By Stanley Hoppenfeld MD, Dr. Piet de Boer MD, Dr. Richard Buckley MD
A regular textbook for 25 years, Surgical Exposures in Orthopaedics: The Anatomic Approach is now in its Fourth variation. that includes 775 full-color illustrations, this atlas demonstrates the surgical ways utilized in orthopaedics and offers a surgeon's-eye view of the proper anatomy. every one bankruptcy information the recommendations and pitfalls of a surgical technique, supplies a transparent preview of anatomic landmarks and incisions, and highlights capability hazards of superficial and deep dissection.
The Fourth variation describes new minimally invasive techniques to the backbone, proximal humerus, humeral shaft, distal femur, proximal tibia, and distal tibia. different highlights contain new exterior fixation ways for plenty of areas and surgical methods to the os calcis. New illustrations of the appendicular skeleton are incorporated. New drawings exhibit the $64000 neurovascular constructions that have to be protected.
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Extra resources for Surgical Exposures in Orthopaedics: The Anatomic Approach
1-19). Rotate the shoulder internally and externally to bring different elements of the anterior shoulder coverings into view. Extensile Measures 52 Surgical Exposures in Orthopaedics: The Anatomic Approach, 4th Edition 2009 Proximal Extension. To expose the brachial plexus and axillary artery, and to gain control of arterial bleeding from the axillary artery, extend the skin incision superomedially, crossing the middle third of the clavicle. Next, dissect the middle third of the clavicle subperiosteally and perform osteotomy of the bone, removing the middle third.
Osteotomy of the clavicle is required (see page 16, Fig. 1-20). Bleeding from subcutaneous vessels and vessels in the platysma muscle is very common. Because of the proximity of great vessels, such superficial bleeding must be controlled to ensure adequate visualization of the structures. Position of the Patient Place the patient supine on the operating table. Break the table and elevate the head end, so as to elevate the shoulder area. Place a sandbag between the medial border of the scapula and the spine.
1-29), and degenerative lesions of the rotator cuff. Eight surgical approaches are described in this chapter: anterior and posterior approaches to the shoulder, anterolateral approach to the acromioclavicular joint and subacromial space, anterior approach to the clavicle, lateral and minimal access lateral approach to the proximal humerus, and two arthroscopic approaches—anterior and posterior. Of these, the anterior approach is the “work-horse” incision of the shoulder, providing excellent exposure of both the joint and its anterior coverings.