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Skeletal Trauma E-Book

Skeletal Trauma E-Book

Bruce D. Browner | Alan M. Levine | Jesse B. Jupiter | Peter G. Trafton | Christian Krettek | Jerome M. Cotler | Luke Madigan

(2008)

Additional Information

Book Details

Abstract

Obtain the best outcomes from the latest techniques with help from a "who's who" of orthopaedic trauma experts! In print and online, you'll find the in-depth knowledge you need to manage any type of traumatic injury in adults. Major updates keep you up to speed on current trends such as the management of osteoporotic and fragility fractures, locked plating technology, post-traumatic reconstruction, biology of fracture repair, biomechanics of fractures and fixation, disaster management, occupational hazards of radiation and blood-borne infection, effective use of orthotics, and more. A DVD of operative video clips shows you how to perform 25 key procedures step by step. A new, full-color page layout makes it easier to locate the answers you need quickly. And now, for the first time, you can access the complete contents online, for enhanced ease and speed of reference!

  • Complete, absolutely current coverage of relevant anatomy and biomechanics, mechanisms of injury, diagnostic approaches, treatment options, and associated complications equips you to confidently approach every form of traumatic injury.
  • Enhanced and updated coverage keeps you current on the latest knowledge, procedures, and trends - including post-traumatic reconstruction, management of osteoporotic and fragility fractures, locked plating systems, mini incision techniques, biology of fracture repair, biomechanics of fractures and fixation, disaster management, occupational hazards of radiation and blood-borne infection, effective use of orthotics, and much more.
  • More than six hours of operative videos on DVD demonstrate 25 of the very latest and most challenging techniques in real time, including minimally invasive vertebral disc resection, vertebroplasty, and lumbar decompression and stabilization.
  • Online access allows you to rapidly search the complete contents from any computer.
  • New editor Christian Kretek contributes additional international expertise to further enhance the already exceptional editorial lineup.
  • An all-new, more user-friendly full-color text design enables you to find answers more quickly, and more efficiently review the key steps of each operative technique.
  • More than 2,400 high-quality line drawings, diagnostic images, and full-color clinical photos show you exactly what to look for and how to proceed.

Table of Contents

Section Title Page Action Price
e9781416022206v1 1
Front Cover 1
Skeletal Trauma 4
Copyright Page 5
Dedication Page 6
Contributors 8
Foreword 16
Preface 18
First Editon 18
Second Edition 18
Third Edition 18
Fourth Edition 19
Acknowledgments 20
Table of Contents 22
Section 1: General Principles 28
Chapter 1: The History of Fracture Treatment 30
Early Splinting Techniques 30
Precursors of the Plaster Bandage 32
The Plaster Bandage and its Derivatives 34
Traction 35
Functional Bracing 37
Open Fractures 37
Early Fracture Surgery 39
External Fixation 44
Intramedullary Fixation 48
Robert Danis and the Development of the AO Group 50
Gavriil A. Ilizarov and the Discovery of Distraction Osteogenesis 53
Emile Letournel and the Surgery of Pelvic and Acetabular Fractures 53
Klaus Klemm and Interlocking Nailing and Local Antibiotic Bead Chain Therapy 54
Summary 56
References 56
Chapter 2: Biology and Enhancement of Skeletal Repair 60
Introduction 60
Biology of Fracture Repair 60
Molecular Mechanisms of Skeletal Repair: Current Knowledge 61
