1．Basic Science in Orthopedic Surgery Stephen D.Cook,PhD,Robert L.Barrack,MD, Harry B.Skinner,MD,PhD 1
Biomechanics Biomaterials 1
Basic Concepts Definitions 1
Biomechanics in Orthopedics 3
Biologic Tissues in Orthopedics 5
Implant Materials in Orthopedics 18
Growth Factors 25
Implant Design Biologic Attachment Properties 26
Tissue Response to Implant Materials 33
Gait Analysis 36
Gait Cycles, Phases, Events 37
Gait Measurements 37
Role of Gait Analysis in the Management of Patients With Gait Disorders 43
2．General Considerations in Orthopedic Surgery Harry B.Skinner, MD, PhD 47
Surgical Management 49
Postoperative Care 52
3．Musculoskeletal Trauma Surgery Harry B.Skinner, MD, PhD, Edward Diao, MD, Richard A.Gosselin, MD, David W.Lowenberg, MD 55
The Healing Process 55
General Considerations in Diagnosis Treatment of Musculoskeletal Trauma 57
Orthopedic Assessment Management of Polytrauma Patients 57
Immediate Management of Musculoskeletal Trauma 62
Failure of Fracture Healing 66
Principles of Operative Fracture Fixation 71
Ⅰ.Trauma to the Upper Extremity 73
Fractures Dislocations of the Forearm 73
Distal Radius Ulna Injuries 74
Dislocation of the Radiocarpal Joint 81
Forearm Shaft Fractures 81
Injuries Around the Elbow 83
Distal Humerus Fractures 83
Olecranon Fractures 84
Fracture of the Radial Head 85
Elbow Dislocation 86
Shoulder Arm Injuries 88
Humeral Shaft Fracture 89
Fractures Dislocations Around the Shoulder 91
Ⅱ.Trauma to the Lower Extremity 93
Foot Ankle Injuries 93
Fractures Common to All Parts of the Foot 94
Forefoot Fractures Dislocations 95
Midfoot Fractures Dislocations 96
Hindfoot Fractures Dislocations 97
Ankle Fractures Dislocations 101
Tibia Fibula Injuries 103
Injuries Around the Knee 106
Ligamentous Injuries 107
Proximal Tibia Fractures 110
Distal Femur Fractures 111
Patcllar Injuries 112
Femoral Shaft Fractures 114
Diaphyseal Fractures 114
Subtrochanteric Fractures 116
Hip Fractures Dislocations 117
Pelvic Fractures Dislocations 121
4．Sports Medicine Patrick J.McMahon, MD, Keith D.Merrill, MD, Richard J,Friedman, MD, FRCS(C), Harry B.Skinner, MD, PhD 125
Knee Injuries 127
Acute Hemarthrosis of the Knee 134
Meniscus Injury 134
Knee Fracture 136
Knee Plica Injury 137
Knee Ligament Injury 137
Knee Tendon Injury 142
Patellar Dislocation 142
Knee Pain 143
Ankle Foot Injuries 145
Ankle Ligament Injury 146
Rupture of the Achilles Tendon 147
Ankle of Foot Pain 148
Other Injuries of the Lower Body 149
Overuse Syndromes of the Lower Extremitics 149
Contusions Avulsinos of the Lower Body 151
Shoulder Injuries 154
Shoulder Fracture 158
Acromioclavicular Joint Injury 160
Sternoclavicular Joint Injury 161
Glenohumeral Joint Injury 162
Shoulder Tendon Muscle Injury 166
Shoulder Neurovascular Injury 170
Elbow Injuries 171
Elbow Fracture 171
Epicondylitis (Tennis Elbow) 171
Other Elbow Overuse Injuries 172
Spine Injuries 173
Cervical Spine Injury 173
Lumbar Spinc Injury 174
5．Disorders, Diseases, Injuries of the Spine Serena S.Hu, MD, George D.Carlson, MD, Clifford B.Tribus, MD 176
Osteomyelitis of the Spine 176
Tumors of the Spine 177
Primary Tumors of the Spine 177
Metastatic Disease of the Spine 181
Extradural Tumors 181
Inflammatory Diseases of the Spine 182
Rheumatoid Arthritis 182
Ankylosing Spondylitis 183
Diseases Disorders of the Cervical Spine 184
Congenital Malformations 186
Cervical Spondylosis 188
Ossification of the Posterior Longitudinal Ligament 192
Diseases Disorders of the Lumbar Spine 195
Low Back Pain 195
Lumbar Disk Herniation 197
Facet Syndrome 198
Stenosis of the Lumbar Spine 199
Deformitics of the Spine 202
Scoliosis 202
Kyphosis 215
Myelodysplasia 216
Spondylolisthesis Spondylolysis 217
Injuries of the Cervical Spine 223
Injuries of the Upper Cervical Spine 231
Injuries of the Lower Cervical Spine 237
Injuries of the Thoracic Lumbar Spine 241
Compression Fracture(Wedge Fracture) 245
Burst Fracture 245
Distractive Flexion Injury(Chance Fracture) 246
Fracture-Dislocation Injury 246
6．Tumors in Orthopedics James O.Johnston, MD, R.Lor Randall, MD 247
Etiology of Musculoskeletal Tumors 247
Evaluation and Staging of Tumors 248
