Joint replacement surgery has seen remarkable progress and development in recent years both in prostheses and in surgical technique. A prime concern has been improved durability, for which a major factor is reduction of the polyethylene wear that leads to osteolysis. This book presents an update on the means by which the problems of wear and loosening are being addressed in total hip arthroplasty (THA) and total knee arthroplasty (TKA). Included are chapters on new surgical techniques for difficult cases, nonpolyethylene interfaces for THA, custom hip prostheses, and computer-assisted surgery. Arthroplasty 2000 also takes up current controversial issues such as posterior cruciate substitution versus retention in TKA. With contributions by eminent specialists in total joint replacement in Asia, Europe, and North America, this volume is a valuable reference for all orthopedic surgeons.

Basic and Applied Bone Biology, Second Edition, provides an overview of skeletal biology, from the molecular level, to the organ level, including cellular control, interaction and response, adaptive responses to various external stimuli, and the interaction of the skeletal system with other metabolic processes in the body. The book includes chapters that address how the skeleton can be evaluated through the use of various imaging technologies, biomechanical testing, histomorphometric analysis, and the use of genetically-modified animal models. Each chapter delves deep into the important details of topics covered to provide a solid understanding of the basics of bone biology. Bone biology researchers who also train undergraduate and graduate students in the lab will use this book constantly to orient new students on the basics of the field and as a background reference for many of the technical aspects of qualification in bone biology (e.g., mechanics, histomorphometry, genetic modification, biochemistry, etc.).

Get a quick, expert overview of optimal therapeutic interventions for pediatric patients with musculoskeletal conditions of the hand. This concise resource by Drs. Joshua Abzug, Scott Kozin, and Rebecca Neiduski offers practical recommendations and guidelines along with key background information, for a well-rounded, concise perspective on hand therapy for children. You'll benefit from the knowledge and experience of orthopaedic surgeons and other members of the rehabilitation care team who provide a real-world, multidisciplinary approach to this complex field. Covers a wide range of musculoskeletal conditions, including congenital disorders, joint disorders, neuromuscular disorders, sports-related injuries, trauma, and burns. Includes supporting background information, including an overview of embryology, intrauterine diagnosis, and physical functional development. Discusses complementary clinical approaches, including orthotic intervention and prosthetics. Consolidates today's available information on this timely topic into a single convenient resource.

Soft tissue tumours are extremely common although difficult to understand due to a large number of sub-types, leading to a significant increase in their imaging in the last decade. This highly illustrated practical book provides a simplified, systematic approach to imaging, reporting and diagnosing these tumours. It covers all the modalities with emphasis on ultrasound and MRI, along with the newer techniques in these modalities. This concise guide to soft tissue lesions, will help clinicians to quickly understand the spectrum of tumours and identify the appropriate imaging techniques to best serve their patients. Key Features: * Provides guidance by international experts on various types of soft tissue tumours (benign, malignant and tumour mimics), their relevant imaging features to help suggest specific or differential diagnosis and when to biopsy and when to refer to specialist centres. * Proves to be an excellent resource for general and specialist radiologists, radiology trainees, sonographers, sarcoma surgeons and oncologists for day-to-day reporting. * Discusses the importance of proper imaging and biopsy of tumors and the implications of unplanned excisions in sarcoma.

This issue of Anesthesiology Clinics, edited by Dr. Nabil Elkassabany and Dr. Edward Mariano, focuses on Regional Anesthesia, with topics including: Current evidence related to regional analgesia and hip surgery; Updates on billing and coding and establishing an acute pain service in private practice; Establishing a home catheter program for orthopedic surgery in pediatric patients or more broadly: updates on regional anesthesia for pediatric orthopedic surgery; Enhanced recovery after shoulder arthroplasty; Perioperative management of patient on opioid agonist antagonist therapy; Outcome metrics to be considered for regional anesthesia and acute pain medicine; Updates on multimodal analgesia (intransal ketorolac, IV acetmenophen, newer NSAIDS) for orthopedic surgery; Updates in enhanced recovery pathway for knee replacement versus updates outpatient knee replacement; Updates on new technology for regional anesthesia (peripheral nerve stimulators and cryotherapy); and Regional anesthesia and analgesia for the poly trauma patients.

