The Hip-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total Hip arthroplasty (THA), reconstruction or revision is best for each patient. Access discussions of debates on minimally invasive surgery; component material and bearing options; cemented vs. uncemented fixation of the components; and more. Explore alternatives to THA in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers periacetabluar osteotomy, neurovascular injury, and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, surgical approach and techniques, bearing surfaces and component materials, disease specific options, the management and avoidance of complications, salvage and revision THA strategies, and more. Discusses variations in technique, including cemented vs. cementless fixation, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to THA in younger arthritic patients such as arthroscopy, arthrodesis, osteotomy, and resurfacing. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued.

This volume of Hand Clinics will be devoted to the increasingly important and relevant topic of Evidence Based Medicine or the more inclusive term Evidence-based Practice (EBP). EBP is the integration of individual clinical expertise with the best available external clinical evidence from systematic research and the integration of patients' values and expectations. It is now recognized worldwide as a foundation of quality care and all surgeons and therapists must embrace the concepts and learn the methods. In order to help you become an evidence-based practitioner, this issue will help you develop new skills in find and appraise the best evidence embedded within the volumes of good and bad information available. The issue will focus on how to apply these methods to hand surgery and rehabilitation. The Centers for Medicaid and Medicare Services (CMS), health insurers, and certification boards will provide the impetus for all of us to put into action evidence-based practice. This approach to practice will lead to changes in our behavior. CMS introduced a pay-for-performance (P4P) initiative to promote high quality medical care based on evidence-based medicine by reimbursing top performing hospitals at a higher level than poor performing hospitals. The primary objectives of this program include increasing clinical quality and saving lives. A secondary objective is to improve the cost-effectiveness of health care delivery. Governmental programs like these along with practice guidelines will lead to new expectations on your practice. Whoever controls these initiatives and guidelines, controls medicine and ultimately the flow of money. You don't want to be left behind. This issue will provide you with the basics to get started on your way to practicing evidence-based medicine.

Written by renowned international experts, this book explains technical issues, digital information processing, and provides collective experiences from practitioners who perform a wide range of telesurgery applications. The book lays the foundation for the globalization of surgical procedures, making possible the ability of a surgeon located in one part of the world to operate on a patient located in another.

Guest editor Jerome Steck takes a comprehensive look at Revisional Foot and Ankle Surgery with topics such as: "The First Ray," "Flatfoot," "Hindfoot arthrodesis hindfoot," "Charcot," "Ankle Fractures" and more!

"Surgical Education: Theorising an Emerging Domain" delineates surgical (as opposed to medical) education as a new and emerging field of academic enquiry. This reflects profound changes in healthcare training and practice on an international basis. As such, this book introduces, examines and explores the contribution of selected concepts and theories to surgical learning and practice. The first four chapters consider core facets of surgical education, such as simulation, while subsequent chapters take a key idea, often well known in another field, and examine its relevance to surgical education.

Of course, performing invasive procedures is no longer the exclusive preserve of 'traditional' surgeons. Boundaries between surgery and the interventional specialties (radiology, cardiology, intensive care) are becoming increasingly blurred, especially as technology continues to expand. Changing work patterns and explosive technological development mark this out as a major growth area. New educational approaches (e.g. the use of simulation) are emerging. And all clinical practice is a team activity, where clinicians from many specialties (medicine, nursing, allied professions) come together with shared goals. For all the above groups, and their patients, education (teaching, training, learning and assessment) is of crucial importance.

Yet the unique characteristics of surgical education have not previously been addressed from an educational perspective, nor have its possibilities as a new research domain been mapped. The domain needs to be theorised and its epistemological foundations established. There is thus both a need and a market for a definitive work in this area, aimed at surgeons, other clinicians, non-clinicians, educators, and others interested in this new domain.

