Surgical Exposures in Orthopaedics—The Anatomic Approach was first published in 1984, 25 years ago. The standard surgical approach textbooks at the time were out of date and the principle of linking surgical anatomy to surgical approaches using incisive text and wonderfully clear diagrams (then in black and white) was greeted favorably by orthopaedists and trauma surgeons around the world. Throughout its history, this text has remained the number one best seller in its field. It has been translated into five languages and is extensively used around the world on all five continents. On many occasions, while travelling around the world to teach, the authors have been thanked by residents who have reported how the book has helped them, often in difficult and emergency situations when working either alone or poorly supervised. It is also clear that residents particularly value those classical surgical approaches first described by A.K. Henry in his book on extensile approaches.
Why, then, produce a fourth edition? Standard textbooks need to change to reflect those changes that occur within their sphere of interest. The difficulty with this is to differentiate between genuine and permanent changes in the practice of orthopaedics. The young surgeon must be presented with the subject in what can only be described as “the fashion of the time” that occurs in all branches of medicine, especially orthopaedics. In the first edition of the book, great emphasis was given to the concept of subperiosteal dissection.
Subperiosteal dissection ensured that the surgical approach did not damage vital structures close to the bone, but the sacrifice was significant devitalization of the bone and its surrounding soft tissues. The preservation of the blood supply to the area to be exposed has been a consistent theme in the past 24 years. The second edition of the book saw abandonment of the concept of subperiosteal dissection and the establishment of epi-periosteal planes for surgical use.
Minimal access surgery has been present in orthopaedic surgery for many years. Intramedullary nailing, through a closed technique, did not expose the fracture site and preserved the fracture hematoma. Similarly, external fixation can be seen as an attempt to provide stability to a fracture site, while preserving the fracture hematoma and the natural healing processes that occur around the fracture. Arthroscopy is probably the best example of effective use of minimal access surgery, a fact recognized by the inclusion of standard arthroscopic techniques for the knee and shoulder in the third edition.
New in this edition
A big danger of minimal access surgery is inadvertent damage to vital structures. It follows, therefore, that sound knowledge of underlying anatomy is even more critical for minimal access surgery than it is for conventional open approaches. Readers are earnestly advised to study the anatomical sections of the new approaches along with the classic approaches to ensure patient safety.
The fourth edition of the book now incorporates a comprehensive range of surgical approaches required for the treatment of patients with orthopaedic and traumatological complaints. Classic extensile surgical approaches, minimal access surgery, arthroscopy, and external fixation are all tools that a competent surgeon must be able to use to fully help patients.
Product Details
Why, then, produce a fourth edition? Standard textbooks need to change to reflect those changes that occur within their sphere of interest. The difficulty with this is to differentiate between genuine and permanent changes in the practice of orthopaedics. The young surgeon must be presented with the subject in what can only be described as “the fashion of the time” that occurs in all branches of medicine, especially orthopaedics. In the first edition of the book, great emphasis was given to the concept of subperiosteal dissection.Subperiosteal dissection ensured that the surgical approach did not damage vital structures close to the bone, but the sacrifice was significant devitalization of the bone and its surrounding soft tissues. The preservation of the blood supply to the area to be exposed has been a consistent theme in the past 24 years. The second edition of the book saw abandonment of the concept of subperiosteal dissection and the establishment of epi-periosteal planes for surgical use.
Minimal access surgery has been present in orthopaedic surgery for many years. Intramedullary nailing, through a closed technique, did not expose the fracture site and preserved the fracture hematoma. Similarly, external fixation can be seen as an attempt to provide stability to a fracture site, while preserving the fracture hematoma and the natural healing processes that occur around the fracture. Arthroscopy is probably the best example of effective use of minimal access surgery, a fact recognized by the inclusion of standard arthroscopic techniques for the knee and shoulder in the third edition.
New in this edition
- The fourth edition includes many new approaches involving minimal access surgery. These approaches are used mainly in the field of traumatology and reflect the major surgical interest of two of the authors and the majority of their resident readers.
- New minimal access approaches are included for the humerus, distal femur, and proximal and distal tibia.
- New external fixation approaches are included, especially bridging fixation.
- New approaches for the spine and calcaneus were conspicuously absent in previous editions, now part of this revision.
A big danger of minimal access surgery is inadvertent damage to vital structures. It follows, therefore, that sound knowledge of underlying anatomy is even more critical for minimal access surgery than it is for conventional open approaches. Readers are earnestly advised to study the anatomical sections of the new approaches along with the classic approaches to ensure patient safety.
The fourth edition of the book now incorporates a comprehensive range of surgical approaches required for the treatment of patients with orthopaedic and traumatological complaints. Classic extensile surgical approaches, minimal access surgery, arthroscopy, and external fixation are all tools that a competent surgeon must be able to use to fully help patients.
Product Details
- Hardcover: 768 pages
- Publisher: Lippincott Williams & Wilkins; Fourth edition (May 29, 2009)
- Language: English
- ISBN-10: 0781776236
- ISBN-13: 978-0781776233
- Product Dimensions: 11.2 x 8.7 x 1.4 inches