Ortopædisk kirurgi og knoglebrud

This practical, unique textbook provides a foundation for the essential elements of patient safety and quality improvement (QI) for orthopaedic trainees, though the content covered will be of interest to veteran clinicians as well. Currently, there are few existing resources and didactics focused on this crucial yet often overlooked area of medical practice, which makes this the first true textbook on the subject within the field of orthopaedic surgery.   Utilizing a user-friendly approach including generous figures, tables, and bulleted key points, the text presents comprehensive background information on QI principles, models, and patient safety. More specifically, it focuses on orthopaedic concerns, such as biologics and implants, registries, checklists, surgical site infection risk reduction, use of evidence-based medicine and care maps, simulation to improve care, and shifting from volume to value, among others. Related topics such as diversity and inclusion, provider wellness strategies, leadership strategies to develop an efficient and safe work culture, and innovation are also presented. Throughout, the aim is to demonstrate that QI is a multidisciplinary goal that can only flourish in an environment of supportive accountability. With contributions by leaders in the field, Quality Improvement and Patient Safety in Orthopaedic Surgery provides trainees and surgeons in the field a valuable and pragmatic toolkit for successful and sustainable clinical practice. 

Comprised exclusively of clinical cases, this concise, practical casebook provides clinicians and surgeons with current reconstructive techniques for complicated manifestations of foot and ankle injuries as a result of trauma, neuromuscular disease and deformity. Presenting unique cases in forefoot, midfoot, rearfoot, and ankle surgery, it is sensibly divided into six sections: forefoot maladies, the varus foot and ankle, the valgus foot and ankle, Charcot neuropathy, tendinopathies, and ankle joint revision. Each section demonstrates the surgical techniques chosen in each case, supported by generous, detailed surgical and radiographic slides and diagrams. A consistent chapter format, outlining the case presentation, diagnosis, management, and pearls and pitfalls, ensures its utility and accessibility.Pragmatic and reader-friendly, Challenges in Foot and Ankle Reconstruction Surgery: A Case-based Approach is an excellent resource for foot and ankle surgeons, podiatrists and all clinical staff treating these common yet challenging conditions.

A layman's guide to understanding the medical science of knee pain

This expansive, full-color atlas presents the detailed surgical anatomy and approaches for the most commonly performed arthroscopic procedures for the foot and ankle, including detailed descriptions of the equipment and operative set-up for successful arthroscopic procedures. Opening chapters discuss the relevant gross anatomy and instrumentation utilizing both cadaver and intraoperative photos, before proceeding into step-by-step presentations of nearly two dozen surgical procedures, from managing ankle instability and fractures and osteochondral lesions to peroneal tendon repair, plantar fascia release and joint arthrodesis. For each surgical procedure, indications and contraindications are provided, along with appropriate approaches and portals and possible complications. Each chapter is generously illustrated with relevant radiology and intraoperative and arthroscopic photos for maximum visual impact and ease of use, and includes a curated selection of suggested readings for further investigation. An excellent reference for foot and ankle surgeons at every skill level, Arthroscopic Techniques and Anatomy of the Foot and Ankle will be the go-to guide for years to come.

This book explores the rapidly growing subspecialty of regenerative medicine in pain management. It provides concise guidelines and instruction for healthcare providers interested in implementing this novel therapy. The book contains three sections and begins with a thorough introduction to the field. Additionally, section one examines various therapies such as stem cell collection, allograft therapies, and bone marrow aspirations. Section two then delves into the medical diagnosis and procedural guidance methods, including ultrasound imaging, discography, local anesthetics, and anticoagulation medications. Following this, section three concludes the book with numerous discussions on standardized treatment paradigms. A unique, first-of-its-kind book, Regenerative Medicine seeks to inspire medical practitioners to integrate this subspecialty into pain management therapies and treatments.

