By David M. Dines, Dean G. Lorich, David L. Helfet
Thieme congratulates David L. Helfet on being selected via New York journal for its prestigious ‘Best medical professionals 2015’ list.
Written by way of prime trauma surgeons, Solutions for complicated higher Extremity Trauma is a state of the art reference for present top practices for dealing with acute and protracted trauma and reconstructive difficulties post-trauma within the top extremity. Chapters are prepared based on the anatomic situation of the matter, progressing from the shoulder girdle right down to the forearm. each one bankruptcy offers authoritative insurance of anatomy, etiology, nonoperative remedies, surgical recommendations, rehabilitation, and results. excellent as either a textbook and a assessment sooner than surgical procedure, this ebook offers the entire crucial info for profitable sufferer care.
Highlights:
- Clinical insights from the world over famous specialists within the box
- Comprehensive assurance of either acute and protracted occasions
- Recommendations for dealing with distinct occasions, together with background of earlier surgical procedures and bone loss, and different comorbidities, equivalent to osteopenia and rheumatoid arthritis
- Guidelines for dealing with problems, equivalent to an infection, instability, stiffness, and neurologic signs
- More than 250 top of the range pictures and drawings that show technical innovations and key points
This certain booklet, entire with specialist insights and centred, in-depth insurance of trauma to the higher extremity, is perfect for orthopedic and trauma surgeons in any respect degrees of expertise, citizens, and fellows.
Read Online or Download Solutions for complex upper extremity trauma PDF
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Extra info for Solutions for complex upper extremity trauma
Sample text
Therefore, one should remove excess callus with an osteotome to allow apposition of the plate and to prevent prominence of the hardware under the skin when placing the plate superiorly and prevent impingement when placing the plate anteroinferiorly. Occasionally, a fragment is rotated inward so that the excess callus is not appreciated easily. Both fragments 15 Ch02_p13-22 16 1/11/08 9:57 PM Page 16 Solutions for Complex Upper Extremity Trauma should thus be rotated outward using a bone holding forces prior to reduction and fixation to make sure impingement of subclavian structures by callus is prevented.
Meticulous technique is warranted here because the neurovascular structures are in close proximity to the back wall or inferior wall of the cavity. For a so-called gap or defect nonunion where a small or large segmental defect is present (secondary to infection or resection), one has to decide whether to shorten the clavicle or to place some type of interposition graft. Shortening of the clavicle can theoretically lead to narrowing of the neurovascular space, creating a thoracic outlet syndrome and ipsilateral glenohumeral and/or scapulothoracic dysfunction.
Less than 20 degrees may be a good indicator for operative intervention. between the superior glenoid and the most inferior point of the scapular body (Fig. 3–2). The GPA is normally between 30 and 45 degrees, and as the glenoid becomes more misaligned inferiorly by the pull of muscular attachments and the weight of the extremity, the angle decreases. When the angle is 20 degrees or less, clinically significant angulation exists and we recommend operative intervention based on this angulation alone.