Filling a gap in the literature, this is the first book to comprehensively present fracture sonography as a diagnostic tool that can complement and in some cases even replace conventional radiological imaging. Guiding readers step by step through a patient examination, it is an invaluable guide to implementing this technique in clinical practice. It also presents algorithms, tips, tricks and pitfalls shared by experienced authors, making it a useful reference resource for all those practicing in the field. This book is of interest to a wide readership, including orthopedic, pediatric and trauma surgeons, emergency physicians, pediatric radiologists and general practitioners.

Written by residents for residents, the updated 6th edition of this best-selling handbook provides you with exactly the information you need to overcome the vast majority of challenges you encounter during your surgical residency. With its pocket-size and easy-reference format, this resource enables you to quickly access the right guidance...at the right time...about what to do and how to do it. No resident should be without this essential surgical guide! Provides comprehensive guidelines for the treatment of the most common surgical conditions, including preoperative and postoperative care, as well as relevant pathophysiology. Includes surgical management that encompasses state-of-the-art technology and emphasizes minimally invasive techniques, including important coverage of laparoscopic cholecystectomy, appendectomy, and herniorrhaphy. Provides guidelines for proper medical record keeping as well as other mediocolegal aspects of surgical care. Offers detailed figures depicting important anatomical structures and operative techniques. New chapters cover Surgical Risk Assessment, Head and Neck Malignancy, Mediastinal Tumors, Dialysis Access, and Robotics. Rapid References section offers handy formulas and charts in one easy-access location. Thoroughly revised content throughout ensures that you stay up to date. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.

This book provides a thorough description of hexapod external fixators, from the theoretical basis to their practical application. Indications and practical use in current Orthopaedic practice are addressed in detail, offering the reader essential insights into the strengths and limitations of these devices. The main aspects covered, include primary (congenital) and secondary (acquired) deformities of the limbs: the etiology, pathomechanics, clinics, technical "tips and tricks" and suggested frame assemblies are presented. Each chapter addresses a specific Orthopaedic problem and includes representative clinical cases commented on by the authors. Illustrations and X-ray images support the discussion of the various themes treated in the textbook. Special attention is also given to deformity morphology and the consequent geometry of correction, as well as economical aspects and the biological risks of radiation exposure. A review of current nomenclature in external fixation is also provided as a quick-reference resource. Offering clear and straightforward descriptions of these devices and their current use in practice, prepared by leading international experts, this book will benefit expert surgeons and residents alike.

This book provides detailed information on functional anatomy, physical examination, and clinical radiology of the knee with a view to enabling the clinician to identify the most suitable treatment approach to different knee joint pathologies. In addition, the arthroscopic treatment techniques most frequently employed in patients with these conditions are described, with presentation of numerous arthroscopic images detailing characteristic findings. Knee joint pathologies today represent a significant challenge owing to the complexity of the injuries suffered, rising activity levels, and high patient expectations. A proper physical examination plays an important role in diagnosis. The surgeon who has the opportunity to conduct a clinical evaluation must fully understand the role of radiological evaluations, and assessment by a radiology expert is also necessary. In all cases, knowledge of the normal anatomy and its correlation with clinical and radiological findings is fundamental to correct diagnosis and treatment selection. Surgeons and trainees with an interest in knee joint pathologies will find this book to be an excellent, richly illustrated educational guide to the subject.

This book provides detailed guidance on knee arthroscopy that reflects the very latest advances in this ever-changing field. Among the techniques covered are reconstruction of the anterior and posterior cruciate ligaments, meniscal repair and transplantation, cartilage repair by means of osteochondral allograft transplantation and autogenous osteochondral transfer, medial patellofemoral ligament reconstruction, and high tibial osteotomy. In each case, clear descriptions of technique are supported by a wealth of high-quality illustrations, with identification of potential pitfalls and how to avoid them. In addition, the latest knowledge is presented on anatomy and biomechanics. The book is written by recognized experts in sports injuries and knee disorders. It will serve as an up-to-date reference for the experienced knee surgeon and an ideal source of information for all who wish to broaden their knowledge of and improve their skills in knee arthroscopy, whether general orthopaedists, orthopaedic trainees, or sports medicine physicians.

