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Campbell's Operative Orthopaedics E-Book

Campbell's Operative Orthopaedics E-Book

Frederick M Azar | S. Terry Canale | James H. Beaty

(2016)

Additional Information

Book Details

Abstract

Unrivalled in scope and depth, Campbell’s Operative Orthopaedics continues to be the most widely used resource in orthopaedic surgery, relied on for years by surgeons across the globe. It provides trusted guidance on when and how to perform every state-of-the-art procedure that's worth using, with updates to the new edition including hundreds of new techniques, illustrations, and digital diagnostic images to keep you abreast of the latest innovations.

  • Each chapter follows a standard template, with highlighted procedural steps that lead with art and are followed by bulleted text.
  • Covers multiple procedures for all body regions.
  • In-depth coverage helps you accommodate the increasing need for high-quality orthopaedic care in our aging population.
  • Achieve optimal outcomes with step-by-step guidance on today's full range of procedures, brought to you by Drs. Canale, Beaty, and Azar, and many other contributors from the world-renowned Campbell Clinic.
  • Includes approximately 100 new techniques, 300 new illustrations, and 500 new or updated photos and high-quality digital diagnostic images.
  • Features evidence-based surgical coverage wherever possible to aid in making informed clinical choices for each patient.
  • Highlights the latest knowledge on total joint arthroplasty in the ambulatory surgery center, including how to manage metal sensitivity.
  • Provides up-to-date details on rib-based distraction implants (VEPTR) and remote-controlled growing rods (MAGEC) for scoliosis; diagnosis of femoroacetabular impingement (FAI) and its influence on development of osteoarthritis; and the treatment of FAI with the mini-open direct anterior approach.
  • Lavish art program is consistent throughout the 4 volumes, providing a fresh, modern look.

