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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 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.
Craniofacial Distraction Osteogenesis addresses one of today's hottest topics in orthodontics and oral and maxillofacial surgery! This comprehensive, full-color text presents the latest information on extraoral and intraoral distraction appliances, including tooth-borne, bone-borne, and hybrid fixation methods. Readers will learn how to minimize or avoid potential complications of osteodistraction by using proper preoperative planning and execution. It includes detailed discussions of mandibular lengthening and widening, mandibular bone transport, alveolar distraction, maxillary, mid-face, and cranial distraction, and more. An extensive library of case studies collected from world-renowned surgeons demonstrates the clinical application of the various techniques.
As a result of recent advances in surgical techniques and implant technology it is now possible to perform limb reconstruction in patients with a range of congenital, posttraumatic, and postinfection pathologies. This book is a clear, practical guide to the state-of-the-art surgical procedures employed in limb reconstruction for diverse conditions. It includes precise descriptions of the techniques themselves, accompanied by numerous helpful drawings and photographs. Pearls and pitfalls are highlighted, and thorough advice is also provided on indications, preoperative planning, and postoperative follow-up. The editors have carefully selected the contributors based on their expertise, and many of the authors were themselves responsible for developing the techniques that they describe.
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 detailed descriptions of fundamental techniques that may be employed for extremity reconstruction and distraction osteogenesis in accordance with the principles established by Gavriil Abramovich Ilizarov. Techniques of proven value for deformity correction, limb lengthening, reconstruction of post-traumatic and post-osteomyelitis bone defects, non-union surgery, and fracture fixation with external fixators are thoroughly described step by step with the aid of a wealth of illustrative material. In addition, indications and preoperative planning are clearly explained. Throughout, care is taken to highlight important technical tips and tricks as well as clinical pearls and pitfalls. Since the first description of distraction osteogenesis by Ilizarov in the 1950s, numerous technical improvements have been made and new devices, developed, even though the basic principles have remained the same. This new book will be of value for both novice and more experienced surgeons who use distraction osteogenesis for the purpose of extremity reconstruction.