Enhancement of Fracture Healing 62
Biological Methods 62
Physical Enhancement of Skeletal Repair 69
Conclusion and Expectations 72
References 72
Chapter 3: Biomechanics of Fractures 78
Bone Properties and Fracture Risk 78
Biomechanics of Fracture Healing 88
Biomechanics of Fracture Treatment 92
Monitoring Fracture Healing 102
Summary 104
References 105
Chapter 4: Principles of Internal Fixation 110
Metallurgy 110
Hardware 119
Techniques 149
Acknowledgment 165
References 165
Chapter 5: Locking Plates: Development, Biomechanics, and Clinical Application 170
Development and Background 170
Biomechanics 175
Clinical Application, Indications, and Techniques 182
Summary 201
References 201
Chapter 6: Evaluation and Treatment of the Multiple-Trauma Patient 204
Introduction 204
The Trauma System 205
Assessing Severity of Injury 205
Prehospital Resuscitation 206
Hospital Resuscitation 208
Primary Survey 209
Secondary Survey 215
Tertiary Survey 219
Summary 219
Acknowledgment 219
References 219
Chapter 7: Damage Control Orthopaedic Surgery: A Strategy for the Orthopaedic Care of the Critically Injured Patient 224
The Damage Control Concept 225
The Orthopaedic Debate: Timing of Care for Long Bone Fractures 226
Multiply Injured Patients: Basic Physiology and the Inflammatory Process 230
Summary 241
References 241
Chapter 8: Disaster Management 246
Introduction 246
Disaster Planning 246
Disaster Classification 247
Disaster Management 247
Accidental and Man-Made Disasters 250
Medical Management of Disaster Casualties 254
References 260
Chapter 9: Occupational Hazards in the Treatment of Orthopaedic Trauma 264
Part I : Optimal and Safe Use of C-Arm X-Ray Fluoroscopy Units 264
Introduction 264
Features 264
Reduction of Radiation Dose During C-Arm Operation 268
Protection From Radiation of C-Arm Equipment when in Operation 273
Medical Physics Inspection of C-Arm Equipment 273
Part II: Prevention of Occupationally Acquired Blood-Borne Pathogens 274
Hepatitis B Virus 274
Hepatitis C Virus 275
Human Immunodeficiency 276
Strategies to Prevent Occupational Transmission of Blood-Borne Pathogens 277
Work Practices and Engineering Controls 277
Regulated Medical Waste 278
Summary 279
References 279
Chapter 10: Pharmacologic Management of the Orthopaedic Trauma Patient 280
Part I: Pain Management 280
Assessment 280
Pharmacotherapy 280
Part II: Antibiotic Therapy: General Considerations 285
Part III: Anticoagulation 291
Part IV: Substance Abuse Syndromes: Recognition, Prevention, and Treatment 296
Introduction 296
Definitions 297
Recognition-Estimating Risk 297
Recognition-Early Identification of Signs and Symptoms 299
Management-Prophylaxis/Treatment 302
Summary 306
References 306
Chapter 11: Principles and Complications of External Fixation 314
Historical Background 314
Fixator Terminology 317
Problems, Obstacles, and Complications 319
Principles Unique to the Ilizarov Method 341
External Fixators as Nonunion Machines 346
References 347
Chapter 12: Evaluation and Treatment of Vascular Injuries 350
History 350
Etiology 350
Locations and Types of Vascular Injuries 351
Diagnosis 352
Management of Vascular Injuries 354
Summary 363
References 364
Chapter 13: Compartment Syndromes 368
History 368
Pathophysiology 369
Diagnosis: Clinical Assessment 370
Tissue Pressure Measurements 373
Management of Skeletal Injuries 389
Acknowledgment 390
References 390
Chapter 14: Fractures with Soft Tissue Injuries 394
Historical Perspective and Scope 394
Etiology, Mechanisms, and Characteristics 395
Classifications 395
Pathophysiology of Musculoskeletal Injuries 397
Treatment Plan and Early Care 398
Wound Infections and Antimicrobial Agents 399
