By Richard A. Berger MD PhD, Arnold-Peter C. Weiss MD
Read Online or Download Hand Surgery. 2 Volume Set PDF
Similar physical medicine & rehabilitation books
Knee: Clinical Applications (A.L. Logan Series in Chiropractic Technique)
This booklet makes a speciality of functional and potent techniques to remedy o f the knee. The textual content contains anatomy, exam, trying out, remedy, and rehabilitation workout, in addition to 295 illustrations via the lat e Dr. Logan and sixty one photos.
Addiction Recovery Management: Theory, Research and Practice (Current Clinical Psychiatry)
Dependancy restoration administration: concept, learn, and perform is the 1st publication at the restoration administration method of dependancy remedy and post-treatment help prone. targeted in combining concept, study, and perform in the comparable textual content, this ground-breaking identify comprises authors who're the foremost theoreticians, researchers, platforms directors, clinicians and restoration advocates who've built the version.
Articular Injury of the Wrist: FESSH 2014 Instructional Course Book
Hand and wrist accidents account for thousands of emergency room visits every year. even if the main common kind of articular wrist harm contains the distal radius, there are lots of different fractures that require skillful intervention to acquire greatest, long term functionality. This e-book makes a speciality of these advanced intra-articular wrist accidents that experience no longer been widely lined long ago, delivering an entire photograph in their medical, radiographic and healing good points.
- Psychoprosthetics
- Imaging Strategies for the Knee
- How Music Helps in Music Therapy and Everyday Life (])
Additional resources for Hand Surgery. 2 Volume Set
Example text
The latter represents a failure of the mechanical environment with a preserved biologic activity and usually responds to stabilization by internal fixation. In long-standing cases, uncontrolled movement between the fractured ends of bone results in eburnation and thickening of the fracture surfaces. The nonunion eventually gets enveloped in a fibrous scar, and the mobile, often painless, fracture begins to behave like a false joint or pseudarthrosis. The healing process is completely arrested, and a nonunion does not heal without surgical intervention to excise and freshen the fracture and to alter the local environment by increasing stability, improving vascularity, and grafting bone.
Purely osteoinductive, BMPs are used to augment autogenous or allogeneic cancellous graft (34). Ceramic-based bone substitutes have a consistent crystalline structure that is osteoconductive and has a predictable resorption rate. The addition of DBM can add osteoinductive properties to the material. Artificially prepared de novo or derived from coral, the handling properties of these substitutes can be modified by the addition of cement or plasticizing agents to create a variety of different physical forms, such as putty, pellets, or granules.
The superficial layers of cartilage are destabilized and begin to break down. Chondrocytes respond to alterations in the matrix by proliferation and increased synthetic activity to augment matrix production. The amplified activity can be sustained for many years and may restore the tissue to halt progression of the disease. Surgical intervention in early stages with procedures such as angular osteotomies can stimulate restoration of the cartilage surface by altering the adverse mechanical environment (108).