External Fixation In Orthopedic Traumatology

External fixation in Orthopedic traumatology is a textbook that focuses on the use of external fixation in the acute management of patients with serious orthopedic injuries. The book highlights the indications for external fixation and provides an evidenced based guide to both the specialist orthopedic surgeon and the trainee. The manuscript is organised in 15 chapters covering the indications and surgical techniques for pelvis, lower limb and upper limb injuries, including detailed illustrations and clinical photographs that will enable the reader to rapidly visualise the structure of the construct and to plan the surgery accordingly. More general topics such as damage control orthopedics, the biomechanics of external fixation and medico-legal considerations surrounding the injured patients are also included to provide an overall picture of the Orthopedic trauma patient. The Combined experience of the editors and authors, their involvement in a number of external fixation system designs and their international reputation in the field contribute to making this textbook an essential tool that should be available to all orthopedic surgeons dealing with injured patients.

This, the only textbook on the market specifically addressing external fixation in the acute setting as a whole, highlights indications for external fixation and provides an evidenced-based guide for both the specialist orthopedic surgeon and the trainee.

External fixation is now being used widely to maintain fractures, osteo tomies, and arthrodeses in a desired position during consolidation. Whereas external fixation has been readily accepted in European countries, its use has weathered a rather stormy course in North America, especially in the treatment of fractures. Only recently has external fixation found its rightful place on this continent as well. Many different models are on the market today, and the practitioner is faced with a difficult decision in selecting a model. Should he buy a system where the fracture has to be reduced first, or should he work with a device permitting a reduction after insertion of the pins? To enable surgeons to study the different systems, to discuss their advantages and disadvantages, and to permit them to put their hands on these devices and inspect them personally, the Division of Orthopedic Surgery, University of Ottawa organized an applied basic science course in May 1981, External Fixation of Fractures. During this course, all major systems were pre sented to the participants. As happened during the course "Internal Fixation of Fractures" held two years ago, the rigidity of internal fixation was frequently and intensively debated. Whereas the rigidity of internal fixation cannot be altered during the course of healing, the rigidity of external fixation can be changed. In fact, with progression of union, rods of increasing elasticity can be used.

This book provides a thorough description of hexapod external fixators, from the theoretical basis to their practical application. Indications and practical use in current Orthopaedic practice are addressed in detail, offering the reader essential insights into the strengths and limitations of these devices. The main aspects covered, include primary (congenital) and secondary (acquired) deformities of the limbs: the etiology, pathomechanics, clinics, technical “tips and tricks” and suggested frame assemblies are presented. Each chapter addresses a specific Orthopaedic problem and includes representative clinical cases commented on by the authors. Illustrations and X-ray images support the discussion of the various themes treated in the textbook. Special attention is also given to deformity morphology and the consequent geometry of correction, as well as economical aspects and the biological risks of radiation exposure. A review of current nomenclature in external fixation is also provided as a quick-reference resource. Offering clear and straightforward descriptions of these devices and their current use in practice, prepared by leading international experts, this book will benefit expert surgeons and residents alike.

The Ilizarov device has revolutionized the treatment of non-healing fractures and the correction of deformities. This book supplies all the information required in order to use the Ilizarov and other external fixation devices optimally; it will serve as an indispensable manual for both trainee and experienced orthopedic surgeons. Biomechanical principles, preoperative preparation, and the use of a system of coordinates to allow safer insertion of K-wires and half pins are thoroughly discussed. External fixation of a variety of fractures in different pathologic settings is then clearly explained in a series of detailed chapters with the aid of high-quality illustrations. Numerous case reports are included to illustrate the results of different treatment methods. In addition, postoperative management and treatment of complications are described. Since the first edition the text has been thoroughly updated, with inclusion of contributions from leading world experts.