Table of Contents

Section Title Page Action Price
9780323392570v1_WEB.pdf 1
Front Cover 1
Inside Front Cover 2
Campbell's Operative Orthopaedics, 4-Volume Set 3
Copyright Page 6
In Memory 7
Dedication 7
Contributors 9
Preface 11
Table Of Contents 13
Video Contents 17
I General Principles 19
1 Surgical Techniques and Approaches 20
Surgical Techniques 21
Tourniquets 21
Radiographs in the Operating Room 23
Positioning of the Patient 24
Local Preparation of the Patient 25
Wound Irrigating Solutions 26
Draping 26
Draping the Edges of the Incision 27
Prevention of Human Immunodeficiency Virus and Hepatitis Virus Transmission 27
Preventing Mistakes 28
Special Operative Techniques 28
Methods of Tendon-to-Bone Fixation 28
Fixation of Tendon to Bone 28
Tendon Fixation Into the Intramedullary Canal 29
Tendon to Bone Fixation Using Locking Loop Suture 29
Tendon to Bone Fixation Using Wire Suture 30
Suture Anchors 31
Fixation of Osseous Attachment of Tendon to Bone 31
Suture Buttons 32
Bone Grafting 32
Structure of Bone Grafts 32
Sources of Bone Grafts 33
Autogenous Grafts 33
Allogenic Grafts 33
Heterogeneous Grafts 33
Bone Bank 33
Cancellous Bone Graft Substitutes 34
Indications for Various Bone Graft Techniques 35
Onlay Cortical Grafts 35
Inlay Grafts 36
Multiple Cancellous Chip Grafts 36
Hemicylindrical Grafts 36
Whole-Bone Transplant 36
Conditions Favorable for Bone Grafting 36
Preparation of Bone Grafts 36
Removal of a Tibial Graft 36
Removal of Fibular Grafts 37
Cancellous Iliac Crest Bone Grafts 39
Removal of an Iliac Bone Graft 39
Surgical Approaches 41
Toes 42
Approach to the Interphalangeal Joints 42
Approaches to the Metatarsophalangeal Joint of the Great Toe 42
Medial Approach to the Great Toe Metatarsophalangeal Joint 42
Dorsomedial Approach to Great Toe Metatarsophalangeal Joint 43
Approach to the Lesser Toe Metatarsophalangeal Joints 43
Calcaneus 43
Medial Approach to the Calcaneus 43
Lateral Approach to the Calcaneus 43
Extended Lateral Approach to the Calcaneus 43
U-Shaped Approach to the Calcaneus 45
Kocher Approach (Curved L) to the Calcaneus 45
Tarsus and Ankle 46
Anterior Approaches 46
Anterolateral Approach to Chopart’s Joint 46
Anterior Approach to Expose the Ankle Joint and Both Malleoli 47
Lateral Approaches to the Tarsus and Ankle 48
Kocher Lateral Approach to the Tarsus and Ankle 48
Ollier Approach to the Tarsus 48
Posterolateral Approach to the Ankle 48
Anterolateral Approach to the Lateral Dome of the Talus 49
Posterior Approach to the Ankle 50
Medial Approaches to the Ankle 50
Medial Approach to the Ankle 50
Medial Approach to the Posterior Lip of the Tibia 51
Tibia 52
Anterior Approach to the Tibia 52
Medial Approach to the Tibia 52
Posterolateral Approach to the Tibial Shaft 52
Tibial Plateau Approaches 52
Anterolateral Approach to the Lateral Tibial Plateau 52
Medial Approach to the Medial Tibial Plateau 54
Posteromedial Approach to the Medial Tibial Plateau 54
Posteromedial Approach (Prone) to the Superomedial Tibia 55
Posterolateral Approach to the Tibial Plateau 56
Posterolateral Approach to the Tibial Plateau Without Fibular Osteotomy 57
Tscherne-Johnson Extensile Approach to the Lateral Tibial Plateau 57
Fibula 58
Posterolateral Approach to the Fibula 58
Knee 59
Anteromedial and Anterolateral Approaches 59
Anteromedial Parapatellar Approach 59
Subvastus (Southern) Anteromedial Approach to the Knee 60
Anterolateral Approach to the Knee 62
Posterolateral and Posteromedial Approaches to the Knee 63
Posterolateral Approach to the Knee 63
Posteromedial Approach to the Knee 63
Medial Approaches to the Knee and Supporting Structures 64
Medial Approach to the Knee 64
Medial Approach to the Knee 65
Transverse Approach to the Meniscus 66
Lateral Approaches to the Knee and Supporting Structures 66
9780323392570v2_WEB 1220
Front Cover 1220
Campbell's Operative Orthopaedics, 4-Volume Set 1221
Copyright Page 1224
In Memory 1225
Dedication 1225
Contributors 1227
Preface 1229
Table Of Contents 1231
Video Contents 1235
IX Congenital and Developmental Disorders 1237
29 Congenital Anomalies of the Lower Extremity 1238
Anomalies of the Toes 1238
Polydactyly 1238
Amputation of an Extra Toe (Simple Postaxial Polydactyly) 1238
Syndactyly 1239
Macrodactyly 1239
Tsuge Ray Reduction 1240
Ray Reduction 1241
Ray Amputation 1241
Cleft Foot (Partial Adactyly) 1243
Simplified Cleft Closure 1243
Contracture or Angulation of the Toes 1244
Correction of Angulated Toe 1245
