The purpose of this book is to integrate the most re- butions and support of my colleagues and friends cent advances in the diagnosis and treatment of pedi- at The University of Texas Southwestern Medical atric bone and soft tissue sarcomas. The book is di- School, St. Jude Children s Research Hospital, and the vided into two major sections, the ?rst of which pres- Hospital for Sick Children in Toronto. In particular, I ents salient concepts in epidemiology, the impact of would like to thank Drs. George Buchanan, Charles novel tools in imaging and molecular biology, and the Pratt, William Crist, David Parham, Jim Anderson, underlying principles for continued drug develop- and Larry Kun for their friendship, mentorship, and ment. In the second section, the book embarks on an wisdom. Their teachings will continue to be an e- up-to-date survey of the diagnosis and treatment of less source of passion and inspiration. It is my wish each speci?c disease, with particular emphasis on the that this book will provide answers, guidance and need for an integrative, multidisciplinary approach hope to medical professionals, children, and their to diagnosis and treatment. families. I am indebted to my colleagues and collaborators who have contributed their ideas, time, and kno- edge to this project. I am also grateful for the contri- Alberto Pappo, MD IX Contents 1 Epidemiology of Bone 3 Diagnostic Imaging of Pediatric Bone and Soft Tissue Sarcomas and Soft Tissue Sarcomas Logan G. Spector, Julie A. Ross, Thomas D. Henry, Mary E. McCarville, Rajaram Nagarajan
Comprised exclusively of clinical cases involving osteonecrosis of the femoral head (ONFH), this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly diagnose and treat both pre- and post-collapse conditions. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Part I discusses pre-collapse treatments aimed at the early stages of ONFH, including the use of bisphosphonates, stem cell therapy and minimally invasive core decompression. Chapters presenting post-collapse treatments aimed at preserving the femoral head comprise part II, including non-vascularized bone grafting, osteochondral transfer and transtrochanteric osteotomy. Cases covering post-collapse total hip arthroplasty (THA) and common complications round out the presentation.
Pragmatic and reader-friendly, Osteonecrosis of the Femoral Head: A Clinical Casebook will be an excellent resource for orthopedic surgeons, residents and fellows treating hip pain.
This comprehensive guide covers the investigation, diagnosis, prevention, and therapy of all the bone disorders encountered in medical practice. Written in an easy-to-read style, it updates physicians on the current knowledge of bone structure, physiology, and pathology, with emphasis on the diagnosis and treatment of common bone diseases. Today, both medical practitioners and specialists need quick access to information on “bone problems” in order to help patients and their families. Therefore this book deals with everything from the basic physiology of bone and mineral metabolism to the utility of radiologic imaging and specialized tests in bone diagnosis and current treatment recommendations. It is scientifically based but provides clear guidelines for managing bone problems and for lifelong maintenance of skeletal structure and function. It will assist not only in the delivery of effective treatment but also in disease prevention.
Since the major pioneering of joint replacement surgery more than fifty years ago, much research and progress has been made in the field of arthroplasty with new insights into better materials, types of cement and bone-cell compatible coatings, and a better understanding of the causes of implant failure. With an increasingly ageing population the requirement for arthroplastic surgery is manifest; over 800,000 hips worldwide are replaced each year, and replacement surgery is performed for almost every joint of the body.
The Engineering of Human Joint Replacements covers the design, engineering, production and manufacture of human joint replacements, as well as associated engineering concerns such as surface coatings, orthopedic bone cement, the causes and effects of wear and tear, and rapid prototyping for clinical evaluation. Materials evaluation and selection is discussed, as well as production processes and insertion methods. The author provides an overview of skeletal anatomy and the effects of pain and deterioration in order to put the engineering principles into a medical context. Examples of joint replacements for the most common regions of the body are included, and aspects of clinical studies of these cases are discussed.
• Provides an overview of the engineering materials and processes involved in the manufacture of human joint replacements • Sets the scene for engineers and clinicians embarking on research into joint replacements • Includes clinical and industrial examples and points the way to future developments • Provides information on medical device companies with an engineering guide to the requirements for joint replacement
The Engineering of Human Joint Replacements bridges the divide between engineering and orthopaedic surgery, offering an introductory text to young engineers entering the field, as well as a reference for medical staff who will benefit from an understanding of the materials and methods used in their design, engineering and manufacture.
Osteoporosis affects 28 million people in the United States alone. The need for stable internal fixation of this type of bone is paramount. Metabolic bone diseases, such as osteoporosis, osteomalacia, hyperparathyroidism, and Paget’s disease, are usually associated with osteoporotic or soft skeleton, especially in the elderly patient. Orthopedic procedures in elderly patients are costly and with the increasing age of the population these costs will continue to escalate. Great challenges are often encountered when internal fixation is needed for fractures or osteotomies in osteoporotic bone.