Wound Care 403
Fracture Fixation 409
Achieving Bone Union 417
Regaining Function 417
Coordinating and Staging of Interventions 418
References 418
Chapter 15: Soft Tissue Coverage 424
Wound Preparation 424
Timing 425
Wound Coverage Techniques 426
Soft Tissue Coverage by Region 429
Avulsion Injuries 452
Osteomyelitis: Role of Vascularized Muscle Flap Coverage 453
References 454
Chapter 16: Gunshot Wounds to the Musculoskeletal System 458
Introduction 458
Ballistics 458
Diagnosis 459
General Treatment Principles 459
Upper Extremity 460
Proximal Humerus and Shoulder Joint 460
Humeral Shaft and Arm 461
Elbow 465
Distal Humerus 465
Ulna 465
Forearm 466
Pelvis 470
Femur 472
Tibia 473
Foot 477
References 477
Chapter 17: Pathologic Fractures 480
Diagnosis of Bone Metastases 487
Treatment 491
Summary 528
References 533
Chapter 18: Osteoporotic Fragility Fractures 540
Epidemiology 540
Bone as a Metabolic Organ 540
Mechanism of Osteopenic Fracture 541
Fracture Healing and Osteoporosis 541
Definition and Diagnosis of Osteoporosis 542
Medical Treatment and Prevention of Osteoporosis 543
Management of Osteoporotic Fractures 545
References 547
Chapter 19: Surgical Site Infection Prevention 552
Introduction 552
Surgical Asepsis 554
Patient Preparation 557
Host Factors 557
Perioperative Glycemic Control 558
Perioperative Oxygen Supplementation and Temperature Regulation 560
Perioperative Antibiotics 561
Summary 567
References 567
Chapter 20: Diagnosis and Treatment of Complications 572
Systemic Complications 572
Local Complications of Fractures 586
Management of Complications 600
References 603
Chapter 21: Chronic Osteomyelitis 616
Terminology 616
Epidemiology 616
Pathogenesis 617
Classification 618
Diagnosis 620
Management 624
Summary 636
References 637
Chapter 22: Nonunions: Evaluation and Treatment 642
Introduction 642
Definitions 642
Fracture Repair 642
Etiology of Nonunions 643
Evaluation of Nonunions 645
Treatment 659
Summary 723
Acknowledgments 724
References 724
Chapter 23: Physical Impairment Ratings for Fractures 736
Generic Issues of Disability and Impairment 736
Epidemiology of Fractures in the United States 738
Guides To Impairment Determination 739
Summary 741
References 742
Chapter 24: Outcomes Research in Orthopaedics 744
Outcomes Assessment 744
Clinical Versus Patient-Oriented Outcomes 744
Instrument Development 745
Orthopaedic Functional Outcome Instruments 745
Recommendations for Clinical Outcomes Research and Outcomes Assessment 750
References 751
Section 2: Spine 754
Chapter 25: Initial Evaluation and Emergency Treatment of the Spine-Injured Patient 756
Basic Considerations 756
Management 764
Special Considerations 775
References 776
Chapter 26: Spinal Imaging 780
Introduction 780
Diagnostic Imaging of the Spine: an Overview of Imaging Modalities-Advantages and Disadvantages 780
Imaging Approach to the Potentially Injured Cervical Spine 809
Summary 816
References 816
Chapter 27: Spinal Orthoses 820
General Concepts 821
Cervical Traction 821
Cervical Orthoses 825
High Cervicothoracic Orthoses 826
Low Cervical Thoracic Orthoses 828
Thoracic and Lumbar Spine Orthoses 830
Conclusions 837
References 837
Chapter 28: Injuries of the Cervicocranium 840
Anatomy 840
Occipital Condyle Fractures 842
Occipitoatlantal Dislocations 844
Atlas Fractures 847
Atlantoaxial Instability 850
Atlantoaxial Rotatory Subluxations and Dislocations 853
Odontoid Fractures 855
Fractures in Older Patients 860
Traumatic Spondylolisthesis of the Axis 861
Miscellaneous C2 Fractures 864
Surgical Techniques 864
Surgical Approaches to the Cervicocranium 877
References 879
Chapter 29: Injuries of the Lower Cervical Spine 890
Anatomy of the Subaxial Cervical Spine 890
