By Pierre Hoffmeyer M.D., Robin Peter M.D. (auth.), George Bentley (eds.)
This 12th quantity within the eu tutorial LECTURES sequence maintains the layout of academic chapters from throughout Orthopaedics and Traumatology contributed via unusual Orthopaedic Educators in Europe. It presents present fabric and significant advances protecting a number themes together with: common Orthopaedics, easy technological know-how and know-how, Musculo-skeletal Tumours, Infections, Paediatric Orthopaedics, Trauma, backbone, top Limb, Hip, Knee, Leg, Ankle and Foot. the entire lectures have been provided on the 13th EFORT Congress in Berlin, Germany. The Lectures are an authoritative resource of knowledge illustrated by means of radiographs, CT's, MRI scans, and different correct modern imaging modalities, operative images, line drawings and tables. they're a useful resource of guideline for Surgeons and Trainees alike.
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Additional resources for European Instructional Lectures: Volume 12, 2012, 13th EFORT Congress, Berlin, Germany
Fig. 1 Photograph of the knee joint of a 13-year-old girl with a marked swelling in the medial distal thigh, caused by an osteosarcoma. There are clear subcutaneous venous markings, due to compression Clinical Findings The clinical symptoms of malignant bone tumoursare often non-specific. In addition to pain, tumour-related swelling (Fig. 1) and restricted movement, malignant bone tumours in particular, but also benign tumours with locally aggressive growth, often first become manifest as a result of a pathological fracture.
Bauer HCF (2005) Controversies in the surgical management of skeletal metastases. J Bone Joint Surg Br 87:608–617 4. Bickels J, Daida S, Lidar Z (2009) Surgical management of metastatic bone disease. J Bone Joint Surg Am 91:1503–1516 5. Bickels J, Meller I, Henshaw RM, Malawe MM (2000) Reconstruction of hip stability after proximal and total femur resection. Clin Orthop Relat Res 375:218–230 6. Clain A (1965) Secondary malignant disease of bone. Br J Cancer 19:15–29 7. Coleman RE (2006) Clinical features of metastatic bone disease and risk of skeletal morbidity.
5). • Plates Even with a plate a radical debridement at the interface between bone and metal is not possible (Fig. 4a–b). So the most secure way is to remove it. There is a second positive point: You can judge better the bone vascularization underneath the plate to fulfill the best possible debridement. Even in case of minimally-invasive surgery (MIPO) do not only open the initial incisions. Make a long cut including them Fig. 5 Infection of a nailed humerus fracture. Stabilization after debridement and reaming with a “home made” PMMA Spacer.
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