There has been an explosion in the number of internal fixation devices available for the treatment of complex intra-articular distal radius fractures. Locking volar plate designs have continued to evolve along with innovative techniques for reduction of the articular fragments. Limited internal fixation of individual fragments has become a mainstay of treatment, but intramedullary fixation is also a viable option. Joint bridging external fixation is typically used to unload the joint surface, but newer external fixators allow early wrist motion in both extra-articular and intra-articular fractures. Pain on the ulnar side of the wrist has become the proverbial black box of wrist surgery and is underrepresented in most textbooks. This book includes 13 chapters devoted entirely to the diagnosis and treatment of ulnar-sided wrist pain and instability of the distal radioulnar joint as well as a thorough coverage of the latest advancements in ulnar head replacement. The treatment of carpal ligament injuries has also undergone a renaissance with many new arthroscopic and open procedures that hold promise for the future. No book would be complete without a discussion of the complications, outcome assessments, and salvage procedures.
This book is intended to serve as a user's manual for both the entry-level wrist surgeon as well as the experienced operator. The methodology and the practical aspects of each procedure are stressed along with myriad pearls and tips, oftentimes from the originators of the technique. The videos on the accompanying website illustrate the techniques and provide a glimpse into the surgical anatomy in real time.
We are indebted to our contributors, without whom this book would not exist. We appreciate the time, effort, and personal sacrifice they have put forth to educate their peers. We are also indebted to Kim Murphy, Senior Publishing Director of Global Medicine at Elsevier, for allowing us to move forward with this project, as well as the associate editors who contributed their time and energy to this project, including the tireless Lucia Gunzel, Emily Christie, and Norman Stellander. Once again Bruce Robison and his audiovisual crew did a fantastic job on the accompanying website. It was a real joy working with many of the pioneers and innovators in wrist and hand surgery and we hope the reader experiences the same.
This book is intended to serve as a user's manual for both the entry-level wrist surgeon as well as the experienced operator. The methodology and the practical aspects of each procedure are stressed along with myriad pearls and tips, oftentimes from the originators of the technique. The videos on the accompanying website illustrate the techniques and provide a glimpse into the surgical anatomy in real time.
We are indebted to our contributors, without whom this book would not exist. We appreciate the time, effort, and personal sacrifice they have put forth to educate their peers. We are also indebted to Kim Murphy, Senior Publishing Director of Global Medicine at Elsevier, for allowing us to move forward with this project, as well as the associate editors who contributed their time and energy to this project, including the tireless Lucia Gunzel, Emily Christie, and Norman Stellander. Once again Bruce Robison and his audiovisual crew did a fantastic job on the accompanying website. It was a real joy working with many of the pioneers and innovators in wrist and hand surgery and we hope the reader experiences the same.
David J. Slutsky, A. Lee Osterman
Foreword
Why another textbook about the wrist and its injuries? Because this is a field that is constantly innovating.
After Etienne Destot's treatise “Traumatismes du Poignet et Rayon X” was published in 1923, there were several notable contributions to the literature on wrist anatomy, function, and injury, particularly from European investigators. It was not until the last few decades of the 20th century, however, that textbooks dedicated exclusively to the wrist saw the light of day. Simultaneously, there was an exponential growth of papers dedicated to the wrist, making each new textbook outdated almost as soon as it was published. These papers, however, were scattered through the many journals dedicated to orthopeadics and hand surgery. The practitioner in search of guidance from the peer-reviewed medical literature frequently encountered conflicting, confusing, or inconclusive answers, if answers were found. This book should correct this deficiency.
Doctors David Slutsky and Lee Osterman have undertaken a truly monumental task, both in its scope and in the selection of an incredible list of international contributors. I am convinced that I, and all readers regardless of their experience and expertise, will find much to learn. I am also convinced that this will become a “must-have” textbook for all those interested in the treatment of injuries to the distal radius and carpus. Doctors Slutsky and Osterman have assembled a distinguished panel of experts. Unlike similar endeavors in the past, with contributors generally from a single country or region, the experts for this text include a world-wide selection of innovative physicians and investigators.
I did not find a single subject that was not covered, and I expect that there will be an answer to any questions that practitioners may have when faced with the treatment of injuries to the wrist. The inclusion of video imaging on the accompaning website to further illustrate wrist kinematics, carpal instability patterns, and surgical techniques is an exciting addition to this very ambitious undertaking. I am honored to have been asked to write a foreword to this book, and I am eager to own the published work.
Julio Taleisnik, MD
Key Features
- Uses real cases to illustrate diagnostic decision-making, nonsurgical and surgical management and care, and outcomes measurement for a variety of complex distal radius fractures, as well as 44 videos---over two hours---of procedures all on the DVD and website.
- Covers distal radius fractures from imaging and classification to the new locking plate designs, emerging nonplate alternatives such as intramedullary and T-pin fixation, and newer nonbridging external fixators for intra-articular fractures to provide you with the latest developments in the field.
- Presents material in a concise, practical format for an ideal review before surgery.
- Provides a visual display of intraoperative procedures through full-color images and photographs.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Additional online-only chapters:Role of Advanced Imaging in Distal Radius Fractures, Patient-focused Wrist Outcome Instrument, Biomechanics and Biology of Plate Fixation of Distal Radius Fractures, Micronail, Rehabilitation Following Distal Radius Fractures: a biomechanical/procedure specific approach, Use of Thermal Shrinkage---Biology and applications, Arthroscopic Thermal Shrinkage for Scapholunate Ligament Injuries, Rehabilitation following Carpal Injury, and Reconstruction of the Distal Radius Facet by a Free Vascularized Ostechondral Graft.