Biomechanical Stability of the Cervical Spine 892
Injury Mechanisms and Classification 898
Patient Assessment 899
General Management Considerations 899
Surgical Techniques 909
Management of Specific Injuries 913
Summary 938
References 938
Chapter 30: Thoracic and Upper Lumbar Spine Injuries 942
Historical Background 942
Anatomy 942
Mechanisms of Injury 947
Spinal Stability 954
Classification 959
Treatment Options 971
Treatment of Specific Injuries 972
Operative Treatment 977
Complications 994
Conclusion 998
References 998
Chapter 31: Low Lumbar Fractures 1006
Anatomic Features 1007
Lumbar Spine Injury Patterns 1010
Neurologic Deficit 1017
Management 1019
Summary 1040
References 1040
Chapter 32: Gunshot Wounds of the Spine 1046
Demographics and Epidemiology 1046
Wound Ballistics 1046
Patient Evaluation 1052
Treatment of Gunshot Wounds of the Spine 1053
Complications of Gunshot Wounds of the Spine 1056
Other Penetrating Injuries of the Spine 1063
Conclusion 1066
References 1066
Chapter 33: Fractures in the Stiff and Osteoporotic Spine 1070
Osteoporotic Spinal Fractures 1070
Ankylosing Spondylitis 1072
Diffuse Idiopathic Skeletal Hyperostosis 1076
Conclusion 1077
References 1077
Chapter 34: Complications in the Treatment of Spinal Trauma 1080
Complications of Nonoperative Treatment 1080
Complications of Operative Treatment 1083
Vascular and Soft Tissue Complications 1083
Instrumentation Failure 1089
Summary 1098
References 1098
Section 3: Pelvis 1104
Chapter 35: Fractures of the Sacrum 1106
Etiology and Epidemiology 1106
Anatomic Features 1107
Sacral Injury Patterns 1108
Evaluation 1113
Management 1117
Complications 1130
Summary 1130
References 1130
Chapter 36: Pelvic Ring Disruptions 1134
Anatomy 1134
Pelvic Stability 1138
Pathomechanics and Mechanisms of Pelvic Disruption 1142
Classification of Pelvic Disruptions 1143
Assessment of Pelvic Disruption 1149
Decision Making 1158
Reduction and Fixation Techniques 1159
Postoperative Plan 1187
Genitourinary Injuries 1187
Open Pelvic Fractures 1187
Complications 1190
Results 1191
Summary 1192
References 1192
Chapter 37: Surgical Treatment of Acetabular Fractures 1198
Epidemiology 1198
Osteology 1198
Radiology 1200
Classification 1204
Posterior Wall 1204
Posterior Column 1204
Anterior Wall 1207
Anterior Column 1208
Transverse 1208
Transverse Fractures with Associated Posterior Wall Involvement 1209
Posterior Column Fracture with Associated Posterior Wall Involvement 1209
Anterior Column with Fracture with Associated Posterior Hemitransverse Injury 1210
T-Type 1210
Associated Both-Column Fracture 1210
Variant Patterns 1211
Decision Making 1212
Operative Timing 1215
Initial Management 1216
Surgical Exposures 1216
Kocher-Langenbeck 1217
Ilioinguinal 1218
Extended Iliofemoral 1221
Combined Anterior and Posterior Exposures 1222
Other Exposures 1222
Manipulative Reduction/Percutaneous Fixation 1222
Exposure, Reduction, and Fixation by Fracture Pattern 1223
Posterior Wall 1223
Posterior Column 1224
Anterior Wall 1224
Anterior Column 1224
Transverse 1225
Transverse fracture with Associated Posterior Wall involvemen 1225
Posterior Column fracture with Associated Posterior Wall involvement 1228
Anterior Column fracture with Associated Posterior Hemitransverse involvement 1229
T-type 1230
Associated Both-Column fracture 1230
Technical Note: Operative Management of a Transverse Fracture with Associated Posterior Wall Acetabular Component Using a Koc-Langenbeckexposure and the Patient Positioned Prone 1231
Technical Note: Application of an Intrapelvic Plate to Support the Quadrilateral Surface Fracture Component 1233
Aftercare 1233
Complications 1233
Malreduction 1234
