Synopsis of Orthopaedic Trauma Management
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Brian H. Mullis. Synopsis of Orthopaedic Trauma Management
Contents
Preface
Contributors
Videos
1 Physiology of Fracture Healing
Introduction
I. Fracture Healing Components
II. Types of Fracture Healing—Putting it All (and the Bone) Back Together
III. Strategies to Manage Bone Defects or Augment and Accelerate Fracture Healing
IV. Clinical Rationale to Review Fracture Healing
Summary
Suggested Readings
2 Open Fractures and Principles of Soft Tissue Management
Introduction
I. Mechanism of Injury
II. Classification
III. Principles of Open Fracture Management in the Emergent Setting
IV. Surgical Management of Open Fractures
V. Soft Tissue Management in Extremity Injuries
Summary
Suggested Readings
3 Closed Fracture Management/Casting
Introduction
I. Specific Reduction Techniques and Principles of Casting and Splinting
II. Nonoperative Treatment of Displaced Fractures of the Upper and Lower Extremity
III. Casting Techniques
IV. Traction Pin Placement
V. Complications of Closed Treatment
Conclusion
Suggested Readings
4 Biomechanics of Internal Fracture Fixation
Introduction
I. Definitions
II. Implant Construct Design and the Mechanobiology of Fracture Healing
III. Strategies for Modulating Stiffness, Strength, Stress, and Strain
Summary
Suggested Readings
5 How to Analyze a Journal Article?
Introduction
I. Components of a Standard Article
II. Types of Studies
III. Levels of Evidence
IV. Basic Statistical Interpretation
V. Critical Analysis of a Journal Article
Suggested Readings
6 Acute Infection Following Musculoskeletal Surgery
Introduction
I. Preoperative
II. Anatomy of Infection
III. Serologic Analysis
IV. Imaging
V. Classification
VI. Treatment
VII. Outcomes
VIII. Complications
IX. Special Considerations—Pediatric Population
Conclusion
Suggested Readings
7 Nonunion and Malunion
Introduction
I. Assessment of Nonunions
II. Treatment of Nonunions
III. Malunion
Conclusion
Suggested Readings
8 Biologics
Introduction
I. The Biology of Bone Grafts
II. Influence of Growth Factors and Antagonists on the Phases of Fracture Healing
III. Categories of Available Biologic Adjuvants for Clinical Use
Suggested Readings
9 Polytrauma
Introduction
I. Priorities and Goals of Treatment
II. Evaluation
III. Treatment/Interventions
IV. Orthopaedic Surgical Management
Summary
Suggested Readings
10 Osteoporosis
Introduction
I. Bone Health
II. Bone Physiology
III. Types of Osteoporosis
IV. Nonmodifiable Risk Factors for Osteoporosis
V. Modifiable Risk Factors for Osteoporosis
VI. Diagnosis
VII. Treatment and Indications for Pharmacotherapy
VIII. Prevention
Summary
Suggested Readings
11 Pathologic Fractures
Introduction
I. History and Physical Exam
II. Staging and Biopsy
III. Indications and Timing
IV. Behaviors of Tumor Subtypes
V. Treatment and Management
VI. Adjuvants
VII. Complications and Pitfalls
Conclusion
Suggested Readings
12 Principles of Pediatric Fracture Management
Introduction
Pediatric Elbow Fractures. I. Preoperative
II. Anatomy and Imaging
III. Classification
IV. Initial Management
V. Definitive Management
VI. Complications
VII. Rehabilitation
VIII. Outcomes
Pediatric Forearm Fractures. I. Preoperative
II. Imaging
III. Classification
IV. Initial Treatment
V. Definitive Treatment
VI. Complications
VII. Rehabilitation
VIII. Outcomes
Femoral Shaft. I. Preoperative
II. Anatomy and Imaging
III. Classification
IV. Initial and Definitive Treatment
V. Type of Immobilization or Fixation
VI. Complications
VII. Rehabilitation
VIII. Outcomes
Pediatric Physeal Ankle Fractures. I. Preoperative
II. Anatomy and Imaging
III. Classification
IV. Initial Treatment
V. Definitive Treatment
VI. Complications
VII. Rehabilitation
VIII. Outcomes
Suggested Readings
13 Acute Compartment Syndrome
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Suggested Readings
14 Amputations
Introduction
I. Preoperative Assessment
II. Initial Management
III. Definitive Management
IV. Surgical Principles
V. Postoperative Care
VI. Complications
VII. Rehabilitation
VIII. Outcome Measures for Amputees
IX. Special Considerations for Pediatric, Geriatric, and Compromised Patients
Suggested Readings
15 Rib Fractures
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
16 Imaging of Orthopaedic Trauma
Introduction
I. Choice of Imaging
II. Imaging Modalities
III. Radiation Safety
IV. Imaging in a Trauma Patient
V. Specific Imaging
Conclusion
Suggested Readings
17 Sternoclavicular and Acromioclavicular Dislocations
Introduction. Sternoclavicular (SC) Dislocations
Acromioclavicular (AC) Dislocations
I. Preoperative Steps of Sternoclavicular Dislocations
II. Treatment of Sternoclavicular Dislocations
III. Preoperative Steps of Acromioclavicular Dislocations
IV. Treatment of Acromioclavicular Dislocations
Conclusion
Suggested Readings. Sternoclavicular Dislocations
