Arthroplasty is a surgical procedure within the domain of orthopedics. In this procedure, the articular surface of a musculoskeletal joint is replaced, remodeled or realigned by osteotomy. The aim of arthroplasty is to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma. The most successful and common form of arthroplasty is the joint replacement arthroplasty. Other types of arthroplasty include interpositional arthroplasty, excisional arthroplasty, resurfacing arthroplasty, mold arthroplasty, etc. However, arthroplasty can cause various complications, such as deep vein thrombosis, infection, bleeding and periprosthetic fracture. The prosthesis selected in arthroplasty must be non-toxic yet resistant, compatible and durable. The technology has been improved in the recent years with a porous-coated prosthesis which helps in bonding to the body. This book strives to provide a fair idea about this discipline and to help develop a better understanding of the latest advances within this field. It consists of contributions made by international experts. This book is a vital tool for all researching or studying arthroplasty as it gives incredible insights into emerging trends and concepts.
The purpose of this book was to offer an overview of recent insights into the current state of arthroplasty. The tremendous long term success of Sir Charnley's total hip arthroplasty has encouraged many researchers to treat pain, improve function and create solutions for higher quality of life. Indeed and as described in a special chapter of this book, arthroplasty is an emerging field in the joints of upper extremity and spine. However, there are inborn complications in any foreign design brought to the human body. First, in the chapter on infections we endeavor to provide a comprehensive, up-to-date analysis and description of the management of this difficult problem. Second, the immune system is faced with a strange material coming in huge amounts of micro-particles from the tribology code. Therefore, great attention to the problem of aseptic loosening has been addressed in special chapters on loosening and on materials currently available for arthroplasty.
Foreword Volume 2 of our serial publication continues our desire to address glaucoma with a combination of science and speculation. As science expands, the emphasis is on data, interpretation, and dogma. We disagree; open minds open new approaches. Using methodologies that are primarily molecular and genetic, we seek to refine the causes of glaucoma as well as how it is best treated, especially incorporating thoughts and hypotheses about new methods of treatment. Glaucoma is a complex disease, and genetics proves that a variety of proteins are culpable at one level. At another level, however, there are likely final common pathways and numerous feedback loops which have defied explanations to date. The search for answers goes on in basic science researcher’s laboratories and clinical ophthalmologist’s offices and operating rooms. We are all well-served by understanding that glaucoma is a neurodegenerative disease. Current attempts to solve the disease have focused on two strategic arenas: the trabecular meshwork function and its impact on intraocular pressure as a major risk factor for the disease; and the optic nerve dysfunction leading to visual loss. Genetic mutations have yielded puzzling clues to the cause, but without resolution. For example, mutations in myocilin and optineurin genes are closely connected to the phenotype, but how do they cause the disease? In the next two years, priority areas of research are signaling pathway discoveries, biomarker panels, epigenetic factors, and continued genomic studies to yield answers to the common final pathways of the disease. The final pathways are complex and redundant, such that the overlap of bio-informatics will be challenging. Current promising leads suggest the innate immune system holds important clues to both trabecular meshwork and optic nerve pathophysiology. When the primary open-angle glaucoma disease pathways are unraveled, drug discoveries and new treatment modalities will be available for better regulation of intraocular pressure and neuroprotection for the optic nerve. This volume discusses the glaucoma pipeline from several perspectives as well as future candidate classes. As always, the authors herein are urged to speculate on how the cure of glaucomatous optic nerve damage will yield to new treatments. John R. Samples Clinical Professor, Elson S. Floyd College of Medicine, Washington State University School of Medicine www.glaucomaconcepts.com Paul A. Knepper Associate Professor of Ophthalmology, Feinberg School of Medicine, Northwestern University Medical School Research Scientist, University of Illinois at Chicago
As the population of the Americas grows older and increasingly urban, impairments and disabilities - already important problems - are likely to become more prevalent, especially among the most improverished groups. However, the field of rehabilitation medicine currently receives insufficient emphasis in the education and training of health personnel in the Region. This publication responds to the need of health professionals for an update on knowledge of the clinical practice of physical medicine and rehabilitation. It summarizes in one volume the best of current practice, focusing on the significant advances that have come to light in the last 10 years and describing techniques and equipment in adequate detail so that the clinician can apply them in practice.
Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery.
Advances in Small Animal Total Joint Replacement provides an up-to-date, comprehensive examination of joint replacement in veterinary surgery. Part of the Advances in Veterinary Surgery series copublished with the ACVS Foundation, the book presents an evidence-based, multi-system examination of the current state of hip, knee, and elbow replacement in dogs and cats, including information on biomechanics and biomaterials not found in other sources. Written by an international group of experts, the book offers guidance on the history, indications, contraindications, clinical procedures, and a review of the current literature for these surgical techniques. Focusing on replacement of the hip, knee, and elbow, the book also covers disc, shoulder, carpus, and tarsus replacement, as well as information on the development of custom prostheses. Each section incorporates information on potential complications and outcomes assessment. Advances in Small Animal Total Joint Replacement is an unparalleled repository of information for veterinary surgeons, residents, and practitioners with an interest in these procedures.
