There has been enormous growth in the use of medical implants. However, in the case of hip replacement, loosening of metallic prosthesis fixed with polymethylmethylacrylate bone cement has resulted in painstaking revision surgery, which is a major problem for the patient, surgeon, and biomedical technology itself. In fact, global recognition of this problem led to the development of cementless fixation through the novel introduction of a bioactive hydroxyapatite (HAp) coating on biomedical-grade metallic implants. Since then, a wide variety of coating methods have evolved to make the HAp coatings on metallic implants more reliable. Microplasma Sprayed Hydroxyapatite Coatings discusses plasma spraying and other related HAp coating techniques, focusing on the pros and cons of macroplasma sprayed (MAPS)- and microplasma sprayed (MIPS)-HAp coatings. The book begins by explaining what a biomaterial really is, what the frequently used term biocompatibility stands for, and why it is so important for biomaterials to be biocompatible. It then: Examines the structural, chemical, macromechanical, micro/nanomechanical, and tribological properties and residual stress of HAp coatings Evaluates the efficacies under simulated body fluid immersion for MAPS- and MIPS-HAp coatings developed on biomedical implant-grade SS316L substrates Offers a comprehensive survey of state-of-the-art in vivo studies of MIPS-HAp coatings, presenting the results of pioneering research related to bone defect fixation Shedding light on the future scope and possibilities of MIPS-HAp coatings, Microplasma Sprayed Hydroxyapatite Coatings provides a valuable reference for students, researchers, and practitioners of biomedical engineering and materials science.

The most misunderstood and complex subject in medicine is the hyperpathic pain of sympathetic dystrophy. More common than previously thought, it comprises between 10 and 20 percent of chronic pain patients. Understanding this self-perpetuating pain -- which "never stops" -- requires unbiased knowledge of physiology and pathology.
Chronic Pain: Reflex Sympathetic Dystrophy, Prevention, and Management is devoted to the subject of Reflex Sympathetic Dystrophy (RSD). The book classifies the different stages of RSD and describes the qualitative and quantitative differences between natural endorphins and synthetic narcotics. Included are long-term follow-ups on sympathectomy patients.
This important reference explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD. In addition, the mechanism of development of RSD is clarified through an extensive collection of drawings and anatomical pictures as well. Other topics include thermographic methods for the diagnosis of RSD, the role of ACTH in the management of chronic pain, and comparisons between the effects of ACTH and those of corticosteroids.

Features
o Classifies the different stages of RSD
o Features the most comprehensive coverage of the literature on RSD and its related aspects
o Describes qualitative and quantitative differences between natural endorphins and systemic narcotics
o Examines the role of ACTH in the management of chronic pain
o Clarifies the mechanism of development of RSD through an extensive collection of drawings and anatomical pictures
o Explains why sympathectomy fails, but nerve block and physiotherapy is successful in the treatment of RSD

This practical handbook is an essential reference for GPs when dealing with musculoskeletal disorders, as well as a useful exam prep aid for the common MSK cases that occur in the CSA. Responding to increasing pressures on GPs to reduce the number of referrals and treat more patients in the community, the book covers a breadth of orthopaedic disorders, with clear colour photographs and diagrams to demonstrate techniques in practice. Chapters are authored by experts in each disorder with GP input, putting a strong focus on diagnosis and easy-to-follow processes for deciding courses of action and investigation. Each section explores the range of treatment options for that topic, including step-by-step injection techniques where relevant, and signposts need-to-know areas with 'red flags'. This is an important reach-for guide to assist GPs with easy diagnosis and to provide clear direction on next recommended steps.It will also be useful for medical students taking orthopaedics modules.

Main image shows the bones, muscles, ligaments, veins and arteries of the shoulder. Illustrates posterior, lateral, anterior and superior views of the shoulder anatomy, as well as the socket of a normal shoulder joint. Shows impingement syndrome, rotator cuff tear, trauma (such as proximal humeral fracture and acromioclavicular separation), and bicipital tendon problems. Also illustrates instability such as anterior dislocation of the humerus, Bankart lesion, and Hill Sachs formationbr>Size is 20" W by 26" H. For more information about our chart mounting styles, click here.

This reference work brings together the biology, mechanics, neurophysiology and pathophysiology of diseased joints, illustrates available physiologically-based treatments for osteoarthrosis and explains how and when to use them.;Highlighting the most up-to-date biomechanical principles, Mechanics of Human Joints: discusses the functional anatomy of joints; relates the neurophysiology of joints to ligamentous reconstruction; elucidates the pathophysiology of osteoarthrosis; summarizes the latest information on muscle physiology and electromyography; examines the effect of vibration and impulsive loading on joint pathology; and explicates the principles of prosthetic joint replacement.