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

Liver Transplantation: Challenging Controversies and Topics grew out of a need I perceived within the fields of transplant hepatology and liver transplantation. Liver transplantation has rightly gained recognition as an established therapy for end-stage liver disease. Few would argue that liver transplantation is one of the few truly lifesaving and life-altering treatments within medicine and surgery. Not many realize that 20 years passed from the time of the first human liver transplantation in 1963 to its acceptance as therapy by the 1983 NIH Consensus Conference on Liver Transplantation. In 2008, 25 years will have passed since the 1983 NIH conference-a mere 25 years for a field that has provided patients hope, doctors options, and to some the "gift of life. " Many issues in liver transplantation involve indications, patient selection, and outcomes after transplantation-these are standard topics, covered by textbooks of hepatology and transplantation. In contrast, the field of liver tra- plantation is young, evolving, dynamic, and issues and decisions are often controversial. Thus, Dr. Trotter and I, as well as our colleagues at the University of Colorado, felt that a text with a different focus was required, one that highlighted controversy and challenged dogma. Out of this perceived need emerged Liver Transplantation: Challenging Controversies and Topics. To meet the transplant community's need for emerging information about liver transplantation, Dr. Larry Chan, Dr. Igal Kam, and I initiated the Controversies in Transplantation Conference.

Utility of PET in the mediastinum; Diagnostic strategies for mediastinal tumors and masses; Infections of the mediastinum; Genetic markers of mediastinal diseases; Mediastinal tumors and cysts in the pediatric population; Multimodality treatment of germ cell tumors of the mediastinum; Surgical approaches to the thymus in patients with MG; Multimodality treatment of thymoma; Vascular lesions of the mediastinum; Combined cervico - thoracic approaches for complex mediastinal masses; Intraoperative strategy in patients with extended involvement of mediastinal structures; The role of surgical resection for locally recurring mediastinal tumors; Modern Radiotherapy for Mediastinal Disease; Surgery of the mediastinum -historical notes.

This book provides a complete overview of all modalities used for hand and wrist imaging, along with a complete overview of the various disease entities that can be diagnosed. As a state-of-the-art overview of hand and wrist imaging it is a reference work for radiologists, hand surgeons, orthopedists, traumatologists, rheumatologists and internists and their residents in training. The chapters are written by experts in musculoskeletal radiology from various European countries and the USA.

Essentials of Robotic Surgery is designed to present a comprehensive and state-of-the-art approach to robotic surgery within the broad confines of general surgery. Sections address preliminary issues faced by surgeons who may be initially undertaking robotics. These areas include training, basic techniques and setup, as well as general troubleshooting. Subsequent chapters focus on specific disease processes and the robotic applications for those procedures. Written by experts in the field, each of these sections addresses patient selection, preoperative considerations, technical conduct of the most common operations, and avoiding complications. A brief review of the existing literature addressing the particular topic follows in each section. The text concludes with chapters on other robotic platforms beyond the only current FDA approved device (Intuitive Surgical) as well as future directions, including single-site, enhanced imaging, 3-D modeling, and tele-proctoring, including to and distant site surgery. Extensive illustrations and links to video make this an interactive text that will be of great value to general surgeons and associated sub-specialists, trainees including residents and fellows, fully trained surgeons looking to start a robotic surgery practice, and experienced robotic surgeons looking to expand the types of procedures that they currently perform robotically.

Because of their constant use and intricate architecture, the foot and ankle can be the source of many problems. As a result, imaging is crucial for diagnostic purposes and so that treatment decisions can be made. This issue reviews imaging of soft-tissue lesions, osteochondral lesions, and metatarsalgia. Sonography of the hind and mid foot, Imaging of Lis Franc injury, and imaging of the diabetic pedal osteomyelitis are also covered among other topics.

This practice-oriented book provides a comprehensive and up-to-date review of the history, surgical anatomy, etiology, pathogenesis, clinical presentation and treatment of primary, secondary, and tertiary hyperparathyroidism. The coverage is wide ranging, encompassing, for example, innovations in both medical and surgical treatment, current indications for parathyroidectomy, the role and performance of minimally invasive surgery, the value of intraoperative parathyroid hormone monitoring and guidance on reoperations. Individual chapters are devoted to particular conditions and disease settings, including multiple endocrine neoplasia types 1 and 2 and parathyroid carcinoma, with provision of information on genetic testing, clinical manifestations and therapy. All aspects of secondary hyperparathyroidism in predialysis and dialysis patients are discussed. The book is endorsed by the Italian Society of Surgery. It will be of great value for endocrine surgeons and endocrinologists and will also be of interest to specialists in internal medicine, nephrologists, urologists, gynecologists and radiologists.