Now in a fully revised and updated second edition, this definitive text provides comprehensive coverage of all aspects of total ankle replacement (TAR), written by authors who are recognized experts in the field. Though the main focus is on total ankle replacement prostheses available for use in North America, the lessons learned and presented here are applicable to the growing volume of cases worldwide. Divided into five thematic sections, each chapter is a purposeful mix of theory, data, and tips/pearls with detailed illustrations, tables, and references. Appropriately evidence-based, they include bullet points for quick reference and rely heavily on step-by-step intraoperative photographs and radiology. Part I presents the history of TAR, implant considerations (mobile-bearing vs. fixed-bearing), and indications/contraindications for the procedure. The subsequent three sections discuss all aspects of primary TAR, procedures secondary to primary TAR, and revision TAR, respectively, bringing together the most recent evidence, implant options and surgical techniques. The final section covers topics related to limb salvage after failed TAR, including preventive measures, wound healing, and infection management. Generously illustrated and well-referenced, Primary and Revision Total Ankle Replacement remains the gold standard text on this topic for orthopedic surgeons, podiatrists and foot and ankle clinicians at all levels.

This book gives important details of how surgery of the hip joint has evolved around the world. The 22 original chapters are written by experienced consultants, including Drs. John O'Donnell (Melbourne, Australia), Manfred Krieger and Ilan Elias (Frankfurt, Germany), and Nicholas Goddard (London, U.K.). Each chapter is accompanied by excellent, unique figures and references at the end for further reading. The book focuses on several important topics such as the direct anterior approach to the hip joint, setup of a total hip in a day, early experiences in outpatient hip surgery, advances in short-stem total hip arthroplasty (which is becoming increasingly popular in Europe and also worldwide), advances in hemophilic hip joint arthropathy, mesenchymal stem cell treatment of cartilage lesions in the hip over the next few decades, and minimally invasive surgery of the hip joint. This book is a must-have and invaluable reference for any student interested in the progress in hip joint surgery

The book is intended as the second edition of previously published 'Current Orthopaedic Practice'. The book is a unique publication from the UK, which covers the entire clinical orthopaedic spectrum. The FRCS exam is an end-of-training examination for Orthopaedic trainees in the UK. There is a paucity of textbooks published in the UK which cover the spectrum of knowledge required. The updated edition builds on the success of the first edition. This book is divided into 18 chapters, which cover the entire remit of clinical orthopaedics. The chapter on sports injuries has been split into two chapters - disorders of the hip and disorders of the knee. A unique feature which has been retained is the incorporation of annotated bibliography within the text. The list of references has been provided as 'further reading suggestions' at the end of the chapter. The annotated text within the chapter helps the reader to understand the study design and key message from the article. The articles selected for inclusion in the text are seminal articles, or recent articles which have led to change in practice. The line drawings are simple and easy to reproduce. Classifications are presented pictorially as much as possible, instead of tables, and this helps memorisation. This book is an essential resource for all orthopaedic graduates, trainees and professionals alike.

This book is a practically applicable guide to the use of revision total knee arthroplasty. Demand for primary total knee arthroplasty (TKA) continues to rise, with some estimates predicting this to be as high as 400% than it currently is, and this will inevitably lead to increased demand for revision surgery. Furthermore, this is a sub-specialist area of arthroplasty that is complex and challenging with high failure rates, meaning that there is a real need to improve the outcomes of these procedures. Within this book, the chapters focus on a particular subject area focusing on how to successfully perform a procedure in a step-by-step manner in a variety of scenarios from condylar revisions to salvage cases. Topics covered include how to use surgical techniques in instances of periprosthetic distal femur fractures and manage infections where bone loss has been significant. Long-term outcome data is also presented to enable the reader to develop a deep understanding of where a particular strategy might be most effective. Revision Total Knee Arthroplasty: A Practical Guide concisely details how to use the techniques covered in all aspects of revision knee surgery, making it an indispensable resource for all those involved in the care of these patients or who use these techniques in their day-to-day clinical practice.