Following on from the highly successful first edition, published in 2006, the second edition of Basic Orthopaedic Sciences has been fully updated and revised, with every chapter rewritten to reflect the latest research and practice. The book encompasses all aspects of musculoskeletal basic sciences that are relevant to the practice of orthopaedics and that are featured and assessed in higher specialty exams. While its emphasis is on revision, the book contains enough information to serve as a concise textbook, making it an invaluable guide for all trainees in orthopaedics and trauma preparing for the FRCS (Tr & Orth) as well as for surgeons at MRCS level, and other clinicians seeking an authoritative guide. The book helps the reader understand the science that underpins the clinical practice of orthopaedics, an often neglected area in orthopaedic training, achieving a balance between readability and comprehensive detail. Topics covered include biomechanics, biomaterials, cell & microbiology, histology, structure & function, immunology, pharmacology, statistics, physics of imaging techniques, and kinesiology.

Widely recognized as the gold standard reference in the field, Green's Operative Hand Surgery, 8th Edition, provides complete coverage of the surgical and nonsurgical management of the full range of upper extremity conditions. In a clearly written and well-illustrated format, it contains both foundational content for residents and fellows as well as new approaches, case-based controversies, and outcomes-based solutions for practitioners. Drs. Scott W. Wolfe, William C. Pederson, Scott H. Kozin, and Mark S Cohen, along with new, international contributing authors, provide expert perspectives and preferred methods for all aspects of today's hand, wrist, and elbow surgery. Contains thoroughly revised and updated indications and techniques to treat the full spectrum of upper extremity disorders. Highlights the latest advances and approaches, such as wide-awake local anesthesia no tourniquet (WALANT) hand surgery, nerve transfer techniques, tendon transfer and tendon avulsion repairs, skin grafting techniques, and more. Offers nearly 140 innovative and high-resolution videos (99 are NEW) that provide real-life, step-by-step guidance on key procedures. Provides state-of-the-art information on wrist arthritis, hand trauma, new arthroplasties, targeted muscle reinnervation, wrist instability surgeries, fracture management, rehabilitation, congenital disorders, orthotic interventions, and more. Includes newly updated, high-resolution illustrations, images, and photos throughout. Presents case-based controversies and unique solutions, plus current views on what works and what does not, based on recent science and outcome measures. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

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.

Biportal endoscopic spine surgery has been rapidly developed recently, and Unilateral biportal endoscopic spine (UBE) surgery may be new stream in spine surgery. UBE surgery is a new concept of surgery that is different from the existing one portal endoscopic surgery, and has the advantage of being familiar with spinal surgeons as the surgical anatomy is similar to a general surgical method, and the learning curve period is short. The 4mm diameter endoscope provides a very clear image, and it can be safely operated under magnified and clear endoscopic view. It is also available to use general surgical instruments in addition to endoscopic surgical instruments during UBE approaches. Currently it is being performed not only in the lumbar spine, but also in the cervical and thoracic spine. In addition, simple laminectomy, disc removal, and spinal fusion are possible. With the advancement of UBE surgery, spinal surgeons from various countries have been performing UBE in recent years, and it is gradually spreading to the world. This will be the first book summarizing from basic to advanced techniques with abundant illustrations and video aid for easy understanding.

Physicians are under increasing pressure to provide quality health care in the most cost-effective way possible. The escalating costs of orthopedic care are driving the need to base clinical decision making on evidence-based data that will help physicians provide optimal care to every patient. Evidence-based medicine is the future of orthopedic surgery. In a world where the quality of surgical outcomes will be increasingly measured, evidence-based data will heavily guide decision making in orthopedic trauma. Orthopedic Traumatology: An Evidence-Based Approach provides the reader with a focused and comprehensive review of the literature surrounding the management of the orthopedic trauma patient. The book centers around clinical scenarios with each chapter based on a specific case. Renowned orthopedic trauma surgeons from across the country serve as contributing authors, writing based on these scenarios and giving their expert opinions on management while using data as their guide. Each chapter describes and summarizes the data, but achieves this objective in a case-based format. Each case is brief, but includes relevant imaging. The case scenarios are heavily weighted toward treatment of more controversial injuries. As there is currently no book on the market that focuses solely on orthopedic trauma and evidence-based medicine, this book is sure to be a useful reference for residents and practicing physicians alike.

An easy to follow step-by-step guide to the most useful surgical skills from knot tying to simple procedures. Illustrated with colour photographs and video clips to demonstrate techniques, this book makes these practical skills as clear and easy to follow as possible. Including coverage of surgical instruments, wound management and suturing, and minor surgical procedures, it also explains how to use these essential surgical skills to make the most of a surgical placement. Healthcare students or junior professionals undertaking a placement in surgery or emergency medicine will feel confident and capable, and will be able to take an active role in surgical placements. Learning basic surgical skills is important for such placements, as well as for undertaking exams such as the Membership of the Royal College of Surgeons (MRCS).