This book is designed to present both current clinical techniques and cutting-edge knowledge in pre-clinical research on the internal fixation of osteoporotic bone.
Features: Used Book in Good Condition By (author): Thomas Rakosi, Thomas M. Graber
Written by experts in the field, this essential atlas provides a comprehensive discussion of the safest, fastest, and most efficient evidence-based orthodontic and dentofacial orthopedic treatments. Leading clinicians provide information on innovative methods and materials – including the twin block technique, the functional magnetic system, the interarch compression spring, and the Invisalign system. The book also contains thorough reviews of diagnostic principles, preventive orthodontics, early treatment options, implants, functional therapeutic methods, and treatment planning for mandibular distraction osteogenesis. Instructive color photographs and illustrations accompany clinically relevant case studies that demonstrate key techniques and long-term treatment results.
Clinical information on interceptive orthodontics, including discussions of guided extraction and functional orthopedics
The biomechanics of orthodontic therapy for fixed and removable appliances
Discussion of anchorage control and septal arch mechanics
The latest methods for solving tooth-size discrepancies, morphologic variations, and recrowding in the lower anterior segment
1260 drawings, radiographs, and photos – most in full-color
Packed with valuable information for dentists and maxillofacial surgeons, Orthodontic and Dentofacial Orthopedic Treatment is crucial reading for every orthodontist and orthodontic student.
“This textbook makes an excellent contribution for the orthodontists and orthodonstic students.” – Hellenic Orthodontic Review
Orthopaedic Oncology: Diagnosis and Treatment is a complete reference for handling the full range of musculoskeletal tumors frequently encountered in the clinical setting, from osseous tumors in the upper extremity, to soft-tissue tumors of the pelvis. The first section presents the principles of initial assessment, guiding the clinician through key questions for developing the differential diagnosis and selecting the imaging modality and surgical technique. The second part of this book presents sarcoma case reports that cover tumor pathologies in different anatomic locations. Each case report contains succinct descriptions of presenting history, differential diagnosis, anatomic and imaging issues, biopsy techniques, pathologic diagnosis and grading, treatment options, surgical details, preferred treatment, pearls, and pitfalls.
A comprehensive collection of cases presented according to anatomic location
Special emphasis on the significance of a tumor’s initial presentation and its implications for surgical treatment
Clinical insights for tailoring treatment plans to the patient’s particular condition, such as determining when neoadjuvant chemotherapy and adjuvant chemotherapy are indicated
Current information about the use of positron emission tomography (PET) for tumor grading
Recommendations for avoiding complications and managing potential pitfalls
More than 300 images and illustrations that demonstrate key concepts
This book is an indispensable resource for orthopedists, oncologists, as well as radiologists and pathology specialists treating patients with bone and soft-tissue tumors.
This book is a valuable tool for studying and reviewing key concepts in orthopedic surgery. Written in a question-and-answer format, this review tests readers’ knowledge of surgical anatomy, biomechanics, and the principles of diagnosis and treatment of common and rare pathologies. Each chapter covers a different anatomic region, enabling quick reference to topics of interest. The book also features additional chapters on basic science as well as important clinical concepts related to oncologic management, pediatric surgery, and rehabilitation.
5,276 questions and answers that provide comprehensive coverage of essential concepts
Two-column format with questions on the left and answers on the right for rapid review
Emphasis on specific details that are frequently tested in a closing chapter, “Last-Minute Rapid Review of Selected Topics”
Designed for residents, orthopedic surgeons, and medical students, this book is ideal as a supplemental study aid in preparation for board examinations and as a refresher prior to performing surgeries.
This book presents the most common site-specific pediatric orthopedic problems seen in clinical practice. Detailed discussions of disorders of the chest wall, neck, back, pelvic, upper- and lower limb, leg length discrepancy, abnormal gate, congenital deficiencies, bone and joint infections are included in this comprehensive resource. Operative treatments are discussed throughout the book with the key focus on managing the patient and the use of the conservative approach. As such, the main benefit of this book is as a diagnostic tool to assess children with orthopedic disease.?
Designed to lead the reader from the initial physical examination through to making the most likely diagnosis, there is advice on what additional studies are meaningful, when there is an indication for referral and what advice can be provided for the patient. The value of the book is increased by hundreds of color images, thus making it easily accessible for pediatric orthopedic surgeons, pediatricians, pediatric physiotherapists, podiatrists, pediatricians, rehabilitation specialists and primary care physicians with an interest in the subject.