A definitive summary of novel techniques, this volume details the most current and multidisciplinary approach to new technologies used in general plastic surgery, hand surgery, peripheral nerve surgery, microsurgery, breast surgery, esthetic surgery, and trauma surgery. It also gives an overview of the most important and clinically relevant plastic surgery research. The aim is to stimulate the reader to look at future advances and applications of research and their relevance to daily clinical practice in plastic surgery. Appropriate for different sub-specialties not only in plastic surgery (breast, face, esthetic, hand, microsurgery chapters) but also in orthopedics (hand, microsurgery, nerve chapters) and neurosurgery (peripheral nerve chapter), this book will also be of great interest to trainee surgeons.

External fixation in Orthopedic traumatology is a textbook that focuses on the use of external fixation in the acute management of patients with serious orthopedic injuries. The book highlights the indications for external fixation and provides an evidenced based guide to both the specialist orthopedic surgeon and the trainee. The manuscript is organised in 15 chapters covering the indications and surgical techniques for pelvis, lower limb and upper limb injuries, including detailed illustrations and clinical photographs that will enable the reader to rapidly visualise the structure of the construct and to plan the surgery accordingly. More general topics such as damage control orthopedics, the biomechanics of external fixation and medico-legal considerations surrounding the injured patients are also included to provide an overall picture of the Orthopedic trauma patient. The Combined experience of the editors and authors, their involvement in a number of external fixation system designs and their international reputation in the field contribute to making this textbook an essential tool that should be available to all orthopedic surgeons dealing with injured patients.

Providing a state-of-the-art account of the nature, distribution and determinants of sports injury in children and adolescents, this unique volume uses the public health model to describe the scope of the injury problem and the associated risk factors and evaluate the current research on injury prevention strategies as described in the literature. Thoughtfully divided in six sections, the nature of the young athlete and epidemiology of pediatric and adolescent sports injury are described first. Then an overview of the most common types of youth sports injuries as well as more serious injuries (e.g., concussions) and outcomes is presented, followed by a discussion of injury causation and prevention. Suggestions for future research rounds out the presentation. Each chapter is illustrated with tables which make it easy to examine injury factors between studies. Throughout, the editors and contributors have taken an evidence-based approach and adopted a uniform methodology to assess the data available. Ideal for physicians, physical therapists, athletic trainers and sports scientists alike, Injury in Pediatric and Adolescent Sports concisely and accurately presents the situation faced by clinicians treating young athletes and the challenges they face in keeping up with this growing and active population. Furthermore, the information in this book will be useful to allied health researchers and sport governing bodies as an informed basis for continued epidemiological study and implementation of injury prevention initiatives designed to reduce the incidence and severity of injuries encountered by young athletes.

Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III - specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.

This book provides a detailed and comprehensive overview of the role of diagnostic imaging in the assessment and management of trauma and polytrauma in children. The coverage includes imaging of injuries to the head, thorax, abdomen, bone and musculoskeletal system, with careful attention to the newest imaging techniques, imaging during the course of recovery and imaging of complications. A series of illustrative cases underline the prognostic value of imaging. In addition, an individual chapter is devoted to diagnostic imaging in cases of child abuse. The book concludes by discussing informed consent and medicolegal issues related to the imaging of pediatric traumatic emergencies. Imaging Trauma and Polytrauma in Pediatric Patients will be invaluable in enabling radiologists and clinicians to identify the main features and signs of injuries on a wide range of imaging techniques, including X-ray, ultrasonography, computed tomography and magnetic resonance imaging.

This book details the current status of cervical MISS for expert surgeons, young surgeons or clinicians, and residents and fellows with little or no experience on this field of surgery. Because of the involvement of different and highly trained specialists from all over the world, the aim of this book is to satisfy the requirements for knowing the most advanced surgical techniques and their application. Also included are the indications and surgical techniques involving an open standard approach, giving a most exhaustive knowledge of the cervical spine surgery. Due to the difficulty of finding books with both minimal invasive cervical spine surgery and more conventional standard "open" surgery, the benefit of this book is to permit the surgeons and residents and medical doctors, to have a more complete and immediate knowledge of the topics. Due to the scientific multidisciplinary nature of the MISS, several professionals such as orthopedic surgeons, neurosurgeons, radiologists, anesthesiologists and pain management specialists, have been involved in order to create a book in which all the aspects of MISS have been treated.

Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The book begins with a history of RSA followed by a thorough overview of the basic science and biomechanics of the shoulder. Indications for and clinical applications of RSA in a number of surgical interventions are then described, including the revision of failed shoulder arthroplasty, setting in cases of glenoid and humeral bone loss and rotator cuff tears. A whole section is then dedicated to various commercial devices with descriptive expert analysis of the design and implementation of each. An examination of the current economic value of RSA, including cost effectiveness and expected cost outcomes, comprises the final section. Reverse Shoulder Arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a "how-to manual" of either a particular device design or the treatment of a specific pathology.

This series provides a clearly structured and comprehensive overview of fracture treatments based on the most recent scientific data. Each book in the series is organized anatomically, so the surgeon can quickly access practical aspects, examples, pearls and pitfalls. In this first volume in the series, fractures of the proximal humerus are examined with an overview of fracture morphology, injury pattern, preoperative considerations, conservative treatment, surgical management and postoperative care. Fractures of the Proximal Humerus is written by a group of experts from the Association for the Rationale Treatment of Fractures (ARTOF) who aim to provide an independent, unbiased summary of fracture treatments to improve clinical outcomes. Trauma and orthopaedic surgeons worldwide who are searching for current knowledge of new implants, therapeutic strategies and advancements will be able to quickly and accurately apply the information from this book to provide the best possible care for their patients.

Stress fractures are fatigue failures of bone caused by unusual or repeated stress on bone and are among the more common sports injuries encountered. Often going unreported or occasionally unnoticed, athletes run the risk of a more serious fracture if untreated. Stress Fractures in Athletes focuses on the presentation, evaluation and treatment of these injuries. Divided into two sections, the first part provides in-depth description of the pathophysiology, epidemiology and biomechanics of stress fractures, as well as a discussion of classification, imaging and some general treatment concepts. The second part expands on treatment and takes each relevant anatomical region into consideration: lumbar spine, pelvis, femur, knee, tibia, upper and lower extremities, and the ribs and shoulder girdle. A chapter on insufficiency fractures, commonly associated with osteopenia and osteoporosis, is also included. As such, Stress Fractures in Athletes are a comprehensive resource for sports medicine practitioners, orthopedic surgeons, primary care physicians and physical therapists alike.

This concise digest offers a practically oriented and up-to-date overview of all subjects in pediatric surgery according to the European surgical curriculum. Additionally, interdisciplinary aspects concerning pediatrics, adult surgery, obstetrics and other disciplines working with children are considered. The tables enable quick access to indications for the operative and conservative therapy with schematic step-by-step illustrations for nearly all surgical procedures.

Over the past three decades, the flexible intramedullary nailing (FIN) technique that originated in the University of Nancy in France has evolved to the point where it is becoming the gold standard for the treatment of many fractures in children. This comprehensive textbook on FIN is written by Pierre Lascombes and his colleagues from the University of Nancy and covers all its potential applications. The book is divided into three parts. The first part focuses on general considerations such as biomechanics, choice of implant, basic principles of surgical technique, and rehabilitation. The second part describes in detail the techniques developed for each particular fracture type with the aid of numerous high-quality illustrations. In the final part, a range of further indications for FIN in children are discussed. By clearly explaining the basic principles and various uses of FIN, this book will prove of value to both novice and experienced traumatologists and orthopedic surgeons.

This book is an indispensable reference for pediatric and musculoskeletal radiologists, as well as orthopedic surgeons. It offers in depth analysis of pediatric orthopedic imaging, covering normal and aberrant development as well as both common and unusual pediatric disorders. Chapters on the spine, shoulder, elbow, hand and wrist, hip and pelvis, lower extremity, and foot and ankle address site-specific congenital and acquired lesions. Subsequent chapters cover generalized orthopedic diseases such as neurofibromatosis and osteogenesis imperfecta, infectious processes, neuromuscular diseases, musculoskeletal tumors, trauma, and orthopedic procedures. The chapters review associated epidemiology, clinical presentation and evolution, treatment, and differential diagnoses, with in-depht analysis of imaging characteristics. With more than 1800 images, high-quality MRI, CT, and US examples complement the radiographs of a broad variety of musculoskeletal disorders.

