Ortopædisk kirurgi og knoglebrud

Dr. Heinonen reviews and critically evaluates the scientific literature on the biological role of inorganic pyrophosphate (PPi ) published from 1940 to the end of 1999. He describes and classifies all known biochemical reactions that produce Ppi; describes and evaluates all published methods used in biological Ppi; and compiles and critically evaluates information on the concentration of PPi (with the conclusion that, contrary to common belief, PPi exists throughout the living world in rather high concentrations). Many reactions in which PPi is used as a biochemical energy source instead of ATP have been described in recent decades, especially in bacteria, protists, and plants. These reactions are evaluated from the bioenergetic and regulatory points of view. Also considered is the possible role of PPi as a source of biochemical energy in the primitive phases of life, before ATP. Data is presented on the regulatory role of PPi in living systems, such as activities of enzymes, fidelity of syntheses of macromolecules, and proliferation of cells. PPi may also regulate the formation and dissolution of bone as well as pathologic calcification of soft tissues and the formation of urinary stones. The formation of calcium pyrophosphate dihydrate crystals in the extracellular fluids of joints cause the disease called pseudogout. Biological Role of Inorganic Pyrophosphate book is a unique and invaluable source of references (about 1120) and summarized data for professionals who study or plan to study the role of PPi in living systems. Many different branches of science (biochemistry, microbiology, bioenergetics, plant physiology, parasitology, evolution, orthopedics, rheumatology) have involvement with PPi. This book sums up available knowledge in one place and will help scientists cross disciplinary boundaries.

An in-depth analysis of hand surgery principles from internationally renowned hand surgeons Hand surgery is a multidisciplinary pursuit that requires exceptional artistry, superb skills, and harmonious teamwork developed over decades of practice.  Reconstruction of the Thumb and Finger  is a unique resource that follows a Socratic approach to teaching in a world consumed by computers. It reflects 225 years of collective surgical effort by five prominent hand surgeons, who have practiced from the embryonic stages of pedicle flaps and digital transposition to revascularization and free tissue transfers. The differing goals, techniques, expectations, and collaborative approaches advocated by these masters are articulated throughout this exceptional book. The first chapter provides a comprehensive overview of anatomical and functional eloquence of the hand, including thorough descriptions of the musculoskeletal system, principles of thumb and digit reconstruction, and a detailed classification of defects. Traumatic loss and congenital differences of the thumb and finger are systematically divided into specific levels in 20 chapters. At each interval, various methods of reconstruction are presented with an emphasis on both new and older techniques. Chapter 20 covers elective incisions of the finger, hand, wrist, and forearm. Key Highlights A comparative digital defect indexing system (DDI) based on the surface involved, the critical zone of injury or loss, and a sum of tissue loss From simple to complex, each case includes the treatment rationale, functional/anatomical loss, reconstruction objectives, multiple treatment options, technical provisos, long-term outcomes, and clinical pearls Older clinical cases with long-term data bridge the gap from older to current microvascular techniques Pertinent anatomy is artfully illustrated by one of the recognized founding fathers of hand surgery, the late J. William Littler, including unpublished drawings and classic illustrations Reflecting many decades of research and collaboration, this authoritative medical reference is indispensable reading for novice to seasoned hand surgeons and microsurgeons. It also provides a robust teaching tool for medical students and allied health personnel.

This book provides detailed information on functional anatomy, physical examination, and clinical radiology of the knee with a view to enabling the clinician to identify the most suitable treatment approach to different knee joint pathologies. In addition, the arthroscopic treatment techniques most frequently employed in patients with these conditions are described, with presentation of numerous arthroscopic images detailing characteristic findings. Knee joint pathologies today represent a significant challenge owing to the complexity of the injuries suffered, rising activity levels, and high patient expectations. A proper physical examination plays an important role in diagnosis. The surgeon who has the opportunity to conduct a clinical evaluation must fully understand the role of radiological evaluations, and assessment by a radiology expert is also necessary. In all cases, knowledge of the normal anatomy and its correlation with clinical and radiological findings is fundamental to correct diagnosis and treatment selection. Surgeons and trainees with an interest in knee joint pathologies will find this book to be an excellent, richly illustrated educational guide to the subject.

