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Volume 45, Issue 1, An Issue of Orthopedic Clinics, E-Book

Volume 45, Issue 1, An Issue of Orthopedic Clinics, E-Book

Asif M. Ilyas | Giles R Scuderi | Saqib Rehman | Shital N. Parikh | Felasfa M. Wodajo

(2014)

Additional Information

Book Details

Abstract

Each issue of Orthopedic Clinics offers clinical review articles on the most cutting edge technologies, techniques, and more in the field. Major topic areas include: adult reconstruction, upper extremity, pediatrics, trauma, oncology, hand, foot and ankle, and sports medicine.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orthopedic Clinics of North America i
Copyright ii
Contributors iii
Contents vii
Orthopedic Clinics of North America xi
Adult Reconstruction A1
Preface xiii
Dual Mobility in Total Hip Arthroplasty 1
Key points 1
Introduction 1
History of dual mobility 1
Biomechanics of dual mobility 2
North American experience 2
Dual mobility in primary THA 3
Dual mobility in revision THA 5
Dual mobility in femoral neck fractures 7
Summary 7
References 7
The Local Effects of Metal Corrosion in Total Hip Arthroplasty 9
Key points 9
Introduction 9
Corrosion at modular interfaces in THA 9
Historical Retrieval Analyses 10
Corrosion in Metal-on-Metal THA 10
Corrosion in Metal-on-Polyethylene THA 10
Corrosion at Neck-Body Junctions 10
Corrosion at Other Modular Junctions 10
Etiology of corrosion 11
Factors Associated with Corrosion 11
Head size 11
Neck length and offset 11
Head material and bearing surface 11
Stem and trunnion design 12
Method of assembly 12
Local effects of metal corrosion in THA 12
Adverse Local Tissue Reactions 12
Instability 12
Loosening and Osteolysis 13
Corrosion-Induced Implant Fracture 13
Remote and Systemic Effects 13
Evaluation and management 13
Diagnostic Workup 13
Treatment Options 14
Summary 15
References 15
The Rationale for Short Uncemented Stems in Total Hip Arthroplasty 19
Key points 19
Introduction 19
Evolution to short stem design 20
Design rationale and types of uncemented short stem metaphyseal-engaging femoral implants 20
Theoretic advantages of short stem femoral implants 24
Ease and Safety of Revision Surgery 24
Revision of a short stem implant 24
Revision of a conventional-length implant 25
Proximal-Distal Mismatch 26
Use in Less-invasive Exposures 27
Clinical and radiographic results of short stem femoral implants 27
Summary 29
References 30
Trauma A3
Preface xv
Techniques for Intramedullary Nailing of Proximal Tibia Fractures 33
Key points 33
Introduction 33
Implant design 34
Nail starting point 34
Nailing techniques 34
Nailing in Flexion 34
Nailing in Semiextended Position 35
Suprapatellar Nailing 36
Reduction techniques 38
Clamp-assisted Reduction 38
Blocking/Poller Screws 38
Plate-assisted Reduction 40
Universal Distractor 44
Summary 44
References 44
Perioperative Upper Extremity Peripheral Nerve Traction Injuries 47
Key points 47
Introduction 47
Pathophysiology 47
Classification of peripheral nerve injuries 48
Clinical presentation of peripheral nerve traction injuries 48
General predisposing factors to PPNTI 48
Peripheral nerve traction injuries of the upper limb 49
Status After Shoulder Surgery 49
Brachial plexus injury (C5-T1) 49
Perioperative Lower Extremity Peripheral Nerve Traction Injuries 55
Key points 55
Peripheral nerve traction injuries of the lower limb 55
Following Hip Surgery 55
Sciatic nerve injury (L4–S3) 56
Incidence 56
Predisposing factors 56
Mechanism of injury 56
Clinical presentation 57
Prevention and treatment 57
Pudendal nerve injury (S2–S4) 58
Spondylopelvic Dissociation 65
Key points 65
Spectrum of disease: historical perspective 65
Classification 66
Anatomy and biomechanics 67
Clinical evaluation and related considerations 67
Radiographic assessment 69
Treatment 70
Nonoperative Management 70
Operative Management 70
Soft tissue considerations 71
Fracture alignment and reduction 71
Decompression 73
Instrumentation 73
Surgical outcomes and complications 74
Summary 74
References 74
Pediatrics A5
Preface xvii
Slipped Capital Femoral Epiphysis: What’s New? 77
Key points 77