This book guides the reader on a rational pathway from anamnesis and clinical examination (with supporting illustrations), through radiological screening to the appropriate surgical solution. Proposed treatments and treatment results at about one year of follow-up are described in detail with the aid of intra- and postoperative photographs and radiographs. The text is limited to systematic description, and numerous references are included to the earlier parts of the book in order to clearly link the preoperative evaluation to the treatment. It is particular to the surgical correction of foot and ankle pathology that the treatment is nearly always "composite" or complex, in that it entails several separate actions. Thus, surgical correction often has one or more structural components (e.g., osteotomy, arthrodesis) and one or more functional or motor components. It is the aim of the book to explain the effect and rationale of every one of these single "actions".

In this book, leading international specialists in the field join forces to discuss topics, issues and approaches that are of key importance in the optimal treatment of lumbar degenerative disk disease. The coverage is wide ranging, from current understanding of physiopathology and genetics and modern imaging techniques through to the diverse minimally invasive, non-fusion, and fusion surgical techniques. Detailed attention is drawn to the most important aspects to be considered when approaching the patient and making treatment decisions. The role of conservative management is appraised, and surgical techniques and their indications are carefully described. In the concluding section, some of the top specialists from across the world reflect on the lessons that they have learned during lifetimes in spinal surgery. Advanced Concepts in Lumbar Degenerative Disk Disease will be an instructive and fascinating source of information for all spine surgeons and other spine care providers.

Recent years have witnessed a trend toward the use of minimally invasive techniques in all areas of orthopedic surgery, including hip replacement. This book aims to provide a comprehensive guide to the use of minimally invasive surgery in total hip arthroplasty. The four commonly employed approaches - anterior, anterolateral OCM, anterolateral supine, and posterior - are described in detail with the aid of high-quality illustrations. For each approach, clear guidance is offered on patient selection, patient positioning, surgical procedure, postsurgical care, and rehabilitation. Potential complications and the advantages and disadvantages of each option are carefully weighed up, and experts also present their personal experiences, outcomes, and success rates with the different approaches. The book concludes by discussing future trends in hip arthroplasty.

The scope and importance of hip fractures is almost incomprehensible. With a world wide incidence of close to 2 million cases per year, these fractures pose a daunting challenge to our ability to affect and treat this epidemic. The incidence of these fractures is predicted to grow to 6 million in 2050 including a near term baby boom spike. Add the hospital mortality rate of up to 4% and the one mortality of from 8% to 20% and the life ending effect of these fractures becomes a glaring reality. Of those who initially survive their fracture, about 50% never walk the same again. The social problem in the care of these elderly people is enormous. Of course, any real solution to this problem will include education, prevention, surgical and hospital treatment protocols, long term rehabilitative efforts, social - justments and a generous contribution of money. This publication is primarily directed to the amplification of a new treatment modality that addresses only a fraction of the problem. It is, however, a quantum leap in the evolution of fixation with compression hip screws which are still the gold standard for surgical stabilization of pertrochanteric hip fractures. The Dynamic Martin Screw (DMS) addresses the issue of adjustability of the fixation angle with appropriate mechanical strength characteristics that were la- ing in its historical predecessors.

Femoral neck fractures occur primarily in the elderly population, and nowadays arthroplasty is chosen most frequently as a treatment solution. This illustrated atlas provides a comprehensive monograph of femoral neck fractures. It has more than 800 representative figures, x-rays and drawings, and describes in detail non-invasive internal fixation. By means of presenting minimally invasive technique step-by-step, and their own results, the aim is to persuade the reader that the ratio of complications can be remarkably diminished by urgent surgery, based on selective indication criteria.

This book, a selection of the papers presented at the 32nd Japanese Hip Society (JHS) Congress, includes the latest knowledge on preservation and regeneration treatments of hip disease as well as arthroplasty. It is an invaluable source of reference for all who work in the field of orthopedic surgery.

This atlas fills a gap in the literature by documenting in detail the role of nuclear medicine imaging of infection and inflammation. The pathophysiologic and molecular mechanisms on which radionuclide imaging of infection/inflammation is based are clearly explained, but the prime focus of the book is on the clinical relevance of such procedures. Their impact is demonstrated by a collection of richly illustrated teaching cases that describe the most commonly observed scintigraphic patterns, as well as anatomic variants and technical pitfalls. Due attention is paid to the application of recently developed techniques, including multimodality fusion imaging such as SPECT/CT and PET/CT. Emphasis is placed in particular on the ability of multimodality imaging to increase both the sensitivity and the specificity of radionuclide imaging. This atlas will be an excellent learning tool for residents in nuclear medicine and illuminating for other specialists with an interest in the field.