Now in a fully revised and expanded second edition, this practical text presents the current state of the art and latest advancements in the biomechanics, assessment, diagnosis and management of UCL injury in the elbow. In the years since this book¿s initial publication, significant developments have occurred on multiple fronts relating to elbow UCL injury, including injury prevention, less invasive repair techniques, more anatomical surgical reconstructions, and improved post-injury rehabilitation protocols. Chapters are once again arranged thematically, beginning with discussion of the relevant anatomy and surgical approaches, throwing biomechanics and overload mechanisms, epidemiology, history and physical exam. After a description of the radiological approaches to assessment, both conservative and surgical strategies are outlined and discussed in detail, from repair both with and without augmentation to reconstruction both arthroscopically and with newer minimally invasive techniques. Considerations for UCL injury in special populations ¿ the young athlete and the female athlete ¿ and sports-specific rehabilitation, return-to-play and prevention via wearable technology round out this thorough presentation. Enhanced with select video clips illustrating surgical techniques, Elbow Ulnar Collateral Ligament Injury, Second Edition remains a go-to resource for orthopedic surgeons, sports medicine specialists, therapists and trainers who work with athletes that suffer from these conditions.

This book offers a comprehensive and detailed overview of specific sports-related injuries and a valuable guide for decision-making to establish the best strategies to prevent and manage such injuries. As a thorough understanding of each sports modality plays a key role, both in injury prevention and management, a dedicated chapter is devoted to each sports discipline. An international panel of authors examines all most popular individual and team sports ¿ including athletics, swimming, combat sports, cycling, tennis, American football, baseball, basketball, soccer and volleyball, just to mention a few. Three additional chapters present special aspects related to sports injuries: mental health concerns in athletes, radiological assessment and patient reported-outcomes tailored to sports medicine.All chapters share a consistent format, starting with a brief presentation of the sport and its history, and then discussing its dynamics, physical demands on the athlete, common sports-related injuries, biomechanics of injuries, first aid on the field, and injury prevention. This book offers valuable resource to orthopaedists, sports physicians as well as physiotherapists practicing in the field of sports-related injuries.

This atlas offers a comprehensive overview of neuromuscular diseases. It discusses all aspects of neuromuscular disorders, including general tools, the cranial and spinal nerves, the nerve plexus, peripheral nerves, mono- and polyneuropathies, entrapment syndromes, the neuromuscular junction, motor neuron diseases, muscle disease, and autonomic involvement. Each chapter is structured into the following sections: anatomy, symptoms, signs, pathogenesis, diagnosis and differential diagnosis, therapy, and prognosis. The diagnostic tools used for neuromuscular disease are explained, and the therapeutic options for each disease are described. This updated third edition includes new chapters addressing a range of topics: from histology to molecular mechanisms, genetic aspects, the mechanisms of emerging new therapies, neuroimaging, neuromuscular disease, and new pathogenic mechanisms. The book aims to be a useful companion for neuromuscular disease. The homogenous structure, illustrations with figures, and representative images makes the atlas easy to read and helpful in understanding neuromuscular problems.

This book describes and discusses the available joint preservation techniques for maintaining the stability homeostasis of the lower extremity joints ¿ specifically the hip, knee, and ankle ¿ following injury. Readers will find detailed coverage of anatomy, pathology, techniques for repair, restoration, and regeneration, and rehabilitation strategies. Joint preservation is an emerging field in Orthopaedics that represents a response to the limitations of joint replacement technology. Using the techniques now available, surgeons can try to prevent or delay the onset of osteoarthritis or other degenerative conditions affecting the joints, particularly in young patients. Furthermore, modern tissue engineering offers the potential for whole-joint resurfacing, thereby achieving complete restoration. Optimal implementation of these techniques depends upon further refinement of methods and continuing improvements in knowledge of biomechanics, biology, and anatomy. Against this background,the present book is an ideal guide to the latest treatment modalities that will appeal to all who wish to learn more about indications, goals, procedures, and expected outcomes.

