The second edition of the highly successful Surgical Approaches to the Spine will continue the tradition of presenting clearly enumerated and illustrated, step-by-step surgical procedures for the spine. New to this edition are chapters on the anterior approach to clivus C1 & C2, transclavicular cervico-thoracic approach, transsternal approach to the cervico-thoracic & upper thoracic spine, approaches to the sacrum & pelvis, and laparoscopic approaches.

Das Krankheitsbild des flexiblen kindlich-jugendlichen Knickplattfusses wird in seiner Abgrenzung zur physiologischen Fusssenkung im Kleinkindes- und fruhen Schulalter sowie mit UEberlegungen zur Spatprognose dargestellt. Differentialdiagnostik, Pathomorphologie und bildgebende Diagnostik zur Quantifizierung des Fehlstellungsausmasses werden naher erlautert. Der Schwerpunkt liegt auf der Indikation zur operativen Behandlung und der Differentialindikation. Im Lebensalter von etwa 9 bis 12 Jahren kann eine minimalinvasive Arthrorise durch Calcaneostop-Schraube oder Sinus-tarsi-Implantat als wachstumslenkende Massnahme in schweren Fallen empfohlen werden. Bei alteren Patienten kommt eine Tarsale Triple Osteotomie oder auch die Kombination von Arthrorise und Osteotomien in Betracht. Verkurzungen des M. gastrocnemius bedurften haufig der intramuskularen Verlangerung.

This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

This highly illustrated textbook is an essential guide for surgeons in training, providing step-by-step approaches to performing surgical procedures. Practical guidance is given on patient positioning, approach and reduction techniques, which implant to insert, protocols for postoperative mobilisation, possible complications, when the patient should be seen in the outpatient clinic, and whether the implant should be removed. This second edition has been extensively expanded and revised. Additional chapters address fractures of the scapula, fractures around the elbow, around the foot and minimal invasive plate osteosynthesis procedures. All of the other chapters have been expanded and revised to comprehensively cover the range of common trauma procedures performed by surgeons in training. Written by experts in orthopaedics and trauma, the book includes numerous intraoperative colour photographs to help readers visualise the techniques described. This will be an invaluable resource for all surgical trainees in orthopaedics, trauma, and general disciplines.

The rate of publication of new materials and research exceeds the capacity of any individual to keep fully abreast. So how are we to keep up-to-date and sufficiently informed to practice evidence-based medicine? One way is to rely on authoritative yet unbiased reviews of important questions written by authors dedicated to education of the reader; that is the purpose of this book. It has been a formidable challenge, therefore, for our internationally-based contributors to wade through the sea of evidence and pick out significant advances that represent a true step forward in our knowledge. Whether the reader is an established practitioner wishing to update their knowledge or a trainee wanting to brush up on current opinion before exams, this book should fit the bill. The size of the task would be prohibitive if every aspect of trauma and orthopaedics was to be considered. For this reason we have selected key areas where rapid expansion in knowledge is occurring or where there is topical interest. We hope, therefore, that we have summarised a sufficiently broad range of topics to make this essential reading for orthopaedic surgeons of all grades.

If I have seen further, it is by standing on ye shoulders of giants. Sir Isaac Newton (1675) Although congenital displacement of the hip has always been recognised as the commonest pre-natal deformity of the musculoskeletal system found in otherwise normal children, it is surprising to find that much of our present-day understanding concerning its origin and nature has been discovered only in the past 150 years and its successful management eventu ally emerged during the last 60 years, almost within the professional life time of our more senior colleagues. Whereas Hippocrates (460-370 B. C. ) appeared to recognise patients that had experienced dislocation of their hips in utero and identified them from acquired forms of displacement, according to Severin (1941) it was another 2000 years before Palleta (1820) first recorded a careful description of the deformity based on his observations at an autopsy performed on an II-day-old boy with bilateral dislocations; he concluded that the findings were not caused by injury at birth, but dated from a pre-natal stage. Soon after, Baron Dupuytren (1847) gave an accurate description of congenital dislocation in his contribution entitled "Memoire sur un deplacement original ou congenital de la tete des femurs." He noted the absence of abscesses and fistulae as seen in painful and cruel pathological dislocations, which led him to believe that these congenital displacements were not likely to be the result of foetal disease as the affected babies appeared quite healthy at birth."

