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.

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.

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.

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 covers all the basics of the knee for practicing orthopedic surgeons and residents who are finishing their training and preparing for the board examinations. The text begins with chapters on the anatomy, physical examinations, and imaging, before proceeding on to pediatric considerations, arthroscopic techniques, ligament injuries, trauma, reconstructions, and the future of knee replacement surgery.

There are many textbooks on the knee but no recent one has addressed the entire area of the knee from start to finish.

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.

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.

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.

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 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".

Die Trainingstherapie mit Geraten: ein wichtiger Bereich der physiotherapeutischen Behandlung. Welche Uberlegungen, Untersuchungstechniken und Evaluationsprozesse sind notwendig, um ein Trainingsprotokoll zu erarbeiten? Wie wird die Trainingstherapie optimal dem aktuellen Stand des Heilungsprozesses und der Belastbarkeit des Patienten in den einzelnen Rehabilitationsphasen angepasst? Das Buch bietet zu diesen Themen alles, was angehende und erfahrene Therapeuten wissen und konnen sollten: die fur die Praxis wichtigen Grundlagen (Anatomie, Biomechanik, Pathomechanik und Pathophysiologie, Neurologie), Untersuchungs- und Behandlungstechniken, den Behandlungsaufbau, die Anwendung je nach Rehabilitationsphase mit Beispielen, Hinweisen zur Patientenmotivation und zur Kommunikation. Die Ubungsanleitungen orientieren sich eng am Mustercurriculum "Gerategestutzte Krankengymnastik" (KGG) der Spitzenverbande der Krankenkassen.

"

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.

The introduction of the new acrylic bone cements Palamed and Copal is the reason for combining the recent knowledge of some of the experts in the field in this book. Palamed and Copal have been developed by the same people who made the well-known Palacos and Refobacine Palacos. Compared with Palacos, Palamed shows the same excellent mechanical properties and additionally improved handling characteristics. Copal is a new antibiotic-loaded bone cement especially designed for revision cases. This book presents comparative clinical and preclinical studies in classical and modern bone cements focusing on properties, techniques, antibiotic-loaded cements, and osteolysis.

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.

Low back pain is a common disorder in the clinical treatment of the Department of Orthopedics. Lumbar intervertebral disc degeneration is a main reason for the chronic pain and the process is difficult to reverse. Traditional treatment methods include conservative treatment and surgical treatment. Although the clinical symptoms caused by intervertebral disc degeneration can be alleviated to a certain extent, these treatment methods do not solve the fundamental issues and they also produce corresponding complications. The rise of tissue engineering technology and its applications in different fields have brought new ideas for the treatment of intervertebral disc degeneration. This book discusses the fundamentals as well as more recent developments in stem cell therapy and tissue engineering technology and offers an alternative for treating degeneration of intervertebral discs.

The objective of the present work is to review the existing literature on joint incongruity, cellular mechano-transduction, and computer simulations of mechano-adaptive bone remodelling, and to quantitatively assess the effect of incongruity on load transmission and subchondral mineralisation. Idealised computer models of incongruous joints and a specific anatomically based model of the humero-ulnar joint articulation were analysed with the finite element method, and the results directly compared with experimental and morphological data.

The main themes presented in this volume are exercise intolerance and muscle contracture. These two topics could seem different at first sight but share common clinical features. For instance, symptoms of exercise intolerance are myalgias and cramps but metabolic contractures as well. Likewise exercise intolerance is sometimes due to dystrophinopathy, it self causing contractures. Therefore, it is justified to gather these two syn dromes in one study. Exercise intolerance and muscle contracture could seem well known, even obsolete. It is not right. A reappraisal of these has be come necessary for two reasons. First of all there are many new causes of exercise intolerance; secondly, the pathophysiology remains ob scure in particular for muscle contracture and a clear classification is probably possible. There is no book devoted to exercise intolerance and muscle contrac ture. This volume is divided in two parts related to the above topics. The two sections are introduced by a didactic and general overview, describ ing the main symptoms, classification and classical etiology. The other chapters, written by the best experts, present the recent advances in these syndromes and show many new aspects: new glycogenosis or mitochondriopathies, dystrophinopathies, malignant hyperthermia, my otonic disorders. Pathophysiology and classification of persistent con tractures are described as well as therapy. Each chapter is thoroughly referenced, representing important progress in research in the field."

Neck pain is a common condition seen in the general practice of physiotherapy and occupational therapy. However, appropriate reading materials specifically intended for students therapists are rare. Therefore, this book is aimed to provide a comprehensive textbook for undergraduate rehabilitation sciences students, with the contribution of various experts in different medical disciplines. This book is comprised of five parts. Basic sciences such as anatomy, neurology and biomechanics of the cervical spine is included in Part One. Common pathologies, clinical investigation procedures, diagnostics imaging, surgery and orthotic management of cervical spinal disorders are discussed in Part Two. Occupational neck disorders and sports injuries causing cervical problems are discussed in Part Three, whereas the principles of rehabilitaion of patients with cervical spinal disorders are explained in Part Four. As therapists should be aware of the importance of evidence-based practice, current scientific research areas and outcome assessment of cervical spinal disorders are given in the last part of the book. Undergraduate rehabilitation sciences students, clinical therapists and other medical disciplines, such as medical students, nurses and orthopedics, will find this textbook informative and useful.