Articles in this issue include: Epidemiology of Foot and Ankle Injuries in the Global War on Terror; Biomechanics of Projectile and Blast Injuries; Debridement and Cleansing of Traumatic Foot and Ankle Wounds Sustained in Theater; The Use of Tourniquets in the Modern Combat Environment; Unique Issues Related to Fasciotomies in the Combat Environment; The Mangled Foot and Leg: Salvage vs. Amputation; Strategies for Managing Massive Defects of the Foot and Ankle in High Energy;? Combat Injuries of the Lower Extremity; Strategies for Managing Soft Tissue Defects of the Combat Injured Foot and Ankle; Revascularization of the Ischemic Foot and Ankle War Injury; The Center for the Intrepid: Model for Rehabilitation Centers of Excellence in the 21st Century; Rehabilitation of the War Injured Foot and Ankle; Recent Advances in Lower Extremity Amputations and Prosthetics; Unique Issues and Complications of Foot and Ankle Injuries Secondary to Warfare.

Avascular Necrosis (AVN) is a disease resulting from temporary or permanent loss of blood supply. It frequently affects the femoral head and in this area, if left untreated, routinely causes premature joint destruction.

In the USA, 5 to 10% of cases of hip osteoarthritis requiring total hip replacement are primarily caused by AVN. In 33 to 72% of patients, the disease is bilateral. The peak incidence is between 30 and 60 years of age, and the social costs of this pathology are remarkable. There is therefore increasing interest in hip joint preserving techniques such as conservative treatment through electromagnetic fields and shockwaves as well as joint preserving surgical techniques. This volume aims to present a complete overview of the current knowledge on AVN including therapeutic options.

Part one of a two-part series dedicated to Rehabilitation, this issue explores rehab from the perspective of the Athletic Trainer and Physical Trainer.? Guest Editor Dr. Jeff Konin of the University of South Florida's Department of Orthopedic Surgery and his team of contributors discuss key subjects, such as the rehabilitation referral, return to play criteria, strength and conditioning, the future of rehab, concussion, and of course, rehabilitaion of specific areas of the body including the shoulder, elbow, knee, hip, and more.

This book follows a context-based approach to management of early-onset scoliosis (EOS) in countries with limited resources in education, finance, and research. Due to the great variety in etiology, onset age, progression rate, and severity associated with EOS, it calls for a unique treatment plan. This book enumerates the optimal provision of surgical and non-surgical services, from education/training of local surgeons, to effective teamwork, to implementing an effective data collection system; helping the surgeon to gain a hands-on experience. It also illustrates the successful execution of deformity correction using real life experiences from countries in Asia, Africa, and Latin America. Key Features Discusses biomedical principles that will help to get universally standard implants that are credible and affordable for countries with limited resources. Specific surgical Guidelines and the ability to develop evidence-based practice for this service would be an interesting read for surgeons working in global organizations as well as to local surgeons. First book to focus on countries with limited resources for the management of early onset scoliosis.

Articles include: "Functional Anatomy of the Gastroc-Soleus Complex and Achilles Tendon, ? "Insertional Achilles Tendinosis and Posterior Heel Pain Pathology, ? "Non-Insertional Achilles Tendinosis Conservative, ? "Non-Surgical Management of Achilles Tendon Ruptures, ? "Acute Open Repair of the Ruptures Achilles Tendon, ? "Minimal Incision Techniques for Acute Achilles Repair, ? "Rehabilitation of the Achilles Tendon, ? "Tendon Transfers for Achilles Reconstruction, ? "Management of Chronic Achilles Deficiency, ? "Complications of Achilles Tendon Surgery, ? "Achilles Lengthening Procedures - Indications, Techniques, ? "Emerging Techniques, ? "Posterior Calf Injury and Pain (conditions that mimic Achilles

The effects of hand burn injuries can be critical to quality of life and crucial to long-term functional outcomes following burn injury. Since hands are at the front line of human contact, a high percentage of thermal injury involves the upper extremity and, in particular, the hand. Hand burns can vary in severity from shallow burns requiring local wound care and aggressive range of motion therapy to complex wounds requiring repair of joints, tendons, and other soft tissue. Historically, given the poor survival associated with severe burn injury, many patients with hand burns simply did not survive the acute phase of treatment. If patients survived the systemic insult of burn injury, often the hands were neglected relative to more extensive areas on the trunk. However, with the widespread use of early excision and grafting, as well as great advancements in critical care, survival following thermal injury has become the rule rather than the exception. Therefore, emphasis in burn care has shifted towards optimizing the functional and psychosocial outcomes of those that survive their injury. Accordingly, optimal management of hand burns has received increasing attention given the critical importance of hand recovery to long-term outcome. In this volume of Hand Clinics, experts in burn care present an overview of pediatric and adult hand burn management - including shallow burns, as well as complex injuries from deep thermal burns or electrical injury. In addition, chapters on pathphysiology of scar, burn hand rehabilitation and assessing outcomes of hand injury emphasize critical concepts in achieving optimal hand function after injury.