Stone's Plastic Surgery Facts 4e provides a complete revision tool for the FRCS exit examination in plastic surgery. Written in the form of notes and lists, the full range of plastic surgery topics is covered as follows, wound care, burns, head & neck, cleft lip and palate and craniofacial anomalies, breast, hand and upper limb, lower limb, skin and soft tissue tumours, genitourinary and trunk, aesthetic and general plastic surgery. Updated article summaries and a review section in each chapter highlight important points and explain common misconceptions. A vital resource for the surgical trainee.

Designed with the practicing clinician in mind, Biologics in Orthopaedic Surgery provides a succinct, easy-to-digest overview of the integration of biologics (platelet-rich-plasma [PRP], bone marrow aspirate [BMA], and stem cells) into today's orthopaedic practice. Covering relevant basic science as well as clinical applications, this concise reference takes a head-to-toe approach to the emerging role of orthobiologics for specific conditions and procedures, in addition to future directions for implementation. Bridges the gap between research and the clinical setting, providing guidance on using recent transformative discoveries in real-world practice. Covers applications in sports medicine, general orthopaedics, and musculoskeletal oncology. Addresses specific key topics such as FDA regulations and impact, rotator cuff augmentation, osteoarthritis, meniscal transplantation, regenerative engineering, and much more. Consolidates today's available information on this timely topic into one convenient resource.

This issue of Orthopedics Clinics will survey a broad range of topics across sub-specialty areas on Quality, Value, and Patient Safety in Orthopedic Surgery. Each issue in the series is edited by an experienced team of surgeons from the prestigious Campbell Clinic. Articles in this issue will cover the following topics: Improving Joint Replacement with Continuous Quality Improvement Methods and Tools, Osteolysis as it Pertains to Total Hip Arthroplasty, Perioperative Safety, Pediatric Spine Surgery, Standardization of Care of Common Pediatric Fractures, The volume-value relationship in shoulder arthroplasty, Practicing cost-conscious shoulder surgery, Patient Safety with Driving after Foot and Ankle Surgery, Optimizing Outpatient Total Ankle Replacement from Clinic to Pain Management, The Role of Generic Implants in Orthopaedic Trauma, and The Role of Business Education in the Orthopaedic Curriculum, among others.

This book provides up-to-date guidance on the diagnosis and treatment of the most important complex fractures of the limbs, including fractures of the proximal and distal humerus, fractures and dislocations of the elbow, fractures of the distal radius, pelvis, acetabulum, distal femur, proximal tibia, tibial pilon, calcaneus and osteoporotic knee fractures. The most complex articular fractures are analyzed, soft tissue coverage is reviewed, and the management of open fractures and nonunions is described and illustrated. Other chapters consider damage control management and immediate bone fixation in the polytrauma patient, skeletal reconstruction and rehabilitation of complex fractures of the limbs. The book offers guidance to orthopaedic surgeons on which treatment options afford the best preservation of fully functional joints around the fractured bone. With this goal in mind, the authors have developed strategies that can restore full articular function of the limbs in both the short and the long term. Complex Fractures of the Limbs will be an invaluable aid to orthopaedic surgeons in treating patients with this very common and important clinical problem.

Investigations in Sex Estimation: A Comparison of Morphological and Metrical Methods is a collective comparison of the many morphological and metric methods currently used on adult and juvenile human remains. This single comprehensive resource for sex estimation in skeletal material includes discussion on the evolution of sexual dimorphism in modern humans, how sexual dimorphism manifests itself in those bones, the growth development in juveniles and how sexual dimorphism can be measured in their bones. Data is presented which contradicts previously held postulates and some different uses of sex estimation methods are suggested, such as using the grading system to assess evolutionary change in skeletons or grouping juveniles into smaller groups by age to better estimate sex. New insights are offered for future research from the presentation of case studies on gender and a comparison of the sex differences between two African-American collections which suggests a correlation between occupation and evolutionary change. To achieve the objective, data on 294 adults from four diverse collections of known sex are obtained using a total of 67 morphological and metric methods. An additional 23 morphological and metric methods used on juveniles, aged 0 to 18, from two of the collections. The methods are specific to either the cranium, mandible, pelvis, humerus or femur. The compilation of assessment of sex provides definitive answers on which type of method, morphological or metric, is more accurate, which morphological and metric methods are the most accurate, and which bones are more reliable to estimate sex especially in the absence of a pelvis. Investigations in Sex Estimation is intended to be used in the field and the laboratory for the identification of sex in human remains and aims to provide a wealth of data for future research in sexual dimorphic studies.