Nerve Injury 1234
Deep Venous Thrombosis 1236
Infection 1236
Ectopic Bone Formation 1236
Aseptic Necrosis of the Femoral Head 1237
Arthritis 1237
Fixation Error 1237
Summary 1238
References 1238
Index 1246
e9781416022206v2 1302
Front Cover 1302
Skeletal Trauma 1305
Copyright Page 1306
Dedication Page 1307
Contributors 1309
Foreword 1317
Preface 1319
First Editon 1319
Second Edition 1319
Third Edition 1319
Fourth Edition 1320
Acknowledgments 1321
Table of Contents 1323
Section 4: Upper Extremity 1329
Chapter 38: Fractures and Dislocations of the Hand 1331
Functional Anatomy 1331
General Principles 1333
Emergency Department Anesthesia 1336
Treatment of Metacarpal and Phalangeal Fractures: Concepts and Goals 1337
Fracture Immobilization Techniques 1339
Metacarpal Fractures 1352
Phalangeal Fractures 1384
Mallet Injuries 1421
Dislocations 1424
Open Fractures 1430
Complex Injuries 1431
Complications of Hand Fracture Management 1432
References 1441
Chapter 39: Fractures and Dislocations of the Carpus 1453
Fractures of the Scaphoid 1453
Kienböck's Disease 1470
Fractures of the Capitate 1473
Fractures of the Hamate 1474
Fractures of the Triquetrum 1476
Fractures of the Trapezium 1476
Fractures of the Pisiform 1476
Fractures of the Trapezoid 1477
Dislocation of the Carpus 1477
References 1504
Chapter 40: Fractures of the Distal Radius 1515
Functional Anatomy 1515
Classification 1515
Radiographic Assessment 1519
Determination of Stability 1519
Relation of Anatomy to Function 1523
Treatment 1524
Extra-Articular Fractures 1525
Intra-Articular Fractures 1531
Associated Injuries 1545
Complications 1549
Evaluation of Outcome 1553
Future Considerations 1556
Summary 1560
References 1561
Chapter 41: Diaphyseal Fractures of the Forearm 1569
Goals of Treatment 1569
Classification of Diaphyseal Forearm Fractures 1569
Treatment 1570
Open Fracture 1585
Specific Lesions 1587
Complications 1596
Assessment of Outcome 1607
References 1608
Chapter 42: Trauma to the Adult Elbow and Fractures of the Distal Humerus 1613
Part I: Trauma to the Adult Elbow 1613
Radial Head Fractures 1613
Coronoid Fractures 1629
The \"Terrible Triad\" of the Elbow 1631
Olecranon Fractures 1635
Dislocation of the Elbow 1642
Part II: Fractures of the Distal Humerus 1652
Distal Humeral Anatomy 1652
General Classification 1657
Single-Column Fractures 1657
Bicolumn Fractures 1660
Fractures of the Capitellum and Articular Surface 1687
Extra-Articular Intracapsular Fractures: Transcolumn Fractures 1691
References 1694
Chapter 43: Fractures of the Humeral Shaft 1703
Anatomy 1703
Biomechanical Considerations 1703
Classification 1705
Diagnosis 1706
Management 1706
Complications 1726
Special Issues 1730
Summary 1730
References 1731
Chapter 44: Proximal Humeral Fractures and Glenohumeral Dislocations 1733
Part I: Essential Principles 1733
Relevant Anatomy and Biomechanics 1733
Evaluation of an Acutely Injured Shoulder 1738
Differential Diagnosis 1746
Surgical Treatment of Proximal Humeral and Glenohumeral Injuries 1747
Outcome Evaluation 1751
References 1752
Part II: Proximal Humeral Fractures and Fracture–Dislocations 1753
Epidemiology 1753
Mechanisms of Injury 1754
Associated Injuries 1754
Fracture Classification 1756
Management 1763
Outcome Assessment 1814
Complications 1816
Conclusion 1821
References 1822
Part III: Glenohumeral Dislocations 1827
Direction of Dislocation 1827
Anterior Glenohumeral Dislocation 1828
Posterior Dislocation 1839
References 1845
Part IV: Post-Traumatic Reconstruction of Proximal Humeral Fractures and Fracture–Dislocations 1849
Evaluation 1849
Prosthetic Arthroplasty 1849
Results of Arthroplasty 1855
Nonunion 1856
Malunion 1857