Arthroplasty of the Fifth Metatarsophalangeal Joint 1246
Congenital Hallux Varus 1246
Creation of Syndactyly of the Great Toe and Second Toe for Hallux Varus 1247
Congenital Metatarsus Adductus 1248
Treatment 1249
Dome-Shaped Osteotomies of Metatarsal Bases 1249
Cuneiform and Cuboid Osteotomies 1252
Anomalies of the Foot 1253
Congenital Clubfoot (Talipes Equinovarus) 1253
Radiographic Evaluation 1254
Classification 1254
Nonoperative Treatment 1255
Ponseti Casting Technique for Correction of Clubfoot Deformity 1255
Application of Ponseti Casts. 1256
Maintenance Phase. 1258
Management of Recurrence 1258
Operative Treatment 1258
Transverse Circumferential (Cincinnati) Incision 1259
Extensile Posteromedial and Posterolateral Release 1260
Achilles Tendon Lengthening and Posterior Capsulotomy 1262
Resistant Clubfoot 1263
Osteotomy of the Calcaneus for Persistent Varus Deformity of the Heel 1265
Medial Release with Osteotomy of the Distal Calcaneus 1266
Selective Joint-Sparing Osteotomies for Residual Cavovarus Deformity 1267
Triple Arthrodesis and Talectomy for Uncorrected Clubfoot 1268
Triple Arthrodesis 1268
Talectomy 1269
Dorsal Bunion 1270
First Metatarsal Osteotomy and Tendon Transfer for Dorsal Bunion 1271
Congenital Vertical Talus 1271
Clinical and Radiographic Findings 1271
Treatment 1271
Open Reduction and Realignment of Talonavicular and Subtalar Joints 1272
Open Reduction and Extraarticular Subtalar Fusion 1273
Triple Arthrodesis 1275
Anomalies of the Leg 1275
Congenital Angular Deformities of the Leg 1275
Congenital Pseudarthrosis of the Fibula and Tibia 1275
Fibula 1276
Tibiofibular Synostosis 1277
Tibia 1277
Classification 1277
Treatment 1278
Intramedullary Fixation 1279
Vascularized Graft 1279
Ilizarov 1279
Bone Morphogenetic Protein 1279
Insertion of Williams Intramedullary Rod and Bone Grafting 1279
Complications 1280
Stiffness of the Ankle and Hindfoot 1280
Refracture 1280
Valgus Ankle Deformity 1281
Tibial Shortening 1281
Constrictions of the Leg 1281
One-Stage or Two-Stage Release of Circumferential Constricting Band 1282
Congenital Hyperextension and Dislocation of the Knee 1282
Capsular Release and Quadriceps Lengthening for Correction of Congenital Knee Dislocation 1283
Congenital Dislocation of the Patella 1284
Lateral Release and Medial Plication 1286
Congenital Deficiencies of the Long Bones 1286
Tibial Hemimelia 1286
Classification 1286
Treatment 1289
Jones Type 1A Tibial Hemimelia. 1289
Jones Type 1B and 2 Tibial Hemimelia. 1289
Jones Type 3 Tibial Hemimelia. 1290
Jones Type 4 Tibial Hemimelia. 1290
Distal Fibulotalar Arthrodesis 1291
Proximal Tibiofibular Synostosis 1291
Fibular Hemimelia 1293
Classification 1293
Treatment 1293
Varus Supramalleolar Osteotomy of the Ankle 1296
Proximal Femoral Focal Deficiency 1296
Classification 1296
Treatment 1298
Stable Hip and Minimal Shortening. 1300
Stable Hip and Severe Shortening. 1301
Unstable Hip. 1301
Knee Fusion for Proximal Femoral Focal Deficiency 1301
Rotationplasty. 1303
Rotationplasty 1303
Amputations. 1305
Ankle Disarticulation. 1305
Syme Amputation 1307
Boyd Amputation 1307
Limb-Length Discrepancy 1308
Clinical Assessment 1308
Radiographic Assessment 1309
Techniques for Predicting Growth Remaining 1310
Treatment 1310
Operative Treatment 1312
Epiphysiodesis 1313
Physeal Exposure Around the Knee 1315
Epiphysiodesis 1315
Percutaneous Epiphysiodesis 1316
Percutaneous Transepiphyseal Screw Epiphyseiodesis 1317
Tension Plate Epiphysiodesis 1319
Limb Shortening 1319
Proximal Femoral Metaphyseal Shortening 1319
Distal Femoral Metaphyseal Shortening 1319
Proximal Tibial Metaphyseal Shortening 1320
Tibial Diaphyseal Shortening 1320
Closed Femoral Diaphyseal Shortening 1321
Limb Lengthening 1322
Transiliac Lengthening 1323
9780323392570v3_WEB 2562
Front Cover 2562
Campbell's Operative Orthopaedics, 4-Volume Set 2563
Copyright Page 2566
In Memory 2567
Dedication 2567
Contributors 2569
Preface 2571
Table Of Contents 2573
Video Contents 2577
XIII Sports Medicine 2579
45 Knee Injuries 2580
Anatomy 2581
Osseous Structures 2581
Extraarticular Tendinous Structures 2581
Extraarticular Ligamentous Structures 2583
Intraarticular Structures 2593
Mechanics 2595
Menisci 2598
Function and Anatomy 2598
Meniscal Healing and Repair 2601
Tears of Menisci 2602
Mechanism of Tear 2602
Classification 2602
Diagnosis 2603
Diagnostic Tests 2604
Imaging Studies 2605
Radiography 2605
Arthrography 2605