Fully illustrated and enhanced with accompanying video clips, this comprehensive text presents the clinical evaluation and management of brachial plexus injuries and reconstruction, both for adult patients and birth injuries. Divided into two main sections, part one covers adult brachial plexus injuries, discussing the relevant anatomy and biology, epidemiology, and associated injuries. The main focus, however, is on diagnosis - the clinical exam as well as neurodiagnostic and radiographic evaluation - and surgical management approaches and techniques, including nerve grafting and transfers, tendon and muscle transfers, and joint fusion. Related topics are presented in chapters on sensory reinnervation, neuropathic pain management, the role of amputation and prosthetics, and pre- and post-surgical therapy protocols. Brachial plexus birth injury is described in part two, also focusing mainly on diagnosis and management but with an emphasis on the fact that babies are not small adults and special considerations are warranted. This section concludes with chapters on the management of late complications and long-term sequelae. A comprehensive surgical text on brachial plexus injuries has not been previously attempted. Filling a large gap in the literature, Operative Brachial Plexus Surgery is the go-to resource for adult and birth related brachial plexus reconstruction for orthopedic surgeons, neurosurgeons, plastics surgeons, and their trainees.

Die vordere Kreuzbandlasion gehort zu den haufigsten (Sport-) Verletzungen. Mit ca. 28.000 Operationen im Jahr steht sie mit an der Spitze der operativen Eingriffe am Knie. Dieses Buch befasst sich ausschliesslich mit dieser Thematik und erlautert in komplexer und strukturierter Form die anatomischen, physiologischen, pathophysiologischen und biomechanischen Grundlagen des gesunden und verletzten vorderen Kreuzbands. Der Weg zur Diagnose sowie die therapeutischen Moglichkeiten - sowohl konservativ als auch operativ - werden, erganzt durch instruktive Abbildungen, dargestellt.

Ein weiterer Schwerpunkt des Buches: Fruhfunktionelle Rehabilitation, Auswirkung von Immobilisation und Training auf die Stutz- und Bewegungs-organe, Grundlagen des Kraft- und Muskelaufbautrainings - ein Exkurs in die allgemeine Trainingslehre."

Systematisch, detailgenau und ubersichtliche fuhrt das Buch in die wichtigsten Methoden der physikalischen Medizin ein.
- Durchfuhrung, Wirkmechanismen und Anwendungsmoglichkeiten
- Therapie-Plane fur den Einsatz physikalischer Therapie bei besonders haufigen Indikationen
- Konkrete Therapie-Empfehlungen, die Sie direkt in der Praxis umsetzen konnen
- Didaktisch klare und einheitliche Struktur zum raschen Nachschlagen
- Ansprechendes zweifarbiges Layout mit anschaulichen Farb-Zeichnungen
Als Lehrbuch und Nachschlagewerk konzipiert, bietet Ihnen das Buch die sichere Basis sowohl fur den praktischen Einsatz physikalischer Methoden als auch fur Ihre qualifizierte Fort- und Weiterbildung.

Das Buch richtet sich an Orthopaden, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Orthopaden erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des orthopadischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Orthopaden aber auch an Arzte in der orthopadischen Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen.

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This comprehensive office guide will provide up-to-date diagnostic and management information for various tendinopathies seen in the clinic. Opening chapters discuss the basic science of tendons: physiology, pathophysiology and biomechanics, including mechano-transduction. Subsequent chapters focus anatomically on both the upper and lower extremities, from the rotator cuff to the wrist and hand, and from the groin and gluteus down to the foot and ankle. Each of these chapters follows a concise, easy-to-use format, consisting of an introduction followed by clinical presentation, physical examination, imaging and radiographic grading, and treatment strategies both surgical and non-surgical, including indications for surgical referral. The concluding chapters present emerging mechanical, orthobiologic and chemical in-office procedures as well as emerging operative techniques. Practical and user-friendly, Tendinopathy will be an excellent resource for sports medicine specialists, orthopedic surgeons, physical therapy and rehabilitation specialists, and any other clinicians treating these common athletic injuries.

