of geriatric hip fracture patients requires a multidisciplinary team, which is led by the surgeon and which includes internists and other subspecialists within internal medicine, anesthesiologists, nurses, operating room technicians, social workers, physical therapists, and rehabilitation center coordinators and staff. Nowhere in the orthopedic literature is there a text that guides care for these complex patients from injury through recovery. This text is the first to do so by organizing and synthesizing a large body of literature. Its main themes include pre-operative, operative, and post-operative care of the patient who sustains a geriatric hip fracture. Its main objective is to organize the current body of literature into a cohesive whole so that the busy orthopedic surgeon does not have to undertake a literature search each time he or she wants an answer to the myriad questions that characterize a patient's injury, treatment, and recovery course. With regard to pedagogy, because orthopedic surgeons in training will utilize this book, and because the case study is the central pedagogical tool in the field of orthopedic surgery, this book includes case studies within each chapter, with the author's preferred treatment and decision-making rationale for each case. Selected video supplements reinforce real-world application of knowledge. Practicing orthopedic surgeons, as well as orthopedic residents and fellows in training, will find Geriatric Hip Fractures: A Practical Approach a highly useful and informative resource.

The book provides a general understanding of the biology of spinal cord injury (SCI) in animal models and their relationship to naturally occurring injury in man, and secondly reviews novel means to induce functional recovery from spinal cord injury based on developmental biophysics and physiology.

The reconstruction of articular cartilage defects is still one of the major challenges for the orthopaedic surgeon. A variety of surgical techniques such as microfracturing, transplantation of osteochondral grafts and the autologous chondrocyte transplantation have been developed over the last decades. Recent progress in material science and cell and tissue engineering has led to a worldwide increasing number of scientists working on cell-based articular cartilage repair strategies. In a workshop symposium held in Würzburg, Germany, in November 2002, leading scientists from biomedical engineering, basic science and specialized surgeons discussed the state of the art in "Cartilage Surgery and Future Perspectives".

Recent developments in surgical techniques have led to an increased demand for bone stock. Fusion enhancement, bone-void filling in tumor surgery and trauma are only a few examples. Autologous bone can be considered as the most successful bone graft material, and constitutes the accepted "gold standard", as it combines all the properties required from the bone graft. In this book a 'state of the art in bone substitution for the spine' is presented. The general principles of bone biology and bone healing are outlined, as are recent advances in understanding and influencing bone formation. A variety of substitutes are described and compared.

L'intervento chirurgico rappresenta la tecnica elettiva per il trattamento delle fratture della regione trocanterica. Gli Autori pertanto presentano le metodiche di sintesi pi utilizzate descrivendone, con ampia iconografia, le tecniche chirurgiche.

This title presents the radiological manifestations of the genetic skeletal dysplasias in the form of Gamut Lists. Its purpose is to act as an aid to differential diagnosis following the observation of abnormalities in bone radiographs. The first section of the book comprises gamut lists of generalised skeletal abnormalities. The second section takes a regional approach and in the third section, brief outlines and key references are provided for the heritable skeletal disorders listed in Sections 1 and 2. At appropriate places in the text pertinent comment is made concerning practical issues in radio-diagnosis of these conditions. An extensive index is provided. This new edition of the book has been extensively updated and expanded and provides the user with an accurate and effective diagnostic tool.

Myelodysplasia and associated malformations of the central nervous system generally are managed by neurosurgeons, while disturbance of locomotion, deformity of the skeletal system, neurogenic bladder, and bowel malfunctions of patients with spina bifida are treated by orthopedists, urologists, pediatric neurologists, physical therapists, and other specialists. Manifestation of these disorders is not limited by age distribution, but the therapeutical implications of the malfunctions may vary by age group from infancy to adulthood. The Second International Symposium on Spina Bifida, one in a series of three, focused on treatment of patients from elementary school age to adolescence. Papers presented in the areas of neurosurgery, orthopedics, urology, pediatric neurology, and nursing provided a comprehensive view of current trends in the care, management, and treatment of spina bifida.

Einzigartige Zusammenstellung von 100 Biographien namhafter Arzte der Handchirurgie: Professor Buck-Gramcko, selbst bedeutender Handchirurg und Wegbereiter der Handchirurgie in Deutschland, gelang mit diesem Buch ein aussergewohnliches Werk. Dank seiner zahlreichen Kontakte und freundschaftlichen Verbindungen konnte er die beeindruckenden Biographien inklusive Portratfotos erstellen. Ein medizinhistorisch interessantes und beachtenswertes Werk.

Extracorporeal Shock Wave Therapy (ESWT) is a new method for the treatment of numerous chronic disorders of the musculos- keletal system: Calcific tendinitis of the shoulder joint - Lateral epicondylitis - Medial epicondylitis - Plantar fas- ciitis - Pseudarthrosis. Other indications are being investigated either in clinical studies or as empirical therapeutic possibilities of ESWT. This book gives a clear overview of the present status of ESWT and ultrasound imaging in the management of musculoske- letal disorders.

Dr. James D. Heckman has worked with leading experts in the field to bring to you an integral source of information covering orthopedic trauma, sports medicine, pediatric orthopedics, foot and ankle injuries, the spine, tumors, and infections. Current Orthopedic Diagnosis and Treatment allows the clinician to find quick confirmation of the diagnosis and treatment of a wide variety of orthopedic ailments and breaks down each topic into an accommodating two-page layout. On the left page physicians can easily locate diagnostic information including the conditiona (TM)s history, physical findings, imaging and laboratory studies, and complications, as well as differential diagnosis, etiology and epidemiology. Treatment information on the right page allows the reader to promptly analyze both surgical and nonsurgical options, exercise and activity modification, prognosis, and follow-up management. This one-of-a-kind format provides quick understanding and utilization of appropriate treatment to musculoskeletal conditions and if necessary, allows for the appropriate referral to an orthopedic surgeon.