This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.

In diesem essential wird das "Complex Regional Pain Syndrome" (CRPS), fruher als "Morbus Sudeck" bezeichnet, als zermurbende, die Lebensqualitat zerstoerende chronische Schmerzkrankheit vorgestellt. Sie manifestiert sich als lokale akute Entzundung oft nach Bagatelltraumen, charakterisiert durch Schmerz, Schwellung, Temperaturunterschiede und livide Verfarbung der betroffenen Extremitat. Neue Erkenntnisse in der Pathophysiologie dieser immer noch ratselhaften Erkrankung fuhrten zu Fortschritten im Verstandnis, in der Diagnostik und vor allem in der Therapie. Das mit dem CRPS assoziierte Knochenmarkoedem ist heute mit Bisphosphonat- Infusionen heilbar. Sonderformen des CRPS bei Kindern und Jugendlichen, bei Schwangeren und im hohen Alter werden vorgestellt.

Candidates can prepare with confidence for postgraduate exams in sports and exercise medicine (SEM) with this revision guide. Containing over 400 SBA questions the content is carefully mapped to the Membership of Faculty of Sports and Exercise Medicine UK (MFSEM) curriculum ensuring comprehensive preparation. The Single Best Answer questions mirror the format of those candidates can expect to find in the MFSEM exam and many other postgraduate MSC SEM examinations globally. Explanatory answers include valuable background knowledge and references for further study. Each question and answer has been written to a high standard by some of the leading lights in SEM, orthopaedics, physiotherapy, rheumatology, radiology and musculoskeletal medicine as well as other specialties. Written by over 90 experts from the UK, Australia, the USA and Europe, this resource can help candidates preparing for entrance and final fellowship examinations of many international organisations including the ACSEP in Australia, UEMS in Europe and the CAQ in the USA. Providing a thorough assessment of the reader's Sports and Exercise Medicine knowledge, this is an invaluable resource for today's SEM student.

State-of-the-art solutions to restore hand function in patients with difficult hand ailments The intricate balance of the intrinsic and extrinsic soft tissue structure and bony scaffold of the hand, coupled with 31 articulating services in the hand and wrist, can lead to significant surgical challenges. Providing surgeons with technical pearls to overcome these challenges is the primary focus of Problems in Hand Surgery: Solutions to Recover Function by internationally renowned hand surgeons Michael W. Neumeister and Michael Sauerbier, and an impressive group of contributors. Organized by 29 sections and 90 chapters, this comprehensive book focuses on secondary hand surgeries to optimize hand form and function in patients with challenging trauma- and disorder-related hand issues. Among the many topics addressed are problems associated with nonunion, malunion, dysvascular limbs, trauma-related degenerative changes, stiffness, tendon dysfunction, joint disruption, nerve injury, neuropathy, vasospasm, fractures, and osteoarthritis. Key Highlights Unique approaches for stiff fingers, recurrent cubital tunnel and ulnar neuropathy, suboptimal bone healing/avascular necrosis in the hand and wrist, and more High-quality videos provide insightful guidance on various surgical techniques Over 1,100 color illustrations and preoperative, intraoperative, and postoperative images help readers visualize the steps involved in each operative procedure The extraordinary clinical tools in this step-by-step surgical resource will help orthopaedic surgery residents and experienced orthopaedic and plastic surgeons manage difficult cases and achieve optimal patient outcomes. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Die degenerative Erkrankung des Daumensattelgelenks, die Rhizarthrose, fuhrt zu einer wesentlichen Einschrankung der Daumenopposition und damit nahezu jeder grob- und feinmotorischen Greiffunktion der Hand. Im Anfangsstadium der Erkrankung stehen wirksame konservative Therapieoptionen und spater gelenkerhaltende Eingriffe zur Verfugung. Im fortgeschrittenen Erkrankungsstadium, nach Ausschoepfen der konservativen Therapie und bei entsprechenden Beschwerden koennen gelenkresezierende Eingriffe indiziert sein. Die Resektionsarthroplastik des Daumensattelgelenks hat sich als Standardeingriff bewahrt, da sie zuverlassig und mit einer niedrigen Komplikationsrate zu einer deutlichen Schmerzlinderung und einer hohen Patientenzufriedenheit fuhrt. Die neueste Generation von Endoprothesen fur das Daumensattelgelenk zeigt in mittelfristigen Nachuntersuchungen bei geringen Luxations- und Lockerungsraten und den Vorzugen einer schnelleren Rekonvaleszenz, sowie dem Erhalt von Lange und Stabilitat des Daumenstrahls sehr gute Ergebnisse in Bezug auf Schmerzlinderung, Beweglichkeit und Kraftentwicklung.