This book comprehensively discusses the basic and practical aspects of foot and ankle surgery applied to all pathologies resulting from instabilities of these joints, a condition that remains underestimated. Uniquely, it not only addresses injuries to the lateral ankle ligaments, but also examines injuries to the deltoid-spring ligament complex, the syndesmotic and chopart joint ligaments, as well as peritalar instability - all pathologies that have often been neglected in the past. For each type of instability, it describes the anatomical basics and the biomechanical features, allowing readers to understand the injury pattern, the subsequent symptoms and clinical findings. Further, it offers guidance on selecting the most appropriate imaging tool for diagnosis and planning surgical reconstruction. Written by world-renowned pioneers in the field, and featuring a wealth of high-quality, intraoperative pictures, the book guides readers step-by-step through the latest, innovative technical surgical solutions for each condition. With its consistent structure, from the basics to the solution, its problem-oriented approach as well as its meticulously selected iconography, this book is a must-read for all orthopedic surgeons with an interest in foot and ankle surgery whishing to explore this promising field. Further, it is a valuable resource for residents, researchers and physiotherapists wishing to gain insights into foot and ankle instability and reconstructive surgery.

Many of the existing books focusing on the orthopedic management of patients with cerebral palsy encompass only care for the young patient, but this practical text reviews and delineates orthopedic care for patients with cerebral palsy throughout the lifespan. Readers will find a discussion of both non-operative and operative orthopedic management across all ages and functional levels. The text presents a general overview of cerebral palsy, evaluation of patients with cerebral palsy, and procedures commonly used to treat various orthopedic conditions in patients with cerebral palsy. Spasticity management and gait evaluation are likewise highlighted, and surgical chapters cover techniques for the hip, knee, foot and ankle, and spine. It also incorporates chapters focused on issues related to the rehabilitation of patients with cerebral palsy, including bracing, orthotics and other durable medical equipment, physical and occupational therapy, pain management, and adaptive activities and sports, which aim to improve the overall quality of life for patients through the lifespan. Finally, there is a chapter focused on the care transition from childhood to adulthood, an area of importance often neglected in current texts covering patients with cerebral palsy. Whether in the operating room, multi-specialty clinic or private office, Orthopedic Care of Patients with Cerebral Palsy will be a go-to resource for orthopedists, pediatricians and all medical professionals caring for this population.

This book offers a summary of research on the biomechanics of fracture fixation and mechanobiology of fracture healing. The author, a known expert, provides an overview of the state of art, his own research together with that of his co-workers and collaborators; he describes the ideas and findings from the beginning of this research field in the 1960s up to the clinical consequences and applications of today. The book discusses the mechanobiology of fracture healing, illustrates the numerical methods that simulate fracture healing processes, and depicts specific research methods of experimental studies. Finally, it provides conclusions for the improvement of fracture treatment that will be of use in clinical applications nowadays. This book will be a valuable resource of knowledge for students and scientists in the field of bioengineering, experimental biology, and biomechanics, helping them to identify the correct conditions and analysis for their respective research and receive an understanding of the research field from its beginning until today. For experimental and clinical surgeons active in the field of fracture healing, this book will provide a useful historical overview over this translational research field.

Now in a fully revised and expanded second edition, this practical text presents the current state of the art and latest advancements in the biomechanics, assessment, diagnosis and management of UCL injury in the elbow. In the years since this book's initial publication, significant developments have occurred on multiple fronts relating to elbow UCL injury, including injury prevention, less invasive repair techniques, more anatomical surgical reconstructions, and improved post-injury rehabilitation protocols. Chapters are once again arranged thematically, beginning with discussion of the relevant anatomy and surgical approaches, throwing biomechanics and overload mechanisms, epidemiology, history and physical exam. After a description of the radiological approaches to assessment, both conservative and surgical strategies are outlined and discussed in detail, from repair both with and without augmentation to reconstruction both arthroscopically and with newer minimally invasive techniques. Considerations for UCL injury in special populations - the young athlete and the female athlete - and sports-specific rehabilitation, return-to-play and prevention via wearable technology round out this thorough presentation. Enhanced with select video clips illustrating surgical techniques, Elbow Ulnar Collateral Ligament Injury, Second Edition remains a go-to resource for orthopedic surgeons, sports medicine specialists, therapists and trainers who work with athletes that suffer from these conditions.

