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For more than 30 years, we have taught limb correction surgery at the annual Baltimore Limb Deformity Course (www.DeformityCourse.com). We have used these hands-on experiences with our students to guide us when creating this book. The Art of Limb Alignment is a concise guide for beginners starting on their journey to master the art of limb alignment. Understanding limb alignment and malalignment is a critical task for surgeons who treat lower extremity deformities. The first task is to characterize the deformity: Is the bone angulated? In what direction is the bone angulated? What is the level of the deformity? Where is the apex of the deformity? What is the magnitude of the deformity? Is the bone short? Is it rotated on its axis? All these questions must be answered before correcting the problem. In Chapter 10 of this tenth edition, digital planning software (Bone Ninja app, available as an iPad app teaching tool through the App Store) is used to show the reverse planning method for femoral deformity. Reverse planning using manual methods was introduced by Rainer Baumgart in 2009. In a normal femur, the anatomic and mechanical axes deviate from each other by 5˚ to 7˚. By using reverse planning to "begin with the end in mind," the surgeon will minimize risk of unwanted mechanical axis deviation secondary this anatomic-mechanical axis divergence. In Chapter 13, the principles of MAP the ABCs are applied to common conditions seen in foot and ankle deformities. Foot and ankle deformity correction can be challenging to treat due to the compensation from the joints within the foot. This chapter shows step-by-step analysis and correction of four deformities: a pes planus foot with hallux valgus, cavus foot, rockerbottom midfoot, and ankle varus malunion. The Art of Limb Alignment is intentionally short, concise, and we hope, easy to master. The theme is that of student and teacher (sensei) embarking on a voyage to master the art of limb alignment. Enjoy the journey!
Chapman’s Comprehensive Orthopaedic Surgery, 4th Edition, comprising 5807 pages across five volumes, has been totally updated and expanded to provide comprehensive coverage of the workup, medical and surgical treatment and rehabilitation of musculoskeletal disorders. The senior editors and 12 section editors from the University of California Davis Medical Center along with 554 internationally renowned experts provide in 12 subspecialty sections, containing 285 chapters, detailed coverage of all aspects of orthopaedic surgery and physical medicine and rehabilitation. The book begins with the physical examination and workup of musculoskeletal disorders, preoperative planning and perioperative management. This is followed by subspecialty sections on fractures and dislocations, malunions and nonunions, infectious, metabolic, neurological and other disorders, the hand-wrist and forearm, microsurgery, shoulder and elbow, oncology, amputations, sports injuries and arthroscopy, foot and ankle, spine, pediatric disorders. The final section contains 26 extensive chapters on physical medicine and rehabilitation. Chapman’s Comprehensive Orthopaedic Surgery is an indispensable resource for practicing orthopaedic surgeons, residents, fellows and physiatrists. In addition to the total evaluation and workup of the patient, the step-by step description of over 1500 surgical procedures are bulleted for clarity with “tips and tricks”. The text is richly illustrated with over 13,000 drawings, images, charts, tables and algorithms. Key Points New, completely revised and expanded comprehensive 5807-page guide to orthopaedic surgery, physical medicine and rehabilitation Previous edition (9780781714877) published in 2001 554 internationally renowned contributors 12 subspecialty sections edited by experts from the University of California Davis Medical Center Over 13,000 illustrations, images, tables and algorithms Electronic-edition with full text and links to videos is accessible online and accompanies the purchase of the print edition
This book is an invaluable resource for all those seeking to enhance their proficiency in physical examination. Emphasizing its importance for thorough assessments and accurate diagnoses, it equips practitioners with comprehensive theoretical and practical knowledge. With seven sections devoted to different orthopedic structures, the book meticulously examines their underlying anatomy, pathological conditions, and diagnostic methodologies. Each author presents joint-specific tests, and detailed anatomical insights, enabling accurate assessments and identification of underlying conditions. Written and edited by members of ISAKOS, this collaboration draws upon the expertise of leading international experts. Appealing to a broad readership, it is an invaluable tool for orthopedists, sports medicine physicians, physical therapists, athletic trainers and students.
