The theme of this work is the application of the engmeermg theory of frictional torque to total hip replacement. The author adhered tenaciously to this theory, involving the use of a small-diameter femoral head, throughout the epoch when the large-diame ter, metal-to-metal design dominated the field. During that considerable period general satisfaction with the early results rendered criticisms of the large-diameter head unwelcome. There was a formidable array of counter criticism: the small head would pierce a film of synovial fluid; the small head would wear the socket too rapidly; the small head would always have a high risk of dislocation; detachment of the trochanter, to achieve precise orientation for the small head, was unacceptable. But all these objections have now been largely overcome. Lubrication of high molecular weight polyethylene (HMWP) on metal is now accepted as being mainly by the boundary regime with thick fluid films playing no part. We now know that HMWP can indeed tolerate the very high stresses imposed by the small head and in tribological theory there may even be some advantage in high stress. Dislocation is now known not to be an automatic sequel to the small head.

This book is an essential handbook on bisphosphonates, the most widely used new class of drugs for osteoporosis therapy. It reviews basic physiology in addition to the indications and adverse reactions of these drugs. Bisphosphonates in Bone Disease, 4E, discusses the compounds' chemistry, mechanisms of action, and animal toxicology before presenting a clinical picture of the diseases treated by bisphosphonates. The book provides a table listing the trade names of the commercially available bisphosphonates, registered indications, and the available forms for various countries. The revised Fourth Edition contains approximately 50% new material, including information on all of the latest drugs. * The revised fourth edition contains approximately 50% new material * Includes information on all the latest drugs

Heterotopic Ossification: Basic Science, General Principles, and Clinical Correlates in Orthopedic Surgery is a comprehensive, informative approach to understanding the basics through the detailed complexities of heterotopic ossification (HO). The chapters in this book are structured into three main sections: (1) general principles of heterotopic ossification; (2) heterotopic ossification in major anatomic joints; and (3) additional topics and specifics of heterotopic ossification. Each individual chapter is a contribution from a leading expert in the respective subtopic of HO. As a cohesive unit, this book provides a complete reference for students, scientists, clinicians and orthopedic surgeons who find interest in HO or encounter it in the course of patient care.

This easy-to-use handbook is designed to assist in the evaluation and management of spinal cord injuries and the diverse related disorders and conditions. Spinal cord injuries can cause abnormalities in all body systems due to dysfunction of the somatic motor and sensory systems and damage to the autonomic nerve system. The latter gives rise to respiratory and cardiac problems, temperature regulation disorders, endocrine system disorders, and many associated metabolic disorders. Other potential consequences of spinal cord injuries include pressure injuries and various disabilities and obstacles, ranging from physical limitations to social embarrassment. This handbook offers extensive guidance on medical management in different scenarios from the acute phase to long-term care, with a particular focus on information of importance for the solution of clinical problems commonly encountered in daily practice. It will be ideal for practitioners in rehabilitation medicine, neurosurgery, orthopedics, neurology, and other relevant specialties that deal with patients with spinal cord injuries.

An in-depth understanding of a comprehensive approach to the management of radius fractures and their complications. The authors -- world renowned experts in the field -- present practical, clinical information from their extensive experience in the treatment of these fractures. Topics include the authors' classification as well as decision- making and tactics in the conservative and operative management of all types of radius fractures. Topics covered include: bending fractures of the metaphysis, shearing and compression fractures of the joint surface, avulsion fractures, radio-carpal fracture and dislocation, combined fractures, high velocity injury and malunions. In addition, chapters deal with surgical techniques and approach as well as with complications. With over 500 illustrations, this is the definitive volume on these challenging fractures, their complete treatment, and the management of complications.

In this book, leading international surgeons with expertise in the field provide cutting-edge information on the surgical techniques to treat sports and trauma injuries of the elbow. Indications for the different techniques are clearly explained, and practical aspects that allow safe and reproducible clinical outcomes are described. For the common procedures, a number of surgical technique options are presented, ensuring that the reader gains a broader perspective on this evolving surgical field. Throughout, valuable tips and tricks are highlighted that will assist both the experienced and the training surgeon in achieving maximum efficiency in their surgical practice. The book includes hundreds of illustrations, line diagrams, and clinical and cadaveric photographs to assist the reader in appreciating the principles of the clinical anatomy and the surgical techniques. Videos aid in understanding the finer points of the procedures. Surgical Techniques for Sports and Trauma Related Injuries of the Elbow is published in collaboration with ISAKOS. It will provide readers with a new comprehension of the topic and will be of value to students, physiotherapists, sports physicians, and orthopaedic surgeons.

