Moran: Master Techniques in Orthopaedic Surgery: Soft Tissue Surgery

Over the past 30 years options for the soft tissue management of traumatic defects have increased with an improved understanding of pedicled flaps, the advent of microsurgery, and the development of negative pressure sponge therapy. Wound complications have decreased due to advances in antibiotic therapy and better debridement techniques. Improved knowledge of surgical anatomy has helped develop surgical incisions which provide better exposure while preserving regional blood supply. Despite these advances, there is still a need for every surgeon to know the techniques of debridement, soft tissue management, and proper incision placement—for these are the foundation of successful surgery.

The educational goal of this text is to demonstrate how to avoid wound problems and how to cover wound problems if they should occur. Chapters illustrate pertinent anatomy, indications and contraindications for specific incisions, and methods for flap coverage in cases of soft tissue loss. Step-by-step accounts of the technical details are provided to carry out these exposures and procedures so that readers will feel they are watching over the shoulder of the contributing author in the operating room. Contributors are experienced in both soft tissue and bony management. Though all surgeons may not feel comfortable with performing all procedures presented in this book, they will at least know what they can expect or request during specialist consultation. This volume of the Master Techniques in Orthopaedic Surgery series focuses on the management of the soft tissues as they relate to orthopaedic trauma, but is a text designed for all traumatologists, orthopaedic surgeons, plastic surgeons, and anyone who has had the pleasure (or displeasure) of taking care of a difficult wound.

-- Steven L. Moran MD

Key Features

• Step-by-step procedures provided to show the exposure and procedure.
• Contributors experienced in both soft tissue and bony management.
• The world's foremost surgeons describe their preferred techniques in step-by-step detail and offer pearls and tips for improving results.
• Thoroughly illustrated with full-color, sequential, surgeon's-eye view intra-operative photographs, as well as drawings by noted medical illustrators.

Contents

Part I OVERVIEW AND FOUNDATION

• Chapter 1 Why Wounds Fail to Heal
• Chapter 2 Initial Evaluation and Management of Complex Traumatic Wounds
• Chapter 3 Management of Simple Wounds: Local Flaps, Z-Plasty, and Skin Grafts
• Chapter 4 Vacuum-Assisted Closure in Extremity Trauma

PART II Management of Soft Tissues within the Upper Extremity

• Chapter 5 Evaluation and Management of Nerve Injuries Following Soft Tissue and Bony Trauma
• Chapter 6 Management of Vascular Injuries Following Soft Tissue and Bony Trauma
• Chapter 7 Management of the Soft Tissue with Shoulder Trauma
• Chapter 8 Rotational Flaps for Rotator Cuff Repair
• Chapter 9 Surgical Exposure of the Elbow Following Bony and Soft Tissue Trauma
• Chapter 10 Radial Forearm Flap for Elbow Coverage
• Chapter 11 Pedicled and Free Latissimus Flap for Elbow and Forearm Coverage
• Chapter 12 Fasciotomies for Forearm and Hand Compartment Syndrome
• Chapter 13 Soft Tissue Interposition Flaps in the Management of Heterotopic Ossification and Proximal Radioulnar Synostosis

PART III Management of Soft Tissues Within the Hand and Wrist

• Chapter 14 Principles of Hand Incisions
• Chapter 15 Lateral Arm Flap for Hand and Wrist Coverage
• Chapter 16 Posterior Interosseous Artery Island Flap for Dorsal Hand Coverage
• Chapter 17 Fillet Flaps in Cases of Mutilating Trauma
• Chapter 18 The Use of Free Flaps in Upper Extremity Reconstruction/Anterolateral Thigh Flap
• Chapter 19 Groin Flap Coverage of the Hand and Wrist

PART IV Soft Tissue Coverage of the Fingers Following Trauma

• Chapter 20 Cross-Finger Flaps for Digital Soft Tissue Reconstruction
• Chapter 21 Heterodigital Arterialized Flap
• Chapter 22 Homodigital Island Flap
• Chapter 23 First Dorsal Metacarpal Artery Island Flap
• Chapter 24 Thumb Coverage

PART V Management of the Soft Tissues of the Lower Extremity

• Chapter 25 Soft Tissue Management Following Traumatic Injury to the Femur
• Chapter 26 Management of Soft Tissue Defects Surrounding the Knee and Tibia: The Gastrocnemius Muscle Flap
• Chapter 27 Revision and Infected Total Knee Arthroplasty
• Chapter 28 The Pedicled Soleus Muscle Flap for Coverage of the Middle and Distal Third of the Tibia
• Chapter 29 The Sural Artery Flap
• Chapter 30 Fasciotomies of the Lower Extremity
• Chapter 31 Amputation and Stump Management

PART VI Soft Tissue Management Around the Foot and Ankle

• Chapter 32 Soft Tissue Management of Ankle Fractures and Use of the Gracilis Muscle Flap
• Chapter 33 Calcaneal Fractures/Talar Neck Fractures
• Chapter 34 Flap Coverage for the Foot

PART VII Soft Tissue Management Around the Spine and Pelvis

• Chapter 35 Soft Tissue Coverage of the Pelvis and Sacrum: Hemipelvectomy and Pedicled Flap Coverage

PART VIII Replantation

• Chapter 36 Management of Major Upper Limb Amputation
• Chapter 37 Replantation of Digits

Index

Product Details

• Hardcover: 496 pages
• Publisher: Lippincott Williams & Wilkins; 1 Har/Psc edition (2009)
• Language: English
• ISBN-10: 0781763681
• ISBN-13: 978-0781763684
• Product Dimensions: 11.2 x 8.6 x 1 inches

List Price: $239.00