Bringing together the most up-to-date information on all aspects of primary and revision total ankle replacement (TAR), this definitive text focuses on TAR procedures and prostheses available for use in North America with additional "e;lessons learned"e; from the international community. The text is evidence-based, includes bullet points for quick reference, and is heavy on step-by-step photographs during surgery. Accordingly, the chapter content over four main sections is a purposeful mix of theory, data, and tips/pearls with detailed photographs, tables, and references. Section One provides an introduction to and history of TAR, including a discussion of fixed versus mobile bearings, TAR versus arthrodesis, and current indications and contraindications for primary TAR. Section Two focuses on primary TAR, covering a number of contemporary systems, such as INBONE, INFINITY, SALTO TALARIS and STAR. Secondary procedures with TAR comprise Section Three, including management of wound healing complications, soft tissue injuries, and varus and valgus malalignment. Section Four discusses revision TAR, covering topics such as infected replacements, component subsidence, and limb salvage as well as issues surrounding specific implant failures. Comprehensive yet practical, Primary and Revision Total Ankle Replacement will be the gold standard for books on this topic for many years to come and will provide invaluable instruction to orthopedic surgeons, podiatrists and foot and ankle clinicians worldwide.

This superbly illustrated, up-to-date reference textbook covers all aspects of ankle instability and its management. Readers will find extensive information on biomechanics, injury prevention, current strategies for conservative treatment, and established and emerging surgical techniques. The most recent procedures, particularly those which are minimally invasive and arthroscopically assisted, are described and discussed in depth. Detailed attention is also devoted to controversies such as the indications and timing for conservative or surgical treatment, the current and future roles of arthroscopy, the definition of "e;anatomic"e; repair, and the upcoming concept of "e;anatomic reconstruction"e; (replication of anatomy by using a graft). The book is published in cooperation with ESSKA, and the chapter authors include clinicians and scientists working in the field of foot and ankle orthopaedics and sports medicine from across the world. All who are involved in the care of patients suffering from ankle instability, including amateur and high-level athletes, will find Lateral Ankle Instability to be an excellent source of knowledge and a valuable aid to clinical practice. 

This book discusses the diagnosis and therapy for movement disorders of the upper extremities in children caused by brachial plexus injuries, peripheral nerve lesions or spasticity. The diagnostic procedures are presented from the perspective of pediatricians and surgeons. In addition to detailed descriptions of primary reconstructive and secondary surgical procedures, it also presents essentials of non operative treatment, such as physiotherapy, occupational therapy and orthopedic technologies. The book is rounded out with information on the management of these patients and their parents.Written by experienced clinicians, it offers valuable reading for plastic surgeons, pediatricians and surgeons who are interested in this topic.

Selbst ein mit bestem Wissen durchgeführter Eingriff ist bei komplexen Ellenbogenläsionen keine Garantie für den Erfolg. Bei über einem Drittel der hier vorgestellten Ellenbogenläsionen musste nach der Erstbehandlung nochmals eine operative Revision durchgeführt werden. Die Komplexität dieser Verletzungen ist in dem Buch illustriert. Die Fallbeispiele sollen ellenbogenchirurgisch interessierte Ärzte für mögliche Verläufe sensibilisieren und zeigen notwendig werdende Reinterventionen auf.