Results of Malunion and Nonunion Treatment 1861
Summary 1862
References 1862
Chapter 45: Injuries to the Shoulder Girdle 1865
Anatomy 1865
Shoulder Suspensory Complex 1866
Sternoclavicular Joint Dislocation 1867
Acromioclavicular Joint Dislocation 1869
Fractures of the Scapula 1870
Fractures of the Clavicle 1875
References 1887
Section 5: Lower Extremity 1889
Chapter 46: Hip Dislocations 1891
Pathology 1891
Classification of HIP Dislocations 1898
Diagnosis 1902
Management 1906
Complications 1919
References 1922
Chapter 47: Medical Management of the Patient with Hip Fracture 1929
Outcome Variables 1929
Preoperative Assessment 1929
Postoperative Management 1937
Summary 1938
References 1938
Chapter 48: Intracapsular Hip Fractures 1943
Femoral Head Fractures 1943
Femoral Neck Fractures 1957
References 2005
Chapter 49: Intertrochanteric Hip Fractures 2023
Incidence and Etiology 2023
Relevant Anatomy 2024
Radiographic Assessment 2026
Classification of Intertrochanteric Fractures 2027
Patient Assessment 2029
Management 2031
Complications 2056
Patient Outcome 2061
Summary 2062
References 2062
Chapter 50: Post-Traumatic Reconstruction of the Hip Joint 2067
Preoperative Evaluation 2067
Salvage of Failed Femoral Neck Fractures: Young Patients 2069
Salvage of Femoral Neck Fractures: Older Patients 2074
Salvage of Failed Intertrochanteric Hip Fractures: Young Patients 2076
Salvage of Failed Intertrochanteric Hip Fractures: Older Patients 2077
Conclusions Regarding Failure of Proximal Femur Fracture Treatment 2081
References 2084
Chapter 51: Subtrochanteric Fractures of the Femur 2087
Pathology 2087
Diagnosis 2093
Management 2096
Description of Individual Procedures 2097
Special Considerations 2128
Complications 2132
Acknowledgments 2140
References 2140
Chapter 52: Femoral Shaft Fractures 2145
Introduction and Overview 2145
Anatomy 2145
History 2149
Femoral Fractures in Polytrauma 2150
Assessment and Initial Management 2150
Fracture Classification 2151
Principles of Management of Diaphyseal Femoral Fractures 2154
Published Results of Treatment 2167
Specific Fracture Considerations 2168
Bone Loss in Femoral Fractures 2175
Fatigue (Stress) Fractures 2176
Children and Young Adolescents 2177
Nonunion 2177
Summary 2180
References 2180
Chapter 53: Fractures of the Distal Femur 2183
Pathology 2183
Diagnosis 2187
History of Treatment for Distal Femoral Fractures 2188
Management 2190
Follow-Up Care and Rehabilitation 2231
Complications 2232
References 2236
Chapter 54: Patella Fractures and Extensor Mechanism Injuries 2241
Historical Background 2241
Anatomy 2241
Extensor Apparatus Biomechanics 2243
Diagnosis 2244
Fracture Classification 2248
Treatment 2252
Complications 2267
Extensor Mechanism Injuries 2268
References 2273
Chapter 55: Dislocations and Soft Tissue Injuries of the Knee 2277
Diagnostic Approach to the Injured Knee 2277
Open Knee Dislocations 2283
Traumatic Dislocation of the Knee 2285
Management of Low-Energy Knee Dislocation 2289
High-Energy Knee Dislocations 2292
Surgical Management of Knee Dislocations 2293
Meniscal Injury 2299
References 2303
Chapter 56: Tibial Plateau Fractures 2311
Anatomy 2311
Mechanism of Injury 2314
Consequences of Injury 2315
Classification 2315
Diagnosis 2321
Fracture Management 2334
Arthroscopically Assisted Treatment of Plateau Fractures 2369
Definitive External Fixation of Tibial Plateau Fractures 2370
Management of Special Circumstances 2383
Posteoperative Management and Rehabilitation 2386
Complications 2388
Outcomes 2389
Summary 2390
References 2391
Chapter 57: Malunions and Nonunions about the Knee 2399
Post-Traumatic Difficulties Following Fractures of the Distal Femur 2399
