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Arthroplasty of the upper extremity is an established surgical intervention in the management of arthritis of the elbow, wrist and hand. The anatomy, kinematics and demands of the elbow, wrist, thumb CMC, and finger MCP and PIP joints pose unique surgical challenges. Implant design considerations are important in providing a joint that mimics the native joints and maximizes survivorship. However, outcomes are less predictable in these upper extremity joints when compared to the hips and knees. Each joint also carries its own set of potential complications and salvage options for revision and failed arthroplasty. This unique text helps the orthopedic and hand surgeon understand the surgical approaches, unique anatomic considerations, and both the historical and current designs related to each respective joint, enabling the surgeon to better appreciate the benefits and limitations of each arthroplasty. Presenting the current state of the art, the seven sections proceed anatomically from the elbow to the fingers, with each section comprised of three thematic chapters discussing implant design considerations, primary arthroscopy techniques and revision arthroscopy techniques, including non-surgical options for treating these often difficult problems. This consistent approach, accompanied by plentiful figures, radiographs and intraoperative photos, ensures that this will be a user-friendly resource for orthopedic and hand surgeons, residents and trainees.
This volume in the Procedures in Reconstructive Surgery Series covers the key hand and upper extremity reconstruction techniques you need to stay on the cutting edge of this rapidly evolving specialty. Experts clearly explain how to perform procedures, sharing “tricks of the trade and clinical pearls so you can offer your patients superior results. Each book uses a concise, consistent format that complements the commentary. Master essential reconstructive surgical techniques with the comprehensive titles in this series! Provides real-life clinical details and clear visual guidance to the different operative steps with full-color illustrations and original artwork. Offers complete coverage of reconstructive techniques provided by well-recognized international authorities to provide balanced and comprehensive perspectives. Discusses common pitfalls, emphasizing optimizing outcomes, to refine the quality of your technique.
This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
A comprehensive reference on radiologic appearance, uses and complications of orthopedic devices, for radiologists, orthopedists, physicians, and students.
This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument design The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure High quality videos and 300 superb illustrations further delineate techniques This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.
The second edition of this book provides a practical guide to the latest diagnostic and therapeutic techniques in orthopedics for both the upper and lower limb. Extensively revised chapters provide detailed step-by-step instructions on how to perform basic clinical and surface, anatomy examinations on joints including the hand, elbow and ankle. The application of relevant surgical procedures and post-operative management techniques are also detailed. New topics covered include cruciate ligament injuries, and robot assisted surgery. Orthopedics of the Upper and Lower Limb is an ideal resource for trainees and junior surgeons seeking an easy to follow clinical manual on how to successfully diagnose and treat patients with orthopedic disorders affecting both limbs. It is also of use to the experienced practitioner seeking a detailed resource on the latest advances in the field.
Presenting over 100 rehabilitation protocols for the hand and upper extremity in an easy-to-use, step-by-step format, this practical reference provides surgeons and therapists alike with a go-to source for the therapy technique or strategy appropriate for their patients. Covering injuries from the shoulder, elbow, wrist, hand and fingers, each protocol includes bullet-pointed steps in daily or weekly increments following the injury or surgery and are inherently adaptable to the specific surgical intervention or rehabilitation requirement. Procedures following arthroplasty, extensor and flexor tendon injuries, fractures and dislocations, ligament and soft tissue injures, and nerve compression syndromes are among the many and multifaceted therapies presented. This book will be an invaluable resource for the orthopedic surgeon, hand surgeon, physical therapist, occupational therapist, hand therapist and any active clinician treating injuries to the hand and upper extremity.
Revised to include the most up-to-date surgical techniques and their outcomes, Morrey's The Elbow and Its Disorders, 5th Edition, is an essential reference for today's orthopaedic surgeons, appealing both to those in general practice and those with a subspecialty interest in elbow surgery. This edition by Drs. Bernard Morrey, Mark Morrey, and Joaquin Sanchez-Sotelo, provides a practical focus on technique – both in the text and on dozens of high-quality instructional videos produced at the Mayo Clinic. Authoritative guidance from leading experts enables you to provide optimal care to your patients – even those with the most challenging elbow problems. - Covers all major areas of elbow surgery, including arthroscopy, trauma, sports, pediatrics, arthroplasty, and salvage procedures. - Supplements the text with full-color-photos, illustrations, and diagrams for a more instructive and visually appealing approach. - Provides expanded coverage of key topics in trauma, soft tissue procedures, joint replacement techniques, and innovative techniques for addressing cartilage lesions and restoring joint motion. - Includes over 2 hours of exam and procedural videos – such as arthroscopic procedures, fracture fixation, arthroplasty, and other reconstructive techniques – performed by the experts online for step-by-step guidance. - Features a new section on arthroscopic surgical procedures, now with expanded indications and evolving techniques. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.
From the sternoclavicular joint to the distal phalanx, Skeletal Trauma of the Upper Extremity is a practical, one-volume resource covering all aspects of upper limb trauma and surgery. Comprehensive in scope, it features a multidisciplinary, step-by-step approach to evaluation and management, including concise background information and a detailed focus on practical points and surgical techniques. Written by global experts in traumatology, sports medicine, shoulder, elbow, and hand surgery, this richly illustrated guide brings you into the operating room with leaders in the field. - Offers detailed, practical guidance from the originators and/or masters of each procedure, along with multiple, illustrated surgical technique descriptions. - Includes pearls and pitfalls, preoperative evaluation and indications, surgical techniques, rehabilitation, and management of complications. - Features tables and figures throughout that clearly demonstrate surgical tips and tricks. - Identifies controversial topics and covers current challenges such as arthroscopic coracoclavicular/acromioclavicular joint reconstruction, reverse total shoulder arthroplasty for proximal humerus fracture, total elbow arthroplasty for fracture, interosseous membrane reconstruction of the forearm, and many more. - Contains more than 500 high-quality illustrations, including anatomical and surgical illustrations, surgical photographs, ultrasounds, and x-rays.
This comprehensive reference on total knee arthroplasty describes all surgical techniques and prosthetic designs for primary and revision arthroplasty, discusses every aspect of patient selection, preoperative planning, and intraoperative and postoperative care.