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Posttraumatic stump formation and replantation of the severed limb are both reconstructive plastic operations which may lead to the improvement or destruction of a patient's lifestyle. For the primary attending surgeon, the decision whether to undertake such an operation depends on the patient's clinical condition, the operational circumstances, the psychological and social aspects and, last but not least, on the surgeon's own abilities. This monograph is designed as a synopsis of the great number of patho-physiological parameters and surgical and rehabilitational aspects which must be considered in the analysis of complications in major limb replantation. In addition, basic information about the key role of ischemic myopathy and microangiopathy is supplied to encourage further experimental investigations.
Extremity Replantation is a comprehensive text covering all aspects of the upper and lower limb, with an emphasis on state-of-the-art techniques in the surgical and medical management of amputation and avulsion injuries as well as the current understanding of the recovery of function following replantation. It is organized following anatomical zones – thumb, digits, wrist, forearm and elbow; foot, ankle and lower leg – with special chapters dedicated to issues common to all replants, such as complications, medical management, nerve recovery and rehabilitation. Furthermore, the international team of authors demonstrates approaches from the entire spectrum of replantation care specialists, including plastic and reconstructive surgeons, orthopedists, and hand therapists. Generously illustrated with intra-operative photos, this book will serve as a standard reference for orthopedic, reconstructive, plastic, and hand surgeons as well as physicians or ancillary medical staff caring for the replant patient.
First multi-year cumulation covers six years: 1965-70.
Vascular surgery has seen a remarkable evolution. A discipline focused on the natural history and treatment of vascular disease by open operation is now primarily a minimally invasive specialty. Mastery of the basic pathophysiology has been retained while the transformation by improved imaging and endovascular intervention has been integrated into practice. This fourth edition of Vascular Surgery: Principles and Practice has incorporated these advances building on the specialty’s past assets. Knowledge of natural history and open surgery will always have an essential role in optimal care of patients with vascular diseases. The authors’ exposition of the old and the new will make this edition a valuable resource for vascular surgeons and all others dedicated to the care of vascular patients.
Offering expert, comprehensive guidance on the basic science, diagnosis, and treatment of acute musculoskeletal injuries and post-traumatic reconstructive problems, Skeletal Trauma, 6th Edition, brings you fully up to date with current approaches in this challenging specialty. This revised edition is designed to meet the needs of orthopaedic surgeons, residents, fellows, and traumatologists, as well as emergency physicians who treat patients with musculoskeletal trauma. International thought leaders incorporate the latest peer-reviewed literature, technological advances, and practical advice with the goal of optimizing patient outcomes for the full range of traumatic musculoskeletal injuries. - Offers complete coverage of relevant anatomy and biomechanics, mechanisms of injury, diagnostic approaches, treatment options, and associated complications. - Includes eight new chapters dedicated to advances in technology and addressing key problems and procedures, such as Initial Evaluation of the Spine in Trauma Patients, Management of Perioperative Pain Associated with Trauma and Surgery, Chronic Pain Management (fully addressing the opioid epidemic), Understanding and Treating Chronic Osteomyelitis, and more. - Features a complimentary one-year subscription to OrthoEvidence, a global online platform that provides high-quality, peer-reviewed and timely orthopaedic evidence-based summaries of the latest and most relevant literature. Contains unique, critical information on mass casualty incidents and war injuries, with contributions from active duty military surgeons and physicians in collaboration with civilian authors to address injuries caused by road traffic, armed conflict, civil wars, and insurgencies throughout the world. - Features important call out boxes summarizing key points, pearls and pitfalls, and outcomes. - Provides access to nearly 130 instructional videos that demonstrate principles of care and outline detailed surgical procedures. - Contains a wealth of high-quality illustrations, full-color photographs, and diagnostic images. - 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.
This comprehensive, authoritative text presents the scientific foundations and clinical practice of neural blockade in both regional anesthesia and the management of pain. The descriptions and illustrations of pain mechanisms are considered classic examples. The Fourth Edition has been refined for clarity and flows logically from principles and pharmacology, to techniques for each anatomic region, to applications. This edition has two new co-editors and several new chapters on topics including neurologic complications, neural blockade for surgery, treatment of pain in older people, and complications in pain medicine. A companion Website will offer the fully searchable text and an image bank.
The new, 4th Edition of this landmark 2-volume set retains its traditional place as the worlds most comprehensive reference on all aspects of hand surgery. A multitude of leading authorities describe a complete range of operative techniques (both open andarthroscopic) while also offering broad clinical perspectives. Over 2,000 superb illustrations and exhaustive reference lists complement this resources state-of-the-art guidance. Highlighted sections throughout the book provide anatomical insights and showcase the contributors preferred surgical methods. New and greatly increased coverage explores the latest techniques for wrist and elbow arthroscopy, microsurgery, and external fixation for limb lengthening. Expanded discussions address conditions such as epicondylitis, thoracic outlet syndrome, neuromas, infections, and heterotopic ossification. New contributors for many chapters provide a fresh look at traditional topics.