The ultimate resource for learning and mastering minimally invasive spine surgery techniquesAn estimated 1.5 million instrumented spinal procedures are performed every year in the US. The majority of decompressions and about 50% of fusion procedures can be performed completely or partially using minimally invasive spine surgery (MISS) techniques. The full potential of MISS techniques has yet to be realized. Essential Step-by-Step Techniques for Minimally Invasive Spinal Surgery by internationally renowned MISS neurosurgeon Roger Härtl, spine-neurosurgeon Rodrigo Navarro-Ramirez, and an impressive group of global multidisciplinary contributors is the most comprehensive and detailed textbook written to date on this topic.The foundation of the book is built on six interacting principles critical to surgical success, and MISS in particular: Target, Technology, Technique, Teaching and Training, Testing, and Talent. The text starts with an opening chapter on the definition of MISS and introduction of these principles. Fifty-six subsequent chapters provide a comprehensive discussion on how to utilize an MISS approach for a full spectrum of spinal pathologies using nuanced variations specific to the operating surgeon. To ensure readers are well versed in all aspects of MISS, these chapters include painstaking details on indications, contraindications, pathoanatomy, operating room set-up, step-by-step techniques, and postoperative management.Key HighlightsContributions from master spine surgeons across the world provide a balanced global perspective on mastering and incorporating diverse techniques into practiceInvaluable clinical pearls including tips/tricks and complication avoidanceHigh-quality images, figures, anatomic drawings, and imaging studies illustrate relevant anatomic approaches and corridors and delineate why anatomic mastery is critical to MISSTwenty-five videos enhance the ability to learn and implement MISS approachesThis is a must-have resource for practicing spine surgeons interested in MISS who wish to learn the latest techniques from master surgeons and achieve optimal patient outcomes. The text and videos also provide a robust training tool for senior-level orthopaedic and neurosurgery residents and spine fellows.This print book includes complimentary access to a digital copy on https://medone.thieme.com.

Die Rheumaorthopadie hat sich in den letzten Jahrzehnten sowohl im deutschsprachigen Raum als auch im europaischen Ausland als eigenstandige Spezialdisziplin innerhalb der Orthopadie etabliert und ist eigenstandiger Schwerpunkt innerhalb der Weiterbildung "e;Facharzt fur Orthopadie und Traumatologie"e;. Die Assoziation Rheumaorthopdie - ARO - legt als Herausgeber des Lehrbuchs erstmals ein Standardwerk zur Rheumaorthopdie vor.Auch wenn der Schwerpunkt des Buches in der chirurgischen Behandlung rheumatischer Erkrankungen liegt, wird auch umfassend auf Grundlagen, Diagnostik und konservative Therapiemanahmen eingegangen.Ein Wegweiser fr alle rzte die Patienten mit rheumatischen Erkrankungen behandeln.

Die zunehmende sportliche Betätigung auch im fortgeschrittenen Alter in Trendsportarten wie z. B. Tennis oder Golf geht mit einer gehäuften Inzidenz akuter Schulter- und Ellenbogenprobleme einher. Diese dokumentieren sich klinisch in Akutverletzungen, aber auch besonders in chronischen Überlastungsschäden. In diesem Buch, das aus ausgewählten Beiträgen des Jahreskongresses der Deutschen Vereinigung für Schulter- und Ellenbogenchirurgie 2004 entstanden ist, werden spezielle Problemkomplexe facettenreich aufgearbeitet.

Innerhalb der Neuroorthopädie steht die Wirbelsäule im Mittelpunkt des Interesses. Der "Wandel in der Behandlung des Wirbelsäulenpatienten" war das Schwerpunktthema des Neuroorthopädiesymposiums der Friedrich-Alexander-Universität Erlangen-Nürnberg und dem Klinikum Staffelstein. Die gravierenden medizinischen wie auch wirtschaftlichen Folgeerscheinungen von Rückenschmerzen erfordern schon von Anfang an eine professionelle und konsequente Behandlungsstrategie um eine Schmerzchronifizierung zu vermeiden. Fortschritte auf dem Gebiet der medikamentösen, trainingstherapeutischen, interventionellen und psychotherapeutischen Behandlung erlauben erfolgversprechende interdisziplinäre Behandlungsansätze.