Nasal continuous positive airway pressure ventilation is the gold standard in the treatment of obstructive sleep apnea. Long-term compliance rates are about 60%. Therefore, several alternative treatment options are of special interest. Beside conservative therapies, various surgical concepts exist. The field of surgery for sleep disordered breathing has rapidly grown with new instrumentation and surgical techniques in the last 10 years. Surgeons in these fields have to attend scientific meetings, participate in workshops, and read the literature to stay up to date. In our sleep laboratories we conduct 30 polysomnographies each night. Each year, we perform almost 1,000 surgical procedures for sleep disordered breathing apart from numerous other conservative and apparative treatment modalities. Referring to our expe- ence and the present literature, we tried to give new information on surgical techniques in this second edition. The chapters are grouped in different anatomical fields of interest. We wanted to give general advice and specific new hints for the surgery of sleep disordered breathing so that the reader learns basic techniques followed by more advanced surgery. In addition to the illustrated surgical descriptions, the chapters contain informations about indications and contraindications of each surgical procedure and the postoperative care. Special interest has been dedicated to evidence-based medicine. So in each chapter, there is a table of references summarizing the effectiveness of the procedure and EBM grade.

This new book explores the increasingly popular field of electrical stimulation of lesions of the musculoskeletal system, exploring its use in both research and treatment. Presenting an overview of the field, Electrical Stimulation describes clinical experience with electrical stimulation in orthopedic, neuro- and plastic surgery, biological sources of electrical signals, and electromechanical characterization of tissues. Timely and detailed, this volume provides an understanding of this important and growing field to all those who are affected by it.

With the growing age of the population, the proportion of elderly patients with diffuse coronary artery disease and severe comorbidities is increasing. The characteristics of these patients render them unsuitable for currently recognized revascularization procedures (CABG, PTCA). Therefore, there is an urgent need for new treatment modalities which could alleviate their symptoms and increase blood flow to the ischemic myocardium, while being less invasive for their fragile condition. The aim of this book is to provide an anatomical and physiological background as well as a complete review of the alternative methods of revascularization which are under development, namely transmyocardial laser revascularization, therapeutic angiogenesis and neurostimulation.

The severe spondylolisthesis/spondyloptosis is still a controverse chapter in spine surgery. This book discusses the state of the art and defines therapeutic strategies. The contributing authors are well-known specialists in the field.

The starting point for the treatment of hip disease depends on how we can preserve the natural hip joint and on steps leading to regeneration of the diseased, injured, or destroyed joint. Preservation and regeneration treatments following traditional and theoretical methods do not need to use expensive materials such as the artificial joints used in arthroplasty. On the other hand, these treatments are difficult to perform and require a long rehabilitation period. The result has been a move away from traditional methods, denying the surgeon experience and knowledge of the benefits associated with the most biologically appropriate treatment. This book, a selection of the papers presented at the 32nd Japanese Hip Society (JHS) Congress, includes the latest knowledge on preservation and regeneration treatments as well as arthroplasty, and is an invaluable source of reference for all who work in the field of orthopedic surgery.

This book focuses on the current clinical practice, outcome and the future development of Total Knee Arthroplasty (TKA) in surgical settings. A major objective of this work is to address "What is the optimal design and fixation of the implants we use for knee arthroplasty reconstruction? What are the gold standards? and, Can we do better?". In an attempt to throw light on these questions, the authors evaluate data from clinical studies and assess various factors which may influence the long term outcome of TKA. Many variables such as age, severity, implant design and surgical techniques for appropriate component placement and soft tissue balancing are explored in great detail by expert surgeons in the field. Total Knee Arthroplasty: Long Term Outcomes will be a useful resource for recently qualified surgeons in search of an introduction to this topic and for more experienced surgeons seeking an in-depth critical review of current practices in TKA.

As a result to the recent significant developments, both in the field of cutaneous pathology and clinical dermatology, many cutaneous neural tumors s are now being diagnosed by specialists like dermatopathologists, and treated by dermatologists or dermatologic surgeons. Cutaneous Neural Neoplasms provides an essential aid in diagnosis by discussing the cardinal clinico-pathologic features of cutaneous tumors relevant to these specialists. It covers detailed pathologic features, and their differential diagnosis. Applicable special diagnostic techniques are extensively illustrated. Whenever relevant, key therapeutic recommendations are provided. Unique topics covered include; Discussion of plexiform neural tumors and their imitators, with special relevance to neurofibromatosis Neoplasms with atypical microscopic features, but benign clinical behavior, which are often misdiagnosed as malignant tumors New developments in cutaneous neural tumor diagnosis and recently described neural tumors The authors approach each entity by presenting clinical and/or gross photographs when relevant with discussion of the clinical features, followed by the tabulated list of key pathologic features with corresponding histopathologic illustrations. Therapeutic recommendations are summarized. This book is intended to fill a major gap in the currently available resources for practicing physicians, and will provide them with an appropriate knowledge base to handle these challenging tumors in the most up-to-date fashion.