Other Diagnostic Studies 2605
Arthroscopy 2606
Nonoperative Management 2606
Operative Management 2606
Late Changes After Meniscectomy 2607
Surgical Repair of Torn Menisci 2607
Open Meniscal Repair 2608
Meniscal Autografts and Allografts 2610
Other Conditions of Menisci 2611
Cysts of Menisci 2611
Arthroscopic Partial Meniscectomy and Decompression of Meniscal Cyst 2611
Excision of Meniscal Cyst 2612
Discoid Meniscus 2613
Treatment 2613
Acute Traumatic Lesions of Ligaments 2614
General Considerations 2614
Etiology 2614
Mechanism 2614
Ligament Healing 2615
Classification 2615
Diagnosis 2615
History and Physical Examination 2615
Standard Stress Tests 2616
Abduction (Valgus) Stress Test. 2616
Adduction (Varus) Stress Test. 2616
Anterior Drawer Test. 2617
Lachman Test. 2618
Posterior Drawer Test. 2619
Quadriceps Active Test. 2620
Rotary Tests 2620
Slocum Anterior Rotary Drawer Test. 2620
Jerk Test of Hughston and Losee. 2620
Lateral Pivot Shift Test of Macintosh. 2621
Flexion-Rotation Drawer Test. 2622
External Rotation-Recurvatum Test. 2623
Reverse Pivot Shift Sign of Jakob, Hassler, and Stäubli. 2623
Tibial External Rotation (Dial) Test. 2624
Posterolateral Drawer Test. 2624
Radiographic Examination 2625
Classification of Knee Instability 2625
One-Plane Instability 2626
Rotary Instability 2627
Combined Instabilities 2628
Treatment Considerations 2628
Nonoperative Treatment 2628
Operative Treatment 2629
Medial Compartment (Collateral) Disruptions 2631
Repair 2631
Repair of Medial Compartment Disruptions 2631
Reconstruction 2639
Reconstruction of Medial Compartment 2639
Repair of Posteromedial Corner 2642
Reconstruction of Posteromedial Corner 2644
Reconstruction With Allograft Tendons 2644
Lateral Compartment (Collateral) Disruptions 2645
Reconstruction of the Anterolateral Ligament 2646
Repair of Lateral Compartment Disruptions 2646
Reconstruction of Lateral Compartment 2653
Posterolateral Rotary Instability 2653
Reconstruction of the Posterolateral Structures for Mild-to-Moderate Posterolateral Instability 2654
Reconstruction of the Popliteal Tendon Using the Iliotibial Band for Posterolateral Instability 2657
Rerouting of the Biceps Tendon to the Femoral Epicondyle for Posterolateral Instability 2660
Anatomic Posterolateral Knee Reconstruction for Grade III Posterolateral Injury 2662
Posterolateral Corner Reconstruction With a Single Allograft Fibular Sling 2663
Posterolateral Instability With Varus Knee 2663
Valgus Tibial Osteotomy and Posterolateral Reconstruction 2664
Allograft Reconstruction of the Lateral Collateral Ligament 2666
Reconstruction of Posterolateral Structures With Semitendinosus Tendon 2668
Anterolateral Rotary Instability 2669
Anterior Cruciate Ligament Injuries 2669
Incidence 2669
Anatomy 2669
Biomechanics 2670
History and Physical Examination 2670
Natural History 2671
Treatment 2673
Repair of Bony Tibial Avulsions of Anterior Cruciate Ligament 2673
Reconstruction for Anterior Cruciate Ligament Insufficiency 2674
Extraarticular Procedures (Iliotibial Band Tenodesis) 2674
Extraarticular Procedures (Iliotibial Band Tenodesis) 2675
Extraarticular Procedures (Iliotibial Band Tenodesis) 2676
Intraarticular Reconstruction 2677
Graft Selection. 2678
Graft Placement. 2678
Graft Tension. 2680
Graft Fixation. 2680
Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft 2682
Reconstruction With Hamstring Tendons 2687
Anterior Cruciate Ligament Reconstruction With Hamstrings (With Proximal Release of Hamstrings) 2687
Combined Anterior Cruciate Ligament Instabilities 2689
Synthetic Materials for Ligament Reconstruction 2689
Allograft Ligament Replacement 2690
Rehabilitation After Anterior Cruciate Ligament Reconstruction 2691
Results of Anterior Cruciate Ligament Reconstruction 2692
Complications of Anterior Cruciate Ligament Surgery 2693
Revision Anterior Cruciate Ligament Surgery 2694
Graft Selection 2694
Technical Considerations 2695
Posterior Cruciate Ligament 2696
Anatomy 2696
Biomechanics 2697
Physical Examination 2697
Natural History 2697
Treatment 2697
Nonoperative Treatment 2697
Operative Treatment 2699
Repair of Bony Avulsion 2699
Reconstruction of Posterior Cruciate Ligament 2701
Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft 2703
Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft 2705
Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts 2709
Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts 2710
Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts 2712
Arthroscopically Aided Posterior Cruciate Ligament Reconstruction 2712
Complications of Posterior Cruciate Ligament Reconstruction 2712
Traumatic Dislocations 2713
Classification 2713
Examination and Radiographic Evaluation 2714
Vascular and Nerve Injuries 2715
Vascular Injuries 2715
Nerve Damage 2715
Other Associated Injuries 2716
Treatment 2716
Outcome of Operative Treatment of Knee Dislocations 2718
Synovial Plicae 2718
Articular Cartilage Injuries 2720
Treatment 2721
Osteochondritis Dissecans 2726
Etiology 2726
Clinical and Radiographic Findings 2726
Treatment 2728
Excision of Loose Bodies 2729
Fixation of Fragments 2729
Drilling of the Lesion 2729
Outcomes of Treatment of Osteochondritis Dissecans of the Knee 2730
Complications 2730
Disorders of the Patella 2730
Osteochondritis Dissecans of the Patella 2730
Dorsal Defect of the Patella 2730
Bipartite Patella 2730
Subperiosteal Release of the Lateral Quadriceps Mechanism 2731
Chondromalacia of the Patella 2732
Classification and Etiology 2732
Clinical Findings 2732
Treatment 2733
Advancement of the Tibial Tuberosity 2734
Patellectomy 2735
Extraarticular Ankylosis of the Knee 2735
Extraarticular Ankylosis in Extension 2736
Thompson Quadricepsplasty 2736
Mini-Invasive Quadricepsplasty 2736
Extraarticular Ankylosis in Flexion 2739
9780323392570v4_WEB 3820
Front Cover 3820
Campbell's Operative Orthopaedics, 4-Volume Set 3821
Copyright Page 3824
In Memory 3825
Dedication 3825
Contributors 3827
Preface 3829
Table Of Contents 3831
Video Contents 3835
XVI Peripheral Nerve Injuries 3837
62 Peripheral Nerve Injuries 3838
Anatomy of the Spinal Nerves 3839
Components of Mixed Spinal Nerves 3839
Motor 3839
Sensory 3839
Sympathetic 3839
Gross Anatomy 3839
Microscopic Anatomy 3840
Internal Topography of Peripheral Nerves 3841
Neuronal Degeneration and Regeneration 3841
Classification of Nerve Injuries 3842
Effects of Peripheral Nerve Injuries 3844
Motor 3844
Sensory 3844
Reflex 3845
Autonomic 3846
Complex Regional Pain Syndrome (Reflex Sympathetic Dystrophy) 3846
Clinical Presentation 3846
Treatment 3847
Etiology of Peripheral Nerve Injuries 3848
Clinical Diagnosis of Nerve Injuries 3848
Diagnostic Tests 3849
Imaging 3849
Electrodiagnostic Studies 3849
Nerve Conduction Velocity 3849
Electromyography 3849
Tinel Sign 3851
Sweat Test 3851
Skin Resistance Test 3851
Electrical Stimulation 3851
General Considerations of Treatment of Nerve Injuries 3851
Factors That Influence Regeneration after Neurorrhaphy 3852
Age 3852
Gap between Nerve Ends 3852
Delay between Time of Injury and Repair 3852
Level of Injury 3853
Condition of Nerve Ends 3853
General Considerations for Surgery 3853
Indications 3853
Time of Surgery 3853
Instruments and Equipment 3854
Anesthesia 3854
Preparation and Draping 3854
Technique of Nerve Repair 3854
Endoneurolysis (Internal Neurolysis) 3855
Partial Neurorrhaphy 3855
Neurorrhaphy and Nerve Grafting 3855
Methods of Closing Gaps between Nerve Ends 3855
Mobilization 3856
Positioning of Extremity 3856
Transposition 3856
Bone Resection 3856
Nerve Grafting 3856
Nerve Crossing (Pedicle Grafting) 3857
Source of Nerve for Interfascicular Nerve Grafting 3857
Nerve Allografts 3857
Synthetic Nerve Conduits 3857
Techniques of Neurorrhaphy 3857
Epineurial Neurorrhaphy 3858
Perineurial (Fascicular) Neurorrhaphy 3859
Interfascicular Nerve Grafting 3859
Results of Operation 3861
Cervical Plexus 3861
Spinal Accessory Nerve 3861
Treatment 3861
Results of Suture of the Spinal Accessory Nerve 3862
Brachial Plexus 3862
Etiology and Classification of Brachial Plexus Injuries 3863
Diagnosis of Brachial Plexus Injuries 3863
Treatment of Brachial Plexus Injuries 3864
Indications for Surgery 3864
Surgical Goals 3865
Comprehensive Approach to the Brachial Plexus 3865
Approach to the Brachial Plexus 3866
Methods of Closing Gaps 3868
Results of Treatment 3868
Transfer of the Ulnar Nerve Fascicles to Nerve of the Biceps Muscle 3869
Double Fascicular Transfer from Ulnar and Median Nerves to Nerve of the Brachialis Branches 3870
Neurotization of the Suprascapular Nerve with the Spinal Accessory Nerve 3871
Neurotization of the Axillary Nerve with Radial Nerve 3872
Brachial Plexus Compression Syndrome 3872
Suprascapular Nerve 3872
Examination 3872
Treatment 3873
Posterior Approach for Division of the Transverse Scapular Ligament 3873
Long Thoracic Nerve 3874
Axillary Nerve 3874