This illustrated textbook is an essential and invaluable guide to young clinicians and researchers of Trauma and Orthopaedics, reporting all classification systems which are currently utilised in the clinical setting. It includes classifications relevant to both Elective Orthopaedic Practice and Orthopaedic Trauma. Clear graphic illustrations accompany the description of all different classification schemes in a comprehensive manner, together with a structured presentation of existing clinical evidence. In this manner each chapter of the different anatomical sites and pathologies assists the decision making of the readers regarding treatment strategy as well as informed consent of their patients. It is envisaged that this textbook will be a point of reference not only to the surgeons in training (residents) but also to senior surgeons and academic clinicians.

Providing specific treatment protocols that can be individualized to a particular patient’s condition after consideration of the entire clinical picture, this how-to guide focuses on a variety of challenging and controversial situations related to the treatment of patients with osteomyelitis of the foot and ankle. Covering everything from diagnostic and imaging techniques to medical and surgical management strategies, the image-heavy format of this text is of real value, providing a unique look into the treatment protocols discussed. The chapters are organized based on anatomic location of the wound and infection, allowing clinicians easy access to relevant treatment options. Some of the topics included cover: · How to diagnose osteomyelitis early in the course of disease without unnecessary tests or harmful biopsy procedures · How to avoid excessive cost and side effects associated with antibiotics for various clinical conditions that are better treated surgically · How to minimize the risk of recurring wounds and infection yet preserve optimal foot function after surgery · How to incorporate advanced techniques like flap surgery, minimally invasive procedures, or local delivery of antibiotics, using case examples that highlight alternative surgical approaches Carefully selected based on expertise, background, and clinical focus, the contributors are both thought leaders and clinicians who deal with foot and ankle osteomyelitis on a daily basis. As such, Osteomyelitis of the Foot and Ankle will be an invaluable resource for podiatric foot and ankle surgeons, orthopedic surgeons, general surgeons, vascular surgeons and the entire care team with practical guidelines to treat both chronic wounds with low grade bone infection and acute limb threatening infections.

More than 20 years have passed since the International Symposium on Total Knee Replacement was held in London in 1974. Prosthetic design and operative technique have been greatly improved since then, and there is now an accepted standard concept of total knee arthroplasty. Thirteen years after the London symposium, another international symposium on total knee replacement was held, this time in Nagoya, Japan, in 1987. Its ambitious objective was to push forward the frontiers of continuous investigation and improve ment of total knee replacement. The fruits of the individual efforts presented at the Nagoya symposium were published in a volume of proceedings entitled Total Knee Replacement. In the years since 1987, further investigations have been conducted in various parts of the world regarding prosthetic design, fixation, long-term radiological follow-up, biomechanical evaluation, and biomaterials research. In knee ligament reconstruc tion, rapid progress has been made in the past five years in clinical practice and fundamental research by means of arthroscopic surgery and tissue transplantation, and we have come close to establishing a standard treatment. Under these circumstances, an international symposium on knee joint reconstruc tion was planned for 1994, again to be held in Nagoya, to provide ample opportunity for exchanging information and sharing clinical experience from around the world.

Featuring over 1,700 illustrations—including full-color photomicrographs, drawings, and radiographs—this Second Edition is a comprehensive, practical guide to diagnosing musculoskeletal disorders. The book details the pathologic and radiologic characteristics of all bone and joint diseases, including arthritis, metastatic bone disease, osteoporosis, trauma, osteomyelitis, developmental bone disorders, and tumor-like lesions. A section on soft-tissue pathology discusses meniscal injuries, bursa, ligaments, and tendons. Although primarily a diagnostic aid, the text includes therapeutic suggestions. A glossary defines specific orthopaedic disorders. This edition has new chapters on fracture callus; the growth plate and dwarfs; tissue/bone banking—bone grafts; and giant cell tumors and differential diagnosis of giant cell lesions. New appendices cover bone biopsy and fine needle aspiration and immunohistochemistry. A companion Website will include a full-color image bank and an interactive quiz bank.