Menu Expand
Volume 46, Issue 4, An Issue of Orthopedic Clinics, E-Book

Volume 46, Issue 4, An Issue of Orthopedic Clinics, E-Book

Asif M. Ilyas

(2015)

Additional Information

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 & ankle, and sports medicine.

Table of Contents

Section Title Page Action Price
Front Cover Cover
ORTHOPEDIC CLINICS OF NORTH AMERICA\r i
Copyright\r ii
PROGRAM OBJECTIVE iii
TARGET AUDIENCE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iv
TO ENROLL iv
METHOD OF PARTICIPATION iv
CME INQUIRIES/SPECIAL NEEDS iv
Contributors v
EDITORS v
AUTHORS v
Contents ix
Adult Reconstruction ix
Preface\r ix
Arthroplasty for Pertrochanteric Hip Fractures\r ix
Predicting Blood Loss in Total Knee and Hip Arthroplasty\r ix
Iliopsoas Irritation as Presentation of Head-Neck Corrosion After Total Hip Arthroplasty: A Case Series\r ix
Liposomal Bupivacaine: A Comparative Study of More Than 1000 Total Joint Arthroplasty Cases \r x
Trauma x
Preface \r x
Traumatic Knee Dislocations: Evaluation, Management, and Surgical Treatment\r x
Applications of Local Antibiotics in Orthopedic Trauma\x0B x
Percutaneous Sacroiliac Screw Fixation of the Posterior Pelvic Ring\r x
Pediatrics\r xi
Preface: Skeletal Dysplasia and Congenital Malformation\r xi
Evaluation of the Child with Short Stature\r xi
Discoid Meniscus: Diagnosis and Management\r xi
Upper Extremity xi
Preface\r xi
The Effect of Osteoporosis on Healing of Distal Radius Fragility Fractures\r xi
Scapholunate Ligament Tears: Acute Reconstructive Options\r xii
Trigger Finger: Adult and Pediatric Treatment Strategies\r xii
Use of High-Speed X ray and Video to Analyze Distal Radius Fracture Pathomechanics\r xii
Oncology\r xii
Preface: Targeted Chemotherapy for Sarcoma and New Insights on Paget Disease\r xii
Paget Disease of Bone\r xii
Targeted Chemotherapy in Bone and Soft-Tissue Sarcoma\r xiii
Preface xv
Arthroplasty for Pertrochanteric Hip Fractures 433
Key points 433
INTRODUCTION 433
INDICATIONS 434
IDENTIFICATION OF UNSTABLE FRACTURES 434
SURGICAL TECHNIQUES 436
Surgical Approach 436
Modified Trochanteric Slide Osteotomy 436
Implant Choice 436
Abductor Mechanism Repair 438
POSTOPERATIVE CARE 438
OUTCOMES 439
SUMMARY 442
REFERENCES 443
Predicting Blood Loss in Total Knee and Hip Arthroplasty 445
Key points 445
INTRODUCTION 445
PREOPERATIVE FACTORS 446
Preoperative Hemoglobin/Anemia 447
Age 447
Gender 448
Weight/Body Mass Index 449
Comorbidities/American Society of Anesthesiologists Score 450
INTRAOPERATIVE FACTORS 451
Type of Surgery 451
Operative Time 452
Tourniquet Use 453
Type of Anesthesia 455
POSTOPERATIVE ANTICOAGULATION 455
TRANEXAMIC ACID IN LOWER EXTREMITY TOTAL JOINT ARTHROPLASTIES 457
SUMMARY 457
REFERENCES 457
Iliopsoas Irritation as Presentation of Head-Neck Corrosion After Total Hip Arthroplasty 461
Key points 461
INTRODUCTION 461
MATERIAL AND METHODS 462
RESULTS 462
DISCUSSION 466
SUMMARY 467
REFERENCES 468
Liposomal Bupivacaine 469
Key points 469
INTRODUCTION 469
MATERIALS AND METHODS 470
RESULTS 471
DISCUSSION 471
ACKNOWLEDGMENTS 475
REFERENCES 475
Preface xvii
Traumatic Knee Dislocations 479
Key points 479
INTRODUCTION 479
CAUSE 479
Mechanism 479
Classification 480
EVALUATION 480
Acute Assessment 480
Vascular Examination 481
Neurologic Examination 482
RADIOGRAPHIC EVALUATION 484
Immediate 484
Secondary 484
EXAMINATION OF KNEE STABILITY 485
Reduction Technique 485
TREATMENT 486
Nonoperative Versus Operative Treatment 486
Early Treatment 486
Arterial injuries 486
Ligament injuries 487
SURGICAL TECHNIQUE 487
Acute Surgical Intervention 487
Sequence of Ligament Reconstruction 487
Posterolateral Corner and Lateral Collateral Ligament Injury Treatment 488
Posteromedial Corner and Medial Collateral Ligament Injury Treatment 490