Articles include: "Percutaneous Plating of Proximal Humeral Fractures, ? "Mini Incision Surface Replacement of the Humeral Head, ? "Mini Incision Carpal Tunnel Release, ? "MIS Hueter-Gaine Approach for THA, ? "MIS Approach for Hip Resurfacing, ? "MIS Unicondylar Arthroplasty: Mini Open and Arthroscopic Approach, ? "MIS Total Knee Arthroplasty, ? "Minimally Invasive Hallux Valgus Correction, ? "Percutaneous CT Guided Vertebroplasty in the Management of Osteoporotic Fractures and Dorso Lumbar Metastases, ? "Minimally Invasive Spinal Surgery, ? "Percutaneously Assisted Hip Arthroplasty, ? "MIS THA using a Watson-Jones A

Minimally invasive procedures are increasingly utilized and are replacing open surgery to reduce scarring and pain, enhance patient recovery, and minimize cost. Minimally Invasive Spine Surgery provides step-by-step guidance, expert instruction, and detailed illustration of current minimally invasive orthopedic spine procedures. With a variety of chapters covering critical developments in the field-including the utilization of biologic materials, image-guided surgery, and bone fusion-this guide delves into discussions of indications, methods for preoperative planning, complication avoidance strategies, and patient outcomes. Covering emerging technologies and biological advances that will result in smaller incisions, less trauma, and enhanced patient rehabilitation, this book: Helps surgeons identify key anatomical structures for minimally invasive access Considers preoperative planning, complications, and outcomes for all operative methods Updates surgeons on significant advances in bone graft substitutes for spine fusion Details decompression and mini-open surgical techniques-all intended to achieve less traumatic surgical treatments and improve patient outcomes Includes a section on needle-based procedures for chronic pain relief

Revised, updated and expanded, Operative Orthopaedics: The Stanmore Guide, Second Edition, is a definitive and comprehensive guide to elective orthopaedic surgery. It is suitable for junior trainees during their various orthopaedic rotations and senior trainees preparing for the Fellowship of the Royal College of Surgeons (FRCS Tr and Orth) examination. With the emphasis on surgical techniques employed, and the reasoning and evidence base behind them, this book is both a practical instruction manual and a revision tool for the examination. The procedures identified by the Specialist Advisory Committee, including areas such as tumour surgery, paediatrics and limb reconstruction, are included. Each chapter follows a simple and consistent format explaining the surgery from preoperative planning and consent, through to approaches, techniques and postoperative care. The chapters also include key references and sample Viva Questions to extend and reinforce learning. Key Features New updated surgical techniques Highly illustrated to help explain surgical concepts easily Key point boxes to facilitate learning Recommended references for FRCS (Tr and Orth) examination success Editors Timothy WR Briggs MD MBBS (Hons), MCH (Orth), FRCS (Eng), FRCS (Ed), MD (Res) Royal National Orthopaedic Hospital Trust, Stanmore, United Kingdom Jonathan Miles MBChB, FRCS (Tr & Orth) Royal National Orthopaedic Hospital Trust, Stanmore, United Kingdom William Aston BSc, MBBS, FRCS (Tr & Orth) (Edinb) Royal National Orthopaedic Hospital Trust, Stanmore, United Kingdom Heledd Havard BSc, MBBCh, MSc, FRCS (Tr & Orth) Royal National Orthopaedic Hospital Trust, Stanmore, United Kingdom Daud Chou MBBS, BSc, MSc, FRCS (Tr & Orth) Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

In the last decade, the treatment of hip disease has made huge advancements in terms of patients returning to high levels of function and also in the durability of hip prostheses. Although the anterior approach to the hip has had a long history in orthopedics, it is only in recent years that surgeons are rediscovering this approach to treat both new pathology i.e. femoroacetabular impingement, as well as to facilitate patient's recovery after hip replacement surgery. This issue of OCNA brings together leading experts in the field of hip reconstruction which have been to explore the full potential of the anterior approach in restoring hip function.

Multiplanar deformities are one of the most difficult deformities to correct in orthopedics. Correction of deformity in the foot and ankle is particularly complex and must address the alignment of the foot, prior surgical interventions, arthrosis, neuropathy, musculotendinous abnormalities, instability, and skin ulceration. The goals are to provide a plantigrade foot that allows for shoewear and a stable platform for ambulation. In the past few years that have been significant advancements in the understanding and treatment of these conditions. This issue will provide the reader with a thorough review of all that is new on this interesting and difficult subject.

