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Book Cover
E-book

Title Arthroplasty for the treatment of fractures in the older patient : indications and current techniques / Joseph Borrelli, Jr., Jeffrey O. Anglen, editors
Published Cham, Switzerland : Springer, 2018

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Description 1 online resource
Contents Intro; Foreword; Preface; Abbreviations; Contents; Contributors; Part I: Incidence and Burden of Older Patients with Fractures; 1: The Relationship of Peak Bone Mass, Aging, and Bone Loss toOsteoporosis and Fragility Fractures; Factors That Affect Peak Bone Mass; Genetics; Lifestyle/Nutrition/Exercise; Chronic Diseases and Glucocorticoid Therapy; Bone Composition and Strength; Cellular Components; Extracellular Matrix; Bone Function; Mechanical Properties of Bone; Bone Homeostasis and Remodeling; The Aging oftheWorld's Population; The Pathogenesis of Osteoporosis; Senescence of Bone Cells
Loss of Steroid HormonesReferences; 2: Osteoporosis and Its Influence onFracture Treatment and Healing; Bone Structure, Biomechanics, and Changes with Osteoporosis; Conventional Implants: Mechanisms of Action inOsteoporotic Bone; Internal Fixation: Plates; Internal Fixation: Intramedullary Nails; Augmentation Methods forFracture Fixation intheBone of Poor Quality; Biologic Augmentation: Bone Grafts; Polymethylmethacrylate; Biologically Active Ceramics; ORIF of Fractures inPoor Bone Quality: Difficulties and Complications; Reduced Bone Mass and Quality
Stability oftheImplant-Bone ConstructBone Healing; The Patient with Poor Bone Quality; Case Example; Summary; References; Part II: Upper Extremity Fractures; 3: Hemi, Conventional, and Reverse Total Shoulder Arthroplasty fortheTreatment of Proximal Humerus Fractures; Epidemiology; Anatomy; Clinical Evaluation; Classification of Proximal Humerus Fractures; Indications forArthroplasty forProximal Humerus Fractures; Surgical Technique forHemiarthroplasty; Postoperative Rehabilitation; Complications; Surgical Technique forReverse Shoulder Arthroplasty; Postoperative Rehabilitation
ComplicationsReferences; 4: Elbow Arthroplasty fortheTreatment of Distal Humerus Fractures; Introduction; Indications: Total Elbow Arthroplasty Preferred toFixation; Relative Contraindications forTEA; Contraindications forTEA; Preoperative Planning; Linked Versus Unlinked Total Elbow Replacements?; Total Elbow Arthroplasty Technique; Surgical Approach; Bone Preparation; Cementing Technique and Assembling the Components; Flange Bone Graft; Triceps Mechanism Repair; Postoperative Regimen; Outcomes Following TEA for Fracture; Distal Humeral Hemiarthroplasty; Summary; References
5: Arthroplasty fortheTreatment of Radial Head Fractures: Indications and Current TechniquesAnatomy; Radial Head Arthroplasty: Indications; Available Implants; Technique; Postoperative Rehabilitation; Outcomes; Unipolar Implants; Bipolar Implants; Radial Head Resections; Radial Head Arthroplasty Removal; Summary; References; 6: Total Wrist Arthroplasty forTreatment of Distal Radius Fractures; Current Evidence; Future Directions; Preferred Surgical Technique; References; 7: Arthroplasty oftheHand and Wrist; Introduction; Joint Anatomy and Biomechanics
Summary Focusing exclusively on the older patient with poor bone quality, this unique book presents the indications, contraindications and common techniques - as well as the risks, benefits and outcomes - for utilizing arthroplasty for the treatment of fractures in this population, sensibly divided into four thematic sections. The incidence and burden of fragility fractures is presented in part one, with considerations of the influences of osteoporosis on both treatment and healing. The subsequent three sections cover upper extremity fractures, lower extremity fractures, and peri-articular nonunions, respectively. However, far from providing a simple "how-to" for the techniques discussed, the relevant current literature is presented as well as the common techniques employed in fracture management, allowing the reader to select the best approach for the specific patient presentation. In addition, chapters are included here that cover degenerative joint conditions not typically treated with total joint replacement. The treatment of fragility fractures is constantly evolving, and the aging population is consistently expanding, creating a strong need for clinicians who have experience with and exposure to the use of arthroplasty techniques as an option in their successful treatment. Written and edited by leaders in the field, Arthroplasty for the Treatment of Fractures in the Older Patient is an invaluable resource for orthopedic surgeons, residents and support staff who see and treat these increasingly common injuries
Notes Includes index
Online resource; title from PDF title page (Ebsco, viewed September 17, 2018)
Subject Arthroplasty.
Fractures in old age.
Fractures -- Surgery
Human beings.
Arthroplasty -- methods
Fractures, Bone -- surgery
Aged
Osteoporosis -- complications
Humans
Homo sapiens (species)
Geriatric medicine.
Orthopaedics & fractures.
MEDICAL -- Surgery -- General.
Arthroplasty
Fractures in old age
Fractures -- Surgery
Form Electronic book
Author Borrelli, Joseph, Jr., editor.
Anglen, Jeffrey O., editor
ISBN 9783319942025
3319942026
9783319942032
3319942034
9783030068127
3030068129