Fractures with Soft Tissue Injuries
Acknowledgment The author would like to acknowledge Fred F. Behrens, MD (deceased), for his contributions to earlier versions of this chapter. Characteristics It is generally accepted that open fractures among…
ORTHOPEDIC
The Multiply Injured Child
Introduction Children who are victims of severe trauma usually sustain musculoskeletal injuries. However, they may also have injuries to other body areas that can be severe and even life-threatening. Although…
Outcomes Assessment of Fractures in Children
Introduction How do we know that our interventions “work”? The success or effectiveness of an intervention can best be understood in terms of whether it consistently achieves the goal/s for…
Casting Techniques
Introduction Immobilization in a cast has been the standard of care for spinal and upper and lower extremity injuries and fractures in children. Techniques were first described in antiquity and…
Skeletal Growth, Development, and Healing as Related to Pediatric Trauma
Acknowledgment We would like to acknowledge and thank Dr. Eric T. Jones for his contributions to the previous versions of this chapter. Introduction Consideration of growth potential is the major…
Hip Resurfacing
Hip resurfacing is an attractive option for younger patients with severe hip disease. Advantages of the procedure include easier revision, decreased risk of hip dislocation, more normal walking pattern, greater…
Ligament Balancing: Varus Knee
Arthroplasty ▪ Make the initial exposure using your preferred surgical approach (medial parapatellar, intermedius, midvastus, subvastus) to include release of the deep medial collateral ligament off the tibia at the…
Total Knee Arthroplasty — Standard Midline Approach and Bone Preparation
Surgical Approach See alsoVideo 10-1 . The most commonly used skin incision for primary TKA is an anterior midline incision. Variations may be considered, but in general most incisions will…
Hip Arthroscopy for Femoroacetabular Impingement
Femoroacetabular impingement (FAI) occurs when anatomic variation of the hip causes impingement between the femoral-head junction and the acetabular rim during functional range of motion. Cam impingement occurs when a…
Ligament Balancing: Pie-Crusting
William M. Mihalko A technique used for soft tissue balancing in knees with valgus deformity is pie-crusting of the lateral soft tissue sleeve. This technique allows the surgeon to direct the…