Delayed Surgical Intervention 490
Methods for Protection of Repair Postoperatively 490
Postoperative Complications 490
Physical Therapy 491
Outcomes 491
REFERENCES 491
Applications of Local Antibiotics in Orthopedic Trauma 495
Key points 495
INTRODUCTION 495
Biofilm 496
Delivery Systems 497
Polymethylmethacrylate 497
Absorbable options 500
Bone Graft 501
Bone Graft Substitutes or Extenders 501
Natural Polymers 502
Synthetic Polymers 503
Administrations in Aqueous Solution 503
Local Antibiotic Pharmacokinetics and Safety 504
Future Directions 505
SUMMARY 506
REFERENCES 506
Percutaneous Sacroiliac Screw Fixation of the Posterior Pelvic Ring 511
Key points 511
INTRODUCTION 511
INDICATIONS/CONTRAINDICATIONS 512
SURGICAL TECHNIQUE/PROCEDURE 512
Preoperative Planning 512
Prep and Patient Positioning 513
Surgical Approach 514
Imaging 514
Fixation 514
COMPLICATIONS AND MANAGEMENT 517
POSTOPERATIVE CARE 519
OUTCOMES 519
SUMMARY 520
REFERENCES 520
Skeletal Dysplasia and Congenital Malformation xix
Evaluation of the Child with Short Stature 523
Key points 523
INTRODUCTION 523
DIFFERENTIAL DIAGNOSIS 523
PRENATAL EVALUATION 525
PHYSICAL EXAMINATION 526
RADIOGRAPHIC EVALUATION 526
GENETIC/CHROMOSOMAL EVALUATION 528
SUMMARY 529
REFERENCES 529
Discoid Meniscus 533
Key points 533
INTRODUCTION 533
ANATOMY AND CLASSIFICATION 533
CLINICAL FEATURES 534
INVESTIGATIONS 535
MRI FEATURES OF A LATERAL DISCOID 536
MANAGEMENT 536
SURGICAL TECHNIQUE 537
POSTOPERATIVE PROTOCOL 537
SURGICAL OUTCOMES 538
COMPLICATIONS OF SURGERY 538
SUMMARY 539
REFERENCES 539
Preface xxi
The Effect of Osteoporosis on Healing of Distal Radius Fragility Fractures 541
Key points 541
INTRODUCTION 541
EPIDEMIOLOGY 542
BIOMECHANICS 542
EFFECTS OF OSTEOPOROSIS ON BONE HEALING 542
OSTEOPOROSIS AND DISTAL RADIUS FRACTURE MANAGEMENT 543
DISCUSSION 546
REFERENCES 548
Scapholunate Ligament Tears 551
Key points 551
INTRODUCTION 551
Epidemiology 551
Anatomy 552
Mechanism of Injury 552
TREATMENT 553
Capsulodesis 553
Reduction and Association of the Scaphoid and Lunate 555
Ligament Reconstruction 555
Scapholunate Axis Method 556
SUMMARY 558
REFERENCES 558
Trigger Finger 561
Key points 561
ADULT TRIGGER DIGIT 561
NONSURGICAL TREATMENT 563
SURGICAL TREATMENT 564
PEDIATRIC TRIGGER DIGIT 565
SUMMARY 567
REFERENCES 567
Use of High-Speed X ray and Video to Analyze Distal Radius Fracture Pathomechanics 571
Key points 571
INTRODUCTION 571
EXPERIMENTAL DESIGN 572
EARLY RESULTS AND FUTURE DIRECTION 574
REFERENCES 575
Targeted Chemotherapy for Sarcoma and New Insights on Paget Disease xxiii
Paget Disease of Bone 577
Key points 577
INTRODUCTION 577
NATURAL HISTORY AND EPIDEMIOLOGY 578
CAUSE AND GENETICS 578
PATHOLOGY AND PATHOPHYSIOLOGY 578
CLINICAL PRESENTATION 579
Serum Markers 579
Imaging 579
MEDICAL MANAGEMENT OF PAGET DISEASE 580
Bisphosphonates 580
Calcitonin 580
SURGICAL MANAGEMENT OF PAGET DISEASE 581
Preoperative Assessment and Optimization of Pagetic Patients Before Surgery 581
Fixation of Fracture Through Pagetic Bone 581
Osteotomy 582
Total Hip Arthroplasty 582
Total Knee Arthroplasty 582
Spinal Involvement 583
Pagetic Sarcoma 583
SUMMARY 583
ACKNOWLEDGMENTS 583
REFERENCES 583
Targeted Chemotherapy in Bone and Soft-Tissue Sarcoma 587
Key points 587
INTRODUCTION 587
BASIC SCIENCE 589
MAJOR PATHWAYS 594
p53 and Rb 594
Murine Double Minute 594
Wnt 596
Notch 597
Hedgehog 597
RUNX 597
MET 597
Mammalian Target of Rapamycin 597
Insulin Growth Factor Pathway 598
Ezrin 598
Interleukin-11Rα 599
Signal Transducer and Activator of Transcription 3 599
Vascular Endothelial Growth Factor 599
Other Growth Factors and Their Receptor Tyrosine Kinases 599
Chimeric Transcription Factors 600
B-Cell Lymphoma 2 600
SUMMARY 600
REFERENCES 601
Index 609