In this issue of Hand Clinics, guest editors Drs. Jerry I. Huang and Erin A. Miller bring their considerable expertise to the topic of Malunions and Nonunions in the Forearm, Wrist, and Hand. Top experts in the field provide up-to-date guidance on these complex fractures, keeping you current with the most effective techniques and management strategies for optimal outcomes and safe restoration of proper function.Contains 14 relevant, practice-oriented topics including principles and evaluation of bony unions; forearm nonunions: from Masquelet to free vascularized bone grafting; distal radius nonunions; a rare entity?; the role of 3D guides in management of forearm and wrist malunions; and more.Provides in-depth clinical reviews on malunions and nonunions in the forearm, wrist, and hand, offering actionable insights for clinical practice.Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The modern field of total knee arthroplasty began over 50 years ago in the 1970s when the FDA approved cement for implant fixation, and durable plastic that replaced the meniscus became available. Simultaneously, alignment evolved into two opposing and contentious philosophies, the anatomic approach (forefather of kinematic alignment, ) and the 'cookie-cutter' or mechanical alignment. In 2006, the concept of personalized surgery initiated a paradigm shift away from the philosophy of mechanical alignment to calipered kinematic alignment total knee replacement. Dr. Howell, a professor of biomedical engineering and a sports medicine surgeon, developed the kinematic alignment technique. To perform the surgery, he created the first commercially made patient-specific guides designed to assist the surgeon in setting the components coincident to the patient's pre-arthritic joint lines, which is the kinematic alignment target.In 2007, early adopters' clinical experience, particularly Dr. Meade, persuaded over 300 surgeons to perform more than 20,000 kinematically aligned total knee replacements by 2011. Between 2011 and 2020, many worldwide studies reported that kinematic alignment improves patient satisfaction, function, ease of recovery, soft tissue balance, flexion, and joint-line and limb alignment compared with mechanical alignment. It is a winning approach.This primer uses the familiar concept of the Ten Commandments and selects ten topics for the surgeon to follow. The success of kinematic alignment requires caliper measurements of bone resections and intraoperative recording of verification steps. These recommendations reduce the risk of complications, a topic of great interest to the patient! Patients that research options in total knee replacement surgery will come across the kinematic and mechanical alignment philosophies. The mechanical alignment technique is a 'cookie-cutter' approach that places the components the same way in everybody regardless of their legs' shape. Because the method changes the patient's joint lines, the healthy ligaments are released, making the replaced knee feel unnatural. Kinematic alignment restores the patient's knee alignment before arthritis developed and preserves healthy ligaments, promoting patient satisfaction and high function.We hope this primer is useful for those investigating knee replacement surgery. Those who chose kinematic alignment, ask your surgeon whether they use the caliper and intraoperative verifications to position your new knee optimally!

This book is a practical guide to the evaluation and management of surgical problems associated with the ankle. Divided into six thematic sections, it opens with general considerations for the ankle, including discussion of the anatomy, physiology and biomechanics of the ankle joint, along with relevant radiography and evaluation of ankle pain. The subsequent sections focus on specific injury types, from soft tissue injuries of tendons and ligaments, to classification and management of the various types of ankle fractures, to diabetic and Charcot neuropathy and chronic problems such as infections, post-traumatic arthritis and osteochondral disorders. Detailed descriptions of surgical algorithms are complemented with intraoperative photos and radiographs, providing a well-rounded presentation utilizing the most up-to-date evidence and clinical guidelines.Written by experts in the field, Evaluation and Surgical Management of the Ankle will be an excellent resource for orthopedic and podiatric surgeons, residents, nurse practitioners and physician assistants.

This book offers an update on several basic and clinical problems in neurosurgery compiled by internationally recognized experts.  This multi-thematic volume  will touch on a variety of topics: from  the role of women neurosurgeons in the last hundred year of the specialty history, to the pathogenesis of spinal dysraphism, to the convection-enhanced delivery of intracerebral antineoplastic drugs in children, through a review of methods and applications. The intraoperative cerebral blood flow monitoring in neurosurgery will be also discussed, offering again a comprehensive review of contemporary technologies and emerging perspectives.  As for the  technical standards, the book will describe the multimodality approach to cerebral gliomas, the management of thalamic tumors, the intracavitary treatment of craniopharyngiomas, the long term results of spasticity treatments,  the surgical treatment of  spinal vascular malformations, the management of idiopathic and refractory syringomyelia, offering at the same time an update of peripheral nerve surgery. All the chapters have to be considered an advance in the relative fields,  in cerebral pathophysiology and in clinical management.   Approaching the issue of technical standards  in the everyday clinical practice of neurosurgery,  this book is of great interest for neurosurgeons, neurologists and orthopaedists.

This volume on Rarer Arthropathies, part of the series "e;Rare Diseases of the Immune System"e; aims to fill a gap in the literature by informing and updating clinicians on the unusual and uncommon forms of arthritis and related musculoskeletal conditions. It will be a valuable go-to resource for clinicians to support them in differential diagnosis, in particular when facing unusual presentations. Nineteen chapters written by experts have covered a wide range of these conditions, providing first rate information on topics yet lacking adequate coverage; from Palindromic Rheumatism to SAPHO Syndrome and other chronic immune-mediated conditions, while also including arthritis in leprosy, tuberculosis and chikungunya.Smaller, crisp paragraphs and apt subheadings will help the readers in easily understanding the up to date information provided in the chapters. Line diagrams, original full-color clinical photographs and informative tables also support easy assimilation of information, turning this book in a useful ready reckoner on the desks and smartphones. All specialists, including rheumatologists, orthopedic surgeons, pediatricians, physicians practicing internal medicine and rehabilitation medicine will find this volume invaluable in   their daily clinical work. 