For this issue on the medical aspects of the increasingly-popular sport of boxing, Dr. Barry Jordan, Director of the Brain Injury Program and Memory Evaluation and Treatment Service at the Burke Rehabilitation Hospital in New York, has teamed up with Dr. Gerard Varlotta, Professor and specialist in pain management and injury prevention for NYU's departments of Joint Diseases and Rehabilitation Medicine. The Guest Editors have gathered a panel of leading experts on the subject, to cover topics such as medical safety in boxing, the role of the ringside physician, doping and drug use in boxing, facial and hand injuries in boxing, infectious disease in boxing, and more.

The field of sports medicine continues to grow and be popular. The specialty area of sports foot and ankle is particularly exciting. Foot and ankle injury rates continue to be reported at an increasing rate in sports especially in the NFL. Great toe injuries and Lis franc midfoot ruptures can be career ending injuries. Achilles tendon overuse injuries as well as ruptures and peroneal tendon dislocations and tears continue to plague the clinicians and athletes alike. Plantar fasciitis is almost epidemic in the NBA and ankle fractures in the athlete are common but poorly described in the literature. Equally enigmatic are the navicular stress fracture and the Jones fracture of the 5th metatarsal. We hope this issue of Foot and Ankle Clinics will help readers and clinicians diagnose, treat and rehab the athlete with foot and ankle injuries. We have asked our distinguished foot and ankle trained specialists to discuss these areas in the more complicated cases. For instance, a great article has been written about ankle sprains in the athletes but how do we treat effectively the athlete with chronic lateral instability who is large framed (>250#) or has come inherent ligamentous laxity or who has a varus hindfoot or has failed a prior lateral ligamentous reconstruction? Also, what is the best treatment for the difficult problem of syndesmosis injury in the athlete, both acute and chronic. All this and more will be right at your fingertips in this highlight of the complicated foot and ankle problems in the athlete. Enjoy and be up to date

This special issue will deal with various current, state-of-the-art, as well as novel approaches for the management of osteonecrosis. There are original research and review articles about this disease in the hip and knee ranging from cell-based therapies, bone grafting, osteotomies, to the use of pharmacologic agents such as bisphosphonates and iloprost and various prosthetic devices. In addition, better ways to learn about this disease and monitor outcome measurements will be reviewed. More difficult to recognize and treat diseases such as subchondral hip insufficiency fractures, bone marrow edema syndrome, and spontaneous osteonecrosis are also featured.

This issue will explore a variety of topics concerning the hallux and first ray exclusive of hallux valgus. A large portion will focus on hallux rigidus, including etiology, pathomechanics, nonoperative management, and various surgical techniques. Other chapters will address iatrogenic problems, including osteonecrosis, malunion and shortening of the first metatarsal, and nerve disorders of the hallux. Additional topics include hallux varus, sesamoid disorders, and arthroscopy of the first metatarsophalangeal joint. The invited authors are international experts who will review the relevant pathophysiology, treatment options, and clinical outcomes in order to guide the surgeon to appropriately manage patients with these challenging problems.

The Spine Oncology issue presents an updated review of various aspects of the management of tumors affecting the spine. The chapters outline diagnostic studies, patient selection, treatment strategies and all aspects of surgical management including biomechanical principles, complex resection and reconstruction techniques and minimally invasive methods. The chapters are authored by well respected and experienced physicians from around the world. This issue was designed for surgeons managing spine disease, but also will address the needs of the general orthopaedic surgeon, residents and other healthcare specialists who may have an interest in this challenging area.

In All About Fibromyalgia, the authors provide a thoroughly revised and updated version of the highly successful Making Sense of Fibromyalgia, which was endorsed by the Arthritis Foundation, Southern California Chapter. This new volume continues to provide a comprehensive guide - for both patients and professionals - to this little known and poorly understood syndrome. It has now also been completely updated with the current understanding of the disease, and includes information on the latest drug treatments.