Hip Joint Restoration is a comprehensive yet practical guide to the basic science and clinical applications of arthroscopy, arthroplasty, osteotomy and preservation surgery for the treatment of diseases and conditions of the hip. This generously illustrated text offers a comprehensive introduction to essential features of hip evaluation, the medical management of hip procedures, and treatment of specific conditions, and covers practical topics such as surgical anatomy of the hip, surgical approaches, instrumentation, and indications for arthroscopy and other surgical procedures aimed at restoration of the hip joint. Additional chapters cover clinical outcomes and equality of life following hip surgery, the current state of research and education of arthroscopic hip procedures throughout the world, other topics such as complications and rehabilitation in different patient populations. This book will be a useful resource for Orthopedic Surgeons and Osteopaths who perform open and arthroscopic hip preservation and total joint replacement, as well as for orthopedic residents and researchers.
The third edition of Joint Replacement Technology provides a thoroughly updated review of recent developments in joint replacement technology. Joint replacement is a standard treatment for joint degradation and has improved the quality of life of millions of patients. Collaboration between clinicians and researchers is critical to its continued success and to meet the rising expectations of patients and surgeons. This edition covers a range of updated and new content, ranging from chapters on materials analysis and selection, to methodologies and techniques used for joint replacement and clinical challenges of replacing specific joints. Key topics include tribological considerations and experiments; challenges in joint bearing surfaces; cementless fixation techniques; healing responses to implants. Clinical challenges and perspectives are covered with the aid of case studies. Thanks to its widespread collaboration and international contributors, Joint Replacement Technology, Third Edition is useful for materials scientists and engineers in both academia and the biomedical industry. Chemists, clinicians, and other researchers in this area will also find this text invaluable. This third edition provides an updated comprehensive review of recent developments in joint replacement technology. Reviews a range of specific joints, biological and mechanical issues and fixation techniques. Includes revised and new content, such as sections on regulatory affairs, AI techniques and 3D printing.
This handbook fully investigates reverse shoulder arthroplasty (RSA), presenting all the recent advances in the field to enable shoulder surgeons to treat patients with complex conditions, such as rotator cuff tears and instability, failed surgery and combined arthritis, or proximal humerus neoplasia. Reverse shoulder arthroplasty is becoming increasingly common because conventional total shoulder replacement may cause pain, loss of strength, simple or complex disabilities as well as limited motion, reducing general quality of life. The goal of a reverse prosthesis is to restore a painless, biomechanically valid joint. Drawing on the results of recent studies, the book covers all relevant aspects of RSA, including basic science, pathogenesis, clinical and instrumental evaluation, surgical techniques and complication management, helping readers to better understand when and how reverse shoulder arthroplasty should be implanted and what to do in cases of poor results. Written by leading shoulder specialists, the book provides surgeons and rehabilitation specialists, as well as residents and shoulder fellows, with a valuable, state-of-the-art guide for clinical practice.
Contenido revisado que ofrece una amplia actualización incluyendo nuevos datos basados en la evidencia y referentes a técnicas de valoración, sistemas de clasificación, diagnóstico diferencial, opciones de tratamiento y protocolos de rehabilitación. Guía práctica que proporciona información de gran utilidad en el momento del examen del paciente, para el diagnóstico diferencial, el tratamiento y la rehabilitación propiamente dicha. Nuevos capítulos sobre ligamento femoral medio, impacto en el hombro, fractura del pectoral mayor, síndrome torácico, fracturas humerales, fracturas de rodilla y pie, reconstrucción del ligamento patelofemoral medio, artritis de cadera y pubalgia atlética entre otras cuestiones. Esta nueva edición incluye videos que muestran procedimientos de rehabilitación de condiciones ortopédicas frecuentes así como los ejercicios de rehabilitación que se recomiendan de manera habitual. Los protocolos de tratamiento y rehabilitación se presentan paso a paso, en formato de algoritmos, y en cada una de las fases de la asistencia (progresión basada en criterios que refleja las mejores prácticas actuales) Se incluye un acceso a Expert Consult en el que se incluye la versión eBook de la obra que permite realizar búsquedas en todo el texto, acceso a los vídeos y a las referencias bibliográficas.
This book is a rich source of practical guidance on the management of relatively young patients with osteoarthritis of the knee that will assist physicians and allied health professionals in enabling patients to remain active and sustain their quality of life. It provides up-to-date knowledge on the available treatment options, describes the evidence base for each option, and identifies the appropriate timing and indications. The book opens by considering the basic science behind osteoarthritis, which is critical to management. The many nonsurgical treatment modalities are then discussed, with particular focus on the importance of a multidisciplinary approach. Subsequent chapters address the role of surgical management, covering both techniques that attempt to preserve and possibly restore the native knee joint, such as meniscal and chondral surgery, arthroscopic debridement, and osteotomy for realignment of the joint, and those that involve joint replacement. The arthroplasty component of the text encompasses all areas of prosthetic resurfacing, including localized resurfacing, unicompartmental replacement, and total knee replacement. The book has been produced in cooperation with ISAKOS and the authors constitute an international faculty who provide a truly global perspective on the subject.