This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery
Providing a comprehensive presentation of the diagnosis, evaluation and management of malunions, this generously illustrated text details the current principles, surgical techniques and approaches with these challenging clinical situations. Since each malunion can be fairly specific, the treatment regimens provide guidelines to effectively approach such problems. Opening with a brief overview of the principles of malunions, the remainder of the book is divided by anatomical area and provides evidence-based recommendations, case examples, and preferred treatment/algorithms for both the upper and lower extremities, including the clavicle, proximal and distal humerus, hand and wrist, proximal and distal femur, and tibia and ankle, as well as the pelvis and acetabulum. Specialized circumstances are also discussed, including periprosthetics and joint replacement. Although not every single treatment option is described for every single anatomical area and type of injury, Malunions is an excellent resource for orthopedic trauma surgeons, residents and students, not only for managing these common yet complex problems but also in preventing malunions from occurring by avoiding surgical causes and mitigating patient risk factors.
In this issue of Clinics in Podiatric Medicine and Surgery, guest editor Dr. Jeffrey E. McAlister brings his considerable expertise to the topic of Updates in Foot and Ankle Arthritis. Top experts in the field discuss the most recent updates in the field, highlighting the first metatarsal phalangeal joint, tarsaometatarsal joints, the navicular cuneiform joint, subtalor joint and the ankle joint, and more. - Contains 15 relevant, practice-oriented topics including the first metatarsal phalangeal joint: updates on revision arthrodesis and malunions; management of midfoot Charcot: minimally invasive techniques and improved fixation; the navicular cuneiform joint: updates on avoiding and managing a non-union; the ankle joint: revision ankle fusion options, nonunion, malunion, protocol for best outcome; and more. - Provides in-depth clinical reviews on foot and ankle arthritis, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
With its sweeping coverage of core knowledge across all orthopaedic specialties, AAOS Comprehensive Orthopaedic Review 4 helps you prepare for exams, retain information, and master the knowledge you need for success in clinical practice. Edited by Geoffrey S. Marecek, MD, FAAOS and a team of board-certified section editors, this 3-volume study set effectively prepares you for the Orthopaedic In-Training Examination® (OITE®), the American Board of Orthopaedic Surgery (ABOS) Board Certification exam, and other tests, all in a convenient, user-friendly format. Organized by specialty, each of the 151 chapters in volumes 1 and 2 is packed with color images, illustrations, tables, and charts to support the material and help you retain the information. Volume 3 contains more than 450 multiple-choice companion study questions, including the preferred response with additional discussion and explanation of the topics.
This issue of Foot and Ankle Clinics, guest edited by Dr. Andy Molloy, will discuss Correction of Severe Foot and Ankle Deformities. This issue is one of four selected each year by long time series Consulting Editor, Dr. Mark Myerson. Topics in this issue will include: Correction of severe hallux valgus with metatarsus adductus; Treatment of stage IV flatfoot; Reconstruction of severe ankle and pilon fracture malunions; Multiplanar deformity correction using patient specific guides; Managing severe malunited calcaneus fractures; Correction of the neglected clubfoot in the adolescent and adult patient; Surgical strategies in Hereditary Sensory Motor neuropathy; An approach to managing midfoot Charcot deformities; My algorithm for treating hindfoot and ankle Charcot deformity; Strategies for salvage arthrodesis following failed total ankle replacement; among others.
Derived from Sam W. Wiesel and Todd J. Albert’s four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains a comprehensive, authoritative review of operative techniques in pediatric orthopaedic surgery. In one convenient place, you’ll find the entire Pediatrics section, as well as relevant chapters from the Adult Reconstruction; Foot and Ankle; Hand, Wrist, and Forearm; Oncology; Pelvis and Lower Extremity Trauma; Shoulder and Elbow; Spine; and Sports Medicine sections of Operative Techniques in Orthopaedic Surgery. Superb full-color illustrations and step-by-step explanations help you master surgical techniques, select the best procedure, avoid complications, and anticipate outcomes. Written by global experts from leading institutions, Operative Techniques in Pediatric Orthopaedic Surgery, Third Edition, clearly demonstrates how to perform the techniques, making this an essential daily resource for residents, fellows, and practitioners.
Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.