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This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.
Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
In this age of same-day surgery and do-it-yourself health, Knee Surgery presents an easy-to-do, well-illustrated program of movement for knee rehabilitation - with a special focus on the mind/body connection - and describes the physical and mental rehabilitation process in complete detail, providing all the guidance you need to decrease pain and increase fitness after knee surgery. Millions of people have knee surgery each year, and in the years to come millions more will head to the O.R. Chances are, you or someone you know has had or will undergo knee surgery. Busy doctors, therapists, and athletic trainers have limited time to spend on quality physical and mental rehabilitation education, yet this is the key to full recovery. Written by renowned knee surgeon and Sport Psychologist Daniel F. O'Neill, M.D., Ed.D., this comprehensive and accessible guide presents what you'll want and need the most after knee surgery: a scientifically-based recovery program you can understand that will get you back to work and sports as quickly as possible.
This book is a practically applicable guide to the use of revision total knee arthroplasty. Demand for primary total knee arthroplasty (TKA) continues to rise, with some estimates predicting this to be as high as 400% than it currently is, and this will inevitably lead to increased demand for revision surgery. Furthermore, this is a sub-specialist area of arthroplasty that is complex and challenging with high failure rates, meaning that there is a real need to improve the outcomes of these procedures. Within this book, the chapters focus on a particular subject area focusing on how to successfully perform a procedure in a step-by-step manner in a variety of scenarios from condylar revisions to salvage cases. Topics covered include how to use surgical techniques in instances of periprosthetic distal femur fractures and manage infections where bone loss has been significant. Long-term outcome data is also presented to enable the reader to develop a deep understanding of where a particular strategy might be most effective. Revision Total Knee Arthroplasty: A Practical Guide concisely details how to use the techniques covered in all aspects of revision knee surgery, making it an indispensable resource for all those involved in the care of these patients or who use these techniques in their day-to-day clinical practice.
Most developed countries are struggling to finance first-class health care for everyone in their community, leading to renewed emphasis on appropriate and equitable provision of health care, placing interventions that are both high in volume and expense under the microscope. This book provides readers with an understanding of the key issues that dictate the provision of total hip replacement, one of the most cost-effective procedures available within health care. A highlight of the book is its multinational and multidisciplinary approach presenting perspectives from public health, individual patients and doctors, economists and health care purchasers and managers.
Vanishing Bone unravels the mystery of a totally novel disease which causes the massive destruction of bone in individuals with total hip implants. Although initially considered 'rare, ' at its peak the disease affected over a million patients. This book takes readers through a detective adventure in contemporary medical science, identifying the cause of the disease the body's reaction to tiny wear particles from the prostheses, followed by the complex process of affecting its cure, the invention of a unique, wear-resistant plastic.
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
Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.
A lively and provocative look at the modern culture of motherhood and at the social, economic, and political forces that shaped current ideas about parenting What is wrong with this picture? That's the question Judith Warner asks in this national bestseller after taking a good, hard look at the world of modern parenting--at anxious women at work and at home and in bed with unhappy husbands. When Warner had her first child, she was living in Paris, where parents routinely left their children home, with state-subsidized nannies, to join friends in the evening for dinner or to go on dates with their husbands. When she returned to the States, she was stunned by the cultural differences she found toward how people think about effective parenting--in particular, assumptions about motherhood. None of the mothers she met seemed happy; instead, they worried about the possibility of not having the perfect child, panicking as each developmental benchmark approached. Combining close readings of mainstream magazines, TV shows, and pop culture with a thorough command of dominant ideas in recent psychological, social, and economic theory, Perfect Madness addresses our cultural assumptions, and examines the forces that have shaped them. Working in the tradition of classics like Betty Friedan's The Feminine Mystique and Christopher Lasch's The Culture of Narcissism, and with an awareness of a readership that turned recent hits like The Bitch in the House and Allison Pearson's I Don't Know How She Does It into bestsellers, Warner offers a context in which to understand parenting culture and the way we live, as well as ways of imagining alternatives--actual concrete changes--that might better our lives.
Given the strong current attention of orthopaedic, biomechanical, and biomedical engineering research on translational capabilities for the diagnosis, prevention, and treatment of clinical disease states, the need for reviews of the state-of-art and current needs in orthopaedics is very timely. Orthopaedic Biomechanics provides an in-depth review o