Accurate interpretation of indications for treatment is the cornerstone of success in medicine. This book carefully examines the relation between clinical features, diagnosis, and choice of minimally invasive technique for a range of spine pathologies. It explains how selection of technique is intimately related to clinical and diagnostic aspects and how recognition of this relation forms the foundation for an optimal outcome. In addition to examining the various minimally invasive options, including the latest techniques, careful attention is paid to the role of medical treatment in avoiding recurrence after initial therapy. Nerve blocks, epidural injections, and intradiscal procedures are among the many options available in the armamentarium of the interventionalist, and advice is given on their use in different contexts. This volume will be of great value for neuroradiologists and others responsible for treating patients with spine disorders.

Minimally invasive joint replacement has become one of the hottest topics in the orthopedic world. In the case of the knee, however, this concept has been widely misunderstood. All too frequently it is taken to mean keyhole surgery in which traditional components are implanted with a shorter surgical time. Such an approach in fact has few benefits and various possible dangers. In this book, international experts discuss truly minimally invasive knee reconstruction techniques that involve tissue-sparing surgery and small implants and permit preservation of both the anterior and the posterior cruciate ligament. These techniques have the key advantage of respecting the physiological joint biomechanics. They also entail minimal removal of bone tissue from the tibia and only a small skin incision that avoids damage to the extensor apparatus. All of the most innovative techniques used in uni- and bicompartmental knee reconstruction are covered in detail, including computer-assisted procedures. Long-term results are reported, and pitfalls, highlighted. The reader will learn how, with careful selection of patients and rigorous surgical technique, compartmental reconstruction offers a valid alternative to total knee replacement.

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.

This comprehensive text focuses exclusively on the management of metastatic spinal disease, evaluating the most recent literature and providing patient-centered treatment algorithms. Beginning with initial imaging, classification and clinical decision-making, the spine is approached anatomically from the upper cervical to the sacrum, describing the unique considerations and approaches appropriate to each region, such as laminectomy and stabilization, en bloc spondylectomy and resection and reconstruction. Less invasive and minimally invasive approaches are discussed throughout the text. Radiation therapy modalities and other adjuvant treatments are also discussed, as well as reconstructive flap coverage and the management of complications. The spinal column is the most common site of metastatic cancer, and a multidisciplinary approach is required to provide patients with reasonable management options to prevent and treat the disabling symptoms caused by this debilitating condition. This compendium of experience from thought leaders in the treatment of metastatic spine disease will provide spine surgeons, oncologists, radiation oncologists, physiatrists and palliative care specialists with up-to-date information to guide their patients through the multidisciplinary management of metastatic spinal disease.

Minimally Invasive Surgery of the Foot and Ankle represents a novel approach to treatment of orthopedic problems in the foot and ankle. The gradual change of philosophy in the management of foot and ankle surgery means that patients require a less invasive approach to surgery and a consequent improvement in recovery time. Describing the techniques and, importantly, the indications for minimally invasive procedures for the management of foot and ankle ailments, this book will explain the management of various conditions and how they can be approached using minimally invasive techniques. However, rather than only concentrating on minimally invasive surgery of the foot and ankle, the authors will be examining the options open to surgeons operating in this area - both open surgical and arthroscopic - and explaining the benefits of each. Extensive radiographs, diagrams, and intra-operative pictures will illustrate the procedures described.

Providing the most up-to-date research and current clinical knowledge of diabetic bone disease and the challenges still facing the research and clinical care communities, this book unites insights from endocrinology and orthopedics to create a truly unique text. The first part covers clinical and pre-clinical applications and research. The first two chapters present the clinical and epidemiological data about diabetic bone disease, evaluated and reviewed for type 1 and type 2, respectively. This is followed by discussions of how the propensity to fracture in diabetic bone disease can impact fracture risk assessments and how it can be adjusted for using current clinically relevant fracture risk models. A comprehensive overview of orthopedic complications observed in diabetes is next, as well as a focus on the consequences of diabetes on periodontal disease. Other topics include the utility of skeletal biomarkers in assessing diabetic bone disease, how drugs used to treat diabetes may also have skeletal consequences, and the possibility that diabetes may fundamentally impact early progenitor cells of various bone lineages and thus globally impact bone. The second part covers biomechanics and bone quality in diabetes: how diabetes ultimately may impact the architecture, integrity, and quality of bone. Utilizing the expertise of top researcher and clinicians in diabetic bone disease in one comprehensive text, this volume will be a useful and thought-provoking resource for endocrinologists and orthopedic surgeons alike.