Post-Traumatic Difficulties Following Fractures of the Proximal Tibia 2406
Post-Traumatic Difficulties Following Fractures of the Patella 2420
References 2425
Chapter 58: Tibial Shaft Fractures 2429
Pathology 2430
Diagnosis 2443
Management of Tibial Fractures 2448
Results of Tibial Fractures 2512
Complications and their Management 2517
Fibular Fractures 2541
Injuries of the Proximal Tibiofibular Joint 2543
Fatigue and Insufficiency Fractures 2544
References 2545
Chapter 59: Fractures of the Tibial Pilon 2563
Mechanism of Injury 2563
Radiographic Evaluation and Classification 2564
Evolution of Care 2568
Initial Treatment 2572
Treatment Options 2572
Technique of Orif 2593
Open Fractures 2609
Postoperative Care 2610
Unreconstructible Pilon Fractures 2610
Complications 2611
Clinical Outcomes 2618
Prognosis 2618
Summary 2619
References 2620
Chapter 60: Malleolar Fractures and Soft Tissue Injuries of the Ankle 2625
Anatomy and Biomechanics 2625
Evaluation of the Injured Ankle 2634
Management of Ankle Fractures 2638
Classification 2641
Definitive Treatment 2647
Soft Tissue Injuries of the Ankle 2679
Complications 2685
Acknowledgments 2688
References 2688
Chapter 61: Foot Injuries 2695
General Principles of Care of the Traumatized Foot 2695
Analyzing Outcome in the Foot 2696
Initial Evaluation of the Patient with a Foot Injury 2697
Talus Fractures 2697
Tarsal Dislocations 2728
Hindfoot Sprain 2736
Calcaneal Fractures 2736
Navicular Fractures 2779
Tarsometatarsal (Lisfranc) Injuries 2792
Cuboid Fractures 2810
Metatarsal Fractures 2813
Injury to the Metatarsophalangeal Joints 2823
Injury to the Proximal Phalanx and Interphalangeal Joint of the Hallux 2828
Injury to the Lesser Phalanges and Interphalangeal Joints 2830
Distal Phalanx and Nail Bed Injuries 2831
Fracture 2831
Sesamoid Fractures 2831
Compartment Syndrome 2834
Deep Venous Thrombosis and Prophylaxis 2837
Mutilating Injuries 2837
Crush Injuries 2838
Thermal Injury 2839
Gunshot Wounds 2839
Heel Pad Injury 2841
Traumatic Tendon Injury 2841
Puncture Wounds 2842
Animal Bites and Marine Wounds 2843
Neuropathic Foot Fracture 2844
References 2844
Chapter 62: Post-Traumatic Reconstruction of the Foot and Ankle 2859
Lower Limb Alignment and Joint Orientation 2859
Principles 2859
Physical Examination 2859
Imaging Studies 2863
Malunion, Nonunion, and Degenerative Spur Formation on the Talus, Including the os Trigonum, and Osteochondrosis 2864
Calcaneal Malunion and Nonunion 2865
Navicular Nonunion and Malunion and Talonavicular Arthrosis 2866
Cuboid Malunions and Nonunions with and without Lateral Column Shortening 2867
Metatarsal Nonunions and Malunions 2868
Phalangeal Malunions and Nonunions 2869
Post-Traumatic Arthrosis 2869
Residuals of Compartment Syndromes 2886
References 2887
Chapter 63: Principles of Deformity Correction 2889
Lower Limb Alignment and Joint Orientation 2889
Characteristics of Deformity 2889
Joint Considerations for Correction of Deformity 2944
Improvements in Deformity Correction: Development and Application 2945
References 2952
Chapter 64: Periprosthetic Fractures of the Lower Extremity 2953
History 2953
Patient Evaluation 2953
Periprosthetic Fractures Around Total Hip Arthroplasty 2954
Periprosthetic Fractures Around Total Knee Arthroplasty 2959
References 2968
Chapter 65: Amputations in Trauma 2973
Limb Salvage Versus Amputation 2974
Functional Independence Measure 2974
Metabolic Cost of Walking with an Amputation 2974
Amputation Stump 2975
Surgical Considerations 2982
Prosthetic Considerations 2982
Postoperative Management 2984
Foot and Ankle Amputation 2985
Upper Extremity Amputation 2988
Psychosocial Adaptation 2989
Late Complications 2989
Summary 2991
References 2991
Index 2993