Logically organized with comprehensive coverage, this newly revised third edition prepares you to choose the right orthopedic tests, accurately assess any patient, and arrive at a clear diagnosis. Trusted for both its depth of coverage and its accessible, accurate information, it features gamuts, clinical pearls, and cross-reference tables for quick and easy reference. Now in brilliant full color, with all new photos of every test, it's even more visually appealing, and illustrates common conditions and procedural tests more effectively than ever before. This edition offers a fresh look at testing for orthopedic conditions, with detailed text that explains the key moves of each test, its alternate names, and the appropriate reporting statement. Extensive cross-referencing ensures that you can easily find the right test for efficient and effective practice, and protocol charts guide you through the examination process step by step. The companion DVD features video footage of Dr. Evans performing each assessment test in the book, along with his expert commentary. Chapters are logically organized by region, and tests within each chapter are arranged alphabetically, so you can find the information you need in seconds! Each test begins with a brief discussion of basic anatomy, then moves into a description of the actual procedure and ends with next-step directives. Critical Thinking questions at the end of each chapter help you apply what you've learned to clinical practice. Orthopedic Gamuts provide summaries of key points in a concise list - numerous gamuts within each chapter help you master material quickly and easily. Clinical Pearls share the author's knowledge gained through years of clinical experience, helping you avoid common misdiagnoses. Cross-reference tables offer at-a-glance guidance on which tests should be used to diagnose particular diseases, for maximum accuracy and efficiency in practice. Each chapter begins with an index of tests for easy reference, and axioms that remind you of elemental information, such as how painful certain maneuvers may be or the extent of some body parts' range. Contains a chapter on malingering (non-organically-based complaints), helping you investigate and determine the root cause of complaint, whether due to injury, for psychological reasons, or an attempt to feign injury for various purposes, such as for improper receipt of worker's compensation. Companion DVD contains video footage of Dr. Evans performing and explaining each assessment test in the book. Full-color photographs demonstrate how to perform 237 orthopedic tests! At the Viewbox feature contains high-quality radiographs that depict various pathologies, as well as musculature and other anatomy that can't be shown photographically.

This issue of Orthopedics Clinics will be surveying a broad range of topics across sub-specialty areas on Obesity in Orthopedic Surgery. Each issue in the series is edited by an experienced team of surgeons from the prestigious Campbell Clinic. Articles in this issue will cover the following topics, among others: Obesity the modifiable risk factor in total joint Arthroplasty, The role of bariatric surgery in the obese total joint Arthroplasty patient, Obesity in Pediatric Trauma, Obesity in NM conditions, The influence of obesity on total elbow arthroplasty, The effect of obesity in shoulder arthroplasty outcomes and complications, Effect of Obesity on Elective Foot and Ankle Surgery, and Foot and Ankle Surgery in Diabetic Populations.

This one-of-a-kind book delivers challenging, clinically relevant case-based learning tools regarding orthopedics and sports medicine for advanced practice nursing students and practitioners. Written by nurse practitioner/educators, it fills a gap in information and guidelines for treatment of this population in primary and acute care environments. Cases across the lifespan cover areas of orthopedics and sports medicine most likely to be encountered. Cases are described in depth to foster a comprehensive learning experience and to facilitate inductive and deductive critical reasoning. Each follows a template that encompasses the context for the case, chief patient complaints and history along with physical assessment findings, diagnostic evaluation, interventions, evaluation of care and outcome, and references for additional information. An accompanying teaching guide aids instructors in accelerating critical thinking. Key Features: Fills an identified gap in available literature Reflects both primary care and acute care across the lifespan Includes referral red flags and scope of practice for each case Formats cases for both inductive and deductive reasoning Offers focused instructor manual to facilitate meaningful learning

Spinal osteotomy techniques have been dramatically applied as a standard method for severe and rigid spinal deformity. Although clinical results indicate that patients who undergo osteotomy procedures typically experience well deformity correction and ameliorate the clinical appearance, aggressive peri-operative risks and follow-up complications are not rare. More meticulous and standard indication selection, osteotomy plan design and complication prevention strategy and outcome evaluation are critically needed for surgeon majored in spine deformity. The book Spinal Osteotomy is divided into sections that focus on principles of spinal osteotomy, technical and case illustration and outcomes and complications as well as computer navigation and other latest techniques. Each section is heavily illustrated and clearly written for ease of understanding. Orthopedic surgeons, neurosurgeon residents and fellows who want to focus on spinal deformity correction will find this instructive and invaluable.