Ideal for thorough review and exam preparation, Review of Hand Surgery, 2nd Edition, presents a comprehensive review of hand surgery in a reader-friendly outline format for quick reference. Drs. Pedro K. Beredjiklian, David J. Bozentka, and Gregory Gallant lead a team of hand surgeons who are involved in resident/fellow training, focusing on need-to-know information for efficient and effective review. This unique resource includes the latest information from textbooks, current journal articles, and in-training and self-assessment examinations in a single, convenient volume. Contains three new chapters: Pediatric Hand, Wrist and Forearm Fractures and Dislocations; Arthroscopic Treatment of Hand and Wrist Injuries; and Paralytic Hand, Cerebral Palsy and Stroke. Includes updated and expanded coverage of atypical hand infections, systemic arthropathies, burns and frostbite, chemical burns, local flaps and more. Provides detailed descriptions of functional anatomy of the hand, organized by tissue structure. Explains complex concepts such as the mechanics of the hand and disruptions that lead to deformity in concise, easy-to-understand sections. Features full-color, easy-to-read photographs, illustrations, and tables to reinforce learning and recall of high-yield information. Perfect for study and review for the Orthopaedic In-Training Examination (OITE), AAOS Hand and Wrist Self-Assessment, ASSH Annual Self-Assessment, and AAOS Hand Surgery Certification/Recertification (ABS with ABOS and ABPS) exams. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access bonus images plus all of the text, figures, and references from the book on a variety of devices.

Key Features * Focuses on examination of hand and upper limb case. * Serves as an illustrated reference of clinical examination for trainees, graduates, post-graduates, and fellows. * Use of high-quality operative videos to demonstrate the clinical examination of various diseases of the Hand and upper limb.

The 10th edition of Coughlin and Mann's Surgery of the Foot and Ankle delivers state-of-the-art, comprehensive coverage of the full range of foot and ankle disorders in an easy-to-manage, two-volume format. Authoritative guidance on every major aspect of the treatment and management of foot and ankle disorders and diseases helps you achieve consistent, optimal outcomes for your patients. With content covering biomechanics, examination, diagnosis, non-operative and operative treatment, and post-operative management, you have all the guidance you need to take your knowledge and skills to the next level. Covers all key topics in foot and ankle surgery, including ankle reconstruction and total ankle arthroplasty, external/internal fixation, management of complex foot deformities, nerve disorders, arthroscopic techniques, postoperative protocols for all surgical techniques, and more. Provides expanded coverage of minimally invasive surgery, ankle arthroscopy, and biologics. Features a consistent, structured chapter layout across the two volumes for quick and easy reference. Offers access to revised online features, including streamlined, refreshed, and all-new video content-more than 120 videos in all. Contains updated images and design as well as revised pearls and key points boxes throughout. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

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

Trauma in older people aged over 65 is a rapidly growing field within orthopaedics. Up to two thirds of fractures occur as a result of a fall and about one third of all fractures occur in the over-65 population. The aim of this comprehensive new text is to present the epidemiology and management of all musculoskeletal trauma that occurs in the elderly. The book deals with the assessment and treatment of medical comorbidities, complications, and the role of orthogeriatric care. The focus of the book is on the practical management of fractures although soft tissue injuries and dislocations are also discussed. Reflecting the multidisciplinary nature of the field, contributors are drawn from orthopaedics and orthogeriatrics on both sides of the Atlantic. The book is intended for all surgeons and physicians involved in the treatment of trauma in the elderly, and it will be relevant to trainees and as well as experienced practitioners.

This timely and exciting new book brings together for the first time the readily available choices of dietary supplements and their relationship to injury rehabilitation. Nutrition Applied to Injury Rehabilitation and Sports Medicine supports the rational use of specific nutrients for specific healing conditions. Guidelines for nutritional programs applied to specific conditions are provided for practical application.

A much revised and redesigned edition of Adams's classic textbook on fractures. The trusted Outline textbooks, now celebrating their 50th year in print, are well known for being clear, comprehensive and concise and will appeal to undergraduate, postgraduate and trainee surgeon alike. New edition of highly praised book with an established reputation Well known for its clear writing style and logical classification of fractures Basics of treatment are summarised in a useful appendix for quick reference and revision Provides up-to-date surgical therapies as well as conservative treatment options New author line-up Clear new page format, using two-colour design Extended artwork programme, now including two-colour line artworks, new radiographs, MRI and CT scans Enhanced anatomical classification system Advances in cell biology and molecular genetics New chapter on osteoporosis, including fracture treatment in the elderly

The human lumbopelvic area has become the focus of a considerable amount of new and intriguing research relevant to effective diagnosis and treatment of low back pain. Back function has recently been studied from a broader perspective, including the analysis of the coupled function in spine, pelvis and legs. These approaches lead to new questions about dynamic stability and motor control in general, and specifically about the spine and pelvis. These new insights obviously imply new approaches in the prevention and treatment of low back pain and pelvic pain. Unique to this book is its in-depth coverage of this subject area by a team of international contributors who represent the broad range of professionals involved in clinical research and therapy. These experts cover a vast area of lumbopelvic experience, from effective treatment and rehabilitation to epidemiology, anatomy, biomechanics, pain and motor control, surgery and manual therapy. Evidence -based focus Final conclusions including perspectives with each chapter Each chapter is relevant and up to date New high profile contributors Updated references Introduction and closure for each chapter Special attention given to stability and muscle function