Selected as a Doody's Core Title for 2022! Helmed by a brand-new editor from the Mayo Clinic, the latest edition has been updated with new procedures and principles and additional imagery. Each technique is described in step-by-step detail. You will also find an overview of each injury or condition, explanations of indications and preoperative planning, complications and issues to watch out for, and tips for success. Lavishly illustrated with nearly 1,500 images that add a visual "how-to" to procedural instructions. More procedures than ever before, written authoritatively by master surgeons. New chapters-on the latest techniques and principles-help you stay up-to-date with current trends and development. eBook now features embedded links to a video to contextualize principles and techniques. Covers major trauma outcome surgery-MTOS. Enhance 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 incidence of developing infection in prosthetic joints remains low after primary arthroplasty, but owing to the growing success of joint replacement surgery as a procedure to alleviate pain and improve mobility, infection numbers are increasing. The impact on the patient is immense, and surgical options are challenging. Prevention and reducing the incidence is the key to addressing this problem. Pathways in Prosthetic Joint Infection covers the most common incidences where the risk of PJI is elevated (such as following revision arthroplasty), and indicates suitable approaches to aid the improvement of outcomes. Featuring clearly-illustrated clinical cases on the typical presentation of established and latent infections, the microbiology profiles, assessment, and definitive management are all highlighted. Taking a team-based approach that includes the ortho-plastic surgery team, physiotherapists, and microbiologists, this new book provides a concise summary of the current literature and an essential overview of the management options for those with PJI. Endorsed by the Royal College of Surgeons, BAPRAS, The Vascular Society, and BASK, Pathways in Prosthetic Joint Infection is an indispensable title for all those working with patients who may face PJI.

The successful FRCS Trauma and Orthopaedics Viva returns for a second edition, now including over 95 viva topics. Completely updated to include current clinical management guidelines, and exam hot topics, the book is brought to you again from the team behind the highly successful Oxford revision course. Based on the principle that viva candidates improve their technique by observing and learning from others, the editor team have created a best-practice formula for dealing with the individual scenarios. The book is set out in a simple format and every viva topic is introduced by an initial clinical photograph, radiograph, or diagram. Sets of questions follow underneath with the suggested answers on the next page. This allows the reader to work in pairs, groups, or on their own. Based on the Oxford revision course, this book is already a tried and tested revision tool, making it ideal preparation for the FRCS Trauma and Orthopaedics Viva exam.

Osteoporose ist keine einfach hinzunehmende "Alterserscheinung", sondern ein weltweites und zunehmendes Gesundheitsproblem. Die WHO hat die Osteoporose als eine der zehn wichtigsten und teuersten Volkskrankheiten eingestuft. In Europa sind jede dritte Frau und jeder funfte Mann davon betroffen, mit den Folgen langanhaltender Schmerzen, koerperlicher Beeintrachtigung bis hin zur Immobilitat, sozialer Isolierung und Pflegebedurftigkeit. Heute ist aber der Knochenschwund in Form der Osteoporose als eine fruhdiagnostizierbare, gut behandelbare und im Fruhstadium sogar "heilbare" Krankheit einzustufen. Der praktische und konsequente Einsatz der zahlreichen und unterschiedlich wirksamen Medikamente ist jetzt Aufgabe der behandelnden AErzte und betroffenen Patienten- eine multidisziplinare Anstrengung, die sich lohnt!...Osteoporose ist heute so uberflussig wie ein Kropf!