There has been an exponential increase in the volume and quality of published research relating to spine care over the last several decades. Among thousands of articles, a small fraction has been shown to be truly "game changing," forcing the entire field to pause and take notice. These landmark studies may describe a new procedure or surgical approach, evaluate the relative effects of known treatments or techniques, introduce a new classification system, or provide new insights into natural history or disease prognosis. Such studies form the foundations of spine surgery today.This book will be a useful reference not only to the established spine surgeon, but also to neurosurgery and orthopedic residents, as well as to spine surgery fellows as they continue to fortify their knowledge surrounding spinal disorders. Further, this will no doubt serve as a useful evidence-based resource for trainees studying for professional examinations and perhaps most importantly challenge and inspire clinicians to produce high-quality impactful research.

Compared with traditional surgical procedures, wrist arthroscopy reduces the risk to patients and hastens recovery. Nevertheless, in many ways wrist arthroscopy is still in its infancy, and its indications continue to evolve. This book is devoted to the optimal use of arthroscopy in the diagnosis and treatment of wrist pathologies that give rise to ulnar pain. The correct procedure in a wide variety of settings is carefully explained in step-by-step fashion with the help of numerous detailed illustrations. Particular care is taken to cover all the important technical issues. The authors are without exception internationally acknowledged experts who draw on their considerable experience to provide readers with sound guidance on the appropriate use of arthroscopy for each indication.

Acupuncture Treatment for Musculoskeletal Pain covers the basics of acupuncture theory and explains the precepts of Eastern medicine. The text is written for orthopaedic surgeons, anesthesiologists and rehabilitation medicine specialists, and will aid them in their diagnosis and treatment of musculoskeletal pain -- both acute and chronic -- as well as arthritis. Readers of the text will progress on a journey through healing that will serve as a useful adjunct to the procedures and medications currently in use. The author breaks the subject down into three sections: Basics of Acupuncture, Acupuncture Treatment of the Muscoloskeletal Acupuncture Points and Indications, and Special Techniques.

This book has been written by established Orthopedic Surgeons who have become dedicated specialists within their particular subspecialty. They have contributed by writing highly detailed chapters that educate the reader with the basic science, accepted fundamentals and most recent trends within the full range of generalorthopedicdisorders. It is intended that this well illustrated and highly informative text book to provide orthopedic surgeons in training with comprehensive and relevant core knowledge on all aspects general orthopedics, and will become an essential guide for surgeons in training, providing step by step approaches to performing initial diagnosis, surgical procedures and post operative management. "

The diagnosis and treatment of both congenital and acquired thoracic pathologies in children and adolescents require a high degree of specialization. This book provides practical guidelines for thoracic surgeons who operate on patients from neonatal age to adolescence and for pediatric surgeons who are challenged to treat disorders such as cystic malformations of the lung, mediastinal tumors, or chest wall deformities. The chapters, written by internationally acclaimed authors, include expert commentaries with tips and tricks for the clinical practice. Plus: QR codes for access to videos of surgical procedures.

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.

