Surgical Exposures in Orthopaedics: The Anatomic Approach was first published in 1984, 25 years ago. The standard surgical approach textbooks at the time were out of date and the principle of linking surgical anatomy to surgical approaches using incisive text and wonderfully clear diagrams (then in black and white) was greeted favorably by orthopaedists and trauma surgeons around the world. Throughout its history, this text has remained the number one best seller in its field. It has been translated into five languages and is extensively used around the world on all five continents. On many occasions, while travelling around the world to teach, the authors have been thanked by residents who have reported how the book has helped them, often in difficult and emergency situations when working either alone or poorly supervised. It is also clear that residents particularly value those classical surgical approaches first described by A.K. Henry in his book on extensile approaches.
Why, then, produce a fourth edition? Standard textbooks need to change to reflect those changes that occur within their sphere of interest. The difficulty with this is to differentiate between genuine and permanent changes in the practice of orthopaedics. The young surgeon must be presented with the subject in what can only be described as “the fashion of the time” that occurs in all branches of medicine, especially orthopaedics. In the first edition of the book, great emphasis was given to the concept of subperiosteal dissection. Subperiosteal dissection ensured that the surgical approach did not damage vital structures close to the bone, but the sacrifice was significant devitalization of the bone and its surrounding soft tissues. The preservation of the blood supply to the area to be exposed has been a consistent theme in the past 24 years. The second edition of the book saw abandonment of the concept of subperiosteal dissection and the establishment of epi-periosteal planes for surgical use.
Minimal access surgery has been present in orthopaedic surgery for many years. Intramedullary nailing, through a closed technique, did not expose the fracture site and preserved the fracture hematoma. Similarly, external fixation can be seen as an attempt to provide stability to a fracture site, while preserving the fracture hematoma and the natural healing processes that occur around the fracture. Arthroscopy is probably the best example of effective use of minimal access surgery, a fact recognized by the inclusion of standard arthroscopic techniques for the knee and shoulder in the third edition.
Contents
Chapter One The Shoulder
- Anterior Approach to the Clavicle
- Anterior Approach to the Shoulder Joint
- Applied Surgical Anatomy of the Anterior Approach to the Shoulder Joint
Chapter Two The Humerus
- Anterior Approach to the Humeral Shaft
- Minimal Access Anterior Approach to the Humeral Shaft
- Anterolateral Approach to the Distal Humerus
Chapter Three The Elbow
- Posterior Approach
- Medial Approach
- Anterolateral Approach
Chapter Four The Forearm
- Anterior Approach to the Radius
- Applied Surgical Anatomy of the Anterior Compartment of the Forearm
- Exposure of the Shaft of the Ulna
Chapter Five The Wrist and Hand
- Dorsal Approach to the Wrist
- Applied Surgical Anatomy of the Dorsal Approach to the Wrist
- Volar Approach to the Wrist
Chapter Six The Spine
- Posterior Approach to the Lumbar Spine
- Minimal Access-Posterior Approach to the Lumbar Spine
Chapter Seven Pelvis and Acetabulum
- Pelvis
- Acetabulum
- Anterior Approach to the Iliac Crest for Bone Graft
Chapter Eight The Hip
- Anterior Approach to the Hip
- Anterolateral Approach to the Hip
- Lateral Approach to the Hip
Chapter Nine The Femur
- Lateral Approach
- Posterolateral Approach
- Anteromedial Approach to the Distal Two Thirds of the Femur
Chapter Ten The Knee
- General Principles of Arthroscopy
- Arthroscopic Approaches to the Knee
- Arthroscopic Exploration of the Knee
Chapter Eleven The Tibia and Fibula
- Anterolateral Approach to the Lateral Tibial Plateau
- Minimal Access Anterolateral Approach to the Proximal Tibia
- Posteromedial Approach to the Proximal Tibia
Chapter Twelve The Ankle and Foot
- Anterior Approach to the Ankle
- Anterior and Posterior Approaches to the Medial Malleolus
- Approach to the Medial Side of the Ankle
Chapter Thirteen Approaches for External Fixation
- The Humerus
- The Radius, Ulna, and Wrist
- The Pelvis
Index
Key Features
- A standard textbook for 25 years.
- Outstanding full-color illustrations of each approach.
- All diagrams drawn from the viewpoint of the surgeon.
- Rich in tips and tricks for performing operative procedures.
- Anatomy directly related to surgical approach.
- Comprehensive descriptions of wide range of approaches.
New in this edition
- The fourth edition includes many new approaches involving minimal access surgery. These approaches are used mainly in the field of traumatology and reflect the major surgical interest of two of the authors and the majority of their resident readers.
- New minimal access approaches are included for the humerus, distal femur, and proximal and distal tibia.
- New external fixation approaches are included, especially bridging fixation.
- New approaches for the spine and calcaneus were conspicuously absent in previous editions, now part of this revision.
Minimal access surgery is a classic double edge sword. The purpose of the surgery is to preserve the biology around the site of traumatic injury and to minimize the associated soft-tissue damage in elective orthopaedic surgery. The cost of this technique is decreased visualization, and many of the techniques described require the use of imaging to be safe. C-arm technologies are now readily available throughout the world. Computer-assisted surgery is also growing rapidly, particularly in the field of joint replacement surgery.
A big danger of minimal access surgery is inadvertent damage to vital structures. It follows, therefore, that sound knowledge of underlying anatomy is even more critical for minimal access surgery than it is for conventional open approaches. Readers are earnestly advised to study the anatomical sections of the new approaches along with the classic approaches to ensure patient safety.
The fourth edition of the book now incorporates a comprehensive range of surgical approaches required for the treatment of patients with orthopaedic and traumatological complaints. Classic extensile surgical approaches, minimal access surgery, arthroscopy, and external fixation are all tools that a competent surgeon must be able to use to fully help patients.
Product Details
- Hardcover: 768 pages
- Publisher: Lippincott Williams & Wilkins; Fourth edition (May 29, 2009)
- Language: English
- ISBN-10: 0781776236
- ISBN-13: 978-0781776233
- Product Dimensions: 11.2 x 8.7 x 1.4 inches
List Price: $236.00