Aktueller Uberblick zum Tissue engineering von Knorpel, Knochen, Sehnen, Bandern und Muskeln.
- Vom Experiment zur klinischen Anwendung.
- Aspekte der Zell- und Gewebegewinnung und der Zelldifferenzierung.
- Gentechnologie, Wachstumsfaktoren, Matrices.
- Moglichkeiten der physiko-mechanischen Stimulation.

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Newly revised and updated, this book provides geriatricians and orthopedic surgeons with the most vital tools to treat elderly patients who sustain a variety of fractures. The text uniquely encompass the etiologies of fracture in the elderly, perioperative management, the surgical treatment of common fractures in the elderly, as well as rehabilitation and prevention in the older patient. It focuses on the most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Unlike any other text, experts in both orthopedics and geriatrics review the content of each chapter for readability and appeal to his/her respective discipline, making this the physician's ultimate guide to treating elderly patients with injuries. Fractures in the Elderly, Second Edition is a valuable resource for geriatricians, orthopedic surgeons, physiologists, and rehabilitation specialists.

Fundamentals of hand surgery in a compact high-yield resource! Hand surgery emerged as a specialty due to advances in treatment of hand injuries incurred during World War II. Synopsis of Hand Surgery by distinguished hand surgeon Dawn LaPorte reflects the approach championed by the late American surgeons Sterling Bunnell and Norman Kirk: multidisciplinary care is key to optimal treatment of bone and soft tissue conditions in the hand and wrist. The book features contributions from an impressive group of hand and upper extremity surgeons and radiologists. Anatomy, surgical approaches, clinical exams, radiographic anatomy, advanced imaging, and electrodynamic studies are introduced in the first five chapters and emphasized throughout, providing a solid foundation. Twenty condition-specific chapters cover a wide array of hand disorders including fractures, arthritis, tendinitis, tendinosis, and injuries, as well as less common pathologies such as Kienbock's Disease, compartment syndrome, tumors, and congenital conditions. The final chapter discusses hand fractures in children. Key Highlights Insightful guidance on necessary evaluation and tests enables accurate diagnosis of common and uncommon hand injuries and conditions Firsthand recommendations on conservative to operative treatment options enhance the ability to achieve optimal results Richly illustrated chapters in an easy-to-read bulleted format augment learning and retention of knowledge This compact book provides a go-to reference for medical students, junior residents in orthopedic and plastic surgery, as well as emergency medicine, family practice, internal medicine, and pediatric physicians. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Providing the most current information on injuries to the head and neck sustained by young athletes, this practical text presents a thorough review of the complex and emerging issues for youths and adolescents involved in contact/collision sports. While concussions are among the most common injuries, fractures of the skull and facial bones and structural brain injuries can be serious and are discussed in chapters of their own, as are stingers and other cervical spine and cord issues and disease. Injuries to the eyes, ears and jaw are likewise examined. Prevention is a major theme throughout the book, as seen in chapters on protective head- and neckwear, transportation of injured players, and sideline response and return-to-play. Head and Neck Injuries in Young Athletes will be an excellent resource not only for orthopedists and sports medicine specialists treating growing athletes, but also specialists and team physicians who are on the scene at sporting events where these injuries may occur.

Rainer Thiele deals with chiropractic and examines two questions: Is chiropractic treatment of lower back pain a successful therapeutic approach? Is chiropractic treatment a standard treatment for headaches? On the topic of chiropractic in lower back pain, a congress abstract was published by the author using the latest randomized clinical studies and discussed as a poster contribution to the 16th Congress for Health Services Research in Berlin. A systematic review answers the question about chiropractic treatment of headaches. About the author: Dr. scient. med. Rainer Thiele wrote this work as part of his doctoral studies in medical science at the UFL (Private University of Liechtenstein) as a cumulative dissertation. He is managing director of the specialist practice for Chiropractic / Osteopathy and Sports Medicine in Munich.

