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Volume 45, Issue 4, An Issue of Orthopedic Clinics, E-Book

Volume 45, Issue 4, An Issue of Orthopedic Clinics, E-Book

Asif M. Ilyas

(2014)

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.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Orthopedic Clinics Of North America\r i
Contributors v
Contents vii
Orthopedic Clinics Of North America\r x
Call for Papers xi
Preface\r xiii
Surgical Management of the Juvenile Idiopathic Arthritis Patient with Multiple Joint Involvement 435
Key points 435
Introduction 435
Coordination of medical care and medications 436
Staging of surgical interventions 437
Overview of lower extremity joint replacements 437
Total Hip Arthroplasty 437
Total Knee Arthroplasty 438
Complications 440
Summary 440
References 441
Robotic Total Hip Arthroplasty 443
Key points 443
Introduction 443
Surgical technique 444
Preoperative Planning 444
Segmentation 444
Establishing reference planes and quantifying preoperative deformity 445
Acetabular templating 445
Femoral templating 445
Preparation and Patient Positioning 446
Surgical Approach 447
Surgical Procedure 448
Express workflow 448
Enhanced workflow 452
Author’s cup-only workflow 452
Immediate Postoperative Care 452
Technique modifications for the direct anterior approach 453
Preoperative Planning 453
Preparation and Patient Positioning 453
Surgical Approach and Procedure 453
Rehabilitation and recovery 454
Results in the literature 454
Summary 455
Acknowledgments 455
References 455
Trauma xv
The Treatment of Periprosthetic Femur Fractures After Total Knee Arthroplasty 457
Key points 457
Background 457
Classification 458
Diagnosis and imaging 458
Management 459
Nonoperative 459
Operative 460
ORIF: locking plates 460
IMN fixation 462
Revision TKA and megaprosthesis reconstruction 463
Augmentation 464
Postoperative management 464
Complications 465
Summary 466
References 466
Management of Traumatic Bone Loss in the Lower Extremity 469
Key points 469
Introduction 469
Initial management 470
Immediate bone shortening 470
Distraction osteogenesis 471
Nonvascularized bone graft options 472
Reamer-Irrigator-Aspirator 474
Masquelet technique 476
Vascularized bone grafts 477
Bone morphogenetic proteins and regional gene therapy 479
Summary 479
References 480
High-energy Pediatric Pelvic and Acetabular Fractures 483
Key points 483
Introduction 483
Anatomy 484
Pelvis 484
Acetabulum 484
Pattern of traumatic acetabular dysplasia 484
Cause of traumatic acetabular dysplasia 484
General considerations 485
The Unique Characteristics of the Skeletally Immature Pelvis 485
Elasticity 485
Lower mortality 485
Better hemorrhagic control 485
Injury mechanism 485
Status of the triradiate cartilage 485
Evaluation and initial treatment 486
Pelvic fractures 488
Classification 488
Diagnostic Imaging 489
Pelvic Fractures: Treatment 490
Pelvic fractures: nonoperative indications and management 490
Pelvic fractures: operative indications 492
Operative treatment of the pelvic ring: open reduction and internal fixation versus external fixation 492
Technical Considerations in Pelvic Ring Surgery 493
Anterior pelvic ring 493
External fixation 493
Posterior pelvic ring 493
Acetabular fractures 494
Epidemiology 494
Classification 494
Diagnostic Imaging 494
Treatment 494
Nonoperative treatment 494
Operative treatment 495
Triradiate injuries 495
Triradiate injuries: classification 495
Triradiate injuries: treatment and outcomes 495
Complications 498
Summary 498
References 498
Pediatric Orthopaedics xvii
Recent Advances in the Management of Early Onset Scoliosis 501
Key points 501
Introduction 501
Current treatment and trends 502
Nonoperative Treatment 502
Operative Treatment 504
Distraction-based systems 505
Growing Rods 505
Magnetically Controlled Growing Rod System 505
ET, Vertical, Expandable, Prosthetic Titanium Rib, and Hybrid Rib to Spine Devices 507
Compression-based systems 509
Anterolateral Staple/Tether 509
Guided-growth systems 509
Luque-Trolley and Shilla 509
Summary 511
References 511
Upper Extremity xix
Propionibacterium acnes Infections in Shoulder Surgery 515
Key points 515
Introduction 515
Infections of the shoulder joint 516
Common Pathogens 516
Microbiology 516
Prophylactic treatment of infection 516
Surgical-Site Preparation 516
Shaving, Draping, Incision 517
Evaluation of the P acnes infection 517
Physical Examination 517
Imaging 518
Laboratory Evaluation 518
Culture 519
Treatment 519
Antibiotic Therapy 519
Surgical Debridement or Revision 520
Summary 520
References 520
Management of Bone Loss in Glenohumeral Instability 523
Key points 523
Introduction 523
Humeral bone loss 523
Glenoid bone loss 524
Bipolar bone loss 524
Pathophysiology 524
Natural history 527
History and physical examination 527
Imaging and other diagnostic studies 528
Classification of bone loss 529
Surgical indications 529
Humeral Head Bone Loss 530
Glenoid Bone Loss 530
Humeral head treatment options 531
Nonoperative Treatment 531
Operative Treatment 531
Glenoid defect treatment options 534
Nonoperative Treatment 534
Operative Treatment 534
References 535
Upper Extremity Considerations for Oncologic Surgery 541
Key points 541
Background 541
Approach to the patient with an upper extremity tumor 541
Presentation 541
Workup 542
Biopsy 543
Grading and Staging 543
Differential diagnosis of benign and malignant tumors of the upper extremity 544
Common Bone-Forming Tumors 544
Common Cartilage Tumors 546
Benign but Locally Aggressive Lesions 547
Aneurysmal bone cyst 547
Giant cell tumor of bone 547
Soft tissue sarcoma 548
Surgical considerations 548
General Surgical Considerations 548
Intralesional Procedures 549
Wide Resection 549
Nerve or Vascular Involvement 549
Bone Reconstruction 550
Fibula Autograft 550
Soft Tissue Reconstruction 550
Anatomic considerations 551
Shoulder 551
Elbow 556
Wrist 556
Hand 556
Summary 560
References 560
Thrower's Fracture of the Humerus 565
Key points 565
Introduction 565
Case reports 566
Case 1 566
Case 2 566
Case 3 567
Discussion 567
Summary 568
References 568
Elbow Injuries in the Throwing Athlete 571
Key points 571
Background 571
Biomechanics of the throwing elbow 571
Medial elbow pain 572
Ulnar Collateral Ligament Injury 572
Anatomy 572
Etiology 572
History and physical 572
Imaging 573
Treatment 573
Ulnar Neuritis 574
Etiology 574
History and examination 575
Treatment 576
Subcutaneous transposition 576
Submuscular transposition 577
Little League Elbow 577
Medial epicondylar injury 577
Flexor-pronator mass injury 577
Posterior elbow pain 578
Valgus Extension Overload Syndrome with Posterior Olecranon Impingement 578
Olecranon Stress Fracture 578
Persistent Olecranon Physis 579
Lateral elbow pain 579
Capitellar Osteochondritis Dissecans 579
Radiocapitellar Plica 581
Miscellaneous 582
Osteophytes and Loose Bodies 582
Summary 582
References 582
Index 587