Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III

By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD

Written by way of major specialists from the Mayo sanatorium, this quantity of our Orthopaedic surgical procedure necessities Series offers the entire info citizens desire on hip, knee, shoulder, and elbow reconstruction in adults. it may well simply be learn hide to hide in the course of a rotation or used for speedy reference sooner than a sufferer workup or operation. The trouble-free, visually stimulating structure gains abundant illustrations, algorithms, bulleted lists, charts, and tables.

Coverage of every area comprises actual overview and imaging, assessment and remedy of issues, and operative therapy equipment. The broad assurance of operative therapy comprises basic and revision arthroplasty and possible choices to arthroplasty.

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Epidemiology Although mechanical abnormalities may be the etiologic factor responsible for most osteoarthritis, there are epidemiologic factors as well. These epidemiologic factors may result in a predisposition of the joint to osteoarthritis as a result of altered mechanics or other yet to be defined biologic factors. Family and twin studies have shown an increased prevalence of osteoarthritis within families. Familial studies have documented an increased incidence in first degree relatives, with 8% to 13% requiring hip replacement or having symptoms of coxarthrosis.

Now, it is more evident that most patients with OA likely have an underlying mechanical cause that results in damage and subsequent degeneration of cartilage. However, still there are patients in whom no cause can be clearly identified, and these may represent a biologic condition that results in cartilage failure. These patients represent primary osteoarthritis, which can be considered a diagnosis of exclusion. In recent years there has been a much clearer understanding of various mechanical problems, which may be termed prearthritic conditions, whose natural histories show progression to osteoarthritis.

Cls March 19, 2007 OSTEONECROSIS OF THE FEMORAL HEAD FRANK A. PETRIGLIANO J AY R . L I E B E R M A N Osteonecrosis (ON) of the femoral head is a progressive disease that if left untreated often results in subchondral fracture, collapse of the femoral head, and debilitating arthrosis. The precise pathophysiology of ON remains unclear; however, it appears to be the final common pathway of either traumatic or atraumatic factors that compromise the tenuous circulation of the femoral head. The disease typically affects young patients, thereby significantly impacting both work and leisure activity.

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