Providing comprehensive discussion of this newly developing branch of sports medicine, this unique and up-to-date book focuses specifically on the treatment of athletes who train for and participate in endurance sporting events, including not only traditional endurance athletes such as runners, swimmers, bikers and triathletes, but also rowers, adventure racers, military personnel, and cross-fit athletes. Detailing strategies for not only treating and preventing injuries and conditions but also for optimizing an athlete's performance, it is divided into three thematic sections. The first section covers common medical conditions faced by the endurance athlete, including cardiovascular conditions, asthma, and heat- and altitude-related illnesses, while also discussing gender differences, pregnancy and the pediatric endurance athlete. Section two focuses on the management of common musculoskeletal conditions, such as stress fractures, overuse injuries of the soft tissue, compartment syndrome, shoulder and hip injuries, and exercise and osteoarthritis. The last section presents special considerations for the endurance athlete, including gait and swim-stroke analysis, bike fitting, mental preparation, optimizing nutrition, and how to organize medical coverage for events, as well as decision-making for return to play. A timely topic and one which has not been written about extensively in one concise collection of chapters, Endurance Sports Medicine is a valuable guide for sports medicine physicians, orthopedists, athletic trainers, physical therapists, coaches, officials, and athletes in understanding the needs of the determined individuals who participate in endurance sports.

Since the publication of the first edition in 1959, Apley's System of Orthopaedics and Fractures has been an essential textbook for those seeking to understand the structure and function of the musculoskeletal system, its diseases and its response to trauma. The book's success was initiated by the late Alan Apley's skills as a teacher, and the care and forethought that he brought to the presentation of the content.
The current authors have developed and extended this foundation to produce a thoroughly modern textbook of orthopaedic surgery, bringing complementary expertise while retaining the book's characteristic philosophy and approach. They are joined by a selection of expert contributors from around the world, who add material on a wide variety of subjects including radiology, open fractures, neuromuscular disorders, and inflammatory arthropathies.
This 9th edition echoes its predecessors in following Apley's approach to the orthopaedic patient. As before, the work is divided ino three section: General Orthopaedics, Regional Orthopaedics, and Fractures and Joint Injuries. The material has been fully updated and revised, including the replacement of the majority of the photographs, giving this edition a modern and relevant feel. The illustrations are all provided in a downloadable form on the book's accompanying website.
Apley's System's wide readership of practicing orthopaedic surgeons, postgraduate trainees and residents in orthopaedics and general surgery, A&E specialists and physiotherapists is evidence of the author's ability to instruct and inspire. The book is a trully fitting introduction to modern-day orthopaedics.

Authored by an acknowledged expert on muscle and movement imbalances, this well illustrated book presents a classification system of mechanical pain syndromes that is designed to direct the exercise prescription and the correction of faulty movement patterns. The diagnostic categories, associated muscle and movement imbalances, recommendations for treatment, examination, exercise principles, specific corrective exercises, and modification of functionalactivities for case management are described in detail. This book is designed to give practitioners an organized and structured method of analyzing the mechanical cause of movement impairment syndrome, the contributing factors and a strategy for management. * Provides the tools for the physical therapist to identify movement imbalances, establish the relevant diagnosis, develop the corrective exercise prescription and carefully instruct the patient about how to carry out the exercise program. * Authored by the acknowledged expert on movement system imbalances. * Covers both the evaluation process and therapeutic treatment. * Detailed descriptions of exercises for the student or practitioner. * Includes handouts to be photocopied and given to the patient for future reference.

