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New Diagnostic and Therapeutic Approaches for the Care of the Severely Injured Patient
Trauma represents a leading cause of death, particularly in the younger population. Traumatic brain injury and hemorrhage are the most common causes of early death, whereas complications such as infections, (multi-)organ failure and “persistent inflammation, immunosuppression, and catabolism syndrome” (PICS) represent relevant factors for late adverse outcomes. Pre- and intra-hospital diagnostic and therapeutic standard operating procedures have been shown to beneficially influence posttraumatic outcome. However, development of patient-specific diagnostic and therapeutic strategies remains challenging due to uncertainties regarding the assessment of the individual risk profile. Furthermo...
Operative Techniques in Orthopaedic Surgery
Lavishly illustrated, comprehensive in scope, and easy to use, the second edition of Operative Techniques in Orthopaedic Surgery guides you to mastery of every surgical procedure you’re likely to perform – while also providing a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. More than 800 global experts take you step by step through each procedure, and 13,000 full-color intraoperative photographs and drawings clearly demonstrate how to perform the techniques. Extensive use of bulleted points and a highly templated format allow for quick and easy reference across each of the four volumes.
Bone and Joint Injuries
There currently is a clear tendency to an increasing number of accidental injuries in elderly people, in sport injuries and car crashes also in countries which recently joined the European Union and candidates to join the European Union. Patients expect very good functional results even after serious injuries. But in contrast to this development, Trauma Surgery as an independent field, is not yet established in all European countries. Therefore, it seems mandatory to compile a book that covers the state-of-the-art in Trauma Surgery. The book also serves to harmonise the practice of Trauma Surgery within the European Union, and to prepare for the exam of the U.E.M.S.
Evidence-based Orthopedics
Surgical orthopedic procedures such as hip replacements, arthroscopy or knee replacements are surrounded by pre- and post-operative complications, and there are varying different methods for the procedures themselves. This book, for the first time, brings together the best evidence for treatments as well as any complications. Not only does it cover the evidence base for orthopedic surgery, but also orthopedic conditions requiring medical treatment, and pediatric orthopedics. Using the approved EBM methodology, and edited by teachers of evidence-based medicine, this is a genuine EBM textbook for all orthopedic specialists and trainees.
Operative Techniques in Orthopaedic Trauma Surgery
Providing full-color, step-by-step explanations of all operative procedures in orthopaedic trauma surgery, this text contains the chapters on trauma from Wiesel's "Operative Techniques in Orthopaedic Surgery." The user-friendly format is ideal for quick preoperative review of the steps of a procedure.
A Comprehensive Review of Compartment Syndrome
Compartment syndrome is a condition caused by an increase in pressure in a closed anatomical space. It can lead to irreversible damage and necrosis of the contents of that space with devastating consequences for the patient. It can affect the musculoskeletal system as well as sites outside the musculoskeletal system including the thorax and abdomen. This book describes the occurrence of compartment syndrome at all these sites, diagnosis and adjuncts to diagnosis, and the importance of timely management of this condition to prevent major morbidity and preserve function.
Manual of Spine Surgery
This manual has been compiled in response to the rapid expansion of instrumented spinal surgery using minimally invasive and non-fusion techniques, with a view to meeting the needs of spinal surgeons (orthopaedic and neurosurgeons). The various open, less invasive, and minimally invasive techniques are presented step by step in a clear and instructive way with the aid of more than 600 high-quality illustrations. Careful attention is paid to all aspects vital to the success of any spinal operation: precise definition of indications and contraindications, technical and organizational factors, good operating technique, and correct preoperative preparation and positioning of the patient. This second edition of the manual takes full account of the latest developments in spinal instrumentation and implants and new surgical techniques. It is authoritative, concise, and portable – ideal for use in a fast-paced clinical setting – and will serve as a daily companion for spinal surgeons and others who care for patients with spinal disorders.
Non-Invasive Diagnostics in Acute Compartment Syndrome
Diagnosis of acute compartment syndrome (ACS) of the extremities is based on clinical signs with or without complementary measurement of muscle compartmental pressure. However, in cases of imminent compartment syndrome, unconscious patients or children the appropriate diagnose remains challenging. Despite all efforts to improve technical devices to objectify the signs by measurements of numerous parameters, needle compartment pressure measurement is to date accepted as the gold standard to facilitate decision making. But its invasiveness, the controversy about pressure thresholds and its potentially limited validity due to a single measurement support the need for further developments to diagnose ACS. Numerous technical improvements have been published and revealed promising new applications for non-invasive diagnostics. Since the pathology of an ACS is well characterized two approaches of measurements are described: to detect either increasing compartmental pressure or decreasing perfusion pressure. In the following, currently known investigations are reviewed and related to their pathophysiological principals, modes of clinical application, value and reliability.
Fragilitätsfrakturen des Beckenrings
Thema dieses Buches sind die Fragilitätsfrakturen des Beckens aus interdisziplinärer Sicht. Als ein Indikationsfaktor für Osteoporose zeigen Fragilitätsfrakturen des Beckens regelhaft ein typisches Frakturmuster mit der Gefahr einer Frakturprogression und einer konsekutiven Instabilitätszunahme. In der Diagnostik fokussiert die erweiterte Bildgebung (CT und/oder MRT) den hinteren Beckenring. Therapeutisch ist das primäre Behandlungsmanagement eine zweiwöchige konservative Therapie, wohingegen höhergradige Instabilitäten v.a. des hinteren Beckenrings eine operative Therapie erfordern. Eine therapiebegleitende Osteoporosebehandlung ist zwingend erforderlich.