This book provides detailed descriptions of fundamental techniques that may be employed for extremity reconstruction and distraction osteogenesis in accordance with the principles established by Gavriil Abramovich Ilizarov. Techniques of proven value for deformity correction, limb lengthening, reconstruction of post-traumatic and post-osteomyelitis bone defects, non-union surgery, and fracture fixation with external fixators are thoroughly described step by step with the aid of a wealth of illustrative material. In addition, indications and preoperative planning are clearly explained. Throughout, care is taken to highlight important technical tips and tricks as well as clinical pearls and pitfalls. Since the first description of distraction osteogenesis by Ilizarov in the 1950s, numerous technical improvements have been made and new devices, developed, even though the basic principles have remained the same. This new book will be of value for both novice and more experienced surgeons who use distraction osteogenesis for the purpose of extremity reconstruction.

This is a new 3-volume, major reference work from the Oxford Textbook stable. The Oxford Textbook of Orthopedics and Trauma provides comprehensive coverage of the relevant background science, theory, practice, decision-making skills and operative techniques required to provide modern orthopedic and trauma care. The text is divided into five major sections covering fundamental science, adult orthopedics, trauma, pediatric orthopedics and pediatric trauma. The fundamental science section contains a major subsection on tumors and the adult orthopedics section is further subdivided to cover the joint and bonesystems of the body. Edited by a transatlantic team and written by more than 300 specialist chapter authors, this book is unrivalled in the field. The content is extensively referenced, highly illustrated and contains useful summary boxes throughout the text. The Oxford Textbook of Orthopedics and Trauma is essential reading for trainees and experienced practitioners alike.

Timely, accurate, and up-to-date text clearly explaining the fundamentals of fracture healing and bone fixation in a format that is concise, well organized and easy to follow. It is extremely well illustrated and addresses the biomechanical principles and usage techniques of the wide range of modern orthopaedic trauma implants in use today. • An in-depth resource to the amply stocked tool-box of today’s fracture surgeon • A compendium of fracture fixation written by an experienced surgeon for fellows, residents and masters • A detailed overview of biomechanics, biology, implants and materials relevant to fracture care • Elegantly illustrated and lucidly explained presentations of today’s fracture fixation devices • The designs, the application techniques in various anatomical regions, mechanical effects, hazards and contraindications are described along elucidative graphics • Not so commonly found details of intramedullary nail and use of Poller screws in its insertion, hazards of use of traction table, methods to perfect insertion of intramedullary hip fixation device, minute details of cables, pins and wires, several configurations of external fixator, new concept of reverse dynamization, a brief exposure of spinal instrumentation and several techniques of minimal invasive osteosynthesis are a few of its features

The volume is an overview of the basics of biomechanics of circular external fixation. It is based on a system of coordinates that allows safer insertion of K-wires and half pins into the bone. It includes a new classification of this device, a collection of terminology, and a description of relevant equipment. It also presents the protocol of external fixation including how to avoid mistakes, and provides a numerical codified system for the application of transosseous wires.

This volume deals with the transosseous external fixation techniques that I have been developing over the course of the past 40 years. During this time, our research in medicine, biology and engineering has led to the evolution of more than 800 unique, highly effective methods of treatment that extend beyond the realm of traumatology and orthopedics. The book features a comprehensive theoretical and clinical description of the biologic laws governing the depen dence of the shape-forming processes of bones and joints upon the adequacy of blood supply, as well as a delineation of the effect of tension-stress upon the genesis and growth of tissues. I have in cluded our latest data on tissue growth and regeneration during transosseous osteosyntheses. The book summarizes the biomechanical principles of applica tion of my apparatus; clinical cases selected from more than 25000 patients illustrate the management of some of the most complex disorders of the locomotor system. New solutions to many therapeutic problems are described. In particular, severe limb trauma with large defects of bone, vessels, nerves and skin can be managed without resort to transplantation. Radical debridement surgery can be followed by a one-step restora tion of the missing tissue, thus decreasing the likelihood of a serious wound infection or an amputation.