download Handbook of Fractures: Read 35 Books Reviews - portal7.info Handbook of Fractures 5th Edition, Kindle Edition. by Kenneth Egol (Author). Fifth edition. Philadelphia Lippincott Williams & Wilkins, pages, , English, Book; Illustrated, 1. Handbook of fractures / Kenneth A. Egol, Kenneth J. Koval. Feb 11, SECTION EDITORS PEDIATRIC FRACTURES AND DISLOCATIONS Norman Otsuka, MD Joseph E. Milgram Professor of Orthopaedic Surgery.
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One of the most widely used manuals of its kind, Handbook of Fractures, 5th Edition, is the ideal, on-the-spot reference for residents and practitioners seeking . of the most widely used manuals of its kind, Handbook of Fractures, 5th Edition, Home > Books > Handbook of Fractures. Handbook of Fractures View PDF. Handbook Of Fractures, Fifth Edition by Joseph Zuckerman, Kenneth Egol, Kenneth J. Koval The book is related to genre of medical format of book is EPUB.
Handbook of Fractures - 5th Edition epub converted pdf Dokument: pdf All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U. Egol, Kenneth J.
The senior resident w as also responsible for preparing a handout on the fracture topic, w hich w as distributed prior to the lecture.
Over time, it became apparent that these topic-related fracture handouts w ere very useful as a reference for later study and w ere utilized by incoming residents as an aid in the Emergency Department. This resulted in the compilation of the Hospital for Joint Diseases Fracture Manual w hich w as derived from these handouts and w as organized and prepared for publication, in house, by ourselves, tw o senior residents Scott Alpert and Ari BenYishay, and an editorial associate W illiam Green.
Initially, w e distributed the Fracture Manual ourselves. W ith increasing popularity, it became part of Lippincott Publishing. This third edition is a complete update of the Fracture Manual, w ith several new chapters and use of figures from the New Rockw ood.
We have tried to keep it pocket size despite the ever increasing expanse of material. In order to help accomplish this desire to keep its size manageable, w e have had to remove the figures relating to the OTA classification system and refer the reader to the Orthopaedic Trauma Association w ebsite to view this classification system.
We hope that users of this Fracture Manual find it helpful in their daily practice of trauma care. Splints should respect the soft tissues. Pad all bony prominences. Allow for postinjury sw elling.
Adequate analgesia and muscle relaxation are critical for success. Fractures are reduced using axial traction and reversal of the mechanism of injury. One should attempt to correct or restore length, rotation, and angulation.
Reduction maneuvers are often specific for a particular location. One should immobilize the joint above and below the injury.
Three-point contact and stabilization are necessary to maintain most closed reductions. The splint is applied using a posterior slab and a U-shaped slab applied from medial to lateral around the malleoli.
Sugartong splint Upper extremity splint for distal forearm fractures that uses a U-shaped slab applied to the volar and dorsal aspects of the forearm encircling the elbow Fig. Coaptation splint Upper extremity splint for humerus fractures that uses a U-shaped slab applied to the medal and lateral aspects of the arm, encircling the elbow , and overlapping the shoulder. A sugar-tong plaster splint is wrapped around the elbow and forearm and is held using a circumferential gauze bandage.
Rockwood and Greens Fractures in Adults , 6th ed. Plaster: Cold w ater w ill maximize the molding time. Generally, it is tw o to three times stronger for any given thickness. The ankle should be placed in neutral; apply w ith the knee in flexion. Ensure freedom of the toes. Build up the heel for w alking casts.
Fiberglass is preferred for durability. Pad the fibula head and the plantar aspect of the foot. Maintain knee flexion at 5 to 20 degrees. Mold the supracondylar femur for improved rotational stability. Apply extra padding anterior to the patella. Do not go past the proximal palmar crease.
The thumb should be free to the base of the metacarpal; opposition to the fifth digit should be unobstructed. Even pressure should be applied to achieve the best mold.
Avoid molding w ith anything but the heels of the palm, to avoid pressure points. The option for skeletal versus skin traction is case dependent.
Skin Traction Limited force can be applied, generally not to exceed 10 lb. This can cause soft tissue problems, especially in elderly patients or those w ith or rheumatoid-type skin. It is not as pow erful w hen used during operative procedures for both length and rotational control. Position of function for the MCP joint. This is an on option to provide temporary comfort in hip fractures. A maximum of 10 lb of traction should be used.
Watch closely for skin problems, especially in elderly or rheumatoid patients. Skeletal Traction Fig. It requires local anesthesia for pin insertion if the patient is aw ake. The anesthesia should be infiltrated dow n to the sensitive periosteum. It is the preferred method of temporizing long bone, pelvic, and acetabular fractures until operative treatment can be performed.
Choice of thin w ire versus Steinmann pin Thin w ire is more difficult to insert w ith a hand drill and requires a tension traction bow. The Steinmann pin may be either smooth or threaded. A smooth pin is stronger but it can slide through the skin. A threaded pin is w eaker and bends more easily w ith increasing w eights, but it w ill not slide and w ill advance more easily during insertion.
In general, the largest pin available is chosen, especially if a threaded pin is selected. Tibial Skeletal Traction The pin is placed 2 cm posterior and 1 cm distal to the tibial tubercle. It may go more distal in osteopenic bone. Skeletal traction sites. Various sites for skeletal traction are available. The techniques range from traction in the olecranon to skull traction, as illustrated here.
Modified from Connolly J. Fractures and Dislocations: Closed Management. Philadelphia: W B Saunders, The skin is released at the pins entrance and exit points. One should try to stay out of the anterior compartment. One should use a hemostat to push the muscle posteriorly.
A sterile dressing is applied next to the skin.
Femoral Skeletal Traction Fig. In children, mallet finger injuries may involve the cartilage that controls bone growth. The doctor must carefully evaluate and treat this injury in children, so that the finger does not become stunted or deformed. Nonsurgical Treatment Most mallet finger injuries are treated with splinting.
A splint holds the fingertip straight in extension until it heals. There are several types of splints used to treat mallet finger, many of them fabricated by hand therapists.
Instr Course Lect ; To restore function to the finger, the splint must be worn full time for 8 weeks. This means that it must be worn while bathing, then carefully changed after bathing. As the splint dries, you must keep your injured finger straight. If the fingertip droops at all, healing is disrupted and you will need to wear the splint for a longer period of time. Because wearing a splint for a long period of time can irritate the skin, your doctor may talk with you about how to carefully check your skin for problems.
Your doctor may also schedule additional visits over the course of the 8 weeks to monitor your progress. When removing the splint for cleaning and drying, the fingertip must stay in extension. For 3 to 4 weeks after the initial splinting period, you will gradually wear the splint less frequently — perhaps only at night.
Splinting treatment usually results in both acceptable function and appearance, however, many patients may not regain full fingertip extension. A temporary splint is applied with two pieces of tape. For some patients, the splinting regimen is very difficult. In these cases, the doctor may decide to insert a temporary pin across the fingertip joint to hold it straight for 8 weeks.
Surgical Treatment Your doctor may consider surgical repair if there is a large fracture fragment or the joint is out of line subluxed. In these cases, surgery is done to repair the fracture using pins to hold the pieces of bone together while the injury heals.
It is not common to treat a mallet finger surgically if bone fragments or fractures are not present.