Acromioclavicular Dislocations
18 Clavicle Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Conclusion
Suggested Readings
19 Scapular Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
Suggested Readings
20 Shoulder Dislocation
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
21 Proximal Humerus Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Summary
Suggested Readings
22 Humeral Shaft Fractures
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
23 Distal Humerus Fractures
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
24 Elbow Dislocation
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Summary
Suggested Readings
25 Olecranon and Monteggia Fractures
Introduction
Fractures of the Olecranon. I. Preoperative
II. Treatment
III. Special Considerations
Monteggia Fractures. I. Preoperative
II. Treatment
Summary
Suggested Readings. Fractures of the Olecranon
Monteggia Fractures
26 Radial Head and Neck Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations For Pediatric and/or Geriatric Patients
Summary
Suggested Readings
27 Radius and Ulna Shaft Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
Summary
Suggested Readings
28 Distal Radius and Galeazzi Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Suggested Readings
29 Hand Fractures and Dislocation
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
30 Pelvic Ring Injuries
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
Suggested Readings
31 Acetabular Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
Summary
Suggested Readings
32 Hip Dislocation
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric and Geriatric Patients
Summary
Suggested Readings
33 Femoral Neck and Head Fractures
Introduction
Femoral Neck Fractures. I. Preoperative
II. Treatment
Femoral Head Fractures. I. Preoperative
II. Treatment
Conclusion
Suggested Readings
34 Intertrochanteric, Pertrochanteric, and Subtrochanteric Femur Fractures
Introduction
I. Preoperative
II. Treatment in Adults
III. Special Considerations: Pediatric Hip Fractures
Summary
Suggested Readings
35 Femoral Shaft Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Summary
Suggested Readings
36 Distal Femur Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations
Summary
Suggested Readings
37 Knee Dislocation
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
Summary
Suggested Readings
38 Patella Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric and/or Geriatric Patients
Summary
Suggested Readings
39 Quadriceps and Patellar Tendon Ruptures
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
40 Tibial Plateau Fractures
Introduction
I. Preoperative
II. Treatment
Suggested Readings
41 Tibia and Fibula Shaft Fractures
Introduction
I. Preoperative Evaluation and Assessment
II. Treatment
III. Complications
IV. Rehabilitation
V. Outcomes
VI. Special Considerations for Pediatric and/or Geriatric Patients
Summary
Suggested Readings
42 Pilon Fractures
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric Patients
IV. Special Considerations for Elderly Patients
Summary
Suggested Readings
43 Ankle Fractures and Dislocations
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for the Elderly
Summary
Suggested Readings
44 Achilles Tendon Rupture
Introduction
I. Preoperative
II. Treatment
III. Special Considerations for Pediatric or Geriatric Patients
Summary
Suggested Readings
45 Calcaneus Fractures
I. Preoperative
II. Treatment
Summary
Suggested Readings
46 Talus Fractures
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
47 Midfoot Fractures and Dislocation (Lisfranc’s Injuries)
Introduction
I. Preoperative
II. Treatment
Summary
Suggested Readings
48 Forefoot Fractures
Introduction
I. History and Physical Examination
II. Anatomy
III. Imaging
IV. Classification
V. Treatment
Summary
Suggested Readings
49 Cervical Spine Trauma
Introduction
I. Preoperative
II. Specific Injury Types by Anatomic Region: Classification, Treatment, Indications for Surgery, Outcomes, and Complications
Summary
Suggested Readings
50 Thoracolumbar Spine Trauma
Introduction
I. History and Physical Examination
II. Anatomy
III. Imaging
IV. Classification
V. Initial Management
VI. Definitive Management
VII. Surgical Approaches
VIII. Fixation Techniques
IX. Complications
X. Rehabilitation
XI. Outcomes
XII. Special Considerations for Geriatric Patients
Summary
Suggested Readings
Index
A
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
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W
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Brian H. Mullis, MD Professor and Program Director Department of Orthopaedic Surgery Indiana University School of Medicine Indianapolis, Indiana, USA
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Orthopaedic Surgery and Sports Medicine
Harborview Medical Center/University of Washington
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