Why write a book on the tourniquet? The tourniquet is used routinely in op- ating theatres throughout the world, but as far as I know there is no single book that surveys the considerable literature that has accumulated. If used sensibly, the tourniquet is a safe instrument. Most of the few complications seen with its use are preventable. However, when something untoward happens, the tour- quet suddenly becomes an interesting subject, particularly if there is the likelihood of medicolegal consequences. This book summarises the scientific background of the tourniquet and describes a safe physiological approach to preventing complications. Examples of medicolegal problems are included. Considerable progress had been made since Lister first excised a tuberculous wrist joint in a bloodless field. Many researchers have studied the effects of ischaemia and pressure on nerves and muscles. Tourniquets have entered the age of computers and are now much more sophisticated. Despite this, there is still much dogma surrounding the tourniquet in operating theatres and in textbooks. This book is aimed at orthopaedic surgeons, anaesthetists and op- ating-theatre staff. I hope that this short text will stimulate a more widespread interest in the tour- quet and improve safe practice.

Presenting a multidisciplinary approach to the prevention and management of injuries to young tennis players, this unique book considers multiple factors contributing to the increasing numbers of such sports-related injuries, such as increased young athlete participation in tennis, the pre-professionalization of younger players and misconceptions surrounding treating children in the same manner as adults. Beginning with the essentials for developing tennis players and their physical and mental growth with the sport, the text then turns to prevention and management techniques and strategies covering the upper and lower extremities, shoulder and elbow, hip and knee, and spine, as well as other acute medical conditions. Further consideration is given to proper nutrition, strength and conditioning, and rehabilitation and return to play. Edited by clinicians directly involved in the care of young tennis players and including contributions from physical therapists, nutritionists, sports psychologists, and physicians, it is an invaluable and comprehensive resource for any professional seeing and treating young tennis players.

Utilizing a multidisciplinary approach and drawing on the experience of experts in their respective fields, this unique book presents and discusses an array of topics relevant to the ever-growing population of pediatric, adolescent and young adult female athletes. Each topic is clearly defined and includes epidemiology, diagnosis, treatment and future directions. Opening chapters discuss growth and development, sports nutrition, resistance training, and psychological considerations for the young female athlete, with a chapter focusing on the female athlete triad. Later chapters present injuries and management strategies common to the young female athlete, such as overuse injuries, spondylolysis, hip and ACL injuries, concussion, and cardiovascular complications. The concluding chapter considers the benefits of physical activity for chronic disease prevention later in life. The Young Female Athlete provides useful, up-to-date information for any practitioner treating this active population, encouraging sports participation with fitness, injury prevention, personal growth, and long-term health.

Ideal for shoulder surgeons who want to upgrade their skills to the next level, this practical, step-by-step text presents the latest cutting-edge management strategies and science aimed at shoulder preservation surgery. Highlighting four main areas - the overhead athlete, shoulder instability, glenohumeral arthritis, and the rotator cuff - these innovative techniques focus on the maintenance of the native shoulder joint. Chapters open with an introduction to the clinical problem, followed by misgivings related to open surgery or arthroplasty as treatment strategies. A rationale for the arthroscopic treatment is then presented, along with an in-depth description of the technique itself as well as preliminary results. Techniques presented include posterior capsule release for the overhead athlete, arthroscopic Latarjet for instability, the CAM procedure for glenohumeral arthritis, biological augmentation for rotator cuff repair. A fifth section covers post-operative care and return-to-play considerations. With contributions from many of the top thinkers and surgeons of the shoulder, Elite Techniques in Shoulder Arthroscopy brings these exciting new management strategies to the fore with the aim of elevating them to more common practice for orthopedic surgeons and sports medicine specialists.