"Anaesthesia and the Lung 1992" presents recent advances in the diagnosis, pre-, intra-, and postoperative anaesthetic management of patients with lung disease, presenting for pulmonary and non-pulmonary surgery. It also deals with ventilation - perfusion issues, the lung as a metabolic organ, the effects of anaesthesia on pulmonary mechanics and pulmonary blood flow. In addition, there are chapters that focus on hypoxia; regional differences in the lung; pulmonary surfactant; recent advances in the understanding of pulmonary edema; high altitude disease; anaesthesia and the control of breathing; recent development in oximetry; instrumentation designed to measure pulmonary oxygen tension, pO2 and pCO2 transcutaneously; differential lung ventilation; reactive airways; septic shock; the adult respiratory distress syndrome and numerous aspects of ventilatory support.

Practical Ultrasound in Anesthesia for Critical Care and Pain Management is a stand-alone comprehensive reference that covers important aspects of ultrasound for the practicing anesthesiologist. Beginning with a background on the physics of equipment and practical applications, this text takes the specialist through subjects like needle visualization, teaching, training, accreditation, and getting the best out of your ultrasound equipment. With high-resolution ultrasound photographs Practical Ultrasound in Anesthesia for Critical Care and Pain Management covers topics that explore: vascular access nerve blockade echocardiography transesophageal echocardiography - evaluation of the valves basic echo Doppler transesophageal Doppler transcranial Doppler the respiratory system Also included is a fully developed CD, that includes high-resolution video clips of actual ultrasound examples, organized in an easy cross-referenced fashion for the busy clinician.

Hip Magnetic Resonance Imaging presents a basic yet comprehensive discussion of the role and use of MRI in the diagnosis and treatment of injuries and diseases of the hip, highlighting common concerns and procedures. Beginning with the principles of MRI and dGEMRIC and moving on to normal and abnormal hip anatomy, the focus shifts to the MRI techniques used in the detection of disease conditions of the hip, including labral disease, osteonecrosis, extra-articular conditions and cartilage damage. Chapters on the utilization of biochemical imaging biomarkers in the treatment of hip disorders round out the text. Written by experts in radiology and orthopedics and generously illustrated with MRI radiographs, this book will be an important reference work for clinicians in those fields, as well as practitioners of sports medicine and primary care physicians.

Physical Therapy – Treatment of Common Orthopedic Conditions is a highly illustrated, evidence-based guide to the treatment of a range of common orthopaedic disorders, edited by US based experts in the field. Divided into sixteen chapters, across three sections, the book begins with a section on upper extremity, including conditions such as thoracic outlet syndrome, rotator cuff impingement, and carpal tunnel syndrome. The second section covers the spine, including sprains and strains, and cervical radiculopathy. The final section focuses on lower extremity, covering conditions such as hamstring strain, tendinopathy, and medial tibial stress syndrome. Each chapter begins with an overview of important information for diagnosis, followed by detailed evaluation and treatment approaches, which include conservative therapy, as well as complimentary, alternative, medical and surgical interventions. The text is enhanced by 850 full colour images and illustrations. Physical Therapy – Treatment of Common Orthopedic Conditions references more than 1700 journal articles and books, ensuring authoritative content throughout this valuable resource for physiotherapists. Key Points Evidence-based guide to the treatment of a range of common orthopaedic conditions USA-based, expert editorial team References from over 1700 authoritative journal articles and books 850 full colour images and illustrations

This book will provide both an evidence base and practical recommendations for the treatment of patients with congenital heart disease. It will be a resource to all health care providers, including pediatric cardiologists, pediatric intensivists, pediatric heart surgeons, fetal specialists, maternal fetal medicine specialists, neonatologists, nurses, advanced practice nurses, in addition to trainees in the field. It will summarize world knowledge on the topic of heart failure in patients with congenital heart disease. It will provide an in depth analysis of the current methods of diagnosis and treatment of heart failure. Now that surgical results are at record success rates, more patients with congenital heart disease are surviving, and thus at risk for sequelae from their disease, including heart failure. It will provide evidence based and practical recommendations to the practitioner for the management of heart failure signs and symptoms.