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This unique, case-based text offers a comprehensive discussion of pelvic and proximal femoral osteotomies in the pediatric population. Beginning with chapters on preoperative planning and radiologic evaluation of the adolescent hip, subsequent chapters are sensibly divided into three thematic sections, which use a consistent chapter format presenting the case history, relevant imaging, treatment goals, the management strategy, and clinical pearls and pitfalls. Part I describes the various pediatric pelvic osteotomies, including the Salter, Pol de Coeur, Tönnis, Pemberton, and San Diego approaches, among others. Pediatric proximal femoral osteotomies comprise part II, presenting the McHale procedure, varus and valgus osteotomies, Morscher osteotomy, and Shepherd’s Crook deformity, to name just a few. The final section covers combined and miscellaneous osteotomies and procedures for the pediatric hip, such as osteochondroplasty, hip instability, hip arthrodesis, and SUPERhip and SUPERhip2 procedures for congenital femoral deficiency. Each chapter is generously illustrated and includes a handy table of indications and contraindications for the procedure described. In infancy, childhood and adolescence, the hip joint is very susceptible to abnormalities (congenital or acquired) that may lead to morphological alterations with potential sequelae, specifically pain and difficulty to ambulate, sit and perform daily activities. Restoring normal anatomy and biomechanics of the hip joint by various pelvic and/or proximal femoral osteotomies remains the cornerstone in the management of these conditions. To this end, Pediatric Pelvic and Proximal Femoral Osteotomies will be an invaluable resource for all pediatric orthopedic surgeons, trainees and students both in the medical and paramedical field.
The field of hip preservation surgery has evolved over the past decade as our understanding of hip pathomechanics and pathomorphology has expanded. The published literature on non-arthritic hip pathology, for example, has grown exponentially. The topics of controversy in the past decade have been answered in some cases, but new questions have also arisen. In addition to the 99 chapters in the original edition – most of which will be retained and updated as applicable – there will be over 30 brand new chapters focusing on new and more sophisticated techniques from authors that have been the pioneers of the field. The text is divided into nine thematic sections, covering the breadth of the topic and the current state of the art: basic science of the hip; operative basics for hip arthroscopy and open hip preservation surgery; pediatric hip conditions; approaches to disorders of the hip and pelvis; enthesopathy and neuromuscular disorders; hip fractures and instability; avascular necrosis; hip cartilage restoration; and oncologic conditions. Throughout, there is a heavy emphasis on surgical techniques, and video clips will be included in selected chapters. Written by edited by thought leaders and seasoned practitioners in the field, this new edition of Hip Arthroscopy and Hip Joint Preservation Surgery will remain the gold standard for orthopedic surgeons and sports medicine specialists, expanding on the range of techniques available to clinicians treating injuries to and disorders of the hip.
When a child has a health problem, parents want answers. But when a child has cerebral palsy, the answers don't come quickly. A diagnosis of this complex group of chronic conditions affecting movement and coordination is difficult to make and is typically delayed until the child is eighteen months old. Although the condition may be mild or severe, even general predictions about long-term prognosis seldom come before the child's second birthday. Written by a team of experts associated with the Cerebral Palsy Program at the Alfred I. duPont Hospital for Children, this authoritative resource provides parents and families with vital information that can help them cope with uncertainty. Thoroughly updated and revised to incorporate the latest medical advances, the second edition is a comprehensive guide to cerebral palsy. The book is organized into three parts. In the first, the authors describe specific patterns of involvement (hemiplegia, diplegia, quadriplegia), explain the medical and psychosocial implications of these conditions, and tell parents how to be effective advocates for their child. In the second part, the authors provide a wealth of practical advice about caregiving from nutrition to mobility. Part three features an extensive alphabetically arranged encyclopedia that defines and describes medical terms and diagnoses, medical and surgical procedures, and orthopedic and other assistive devices. Also included are lists of resources and recommended reading.
The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth).
The difference between an average surgeon and a master surgeon is often an ability to navigate and resolve surgical complications. Complications in Orthopaedics: Pediatrics provides expert guidance and offers real solutions to improve patient outcomes, both for the trainee and for the experienced surgeon. This brand new volume in the new Complications in Orthopaedics series from Dr. Stephen R. Thompson, co-editor of Miller's Orthopaedics and DeLee & Drez's Orthopaedic Sports Medicine, and Dr. Matthew R. Schmitz, focuses on how to get out of the weeds, with practical, use-now advice on pediatric trauma, upper extremity, spine, lower extremity, and neuromuscular/congenital disorders. - Describes how to navigate the most common or most devastating errors and complications in pediatric orthopaedic surgery, combining the breadth of knowledge of academic surgeons with the "'in-the-trenches skills of community surgeons. - Follows a templated, reader-friendly format throughout. - Emphasizes how to recognize and avoid errors, with thorough coverage of preoperative errors, intraoperative issues, and postoperative complications. - Includes video clips, clinical images, and MRI and CT scans to enhance and reinforce the material.
