Closed Functional Treatment Of Fractures

The purpose of this book is to report on my 17 years of experience in the development and implementation of a closed functional method of treatment of certain fractures of long bones of the appendicular skeleton. My personal experiences, clinical results, and the basic concepts underlying the treatment philosophy are reported. Illustrations demonstrating the techniques of application of functional casts and braces are presented in detail as well as a step-by-step description of the management regime and a discussion of the behavior of fractures under this system. Indications and contraindications for the use of this method of treatment are clearly outlined. I consider it important to compile this information for I believe that the system has withstood the test of time and is sufficiently sound to be incorporated in the armamentarium of the orthopaedic surgeon. Also, it may have a favorable socioeconomic impact since it offers a viable alternative in the treatment of frac tures.

This core textbook describes the elementary mechanics of reduction and immobilisation and shows how the commonest injuries can be managed by proven methods based on these general principles. It is a must for anyone embarking on a career in orthopaedics and is a classic text for orthopaedic trainees and consultants.

Written by leading orthopaedists and rehabilitation specialists, this volume presents sequential treatment and rehabilitation plans for fractures of the upper extremity, lower extremity, and spine. The book shows how to treat each fracture--from both an orthopaedic and a rehabilitation standpoint--at each stage of healing. Each chapter on an individual fracture is organized by weekly postfracture time zones. For each time zone, the text discusses bone healing, physical examination, dangers, x-rays, weight bearing, range of motion, strength, functional activities, and gait/ambulation. Specific treatment strategies and rehabilitation protocols are then presented. More than 500 illustrations complement the text.

Following a presentation of basic principles of fracture fixation and biomechanical principles the book turns to practical problemsolving areas, namely, the hand, wrist, elbow, shoulder, hip, knee, ankle and foot, and spine, and special problems in children. Internal fixation, including intramedullary nailing and the use of external fixation are described. Compound fractures are everyday problems, and the principles of their management and practical solutions deserve separate discussion. The value of microsurgical techniques has been underestimated by orthopaedic experts and the indications, choices, and procedures need to be put into proper perspectives.

At the writing of this book, the United States is in the midst of an intense public debate concerning a widely perceived need for reform of the Health Care Delivery System. The reform is primarily aimed at the provision of medical insurance to a large segment of the population currently deprived of that coverage and to the reduction of the escalating costs of medical care. Solutions to the existing problems have been elusive because the causes of the dilemma are multifactorial, complex, and diffucult to identify clearly. There is, however, general consensus that the use and abuse of technology has played a major role in the growing costs of medical care. The importance of fracture care in the overall financing of the health care reform is significant, since injuries to the musculoskeletal system are responsible for a very large percentage of the general expenditures in this area. The cost is not limited to hospitalization and professional services, but also impacts the economy with tempo rary or permanent interruption of individual productivity.

Written by leading orthopaedists and rehabilitation specialists, the second edition of Hoppenfeld’s Rehabilitation and Treatment of Fractures presents sequential treatment and rehabilitation plans for fractures of the upper extremity, lower extremity, and spine. The book demonstrates how to treat each fracture--from both an orthopaedic and a rehabilitation standpoint--at each stage of healing. Introductory chapters review the fundamentals of fracture management--bone healing, treatment modalities, biomechanics, assistive devices and adaptive equipment, gait, splints and braces, therapeutic exercise and range of motion, and determining when a fracture is healed. Subsequent chapters focus on management of individual fractures. Each chapter on an individual fracture is organized by weekly post fracture time zones, from the day of injury through twelve weeks. For each time zone, the text discusses bone healing, physical examination, dangers, x-rays, weight bearing, range of motion, strength, functional activities, and gait/ambulation.

At the writing of this book, the United States is in the midst of an intense public debate concerning a widely perceived need for reform of the Health Care Delivery System. The reform is primarily aimed at the provision of medical insurance to a large segment of the population currently deprived of that coverage and to the reduction of the escalating costs of medical care. Solutions to the existing problems have been elusive because the causes of the dilemma are multifactorial, complex, and diffucult to identify clearly. There is, however, general consensus that the use and abuse of technology has played a major role in the growing costs of medical care. The importance of fracture care in the overall financing of the health care reform is significant, since injuries to the musculoskeletal system are responsible for a very large percentage of the general expenditures in this area. The cost is not limited to hospitalization and professional services, but also impacts the economy with tempo rary or permanent interruption of individual productivity.

The 5th edition of this now classic text draws on the strength of previous editions and now includes reference to the latest surgical techniques available in Europe, Australia and the USA. Emphasis remains on the continually expanding use of fixation techniques although conservative management remains an integral part of the text. The artwork programme - which so characterises the appeal and success of previous editions - has been fully updated although its clarity remains as strong as ever and the logical sequence of illustrations with their succinct captions affords a rewarding and effective way to learn. New edition of this popular and highly respected book. Practical, step-by-step guide to fracture assessment and management. Contains discussion of traditional conservative techniques for managing fractures. Combines clear line diagrams, drawn by the author, with lucid, concise text in logical sequence. Expanded coverage of deep venous thrombosis. Includes new devices and techniques, for example locked plate systems, and the use of vacuum dressings in soft tissue management. New sections on 'damage control' orthopaedics, minimally invasive surgical techniques, MRSA, HIV and AIDS, and bone loss. New clinical imaging.