Introduction 77
Prediction of the contralateral SCFE 78
Posterior sloping angle as a predictor of contralateral SCFE 78
The modified Oxford bone age score as a predictor of contralateral SCFE 79
Treatment updates with slipped capital femoral epiphysis 79
Arthrogram-assisted in situ screw fixation 80
Computer navigation–assisted in situ screw fixation 81
Femoral acetabular impingement and acetabular morphology in SCFE 81
Surgical management of femoroacetabular impingement associated with SCFE 83
References 85
Perthes Disease 87
Key points 87
Introduction 87
Natural history 87
Evaluation of prognostic factors 88
Short-term Prognostic Factors 88
Long-term Prognostic Factors 88
Evaluation 88
Patient Evaluation 88
Clinical Evaluation 88
Radiological Evaluation 88
Active stage of disease 88
Early Stage of the Disease 88
Management 88
Containment 89
Nonsurgical containment 89
Surgical containment 89
Type of osteotomy 89
Trochanteric Epiphyseodesis 90
Weight-Bearing Status 91
Late Stage of the Disease 91
Hinge abduction 91
Reducible hinge abduction 91
Irreducible hinge abduction 91
Healed disease 92
Sequelae of perthes disease 92
Morphologic Changes in the Femoral Head 92
Failure of Complete Revacularization 92
Femoroacetabular Impingement 92
Arthritis 92
Clinical Evaluation of Healed Disease 92
Radiological Evaluation of Healed Disease 92
Management of Sequelae 93
Coxa brevis 93
Coxa magna 93
Coxa planna 93
Osteochondritis dessicans 93
FAI 93
Arthritis 93
Evaluation of the outcome at skeletal maturity 93
Future of Perthes 93
References 94
Oncology A7
Preface xix
Management of Open Wounds 99
Key points 99
Wound complications in sarcoma treatment 99
Risk factors for poor wound healing 101
Wound vacuum-assisted closure technology 101
Silver topical dressings 102
Mechanism of Silver Action 102
Microbiology of Silver 103
Use of Silver in Open Wounds 103
HBOT 104
Mechanism of Action 105
Hyperbaric Oxygen and Radiation Therapy 105
HBOT and Surgery 105
Other Indications for Use of HBOT 106
Summary 106
References 106
The Practicing Orthopedic Surgeon’s Guide to Managing Long Bone Metastases 109
Key points 109
Introduction 109
Presentation 109
Laboratory workup 109
Imaging workup 110
Pathologic workup 110
Treatments 111
Postoperative management 114
Scenario 1: Painful Bone Lesion in <40 year old 114
Scenario 2: Painful Bone Lesion in ﹥40 Year Old 114
Scenario 3: New Painful Bone Lesion with Remote History of Cancer 115
Scenario 4: Bone Lesion with Current/Recent History of Cancer 115
Scenario 5: Bone Lesion with Impending Pathologic Fracture 116
Scenario 6: Bone Lesion with Pathologic Fracture 116
Scenario 7: Time Distant Metastasis in Renal and Thyroid Cancer 117
Summary 118
References 118
Upper Extremity A9
Preface xxi
The Management of Type II Superior Labral Anterior to Posterior Injuries 121
Key points 121
Introduction 121
Causes of failure of SLAP repair 123
The biomechanical and clinical function of the biceps 124
Clinical comparison of biceps tenodesis and SLAP repair 124
Current treatment recommendations 125
References 126
Carpal Instability of the Wrist 129
Key points 129
Introduction 129
Anatomy 129
Biomechanics 130
Mechanism of injury and classification 130
Presentation 131
Examination 132
Studies 133
Treatment 136
Partial scapholunate ligament tears/dynamic instability without diastasis 136
Acute, reducible scapholunate ligament tears 137
Chronic, reducible scapholunate ligament tears 137
Irreducible diastasis/degenerative changes (SLAC wrist) 139
Summary 139
References 139
Kienböck Disease 141
Key points 141
Introduction 141
Cause and pathophysiology 141
Clinical presentation 142
Radiographic imaging 142
Staging 143
Stage I 143
Stage II 143
Stage III 143
Stage IV 145
Treatment 145
Stage I 146
Stage II or IIIA with Negative Ulnar Variance 146
Radial shortening 146
Ulnar shortening 147
Stage II and IIIA with Ulnar Neutral or Positive Variance 147
Revascularization 147
Osteotomies 147
Core decompression 147
Stage IIIB 148
PRC 148
STT or SC arthrodesis 148
Grafting, arthroplasty, interposition 149
Stage IV Disease 149
Summary 150
References 150
Index 153