Written by PAs for PAs, Orthopaedics for Physician Assistants, 2nd Edition, is the first and only orthopaedics text specifically designed for physician assistant practitioners and students. This comprehensive yet portable guide helps you master the essential knowledge that directly affects your patient care. Coauthors and physician assistants Sara Rynders and Jennifer Hart clearly present everything you need to know to manage orthopaedic issues in either a general practice or orthopaedic practice setting. Provides precisely the diagnostic and procedural information physician assistants need, covering orthopaedic physical examination and history taking, imaging interpretation and diagnosis, and treatment strategies for orthopaedic problems. Features brief, bulleted text, consistent headings in each chapter, an easy-to-follow outline format, and clear diagrams and images throughout. Demonstrates how to perform 14 key joint injections with online videos of elbow joint injection, knee joint injection, medial epicondyle injection, subacromial injection, digital block, and more. NEW to the 2nd Edition: ICD-10 codes to facilitate accurate coding and billing "Clinical Alert" boxes that highlight key information Quick-reference guide inside the front cover listing content by disorder name Concise review of common Orthopedic PANCE/PANRE topics Streamlined surgery content that focuses on need-to-know material A clearer, more direct writing style and updated content throughout, reflecting the most current research evidence and national and international guidelines Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Fractures of the Facial Skeleton, Second Edition gives a clear, concise and practical overview of the management of maxillofacial injuries. This new edition has been fully updated to include recent developments and improvements in facial trauma management, with expanded sections on emergency and early treatment, soft tissue injuries and major maxillofacial injuries. Written by an experienced author team, this text will appeal to trainees in all surgical specialities involved in facial trauma. Summary tables and colour illustrations throughout aid understanding, making this both an ideal introduction to the subject and a useful exam revision text. Key features include: * New, updated edition of a well-respected text * Easy-to-read, practical clinical handbook * Covers aetiology and anatomy, emergency management of trauma, imaging, treatment of dentoalveolar, mandible and midfacial injuries, postoperative care, and complications * Suitable for postgraduate students, trainees and practitioners in oral and maxillofacial surgery and practitioners of other medical disciplines involved in facial trauma

This Second Edition of the Hip and Knee Anatomical Chart is completely updated The main figure shows basic skeletal and ligament anatomy. Detail on the hip joint is provided with lateral, anterior, and posterior views. The chart shows bones and ligaments and also illustrates movement of the hip: adduction, abduction, extension, and flexion. Various views of the knee are shown--oblique, anterior (patella removed), and posterior. Bones and ligaments are shown, and the posterior view also includes popliteus muscle. Line drawing figures illustrate flexion and extension movement of the knee joint.

In 50 Landmark Papers every Acute Care Surgeon Should Know, editors Stephen Cohn and Peter Rhee have compiled a selection of the most influential recent contributions to the specialty of acute care surgery/emergency surgery. This book comprises 50 thought-provoking and relevant topics, reviewing carefully selected papers to update the readers on what has been published in the last decade. 50 key papers cover the most relevant studies from a wide range of topics from Acute Cholecystitis to Ventilator-Associated Pneumonia. This book is of interest to surgical residents and trainees, Trauma and Surgical Critical Care fellows and all members of the Acute Care team. This is both an informative and personal look at evidence-based topics, and is relevant to all general and acute care surgeons. About the Editors Stephen M. Cohn, MD FACS Hackensack Meridian School of Medicine at Seton Hall University Nutley, New Jersey, USA Peter Rhee New York Medical College Westchester Medical Center Valhalla, New York, USA

Revised, expanded, and updated, Orthopaedic Biomaterials in Research and Practice, Second Edition introduces materials science and applies it to medical research and treatment. This book incorporates math and engineering, which makes it accessible to trainees and others working in the industry who are lacking primary mathematical and engineering training. What's New in the Second Edition: In the second edition, the new material includes regeneration, hybrid and replant materials, tissue engineering, electrical stimulation for tissue growth and repair, modeling of material behavior in service, and long-term function of materials in patients. It explores tools for non-destructive and destructive analysis of explanted devices, and provides updates on all material classes including shape memory and degradable alloys, fracture-resistant ceramics, and bioabsorbable polymers. It provides a compendium for implant host response including in-depth discussion of metallosis and hypersensitive response. It also adds new case studies, worked problems, and a complete self-evaluation test with annotated answers. Includes focused, practical study questions after each chapter Presents extensive, detailed figures accompanying example problems and concepts Provides a one-stop reference for understanding all biomaterials that are used in contemporary orthopaedic surgery and beyond Introduces key concepts of relevance in each chapter Orthopaedic Biomaterials in Research and Practice, Second Edition serves as a textbook for orthopaedic residents. It can also serve as a review for the Orthopaedists In-Training Examination (OITE), the Orthopaedic Self-Assessment Examination, or the Orthopaedic Board Examination.

