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External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used.
This textbook aims to provide the reader with a complete understanding of distal radius fractures, their inherent problems, and how to manage them successfully. It is written by widely published experts from a part of the globe where distal radius fractures are very common, especially during the winter months. Clear guidance is provided on diagnostic imaging, classification, and assessment of fracture instability. The complete spectrum of operative and nonoperative treatment options are then clearly explained with the aid of step-by-step illustrations. Extensive information is also provided on complications and their treatment. Both students and experienced practitioners will find this book to be an enlightening, practice-oriented reference on the management of these challenging fractures.
External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used.
External fixation in Orthopedic traumatology is a textbook that focuses on the use of external fixation in the acute management of patients with serious orthopedic injuries. The book highlights the indications for external fixation and provides an evidenced based guide to both the specialist orthopedic surgeon and the trainee. The manuscript is organised in 15 chapters covering the indications and surgical techniques for pelvis, lower limb and upper limb injuries, including detailed illustrations and clinical photographs that will enable the reader to rapidly visualise the structure of the construct and to plan the surgery accordingly. More general topics such as damage control orthopedics, the biomechanics of external fixation and medico-legal considerations surrounding the injured patients are also included to provide an overall picture of the Orthopedic trauma patient. The Combined experience of the editors and authors, their involvement in a number of external fixation system designs and their international reputation in the field contribute to making this textbook an essential tool that should be available to all orthopedic surgeons dealing with injured patients.
This encyclopedia is an authoritative compilation of practical information on major topics in trauma management. Its encyclopedic format will allow the reader to rapidly find up-to-date information on a specific topic of interest. The book is organized in an organ-based manner for ease of use when a practitioner is confronted with a particular injury. Each chapter takes the form of a clearly structured review of the subject in question and includes informative illustrations and tables as well as lists of classic references. In addition to the full range of organ-specific injuries, a number of important further topics are covered, including critical care of the trauma patient, trauma system organization, mass injury scenarios, the impact of new technologies, complications in trauma care, and ethical issues. All of the authors are leading experts, and the encyclopedia will provide an excellent source of information for both basic and clinical scientists and trainees in various fields.
This volume deals with the transosseous external fixation techniques that I have been developing over the course of the past 40 years. During this time, our research in medicine, biology and engineering has led to the evolution of more than 800 unique, highly effective methods of treatment that extend beyond the realm of traumatology and orthopedics. The book features a comprehensive theoretical and clinical description of the biologic laws governing the depen dence of the shape-forming processes of bones and joints upon the adequacy of blood supply, as well as a delineation of the effect of tension-stress upon the genesis and growth of tissues. I have in cluded our latest data on tissue growth and regeneration during transosseous osteosyntheses. The book summarizes the biomechanical principles of applica tion of my apparatus; clinical cases selected from more than 25000 patients illustrate the management of some of the most complex disorders of the locomotor system. New solutions to many therapeutic problems are described. In particular, severe limb trauma with large defects of bone, vessels, nerves and skin can be managed without resort to transplantation. Radical debridement surgery can be followed by a one-step restora tion of the missing tissue, thus decreasing the likelihood of a serious wound infection or an amputation.
This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments.
Biomechanics is often overlooked when dealing with orthopedic injuries, whether regarding prevention or treatment, and practicing surgeons and surgeons-in-training may feel overwhelmed when referring to a book with a more complicated basic science approach. In order to make the subject clinically relevant to orthopedic trauma surgery, this unique text presents numerous clinical case examples to demonstrate clearly and effectively the principles biomechanics of injury, fixation and fracture healing. Divided into five sections, the opening chapters cover the essentials of stress and strain relevant to bone and joints and how this relates to fractures and their healing, complete with illustrative case material. This case-based approach is carried throughout the book, with part two discussing biomechanical principles of external fixation for diaphyseal and periarticular fractures, limb lengthening and deformity correction. Tension band wiring for both olecranon and patella fractures are covered in part three, and both locking and nonlocking plates are illustrated in part four. The final section describes biomechanical principles of intramedullary nails for a variety of fractures and nonunions, as well as arthrodesis and lengthening. Generous radiological images and intraoperative photos provide a helpful visual enhancement for the clinical material. Making the sometimes esoteric topic of biomechanics more clinically relevant to the practicing clinician, Essential Biomechanics for Orthopedic Trauma will be an excellent resource not only for orthopedic surgeons, sports medicine specialists and trauma surgeons, but also medical and biomedical engineering students and residents.
This book provides a complete overview of the various types of fractures around the knee. Each chapter addresses anatomical key features, surgical procedures, postoperative regimes and complication strategies. International knee experts discuss how to improve osteosynthesis techniques as well as pearls and pitfalls for each type of knee fracture. Current clinical outcomes are included throughout and the authors recommend their preferred therapeutic approach and salvage measures if required. Knee Fractures is an essential, go-to resource for orthopaedic surgeons dealing with the total spectrum of simple and complex knee fractures in daily clinical practice.
Comprised exclusively of clinical cases covering injuries to the proximal interphalangeal (PIP) joint, this concise, practical casebook will provide orthopedic surgeons and hand surgeons with the best real-world strategies to properly manage the multifaceted surgical techniques for management of the PIP. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Cases included illustrate both operative and non-operative treatment of volar fracture dislocations, dorsal block splinting and pinning, ORIF with screw fixation, volar plate and hemi hamate arthroplasty, PIP joint fusion, and pediatric PIP joint injuries, among others. Pragmatic and reader-friendly, PIP Joint Fracture Dislocations: A Clinical Casebook will be an excellent resource for orthopedic surgeons and Hand surgeons confronted with both common and complex fractures to the PIP joint.