Pediatric Femur Fractures

Bringing together the many considerations and complexities surrounding the management pediatric femur fractures, this up-to-date, comprehensive book discusses all aspects of these common but challenging injuries, where the treatment strategies are rapidly changing and which have the potential for complications and less than ideal outcomes. Because there may be multiple acceptable treatment approaches to a given fracture, we sought to review the full spectrum of therapeutic modalities. The entirety of the pediatric femur is considered, including femoral head and neck fractures, diaphyseal, physeal and epiphyseal fractures, and intra-articular fractures of the distal femur. Opening with chapters on development and anatomy as well as radiological evaluation, each fracture type-specific chapter discusses the indications and contra-indications, advantages and disadvantages, technical principles and published outcomes associated with each of the accepted techniques, from casting and traction to external and internal fixation. Concluding chapters discuss pathological fractures and the evaluation and management of complications. By channeling the expertise of a broad and accomplished group of authors with extensive experience in both researching and treating pediatric femur fractures, Pediatric Femur Fractures provides caregivers with the most complete and reliable resource when faced with any of the many types of this challenging injury.

This encyclopedia is an authoritative compilation of practical information on major topics in trauma management. Its encyclopedic format will allow the reader to rapidly find up-to-date information on a specific topic of interest. The book is organized in an organ-based manner for ease of use when a practitioner is confronted with a particular injury. Each chapter takes the form of a clearly structured review of the subject in question and includes informative illustrations and tables as well as lists of classic references. In addition to the full range of organ-specific injuries, a number of important further topics are covered, including critical care of the trauma patient, trauma system organization, mass injury scenarios, the impact of new technologies, complications in trauma care, and ethical issues. All of the authors are leading experts, and the encyclopedia will provide an excellent source of information for both basic and clinical scientists and trainees in various fields.

This book is the seventh in a series of titles from the National Research Council that addresses the effects of exposure to low dose LET (Linear Energy Transfer) ionizing radiation and human health. Updating information previously presented in the 1990 publication, Health Effects of Exposure to Low Levels of Ionizing Radiation: BEIR V, this book draws upon new data in both epidemiologic and experimental research. Ionizing radiation arises from both natural and man-made sources and at very high doses can produce damaging effects in human tissue that can be evident within days after exposure. However, it is the low-dose exposures that are the focus of this book. So-called “late” effects, such as cancer, are produced many years after the initial exposure. This book is among the first of its kind to include detailed risk estimates for cancer incidence in addition to cancer mortality. BEIR VII offers a full review of the available biological, biophysical, and epidemiological literature since the last BEIR report on the subject and develops the most up-to-date and comprehensive risk estimates for cancer and other health effects from exposure to low-level ionizing radiation.

Over the past three decades, the flexible intramedullary nailing (FIN) technique that originated in the University of Nancy in France has evolved to the point where it is becoming the gold standard for the treatment of many fractures in children. This comprehensive textbook on FIN is written by Pierre Lascombes and his colleagues from the University of Nancy and covers all its potential applications. The book is divided into three parts. The first part focuses on general considerations such as biomechanics, choice of implant, basic principles of surgical technique, and rehabilitation. The second part describes in detail the techniques developed for each particular fracture type with the aid of numerous high-quality illustrations. In the final part, a range of further indications for FIN in children are discussed. By clearly explaining the basic principles and various uses of FIN, this book will prove of value to both novice and experienced traumatologists and orthopedic surgeons.

Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.

For the gold-standard resource on pediatric fractures, reach for Rockwood and Wilkins’ Fractures in Children. Written by leading orthopaedic surgeons from around the world, the revised and expanded 8th edition of this classic bestselling text presents complete, up-to-date coverage of all types of children’s fractures. A must-read for pediatric orthopedic surgeons and orthopedic residents.

This book provides an evidence-based approach to treating the increasing number of children and adolescents presenting with hip disorders. It integrates the most up-to-date data with essential knowledge, gleaned from decades of previous research and practice. Each chapter provides a comprehensive text which integrates relevant pathophysiology, clinical assessment, and imaging, with an evidence-based approach to non-operative and operative management, authored by globally recognized experts in the field of pediatric hip surgery. Detailed surgical techniques, illustrated with original medical drawings and accompanied by their respective indications, anticipated outcomes, and potential complications, are also featured, in this first orthopedic text dedicated solely to the pediatric and adolescent hip. The Paediatric and Adolescent Hip: Essentials and Evidence will be an indispensable resource for wide spectrum of audience including paediatric orthopaedic surgeons, general practitioners, general orthopaedic surgeons, trauma surgeons, orthopaedic residents, emergency department doctors, and physiotherapists seeking a clear and consistent evidence-based guide to treating the paediatric hip.

Fractures are a common finding in children and it is estimated that 2.1% of all children will suffer at least one fracture before the age of 16. With young children in particular, the question may arise if this is related to child abuse. The aim of this book is to help physicians involved in child abuse cases to interpret radiological findings in light of the forensic circumstances under which they occurred. The authors present up-to-date literature related to the mechanisms underlying non-accidental cases of trauma. In this book not only the radiological findings in child-abuse are discussed, but more importantly, these findings are analyzed from a forensic perspective. Careful attention is paid to evidence regarding reported trauma mechanisms and their clinical outcome; for example, can a fall from a couch result in a femoral fracture, and if not, where is the supporting evidence?

Dr. Mercer Rang's classic text on children's fractures has been revised and updated by two eminent orthopedic surgeons from Children's Hospital—San Diego. Continuing Dr. Rang's tradition, Drs. Wenger and Pring provide a uniquely practical, readable overview of children's fractures, emphasizing diagnosis, treatment, common pitfalls, and communication with parents and other healthcare professionals. This edition features over 400 new illustrations. New chapters cover casts and epidemiology and prevention of fractures. Elbow injuries are covered in greater detail in two chapters. New information on imaging and new MRI scans have been added. This edition also has a more user-friendly two-color design.

This book provides a refined clinical guide for evidence-based recommendations in paediatric orthopaedics. Focusing on specific body regions (hip, knees, ankle and feet, spine, shoulder, elbow and wrist and hand) this resource addresses clinical questions related to conditions in these areas. A background section in each chapter sets the scene for the best available practice and also appraises the evidence for its strength and weakness. At the end of each chapter, the authors’ provide recommendations on future research. Evidence-Based Paediatric Orthopaedics: The Best Answers to Clinical Questions has been edited by a team of surgeons with a great interest in evidence-based practice who have brought together an international experts to produce this timely book. A wide spectrum audience including paediatric orthopaedic surgeons, trauma surgeons, orthopaedic residents, emergency department doctors, general practitioners and medical students looking for an evidence based approach to paediatric orthopaedics will find this book to be an essential guide for clinical practice.