The earliest human known to have the capability of walking erect on two legs is Sahelanphropus, who lived 6 million years ago. The ability to stand erect led to required extensive changes in the human skeleton, including significant changes in the cervical spine. In modern humans, the cervical spine holds the head upright and gives it great mobility. The combination of great mobility in this spinal segment combined with the requirement that it carry significant weight makes the cervical spine susceptible to a wide variety of pathologies. The cervical spine not only supports the head upright, but acts as a channel for the full set of neural elements connecting the brain with all near and distant parts of the body; thus, pathologies involving the spinal column in this segment directly affect the cervical spinal cord and exiting nerve roots. Today, excellence in spine surgery requires a thorough understanding of spinal anatomy, relevant neurology, and biomechanics, as well as skilled use of a variety of surgical techniques. The surgeon must master the ability to effectively select from a wide and constantly changing variety of alternative instrumentations and surgical approaches. In addition, the trend towards reducing the invasiveness of surgical procedures has led to the use of smaller and smaller tools and smaller surgical incisions with more limited views of the relevant anatomy. As a result of the rapid pace of change, the choice of an optimal technique in any given situation is increasingly complex. In this book, we begin with a basic review of anatomy, neurology, neurophysiology, and biomechanics. We also discuss clinical and radiological assessment required for a differential diagnosis, and present a thorough discussion of the importance of sagittal alignment of the spine and the utility of gait analysis. We proceed with a thorough discussion of nontraumatic pathologies causing cervical myelopathy, beginning with the craniocervical junction down through the subaxial spine, in pediatric and adult populations. This discussion includes steps in the differential diagnosis for specific pathologies, surgical techniques and nuances, radiation-based treatment alternatives, and special topics ranging from the use of stem cells to robotics and endoscopic surgery. We have attempted to provide both fundamental and state-of-the-art knowledge and to share the rich experience of some of the leading spine surgeons worldwide, with the aim of enabling surgeons at all levels to advance their own capabilities for performing safe and successful procedures in this area of complex anatomy.

Now in a revised and updated second edition, this book encompasses the current knowledge of genetic and molecular causes of, and surgical and non-surgical treatment for, congenital deformities of the hand. Divided into five sections, this comprehensive text presents the many variations of congenital anomaly encountered in the clinical setting. Part I discusses general considerations for congenital deformity, including embryology and classification, incidence and prevalence, genetics, anesthesia, prosthetics and rehabilitation principles, hand therapy and even psychological considerations for children living with these conditions. The second and third sections present deformities based on failures of formation and/or differentiation of the axis and hand plate respectively: radial and ulnar longitudinal deficiencies, symbrachydactyly, syndactyly (including Apert Syndrome), clinodactyly and captodactyly, and synostosis and coalitions are described in detail, among others. Duplication deformities, such as radial and ulnar polydactyly, are covered in part IV. The final section discussed overgrowth (macrodactyly), amniotic band syndrome, arthrogryposis, Madelung deformity, epidermolysis bullosa and additional generalized skeletal anomalies. All chapters are generously referenced and illustrated with radiography and full-color photographs. Bringing together the latest clinical evidence and surgical interventions, this second edition of Congenital Anomalies of the Upper Extremity will continue to be an excellent resource for orthopedic, hand and plastic surgeons treating young patients with these challenging deformities of the hand.