An indispensable resource for spine surgery professionals at all levels of experience, Safety in Spine Surgery: Transforming Patient Care and Optimizing Outcomes addresses today's key issues in this complex field. Editor, Michael Vitale, MD, Chief Quality Officer in the Department of Orthopaedic Surgery at Columbia University Medical Center, leads an outstanding team of spine surgeons and other healthcare professionals who provide clear guidance in improving the care and safety of adult and pediatric patients undergoing surgery for disorders of the spine. Timely coverage includes using systems to improve safety and outcomes (such as adherence to process, open communication, team skills-building and training, creating urgency, and building consensus), with a focus on reducing infection, hemorrhage, and nerve injury. Helps you avoid surgical complications, lower medical liability risk and cost of care, relieve pain, and restore function and quality of life for your patients. Incorporates step-by-step procedures throughout, highlighted by full-color illustrations. Offers comprehensive coverage of three key areas of spine surgery safety: frequently encountered problems such as catastrophic intraoperative neurologic events and surgical site infection; counter measures to improve safety, such as optimizing pain management and using CUSP; and the systems approach to improve safety on a comprehensive level. Provides access to dozens of practical videos that cover implementing surgical unit safety programs, developing a dedicated spine team, combating physician burnout, avoiding blood loss, when and how to say "no" to high-risk patients, smarter opioid use, avoiding wrong site surgery, robotics in spine surgery, minimally invasive surgery, infection, safety checklists, and much more. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The gold-standard resource for evaluating bone health in children and adolescents, this practical and highly anticipated second edition offers a comprehensive, fully updated resource for addressing bone health in these populations. Developed by a renowned international panel of experts in measuring and analyzing bone density in the pediatric patient and reflecting the 2013 International Society for Clinical Densitometry (ISCD) Guidelines for Pediatric DXA assessment, interpretation and reporting, this indispensable reference covers all the important changes in the field over the last 9 years. Some highlights of this edition include: an entire chapter on the assessment of infants and toddlers, a chapter devoted to the assessment of children with disabling conditions, an in-depth discussion of vertebral fracture and its etiologies, and a thorough review of the advantages and limitations of densitometry techniques including DXA, pQCT, HRpQCT, and MRI. New fracture prediction software, including Trabecular Bone Score and Finite Element Analysis, is described. In this edition, the limitations of DXA are addressed as are the most recent strategies for handling them including proposed DXA adjustments such as height Z-score. Solidifying itself as the leading text in the field, Bone Health Assessment in Pediatrics: Guidelines for Clinical Practice, 2nd edition provides all of the critical basic analysis and evaluation tools, images, and calculations necessary for clinical practice.

Taking a multidisciplinary approach to a common and often frustrating problem for athletes and those with an active lifestyle, this book is the first of its kind, addressing muscular injuries to the posterior leg using an in-depth and expansive style that is uniquely dedicated to ensuring all content is explicitly linked to the practical care of patients with calf pain. It is divided thematically into three sections. The first section covers underlying principles involved in these issues, including anatomy, physiology, pathophysiology of injury and neurophysiology of musculoskeletal pain. Clinical assessment techniques and imaging are covered in the second section. The third section on treatment is the most expansive, discussing acute, sub-acute and chronic posterior leg muscle injuries, as well as surgical management, rehabilitation techniques, complementary medicine and special populations. Overall, the book is designed to use muscular injuries of the posterior leg to as a means to understand the assessment and treatment of muscular injuries more broadly. Taken together, it is the consummate source for orthopedists, doctors in sports medicine, podiatrists, rehabilitation professionals and primary care physicians who treat muscular injuries in the posterior leg, though reader will gain a conceptual and practical framework for the assessment and treatment of muscular injuries in general.

ENT emergencies are a regular occurrence. This new book covers the full range of hospital emergencies seen by ENT trainees and practitioners, and also by oral and maxillofacial surgeons and plastic surgeons. Succinct text and clear illustrations complement the sections on Rhinology,Head and Neck,Otology and Paediatrics.Practical and up to date, this book facilitates excellence in clinical practice.

Wahrend ihrer Weiterbildungszeit benotigen Orthopaden/Unfallchirurgen einen speziell auf die Facharztausbildung zugeschnittenen Operationsatlas.90 geforderte Standardoperationen sind in bestechend praxisorientierter Form in diesem Buch beschrieben.

Fur jedes Verfahrengibt es:

- eine detaillierte Anleitung und didaktisch exzellente Grafiken zu jedem Operationsschritt.