I. - INTRODUCTION
- CHAPTER 1 - Distal Radius Fractures: A Historical Perspective
- CHAPTER 2 - Nonoperative Treatment of Distal Radius Fractures
II. - ANATOMY, IMAGING, AND OUTCOMES
- CHAPTER 3 - Radiographic Evaluation and Classification of Distal Radius Fractures
- CHAPTER 4 - Distal Radius Study Group: Purpose, Method, Results, and Implications for Reporting Outcomes
- CHAPTER 5 - Factors Influencing the Outcome of Distal Radius Fractures
III. - EXTERNAL FIXATION
- CHAPTER 6 - Bridging External Fixation with Pin Augmentation
- CHAPTER 7 - Distal Radius Fractures Treated with the CPX System
- CHAPTER 8 - External Fixation of Distal Radius Fractures
IV. - PLATE FIXATION
- CHAPTER 9 - Surgical Approaches from an Angiosomal Perspective
- CHAPTER 10 - Dorsal Plate Fixation
- CHAPTER 11 - Dorsal Double Plating and Combined Palmar and Dorsal Plating for Distal Radius Fractures
- CHAPTER 12 - Fragment-Specific Fixation of Distal Radius Fractures
- CHAPTER 13 - Volar Plate Fixation
- CHAPTER 14 - Volar Rim and Barton's Fracture
- CHAPTER 15 - Pediatric Distal Radius Fractures
- CHAPTER 16 - Complications of Locked Volar Plates
V. - ALTERNATIVES TO INTERNAL FIXATION
- CHAPTER 17 - Kapandji Pinning of Distal Radius Fractures
- CHAPTER 18 - Use of the T-Pin in the Treatment of Extra-articular Distal Radius Fractures
- CHAPTER 19 - Bridge Plating of Distal Radius Fractures
- CHAPTER 20 - Arthroscopic-Assisted Treatment of Distal Radius Fractures
- CHAPTER 21 - Simultaneous Fractures of the Scaphoid and Distal Radius
- CHAPTER 22 - Galeazzi Fracture-Dislocations
- CHAPTER 23 - Use of Bone Graft Substitutes and Bioactive Materials in Treatment of Distal Radius Fractures
- CHAPTER 24 - Complex Regional Pain Syndrome after Distal Radius Fractures
VI. - THE ULNAR SIDE
- CHAPTER 25 - Stability of the Distal Radioulnar Joint
- CHAPTER 26 - Arthroscopic Treatment of Triangular Fibrocartilage Complex Injuries
- CHAPTER 27 - Anatomy and Biomechanics of Forearm Rotation
- CHAPTER 28 - Ulnar Head and Styloid Fractures
- CHAPTER 29 - Ligament Reconstruction/Sigmoid Notch Plasty for DRUJ Instability
- CHAPTER 30 - Dorsal Capsuloplasty in Volar Subluxation of the Distal Radius
- CHAPTER 31 - Essex-Lopresti Fractures
- CHAPTER 32 - The Ulnar-Shortening Osteotomy
- CHAPTER 33 - Arthroscopic Wafer Resection
- CHAPTER 34 - Sauve-Kapandji Procedure after Distal Radius Fractures
- CHAPTER 35 - Hemi-resection Interposition Arthroplasty
- CHAPTER 36 - Ulnar Head Implants: Unconstrained
- CHAPTER 37 - Distal Radioulnar Joint Prosthesis
VII. - CARPAL LIGAMENT INJURY
- CHAPTER 38 - Carpal Anatomy
- CHAPTER 39 - Chronic Volar-Flexed Intercalated Segment Instability
- CHAPTER 40 - Kinematics of the Lunotriquetral Joint
- CHAPTER 41 - The Dorsal Ligaments of the Wrist
- CHAPTER 42 - Midcarpal Instability
- CHAPTER 43 - Perilunate Injuries of the Wrist
- CHAPTER 44 - The Role of Arthroscopy in Scaphoid Fractures
- CHAPTER 45 - Arthroscopic Diagnosis of Carpal Ligament Injuries with Distal Radius Fractures
- CHAPTER 46 - Open Scapholunate Ligament Repair
- CHAPTER 47 - Arthroscopic Treatment of Scapholunate Ligament Tears
- CHAPTER 48 - Dorsal Capsulodesis
- CHAPTER 49 - Modified Brunelli Tenodesis for the Treatment of Scapholunate Instability
- CHAPTER 50 - Bone-Ligament-Bone Reconstruction
- CHAPTER 51 - Dorsal Radiocarpal Ligament Tears
VIII. - TREATMENT OF COMPLICATIONS
- CHAPTER 52 - Arthroscopic Release of Wrist Contracture
- CHAPTER 53 - Management of Lost Pronosupination
- CHAPTER 54 - Treatment of Ununited Fractures of the Distal Radius
- CHAPTER 55 - Scaphoid Hemiresection and Arthrodesis of the Radiocarpal Joint
- CHAPTER 56 - Osteotomy for Extra-articular Malunion of the Distal Radius
- CHAPTER 57 - Arthroscopic-Assisted Osteotomy for Intra-articular Malunion of the Distal Radius
Product Details
- Hardcover: 592 pages
- Publisher: Saunders; Har/DVD edition (December 12, 2008)
- Language: English
- ISBN-10: 1416040838
- ISBN-13: 978-1416040835