The fully updated Third Edition of this successful text covers the full spectrum of chiropractic radiology like no other resource. Useful both as a learning tool across the chiropractic curriculum and as a reference and clinical aid to practitioners, the text uses a traditional pattern differential approach to help readers distinguish key pathologic features - invaluable in clinical decision making. This edition incorporates the latest imaging technologies - including electron beam tomography, ultrasound, and videofluoroscopy- and features more than 5,000 images obtained with state-of-the-art techniques. Coverage includes new chapters on soft-tissue imaging and paraspinal abnormalities and more information on sports-related injuries.

Written by leading orthopaedists and rehabilitation specialists, the second edition of Hoppenfeld's Rehabilitation and Treatment of Fractures presents sequential treatment and rehabilitation plans for fractures of the upper extremity, lower extremity, and spine. The book demonstrates how to treat each fracture--from both an orthopaedic and a rehabilitation standpoint--at each stage of healing. Introductory chapters review the fundamentals of fracture management--bone healing, treatment modalities, biomechanics, assistive devices and adaptive equipment, gait, splints and braces, therapeutic exercise and range of motion, and determining when a fracture is healed. Subsequent chapters focus on management of individual fractures. Each chapter on an individual fracture is organized by weekly post fracture time zones, from the day of injury through twelve weeks. For each time zone, the text discusses bone healing, physical examination, dangers, x-rays, weight bearing, range of motion, strength, functional activities, and gait/ambulation.

Comprehensive and highly illustrated, Revisional and Reconstructive Surgery of the Foot and Ankle is a problem-based guide for both orthopaedic and podiatric foot and ankle surgeons who perform revision surgeries for complications resulting from foot and ankle procedures. Edited by Dr. Thomas Zgonis, author of the well-regarded Surgical Reconstruction of the Diabetic Foot and Ankle, along with co-editor Dr. Thomas S. Roukis, this up-to-date reference provides authoritative, easy-to-follow guidance from recognized experts in the field. Offers complete, problem-based coverage highlighted by numerous high-quality illustrations. Provides expert guidance on revision surgery for arthrodesis, implants, tendons, revisional Lapidus surgeries, diabetic foot wounds, Charcot midfoot, Charcot hindfoot and ankle, ankle replacements, and more. Covers elective osseous, soft tissue and nerve foot and ankle revision surgeries with long-term successful outcomes 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.

Gutachten erstellen - dies erfordert Wissen und den Blick uber den Tellerrand! Als Gutachter stellen Sie ihr Fachwissen und ihre Kompetenz Gerichten, Behoerden, Versicherungen und anderen Auftraggebern zur Verfugung. Hier finden Sie alles uber die Grundlagen und Besonderheiten bei der Gutachtenerstellung und profitieren von der langjahrigen Erfahrung der Autoren: Basiswissen nachlesen Rechtsgrundlagen und Aufgaben der Begutachtung Organbezogene Darstellung der Erkrankungen Kausalitaten erkennen und Systematik anwenden In jedem Kapitel enthalten: Diagnostik Krankheitsdefinition Fragen zum Zusammenhang Bewertung nach dem Sozialrecht Fragestellungen aus der Privatversicherung Hinweise zur Prognose Risikobeurteilung und Verbesserung durch Rehabilitation Praxisplus Leitlinien fur die Begutachtung Abrechnungsbeispiele und Tabellen zu Vergutungen Internetadressen NEU: Erweitert um ICF sowie Rechtsgrundlagen fur Schweiz und OEsterreich Sowohl fur jeden arztlichen Gutachter als auch fur den Auftraggeber von Gutachten als Nachschlagewerk bestens geeignet!