- Anweisungen fur den 1. Assistenten.

- Warnhinweise an allen kritischen Operationsstellen.

- kurze, pragnante Informationen zu Indikation, Operationsvorbereitung und Nachsorge.

- viele wertvolle Tipps und Tricks.

Neu in der 2. Auflage: Biopsie, Die schwierige Implantatentfernung, Perkutane transiliosacrale Schraubenosteosynthese hinterer Beckenring, Stabilisierung mittels Fixateur interne an BWS und LWS in perkutaner Technik, Vertebroplastie und Kyphoplastie

Kohn/Pohlemanns "Operationsatlas fur die orthopadisch-unfallchirurgische Weiterbildung"ist der ideale Begleiter im klinischen Alltag auf dem Weg zur Facharztprufung."

A state-of-the-art resource on current and future advances in the treatment of intradural spinal tumors Tumors of the spinal canal provide unique challenges in terms of surgical approaches and oncological treatment. Management requires in-depth knowledge of the intricate anatomical relationships between the tumors and normal spinal pathways, restricted corridors of entry, and limitations of drug penetration. Over the past few decades, significant strides have been made in the treatment of these tumors. Development of minimally invasive techniques and greater understanding of these pathologies has resulted in improved safety, precision, and outcomes. Tumors of the Spinal Canal: Surgical Approaches and Future Therapies by Ankit I. Mehta and esteemed contributors is the most comprehensive textbook written to date on this topic. The book starts with two opening chapters covering an overview and anatomy, followed by three sections and 11 chapters on intramedullary spinal tumors, intradural extramedullary tumors, and peripheral nerve tumors. The comprehensive review encompasses anatomy, pathophysiology, therapeutic and surgical advances, diverse surgical techniques, and future directions. Throughout the text, readers are provided with the necessary tools to master management of these clinically difficult tumors, from both a medical and surgical standpoint. Key Highlights Treatment algorithms, clinical study summaries, and differential diagnoses presented in reader-friendly tables enhance acquisition and retention of knowledge Comprehensive analyses and pearls from masters provide insights on how to manage complications and improve patient outcomes Discussion of current research innovations, clinical trials, and future directions that have the potential to change the treatment paradigm Neurosurgical residents, spine fellows, and complex spine surgeons will benefit from reading this resource, while the intradural spinal tumor treatment paradigms provide an invaluable clinical tool for neurooncologists and oncologists. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Yoga therapy is commonly used for the management of arthritis, but often focusses exclusively on adaptation of the physical poses and on structural solutions. This book moves beyond the traditional routines to present yoga as a lifestyle designed to improve quality of life and overall well-being for individuals living with arthritis and rheumatic conditions. By incorporating the ancient practices of yoga as both physical and mental exercises involving a model of 5-koshas or sheaths (physical, energetic, mental/emotional, wisdom, and spiritual), the yoga therapy practice presented here will help reduce pain and shift the perspective of the individual living with arthritis. This therapy uses a whole-person approach that employs a broad range of tools to address the biopsychosocial effects of arthritis through the application of yoga practices and philosophy. Useful as a guide for people living with arthritis, this book is full of inspiration for self care along with instructions for yoga teachers and medical professionals to guide their clients using this whole-person perspective.

Presenting a comprehensive discussion of the biomechanics, assessment, diagnosis and management of injuries to the elbow ulnar collateral ligament (UCL), including video clips of selected surgical techniques, this is a thorough and practical text for any clinician seeing athletes with this increasingly common injury. The book is organized thematically, beginning with anatomy and biomechanics of the ligament. Diagnosis of these injuries follows, with chapters focusing on both physical exam tests and imaging studies. Chapters on both conservative treatment and surgical approaches form the heart of the text, including revision surgery and complications, and review the variety of techniques and expected outcomes. Additionally, individual chapters are devoted to the female and high school-aged athlete. Proper rehabilitation is essential and rounds out the text, including a unique focus on sports-specific rehabilitation. Written and edited by top clinicians in orthopedics and sports medicine, this book is an essential reference for diagnosing and treating injuries to the elbow UCL.