Bone and soft tissue sarcomas represent only about 2% of all malignancies; however, their treatment with the goal of curing the patient while preserving the functionality of the affected body part can, unlike other malignancies, only be successful with therapy concepts devised by interdisciplinary teams. This volume provides an extensive up-to-date overview of the specific diagnostics and current treatment standards of these rare entities, presenting the various limb-sparing modalities for patients with bone and soft tissue sarcomas with special regard to innovative reconstructive options. The evaluation of quality of life based on validated scores and the individual methods of coping with the illness through creative artistic projects are also acknowledged and integrated in the whole concept.

For courses in orthopedics, physical therapy, athletic training, and physical examination, in programs for healthcare providers including physicians, nurses, athletic trainers, physician's assistants, physical therapists, and occupational therapists. This is the field's most comprehensive evidence-based guide to clinical tests for orthopedic physical examination. It presents complete explanations and photography visualizing all commonly used physical exam tests for all body regions, including both neurological screening tools and conventional tests. The quality of research supporting each test is assessed using the QUADAS quality instrument, which analyzes the extent to which bias may have influenced diagnostic values. Diagnostic values are reported wherever they exist, and summary "Utility" scores are provided for each test based on the authors' interpretation of the research and their use of the tests in clinical practice. This edition adds 200 new tests, presents valuable clusters of tests, and contains two entirely new chapters: one on visceral assessment and medical screening, and another on temporomandibular examination.

Contemporary spinal surgeons, whether orthopedic or neurosurgeons, are increasingly recognizing minimally invasive spine surgery (MISS) as a valuable option for managing advanced degenerative diseases. MISS techniques minimize blood loss and surgical site pain, while speeding recovery. Thus, the combination of MISS with adult spinal deformity was a natural choice. Currently, the techniques, technologies, and education of surgeons have finally reached a point where MISS deformity surgeries are becoming commonplace. Nevertheless, the field is young enough (and still evolving) that no comprehensive texts have addressed the unique challenges it poses for surgeons. This book fills that gap.

Drs. Guhl, Parisien, and Boynton have prepared a third edition of this successful volume, heretofore published by Slack (who no longer publishes books on orthopaedic surgery, only journals). The editors have invited a prestigious group of contributors, including such stellar names in the field as Ferkel, Lundeen, Tasto, etc. The new edition will address the most recent and valuable developments in foot and ankle arthroscopy, including the practical applications of instrumentation and technique in the clinical setting. Unique to this book are the imaging techniques, laser surgery, mid-foot arthroscopy, and most importantly - endoscopic surgery of the ankle and foot. Sections and chapters on anatomy, differential diagnosis, soft tissue pathology, rehabilitation, and again, unique to this volume, office and outpatient arthroscopy make this a comprehensive reference.

Now in a revised and expanded second edition, this practical text utilizes the most current evidence and knowledge of articular cartilage as the basis for clinical interventions for cartilage repair and restoration, combining an overview of clinical research and methodologies with clinical cases to help guide the orthopedic treatment and care of patients presenting with cartilage issues. Carefully updated chapters discuss the state-of-the-art in cartilage anatomy, defects and imaging, current tibiofemoral and patellofemoral surgical options, debridement and marrow stimulation, osteochondral autografts and allografts, osteotomies, cell therapy, and meniscal transplantation. New chapters explore new surgical treatment strategies and revision for failed cartilage repair, case vignettes presenting real-life treatment decisions and outcomes, and rehabilitation protocols following cartilage repair. Written and edited by experts in the field and bringing the most recent literature and research to bear, Cartilage Restoration remains a valuable resource on joint preservation for orthopedic surgeons, residents, and fellows, sports medicine specialists and rheumatologists.

Covers the immediate assessment and management of common plastic and reconstructive surgery emergencies and referrals. A companion for junior doctors starting within plastic surgery, the Plastic Surgery for \Trauma provides succinct and clear presentation together with up to date guidelines on the common plastic surgery emergencies. With clear descriptions of difficult trauma scenarios, illustrated with numerous figures, and updated guidelines for each step of practice, this book will ensure that the reader can access all the information required to help gain confidence and experience .Be the readers passing through a plastic surgery rotation on their way to some other career goal or beginning within plastic surgery and keen to make a strong start with a view to progressing in the speciality, this book provides the support to allow rational and confident clinical decision making from the start. Essential reading for all non-specialists and trainees.