Concepts and Cases in Nonunion Treatment

ISBN-13: 9783131658517 / Angielski / Twarda / 2011 / 960 str.

Rene K. Marti; Peter Kloen

Opis

The gold standard for the treatment of nonunions was set
by Weber and Cech in the early 1970s. With this new book the Editors Rene K
Marti and Peter Kloen provide a comprehensive update on the state-of-the-art
treatment of nonunions.
More than 130 case descriptions are included in the
unique cases section; the core of this collection represents 40 years of Rene
Marti's personal experience in nonunion treatment, demonstrating the principle
"technique over technology." The editors have also carefully selected additional
cases, contributed by several experts in nonunion treatment. Each case provides
step-by-step descriptions of case history, preoperative planning, surgical
approach, reduction, fixation, rehabilitation, and finally pitfalls and pearls.
Hundreds of full-color pictures, precise illustrations, and x-rays demonstrate
the significant steps in nonunion treatment.
In the principles preceding the case presentations relevant information on
evolution, basic science aspects, nonoperative treatment, bone graft, as well as
infected nonunions is provided. The guidelines and solutions presented for the
management of nonunions support orthopaedic and trauma surgeons worldwide.
"This book will serve as an invaluable aid for any orthopaedic or trauma
surgeon who has to deal with the problem of pseudarthrosis."
Norbert P Haas,
President of the AO Foundation

Key Features:§This book is divided into two distinct sections.§The first section covers the principles of nonunions (evolution of treatment of nonunions, basic aspects, conservative therapy, and infected nonunions).§The second section introduces each body part presented and follows with examples of cases. There are 123 cases from all parts of the body.§in spite of state-of-the-art operating techniques and the best quality implants, even using conservative treatment methods carried out correctly and according to standard practice, pseudarthroses (nonunions) continue to occur.

Spis treści

1 Principles
1.1 Evolution of treatment of nonunions
1.2 Basic science aspects
1.2.1 Normal and impaired fracture healing
1.2.2 Pathogenesis and treatment of impaired fracture healing
1.2.3 Emerging treatments for fractures and nonunions growth factors and beyond
1.2.4 Nonunion and the application of platelet-leukocyte gel (PLG) and bone morphogenetic protein (BMP)
1.3 Nonoperative treatment
1.3.1 Pulsed electromagnetic fields in the treatment of nonunions the Dutch experience
1.3.2 Ultrasound in osteotomies and nonunions basic research
1.4 Bone graft
1.4.1 The role of decortication in the treatment of nonunions
1.4.2 Autogenous bone grafting in the treatment of nonunions
1.4.3 Open cancellous bone graft
1.4.4 Bone-graft substitutes
1.4.5 Induced membranes summary
1.5 Infected nonunions
2 Cases
2.1 Clavicle
2.2 Humerus, proximal
2.3 Humerus, shaft
2.4 Humerus, distal
2.5 Forearm
2.6 Pelvis/acetabulum
2.7 Femur, neck
2.8 Femur, proximal/intertrochanteric
2.9 Femur, proximal/subtrochanteric
2.10 Femur, shaft
2.11 Femur, distal
2.12 Tibia, proximal
2.13 Tibia, shaft
2.14 Tibia, distal/pilon
2.15 Ankle
2.16 Foot