Recent research, which Bone- Metabolic Function and Modulators expands on, has added new support to the idea that bone not only serves as a support system, but also functions as an integrating organ, with a significant regulatory role for lipid and energy metabolism. Links between physical activity and the skeleton are also becoming increasingly clear. This fully illustrated volume contains up-to-date information on the metabolic role of the skeleton and what this can mean for the treatment of metabolic as well as skeletal and auditory diseases. Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development Bone- Metabolic Function and Modulators is of particular interest to clinician scientists, clinical and basic bone researchers, orthopedists, endocrinologists, internists, dentists, nurse practitioners, medical and dental residents and physiotherapists as well as students of the musculoskeletal system. Bone- Metabolic Function and Modulators is the seventh volume in the series Topics in Bone Biology, edited by Felix Bronner and Mary C. Farach-Carson. Other titles in this series:- Bone Formation Bone Resorption Engineering of Functional Skeletal Tissues Bone and Osteoarthritis Bone and Cancer Bone and Development

Detection and characterization of bone tumors with imaging remains a big challenge for every radiologist notwithstanding the impressive progress achieved by the introduction of several new imaging modalities. Moreover, new concepts in surgical and oncological treatment of these lesions require from the radiologist appropriate and focused answers to the specifc questions asked by the referring physicians in order to choose the best therapeutic approach for the in- vidual patient. Tis comprehensive textbook describes in detail the possibilities and limits of all moda- ties, including MRI, CT, nuclear medicine and interventional radiological procedures, employed for the modern imaging of tumoral and tumor-like lesions of bone. Teir role in the diagnosis, surgical staging, biopsy and assessment of response to therapy is discussed in detail, covering all tumor subtypes as well as their specifc anatomical location.Well selected and technically imp- cable illustrations strongly enhance the didactic value of this work. I am very much indebted and grateful to the three editors: A. Mark Davies, Murali Sundaram and Steven L. J. James, world authorities in musculoskeletal radiology, for their superb scientifc achievement in preparing and editing this wonderful volume as well as for their individual ch- ters. I would also like to thank the large international group of collaborating authors, who are also widely acknowledged for their specifc expertise in the area of bone tumors, for their outstanding contributions.

This book, written by authors with national and international reputations in the field, covers all aspects of radionuclide and hybrid bone imaging. Introductory sections present the basic science and consider the current status and limitations of conventional radiological techniques. The underlying principles of PET-CT and SPECT-CT are carefully explained, and the value of different PET and SPECT tracers, assessed. The role of single- and dual-modality approaches in the imaging of benign bone diseases and malignancies is then discussed in detail in a series of well-illustrated chapters. The pathologies addressed include metabolic bone disease, arthritis, bone and joint infections, primary bone and soft tissue tumors, and metastases from breast and prostate cancer. A further section considers the role of bone scintigraphy in the pediatric patient, and the closing chapters focus on miscellaneous subjects, including bone densitometry and radionuclide targeted therapy.

The reader will find in this book a new approach to improving health. The author has called this approach "sanomechanics," combining the Latin sanus (healthy, sound) and mechanicus (science of the motion of bodies subjected to forces). The focus of sanomechanics is on exercising with an understanding of the biomechanical consequences of the actions. This understanding is based on the author's theory of the floating skeleton, which postulates a hydraulic connection of synovial joints. The theory explains the greater or lesser success of any exercise utilizing the ability of the human skeleton to absorb and transform forces and moments from the body segments and the environment. This ability vanishes with age and illnesses, and the deeper our understanding of the nature of skeletal functioning is, the better we shall be able to improve, protect, and prolong the skeleton's health.