Co-published with the Arthroscopy Association of North America, The Foot and Ankle: AANA Advanced Arthroscopic Surgical Techniques is a comprehensive technique-based book that presents the latest diagnostic, excisional, and reconstructive techniques in arthroscopic surgery for the foot and ankle. This all-encompassing resource includes preferred physical examination testing and diagnostic imaging choices in pre-operative planning and patient selection, state of the art step-by-step description of the procedures, comprehensive surgical equipment lists to perform each procedure, clear and precise indications for surgery and the thoughtful rationale behind stated contraindications, controversial indications, post-op protocols, and potential complications. The written text is supported by numerous color images and a website with invaluable, narrated video clips depicting disease specific arthroscopic techniques specific to the foot and ankle. Features inside The Foot and Ankle: AANA Advanced Arthroscopic Surgical Techniques: Narrated video accompanies all surgical techniques, focusing on the stepwise approach to each operation Consistent organization throughout the book results in a bulleted and user-friendly interface for a quick reference or prolonged study Top 5 Technical Pearls of Practice for each procedure to enhance outcomes and to avoid common pitfalls and complications High-quality artwork and figures to compliment clinical images Equipment and surgical technique checklists for quick reference prior to surgery Each expert contributor was chosen for his or her expertise for a specific topic related to The Foot and Ankle, so the reader benefits by the highest quality and treatment recommendations to provide the most impactful care to his or her patient. Some chapter topics include: Reconstruction Using Allograft and Autograft Lateral Approach to Subtalar Arthroscopy Achilles Tendinopathy Chondral Defects of the First MTP Joint Matrix-Induced Autologous Chondrocyte Implantation

Degenerative conditions of the knee place an increasing burden on health economies and lead to pain and functional loss for sufferers. Although arthroplasty may not offer a level of functional restoration that meets all patients' expectations, joint preservation through osteotomy is a viable option in younger, more physically active patients. This volume is a comprehensive technical guide to performing knee-preserving surgery to treat degenerative conditions and malalignment-associated knee instability. Drawing on their extensive experience of these procedures, the authors provide valuable insights into identifying patients who may benefit, as well as planning and performing the procedures with a high degree of precision, and explaining the results that can be achieved. This book both initiates novices and provides technical tips for experienced surgeons, and as such is an indispensible resource for all clinicians who treat patients with knee conditions.

This book describes current and emerging techniques in hip surgery, providing the essential, up-to-date knowledge that will be required by the orthopaedic surgeon who plans to become a specialist hip surgeon. The opening chapter offers a concise overview of the surgical anatomy, with particular attention to details relevant to the surgical techniques outlined in the book. The increasingly popular anterior minimally invasive approach to the hip and a microinvasive variation of this approach are then described. Subsequent chapters present surgical approaches to developmental disorders of the hip, including dysplasia and femoroacetabular impingement, and promising hip preservation techniques for avascular necrosis of the hip - an often neglected but internationally relevant disease that can mutilate the hip in young patients. Finally, the latest techniques and implants for primary and revision hip arthroplasty are discussed in depth. The international author team consists of recognized leaders in the field, many of whom have developed the described classifications and new surgical techniques.

The biceps tendon is one of the most challenging anatomic structures to completely understand. Its precise role for shoulder function has yet to be completely defined, and pathologic conditions exist at both its proximal and distal ends. In recent years, the biceps labral complex has been recognized as a common cause of shoulder pain among patients. Accurate diagnosis, utilizing both physical examination and imaging, is crucial to decision-making regarding the most effective treatment. Many controversies exist surrounding the management of biceps pathology with a myriad of potential solutions to consider. This practical text breaks down the biceps into succinct, digestible portions with expert tips and tricks to help manage bicipital problems in a wide array of patients. Sensibly divided into three thematic sections, it encompasses all aspects of the biceps tendon, including relevant anatomy, diagnosis, imaging, and non-operative management (including rehabilitation and biologic treatments). Surgical management strategies as they pertain to both proximal and distal biceps tendon pathologies will be covered, including both arthroscopic and open tenodesis, transfer, and inlay and onlay fixation methods. A review of associated complications and how to avoid them is likewise described in detail, along with post-surgical rehabilitation techniques to maximize return to play. Ideal for orthopedic surgeons and sports medicine specialists at all levels, The Management of Biceps Pathology will be a unique resource for all clinicians facing challenges treating the active patient with shoulder and elbow pain.