This handbook presents a concise, practical approach to the physical examination and diagnosis of acute injuries of the knee. While radiological diagnostic tools like CT and MRI are important tools for orthopedic and sports medicine injuries, the skills of history taking and an accurate physical exam are no less important in educated decision-making when it comes to injury management. The goal of this book is to make it easier for a beginning knee practitioner to take an educated history and then perform a thorough physical examination. This will invariably steer them to the course of the correct diagnosis. The focus here is on a consistent and thorough examination, including taking a full history of the injury, utilizing common physical tests, and limiting differential diagnoses. To this end, the book opens with a review of these general considerations. Subsequent chapters discuss these considerations across a number of acute knee injuries tothe patella, ACL, MCL, PCL, meniscus, and multiligamentous and extensor mechanism injuries and conditions. Additional chapters describe osteochondral injuries and mimickers such as PVNS and tumors. Video clips demonstrating examination techniques are included throughout the text. While The Acute Knee is aimed primarily at younger practitioners, it is an excellent resource for any orthopedic surgeon or sports medicine physicians looking to refamiliarize themselves with the "lost art" of physical examination for the acute knee.

¿Dieses Buch gibt einen Überblick über die wesentlichen präklinischen, innerklinischen und Verlaufsbeurteilungen zur Diagnostik, Evaluation und Beurteilung der Gehirnerschütterung. Obwohl es sich um eine komplexe Verletzung handelt, wird die Gehirnerschütterung immer noch häufig unterschätzt. Die Mehrzahl der Gehirnerschütterungen führt nur zu kurzfristigen klinischen und kognitiven Symptomen mit einer meist vollständigen subjektiven Erholung. In einigen Fällen kann es aber zu längerfristigen Störungen kommen, die erkannt und adressiert werden müssen. Potenziell besteht auch ein Risiko der Entwicklung neurodegenerativer Veränderungen und Erkrankungen.

This book provides the necessary information for surgeons to diagnose and treat fractures that occur in the pediatric and adult hand, written by experts who routinely care for these injuries. It is imperative that treating healthcare providers understand the nuances that will be presented throughout the book to avoid missing a diagnosis, mistreating a fracture as a minor injury, or risking other common pitfalls and potential complications.Part one covers pediatric hand fractures and begins with a review of the anatomy and osseous development of the hand, followed by physical and radiographic evaluation. Subsequent chapters focus on all areas of the hand, including metacarpal, phalangeal and fingertip fractures. Part two takes a similar approach to the adult hand, opening with physical and radiographic evaluation and then proceeding to a more in-depth discussion of each type and area of fracture. Arthroscopic and WALANT procedures for hand fractures are also presented here, as are rehabilitation strategies and orthoses. Fractures that occur in the hand are typically treated by numerous providers, and therefore Pediatric and Adult Hand Fractures: A Clinical Guide to Management has wide applicability, including orthopedic surgeons, emergency department/urgent care center providers, general practitioners, plastic surgeons, and fellows and trainees in all of these areas. ¿

This book develops and describes surgical rationales in the field of reconstructive surgery for upper limb function, both in children and adults suffering from various diseases or trauma leading to a variety of motor and sensory impairments, sometimes associated with growth-related deformities. Every surgical career is a unique living story of learning, performing, questioning, trial and error, and finally success. Every surgeon has to integrate a wealth of information regarding ongoing clinical and research work in a range of disciplines; and with time and experience, a surgical rationale is developed that serves as a baseline and support for their day-to-day work.Following a structure starting with the patient¿s needs, the surgeon and the training, the different tissues are addressed and their pathophysiology discussed in detail, including basic research and surgical expertise. The book is not a surgical compendium, but instead focuses on the detailed baseline behind day-to-day clinical examinations, functional evaluations and surgical work. Readers will learn how the tissues interact, how pathologies change them and interfere with their functions, and how to reverse the pathophysiological sequence by surgical-technical means to improve function.Although the book presents the author¿s personal views, all aspects are explained and debated on the basis of past and current clinical findings, ongoing basic research and input from other disciplines: readers may disagree with certain points, but choose to implement some of the rationales and priorities, incorporate findings from fields they¿d never previously explored, or investigate them further.This book offers an extensive framework of argumentation and is intended to inspire and support readers in terms of decision-making and understanding current or uncommon procedures. Practitioners in the fields of peripheral nerve surgery, reconstructive plastic surgery, upper limb orthopedics, neuropediactrics, biomechanics, physiotherapy and ergotherapy will find the book a valuable asset, and a trusted companion in the daily quest to improve patient care!