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Carpal ligament surgery : before arthritis

https://libcat.nshealth.ca/en/permalink/provcat32597
Emmanuel Camus, Luc Van Overstraeten, editors. --Paris: Springer , c2013.
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Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical…
Available Online
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Other Authors
Camus, Emmanuel
Van Overstraeten, Luc
Responsibility
Emmanuel Camus, Luc Van Overstraeten, editors
Place of Publication
Paris
Publisher
Springer
Date of Publication
c2013
Physical Description
1 online resource (xxiii, 306 p. : 205 ill., 132 ill. in color)
ISBN
9782817803791
Subjects (MeSH)
Arthritis - prevention & control
Carpal Joints -- surgery
Ligaments, articular - surgery
Subjects (LCSH)
Medicine
Orthopedic surgery
Surgery
Trauma
Abstract
Nowadays, it is established that carpal ligamentary lesions may lead to instability and then to carpal arthritis. However, the variety of anatomopathological classifications and the multiplicity of surgical repair techniques reflect the difficulty of conceiving this ligamentary pathology. The clinical analysis and traditional investigation techniques face the complexity of the wrist. Its mechanical complexity is due to the number of synchronized bones in every movement of the hand. The clinical analysis of the wrist is insufficient to precisely measure the mobility of each carpal bone. Paraclinical examinations are also significant for clinical diagnosis. The tools available today range from X-rays to arthroscopy, including arthroCTscan and soon MRI. As concerns repair techniques, their diversity must not hide the fact that a biomechanical and physiological principle is involved and must be identified. This book is the result of a reflection of an expert group in the field of wrist pathology. It attempts to analyze, understand, explain and make comprehensible, if not obvious, the reflections that each practitioner should employ during the diagnosis and treatment of carpal ligamentary lesions. The focus is consciously not on degenerative carpal pathology, which usually enjoys more visibility. We hope that readers will benefit from the fact that fragmented pieces of knowledge are gathered in a single work, that they will find in this beginning synthesis inspiring to rethink a difficult and sometimes thankless surgery and to further the surgical advances of the 21st century.
Contents
PART 1: FUNDAMENTALS -- Anatomy of the carpal ligaments -- Biomechanics of the carpus. Application to the ligamentary lesions -- Clinical examination of wrist ligaments -- Imaging traumatic carpal instabilities -- MRI of Normal Anatomy and injuries of extrinsic ligaments -- Definition and classification of carpal instabilities -- Radio-carpal rotary instability -- Vertical Instability of the carpus. Axial dislocation and fracture-dislocation: Review of the literature -- Normal arthroscopy of the wrist -- Wrist arthroscopy to study intrinsic ligaments -- Arthroscopic anatomy and lesions of the extrinsic ligaments -- Dynamic arthroscopic testing: false positives and false negatives -- Arthroscopic criterions to date ligamentary trauma -- PART 2: TREATMENT OF LIGAMENTARY LESIONS -- Management of the wrist sprains by the general practitioner -- Role of the surgeon in raising the awareness of first-line general practitioners -- Management of the constitutional painful mediocarpal laxity -- Arthroscopic debridement and pinning: treatment of peri-lunate unstable recent lesions -- Scapho-lunate ligament suture with arthrotomy -- Treatment of scapho-lunate instability with Blatt's capsulodesis -- Treatment of the chronic lesions of the scapho lunate ligament before arthritis -- Berger's dorsal intercarpal capsulodesis in chronic scapho-lunate instability -- Viegas's dorsal scapho-lunate capsulodesis -- Capsulo Fibrodesis. A new therapeutic option to treat scapho-lunate lesion (Garcia-Elias type 2, 3 and 4) with reducible scaphoid and without arthritis -- Brunelli's tenodesis -- Chronic lunotriquetral ligament injuries: arthrodesis or capsulodesis -- Scapho-lunate reconstruction with a bone-tissue-bone graft -- Reduction and Association of the Scaphoid and Lunate (RASL) -- Treatment of chronic, static scapholunate dissociation with the modified Brunelli technique: preliminary results -- Scapho-capitate arthrodesis -- Medico legal aspect of the carpal ligamentary traumatisms -- Socioeconomic Aspects of Traumatic Wrist Ligament Injuries.
Format
e-Book
Location
Online
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Infected Total Joint Arthroplasty : The Algorithmic Approach

https://libcat.nshealth.ca/en/permalink/provcat30883
Rihard Trebše, editor. --London: Springer , c2012.
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There are a variety of protocols that are used in infected total joint arthroplasty. This book will outline and detail the best possible course of treatment and formulate custom algorithms for every possible case, based on current evidence. reviews of current concepts and "recipes" for the diagnostic and therapeutic procedures (surgical and antibiotic) based on the type of implant, infection and the patient. The book will be an essential resource on infected total joint arthroplasty, containin…
Available Online
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Other Authors
Trebše, Rihard
Responsibility
Rihard Trebše, editor
Place of Publication
London
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (ix, 320 p. : 78 ill., 52 ill. in color)
ISBN
9781447124825
Subjects (MeSH)
Algorithms
Clinical Protocols
Arthroplasty, Replacement - adverse effects
Prosthesis-Related Infections - therapy
Subjects (LCSH)
Orthopedics
Orthopedic surgery
Pathology
Infectious diseases
Abstract
There are a variety of protocols that are used in infected total joint arthroplasty. This book will outline and detail the best possible course of treatment and formulate custom algorithms for every possible case, based on current evidence. reviews of current concepts and "recipes" for the diagnostic and therapeutic procedures (surgical and antibiotic) based on the type of implant, infection and the patient. The book will be an essential resource on infected total joint arthroplasty, containing a series of logical and highly detailed instructions that will serve to educate orthopedic surgeons operating in this field on the best approaches, according to detailed and careful research conducted over the last decade.
Contents
Introduction -- Joint replacement: historical overview -- Biomaterials in artificial joint replacements -- The definition of prosthetic joint infections (PJI) -- Classifications of prosthetic joint infections -- The epidemiology of total joint arthroplasty infections -- Septic complications in arthroplasty -- Perioperative antibiotic prophylaxis in total joint arthroplasty -- Risk factors for prosthetic joint infections -- Pathogenesis of prosthetic joint infections -- Bacteria-biomaterial interactions -- Biomaterial-host interactions in aseptic and septic conditions -- Influence of wear particles on local and systemic immune system -- Diagnostic evaluations -- Sinovial fluid cytology -- Histological analysis of periprosthetic tissue for detecting prosthetic joint infection -- Microbiological diagnosis of prosthetic joint infection -- Microbiological processing of samples in the investigation of suspected prosthetic joint infections -- Molecular diagnosis of prosthetic joint infection -- Current treatment strategies in prosthetic joint infections -- Total ankle replacement infections -- Periprosthetic Infection Issues With Osseointegrated (OI) Implant Technology in Amputees -- The algorithm for diagnostic evaluation and treatment -- Bone grafts and bone graft substitutes in infected arthroplasty.
Format
e-Book
Location
Online
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