Das Buch hebt auch in der 2. komplett uberarbeiteten und aktualisierten Auflage den interdisziplinaren Charakter der Behandlung des diabetischen Fusssyndroms hervor. Nur in einem ausgewogenen Zusammenspiel von operativ und nicht-operativ tatigen AErzten sowie den entsprechenden medizinischen Assistenzberufen ist eine umfassende und die Extremitat erhaltende Therapie moeglich. Die Umsetzung des Gelesenen in die Praxis erleichtern die therapeutischen Algorithmen und die vielen Handlungsempfehlungen, die die Autoren geben. Zahlreiche Abbildungen/Bildserien veranschaulichen daruber hinaus die Inhalte.

Von B. Werbeck und I. Spirgi-Gantert voellig neu bearbeitet und inhaltlich wie formal rundum modernisiert: - besser lesbar und leichter zuganglich - mit farbigen Lernhilfen und Zeichnungen - praxisbezogen durch zahlreiche Beispiele - Neu: Grundlagen der Gangschulung und Ausblicke auf Behandlungstechniken und UEbungen Als Standardwerk in der Physiotherapie leitet es Therapeuten in der Ausbildung an, o normale und von der Norm abweichende Bewegung und Haltung prazise zu beobachten, o dem Patienten in der Behandlung richtiges Bewegungsverhalten zu vermitteln und o seine aktive Wahrnehmung dafur zu schulen.

For step-by-step, easy-to-follow guidance from an expert in the field, turn to Techniques in Wrist and Hand Arthroscopy, 2nd Edition. Dr. David J. Slutsky describes the utility and applications of wrist and small joint arthroscopy for a variety of clinical conditions. Each chapter contains a large literature review section which provides perspective as to the expected outcomes of any given procedure, in addition to multiple clinical examples. Covers hand and wrist arthroscopy in great detail, helping you enhance your arthroscopic skills in the surgical management of patients with chronic wrist pain, carpal instability, triangular fibrocartilage tears, distal radioulnar joint instability, arthroscopic resection arthroplasty of the trapeziometacarpal and scaphotrapezial joints, arthroscopic partial wrist fusions, and proximal row carpectomy, to name just a few. Offers detailed instruction in the use of arthroscopy as an adjunctive procedure to the open treatment of distal radius fractures, scapholunate ligament reconstruction, perilunate injuries, and more. Includes hundreds of high-quality color photographs. Uses a consistent, templated format so you can find the guidance you need quickly. Provides online access to over 100 videos of clinical case examples and anatomical demonstrations showcasing the application and technique of a variety of procedures. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices.

Orthopaedic Examination Techniques comprehensively covers the basic examination skills and key special tests needed to evaluate the adult and paediatric musculoskeletal system. Chapters are presented in a clear and logical way to allow readers to understand then master the techniques of orthopaedic clinical examination. Written by a diverse group of chapter authors with extensive experience in teaching clinical examination and who use a uniform system that is taught on national courses, every aspect of musculoskeletal examination is covered in the adult and paediatric patient. Numerous illustrations and new clinical photographs help readers to visualise and understand the key techniques, and five new chapters at the end of the book demonstrate the value of clinical examination through more than 80 clinical case examples. Easy-to-follow throughout, this book is invaluable reading for trainee orthopaedic surgeons, especially those preparing for the FRCS (Tr&Orth) postgraduate examination, practising orthopaedic surgeons, medical students, physiotherapists, and rheumatologists.

This book provides neurosurgeons and trainees with the latest techniques in spinal surgery. Divided into three sections, each is dedicated to surgical procedures in a key region of the spine - cervical, thoracic and lumbar. Each topic is presented in a step by step process covering anatomy, indications and contraindications, techniques and outcomes. Authored by internationally recognised, Philadelphia-based experts in the field, this invaluable text is enhanced by more than 200 surgical images and illustrations. Key points Practical guide to latest techniques in spinal surgery for neurosurgeons and trainees In depth coverage of procedures for each section of the spine - cervical, thoracic and lumbar Internationally recognised, Philadelphia-based author team Highly illustrated with surgical images and illustrations