This comprehensive and illustrated reference work covers all aspects of growth plate fractures and their complications. It is based on the unique resources of the Mayo Clinic regarding patient follow-up. Following general reviews of growth plate fractures, 21 chapters deal with each epiphyseal growth plate in the body. All of these chapters are constructed similarly for easy and quick retrieval of the required information.
This comprehensive and illustrated reference work covers all aspects of growth plate fractures and their complications. It is based on the unique resources of the Mayo Clinic regarding patient follow-up. Following general reviews of growth plate fractures, 21 chapters deal with each epiphyseal growth plate in the body. All of these chapters are constructed similarly for easy and quick retrieval of the required information.
Developmental biology of normal bone and cartilage including histogenesis, molecular/gene and biomechanical aspects is updated and expanded. The book outlines the biology of: bone repair with differing mechanical environments; cartilage repair at articular and physeal sites; and distraction osteogenesis. The generously illustrated text provides an in-depth presentation of the interplay between normal developmental biology, abnormal pathologic states and the influence of operative and non-operative orthopedic interventions on childhood orthopedic deformity. Thirty-four principles underlying the development, progression and management of skeletal deformity in the growing child are defined. Orthopedic management including surgical treatment is discussed for: skeletal dysplasias; epiphyseal growth plate fracture-separations; lower extremity length discrepancies; and deformities of joints and epiphyses due to metabolic, inflammatory, infectious, hematologic, and neoplastic disorders. Treatments are related to extent of deformity, remodeling post-surgery and possible recurrence. This 2nd edition of Pediatric Orthopedic Deformities has been expanded to cover more regions and disorders and is being presented in 3 volumes.
This book documents all the ways a growth plate can be damaged, other than fracture. This damage can be inflicted by a wide variety of insults, most of which are uncommon occurrences. They all, however, have two similar characteristics: normal roentgenographs at the time of insult and premature complete or partial arrest noted weeks, months, or years later. Because of this delay, the arrest is often not suspected or recognised early. The resulting bone deformity and relative shortening usually go undetected until corrective surgery is needed. This book emphasises etiology, diagnosis, and treatment of these injuries.
This important reference textbook covers the surgical management of all major orthopaedic and traumatological conditions. The book will act as the major source of education and guidance in surgical practice for surgeons and trainees, especially those preparing for higher surgical examinations and the Board of Orthopaedics and Traumatology examinations within and beyond Europe. The emphasis throughout is on the application of current knowledge and research to technical problems, how to avoid operative problems, and how to salvage complications if they occur. The didactic text is complemented by abundant illustrations that highlight the essentials of each clinical scenario. The authors are all recognized international authorities active at congresses and workshops as well as in universities and hospitals across the world.
Consisting of case studies contributed by both domestic and international leaders in the field, Limb Lengthening and Reconstruction: A Case-Based Atlas will be an invaluable resource for all orthopedic surgeons and researchers and practitioners of limb lengthening, deformity correction and the Ilizarov method. Comprehensive yet accessible, it will cover pediatrics, foot and ankle, trauma and post-traumatic reconstruction, adult deformity, tumor and upper extremity interventions in dedicated sections. Each of the more than 150 unique cases will include color photographs and radiographs from before, during and after surgery, and will follow a consistent chapter structure which outlines a brief clinical history of the case, preoperative problem list, treatment strategy, basic principles, technical pearls and how to avoid and manage complications and subsequent problems. Suggested readings round out each case. A comprehensive presentation of techniques will be featured, including external fixation, internal fixation, combination approaches and fully implantable limb lengthening nails. This case-based approach will be an efficient and thorough way to learn this exciting new frontier in orthopedic surgery.
This open access book focuses on imaging of the musculoskeletal diseases. Over the last few years, there have been considerable advances in this area, driven by clinical as well as technological developments. The authors are all internationally renowned experts in their field. They are also excellent teachers, and provide didactically outstanding chapters. The book is disease-oriented and covers all relevant imaging modalities, with particular emphasis on magnetic resonance imaging. Important aspects of pediatric imaging are also included. IDKD books are completely re-written every four years. As a result, they offer a comprehensive review of the state of the art in imaging. The book is clearly structured with learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers easily navigate through the text. As an IDKD book, it is particularly valuable for general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic knowledge, and for clinicians interested in imaging as it relates to their specialty.
The Sixth Edition of Adams and Stashak’s Lameness in Horses builds on the book’s reputation as the classic gold-standard reference on equine lameness. Now in full color, the text has been fully revised and streamlined to improve user-friendliness, with a new, simplified format and a stronger emphasis on the diagnosis and management of lameness. A valuable supplementary DVD provides a complete guide to diagnosing lameness, offering additional anatomical images; video clips demonstrating key procedures such as physical examination, flexion tests, perineural and intrasynovial anesthesia; and examples of lameness conditions in motion. The Sixth Edition presents new or significantly rewritten chapters on the axial skeleton, principles of musculoskeletal disease, principles of therapy for lameness, occupation-related lameness conditions, and lameness in the young horse. The diagnostic procedures chapter has also been significantly expanded to reflect advances in this important area. Adams and Stashak’s Lameness in Horses, Sixth Edition is an essential addition to any equine practitioner’s bookshelf.
Epiphyseal growth plate fractures of the distal femur are commonly seen in young canines that have not completed full ossification of the growth plate. Current treatment techniques involve the use of crossed Kirschner wires and commercial stainless steel plates. This raises concerns of either providing not enough stability or providing too much to the point where stress shielding is observed in the surrounding tissues or the full growth potential of the bone cannot be realized. To prevent this, a second surgery must be performed to remove these stabilization implants after proper healing of the fracture. Currently, resorbable polymers have been used to treat fractures, primarily in the cranio-maxillofacial area. This study aimed to mechanically evaluate the effectiveness of custom designed polycaprolactone (PCL) resorbable bilateral bone plates and lateral titanium plates to the current epiphyseal plate fracture repair techniques of crossed Kirschner wires and lateral commercial stainless steel bone plates. Forty identical models of the distal femur with pre-designed epiphyseal plate fractures were produced for the fixation of these five repair methods. The model constructs underwent nondestructive cranio-caudal bending, medio-lateral bending and torsional loading tests as well as destructive cranio-caudal bending and torsional loading failure tests. The study showed no statistically significant differences among the constructs for the destructive tests, suggesting the models failed prior to reaching the yield and ultimate strengths and torques of the actual constructs. However, from nondestructive tests, the constructs repaired with custom designed titanium plates displayed comparable mechanical properties to the commercial stainless steel plates. Structural stiffnesses of the titanium plate repaired constructs were not statistically significant from the commercial plate repaired constructs for nondestructive cranio-caudal bending medio-lateral bending and torsiona.
Evidence generated by a number of genetic studies indicates that growth is regulated by a number of genes and that interference with their expression can have catastrophic effects on the well being of the whole organism. This work covers skeletal development and growth.