Diagnosis Treatment of Tumors 259
Benign Bone Tumors 259
Malignant Bone Tumors 272
Benign Soft Tissue Tumors 290
Malignant Soft Tissue Tumors 297
Management of Carcinoma Metastasized to Bone 304
Differential Diagnosis of Pseudotumorous Conditions 312
7．Adult Reconstructive Surgery Robert S.Namba, MD, Harry B.Skinner, MD, PhD 326
Arthritis Related Conditions 326
Medical Management 336
Other Therapies 338
Surgical Management 338
Procedures For Joint Preservation 338
Joint Salvage Procedures 343
Joint Replacement Procedures 347
8．Orthopedic Infections William Petty, MD 365
General Considerations 365
Osteomyelitis 373
Acute Hematogenous Osteomyelitis 374
Chronic Osteomyelitis 376
Septic Arthritis 381
Gonococcal Arthritis 395
Staphylococcal Arthritis 396
Streptococcal Arthritis 396
Arthritis Due to Gram-Negative Bacilli 396
Arthritis Due to P Aeruginosa 397
Arthritis Due to H Influenzae 397
Arthritis Due to Neisseria Meningitidis 397
Brucellar Arthritis 397
Syphilitic Arthritis 398
Lyme Arthritis 398
Tubercular Arthritis 398
Arthritis Due to Atypical Mycobacteria 401
Fungal Arthritis 402
Viral Arthritis 402
Drug Abuse 403
Toxic Shock Syndrome 403
Special Problems Associated With Orthopedic Infections 403
Arthritis Due to Hypersensitivity 403
Acquired Immunodeficiency Syndrome(AIDS) 404
9．Foot Ankle Surgery Roger A.Mann, MD, Jeffrey A.Mann, MD 405
Biomechanic Principles of the Foot Ankle 405
Deformities of the First Toe 408
Deformities of the Lesser Toes 419
Regional Anesthesia for Foot Ankle Disorders 424
Metatarsalgia 426
Keratotic Disorders of the Planter Skin 427
Disorders of the Toenails 437
Diabetic Foot 439
Neurologic Disorders of the Foot 439
Rheumatoid Foot 443
Heel Pain 444
Arthrodesis About the Foot Ankle 446
Congenital Flatfoot 452
Acquired Flatfoot Deformity 454
Cavus Foot 456
Orthotic Devices for the Foot Ankle 458
Tarsal Coalitions 461
Ligamentous Injuries About the Ankle Joint 463
Arthroscopic Examination of the Foot Ankle 466
Achilles Tendon Rupture 469
10．Hand Surgery Michael S.Bednar, MD, Terry R.Light, MD 473
Diagnosis of Disorders of the Hand 473
Special Treatment Procedures for Hand Disorders 477
Disorders of the Musculature of the Hand 480
Disruption of Extensor Muscle Insertions 484
Intrinsic Plus Intrinsic Minus Positions 485
Intrinsic Muscle Tightness 486
Swan-Neck Deformity 487
Flexor Tendon Injury 488
Disorders of the Tendons of the Hand 488
Tenosynovitis 492
Vascular Disorders of the Hand 494
Arterial Occlusion 494
Vasospastic Conditions 495
Disorders of the Nerves of the Hand 496
Peripheral Nerve Injury 496
Compressive Neuropathies 497
Disorders of the Fascia of the Hand 503
Dupuytren s Disease 503
Compartment Syndromes 504
Fractures Dislocations of the Hand 506
Fractures Dislocations of the Metacarpals Phalanges 506
Wrjst Injures 512
Soft Tissue Injuries 517
Fingertip Injuries 517
Nail Bed Injuries 518
Thermal Injury 519
Acute Burn Injury 519
Electrical Bums 520
Chemical Burns 520
Cold Injury(Frostbite) 520
High-Pressure Injection Injury 521
Infections of the Hand 522
Arthritis of the Hand 524
Osteoarthritis 524
Rheumatoid Arthritis 525
Hand Tumors 529
Congenital Differences 530
11．Pediatric Orthopedic Surgery George T.Rab, MD 532
Growth Disorders 532
Infectious Processes 533
Metabolic Disorders 536
Hip Disorders 537
Foot Disorders 547
Torsional Angular Deformities of the Knee Leg 552
Knee Disorders 556
Osgood-Schlatter Disease 558
Spinal Curvature 558
Neuromuscular Disorders 563
Tumors 567
Amputations 567
Fractures 568
Injuries Related to Child Abuse 576
12．Amputations Douglas G.Smith, MD 577
Special Considerations in the Management of Pediatric Patients 577
General Principles of Amputation 579
Types of Amputation 588
Upper Extremity Amputations Disatriculations 588
Lower Extremity Amputations Disatriculations 592
13．Rehabilitation Mary Ann E.Keenan, MD, Robert L.Waters, MD 602
General Principles of Rehabilitation 602
Spinal Cord Injury 612
Stroke 617
Brain Injury 624
Heterotopic Ossification 628
Rheumatoid Arthritis 629
Poliomyelitis 637
Cerebral Palsy(Static Encephalopathy) 640
Neuromuscular Disorders 643
Burns 647
Index 651