Nutritional Aspects of Bone Health provides an in-depth review of the role of diet in the development and maintenance of bone health throughout the lifecycle, and prevention of osteoporosis in later life. The book is multi-authored by the world's leading researchers in this area, who have come together to formulate the first ever textbook on nutritional aspects of bone health, and includes the current and cutting edge science underpinning the prevention of bone disease. The book is structured such that, in the first section, an overview is provided on what is meant by the terms bone health and osteoporosis and includes key areas such as epidemiology, genetics and the impact of non-nutritional exogenous factors influencing the skeleton. The second section details the established nutritional factors affecting bone health, namely calcium and vitamin D. Section three focuses on the role of macronutrients and macrominerals in bone health, namely protein, phosphorus, sodium and potassium, including the criticality of acid-base homeostasis to skeletal integrity. Section four addresses the effects of microminerals, trace elements, vitamin K, vitamin A and isoflavones on bone. Section five focuses attention on key issues connected with the influence of diet and anorexia and bulimia on bone health including nutrition and bone growth; nutrient: gene interactions; nutrient: drug interactions; and the final section discusses the effect of diet on reduction of fracture risk; the cost-effectiveness of nutritional supplements; and nutritional strategies for prevention and treatment of osteoporosis. The book is targeted at a number of key audiences. Whilst there is a focus on the academic research world and those principally involved in education, at both undergraduate and postgraduate levels, the book will also be of considerable interest to those participating in the treatment and prevention of osteoporosis, namely those working in the medical and health promotion fields. Furthermore, Nutritional Aspects of Bone Health will be of particular interest to the food industry as the popularity of foods designed to target specific health issues increases, and nutritional therapy has a critical role to play in this major public health problem.

Provides insight into emerging therapeutic options. Fully illustrated to enhance understanding. Authored by renowned experts from multiple disciplines.

Selected as a Doody's Core Title for 2022! For nearly 40 years, Surgical Exposures in Orthopaedics: The Anatomic Approach has helped orthopaedic surgeons enhance their anatomic knowledge, increase safety, and improve patient outcomes. The fully revised sixth edition carries on the legacy of Dr. Stanley Hoppenfeld (1934-2020), whose ideas have influenced orthopaedic surgical care worldwide. Coauthored by Piet de Boer and Dr. Richard Buckley, this bestselling reference provides a clear view of orthopaedic anatomy from the surgeon's perspective using easy-to-follow descriptions and hundreds of superb full-color illustrations. Brings you up to date with recent changes in the field, using a highly relevant anatomic approach that has become increasingly important as approaches become smaller. Details the techniques and pitfalls of each surgical approach, gives a clear preview of anatomic landmarks and incisions, and highlights potential dangers of superficial and deep dissection. Contains 21 new surgical approaches, including fixation of rib fractures, the suprapatellar approach for tibial nail insertion, a minimally invasive approach to the clavicle, the posterior triceps-on approach to the distal humerus, three new approaches to the distal femur, as well as several others. Includes expanded content on the anteromedial approach to the elbow and new surgical approaches to the talus, cuboid, navicular, and Lisfranc's joint. Features fully revised content throughout, including changes to the trochanteric osteotomy required to perform surgical hip dislocation, updated content on external fixation, and new references where appropriate. Provides access to numerous high-quality procedural videos from every relevant angle, including a split screen with diagrams. 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.

LA WRENCE G. RAISZ, MD Division of Endocrinology and Metabolism, University of Connecticut Health Center. Farmington. CT The rapid transfer of new knowledge concerning the pathogenesis, diagnosis, preven tion, and treatment of disease into clinical practice has always been a major challenge in medicine. This challenge is particularly difficult to meet in osteoporosis, not only because has been so much new knowledge generated in recent years, but also because this there disorder has not caught the attention of many practicing physicians. The goal of this volume is to help primary care physicians develop a better understanding of osteoporosis and a more effective approach to diagnosis, prevention, and treatment. As primary care physicians become more and more responsible for the maintenance of health and the prevention of disease, osteoporosis must become one of their important concerns. The magnitude of the problem of osteoporosis has been widely publicized. Within the next 30 years, the cost of hip fractures alone is expected to exceed $40 billion a year in the United States and will be a major cause ofincreased mortality. In addition, vertebral crush fractures will cripple more and more of our elderly population, both men and women. This enormous toll is not inevitable. Current methods of identifying individuals at risk and applying preventive programs could reduce the incidence offractures by 50% or more. This should be the minimum goal of clinicians."

The case studies in this book use authentic injury assessment examples to help readers link theory and clinical practice with the goal of becoming competent clinicians. The situations are realistic and present more than 130 of the injuries that athletic trainers may encounter in the real world. The questions that accompany the cases ask readers to identify clinical and differential diagnoses, critique the evaluating clinician's actions, recommend treatment, comment on ethical choices, and make many of the decisions they will face in the field. The cases encourage readers to think and problem solve; evidence-based answers (for select cases in the text and for all cases in the instructor's manual) ensure that the recommended clinical decisions are based on the best available research, clinical expertise, and patient preferences rather than on anecdotal practice.