The normal child's hip is an intricate balance between a growing acetabulum, a growing proximal femur and the vasculature that accommodates to the bony changes. When that balance is disrupted, due to trauma, genetics, or other conditions, physicians have options. This issue, edited by James T. Guille, MD at Shriners Hospital in Philadelphia covers evaluation of hip pain, using ultrasound in diagnoses, treatment of developmental dysplasia, slipped capital femoral epiphysis, paralysis, fractures and more. Key words: hip, dislocation, contracture, spinal cord injury (SCI), dysplasia, fracture, septic arthritis, hip arthroscopy, degenerative hip disease in adolescents, cerebral palsy, slipped capital femoral epiphysis paralysis
This book represents the most advanced understanding of diagnosis and management of hip dysplasia in the young adult, written by the world’s leading experts and covering advanced imaging and biomechanical studies as well as latest surgical techniques. This is especially timely, as the field of hip preservation surgery is in constant evolution, and it is critical that surgeons and researchers combine their efforts to provide the best evidence-based knowledge to all health care providers evaluating and treating patients suffering from pre-arthritic hip pain. Not only does this book discuss the most up-to-date information on the etiology and natural history of hip dysplasia, as well as pathomechanics and traditional and advanced imaging, it also presents new conceptions of its classification and subsequent management. The focus throughout the book is that hip dysplasia is a problem of instability, where both the bony structure and the soft tissue envelope (i.e., capsule, ligaments and muscles) are at play. Moreover, although corrective osteotomies such as the peri-acetabular osteotomy will remain the dominant treatment option, non-surgical treatments as well as hip arthroscopy are now being increasingly recognized as useful adjuncts in order for our patients to return to their desired activities. Finally, as the longevity of joint replacement surgery has improved dramatically, this should be strongly considered in cases where the outcome of joint preserving surgery is not as predictable. Orthopedic surgeons, sports medicine physicians, physiatrists and physiotherapists alike will find this book a valuable resource when treating the young adult with symptomatic hip dysplasia.
For more than 100 years, congenital dislocation of the hip has been an area of concern in orthopedics. This publications on the subject are al most too numerous to count. Yet our knowledge of the basic principles of congenital hip dislocation and its management is constantly being expanded by new research. In Germanspeaking countries, Kaiser pub lished the last comprehensive textbook on congenital hip dislocation in 1958, and Schlegel followed with a comprehensive handbook in 1961. In the Angloamerican world, Coleman's monograph was pub lished in 1978, Somerville's in 1982, and Wilkinson's in 1985. In 1982 Tachdjian compiled a volume on congenital hip dislocation that con tained contributions from 44 authorities. The purpose of the present book is to provide an overview of our pre sent state of knowledge of congenital hip dislocation, covering basic principles, diagnosis, methods of closed and open treatment, and indi cations. In the process, an attempt is made to trace progress in the field from its beginnings to the present time. Many authors describe the diagnosis and treatment of congenital hip dysplasia and dislocation in terms of specific age groups. We believe it is more prudent to take an individualized approach based on arthro graphic findings and the degree of severity of pathologic changes. Less emphasis is placed here on the management of patients by age group.
This book provides an evidence-based approach to treating the increasing number of children and adolescents presenting with hip disorders. It integrates the most up-to-date data with essential knowledge, gleaned from decades of previous research and practice. Each chapter provides a comprehensive text which integrates relevant pathophysiology, clinical assessment, and imaging, with an evidence-based approach to non-operative and operative management, authored by globally recognized experts in the field of pediatric hip surgery. Detailed surgical techniques, illustrated with original medical drawings and accompanied by their respective indications, anticipated outcomes, and potential complications, are also featured, in this first orthopedic text dedicated solely to the pediatric and adolescent hip. The Paediatric and Adolescent Hip: Essentials and Evidence will be an indispensable resource for wide spectrum of audience including paediatric orthopaedic surgeons, general practitioners, general orthopaedic surgeons, trauma surgeons, orthopaedic residents, emergency department doctors, and physiotherapists seeking a clear and consistent evidence-based guide to treating the paediatric hip.
Lavishly illustrated, comprehensive in scope, and easy to use, the second edition of Operative Techniques in Orthopaedic Surgery guides you to mastery of every surgical procedure you’re likely to perform – while also providing a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. More than 800 global experts take you step by step through each procedure, and 13,000 full-color intraoperative photographs and drawings clearly demonstrate how to perform the techniques. Extensive use of bulleted points and a highly templated format allow for quick and easy reference across each of the four volumes.