By Franklin H. Sim MD, Peter F.M. Choong MD MBBS, Kristy L. Weber MD
Master innovations in Orthopaedic surgical procedure: Orthopaedic Oncology and complicated Reconstruction specializes in bone and tender tissue tumors, that are one of the so much demanding difficulties for orthopaedic surgeons to regulate. The booklet is extensive in scope and comprises insurance of huge reconstruction following trauma. The foreign authorship contains awesome surgeons from Germany, Austria, Italy, Australia, and nice Britain as well as the United States.
The participants describe their hottest strategies in step by step aspect, indicate pertinent anatomy, and provide pearls and information for making improvements to effects. The ebook is carefully illustrated with full-color, sequential, surgeon's-eye view intraoperative photos, in addition to drawings through famous clinical illustrators.
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Extra info for Master Techniques in Orthopaedic Surgery: Orthopaedic Oncology and Complex Reconstruction
The red lines represent the utilitarian incision we routinely use for pelvic sarcomas. 13 14 PART I Lower Extremity PROXIMI1Y TO NEUROVASCULAR STRUCTURES AND VISCERA Anteriorly, external iliac and femoral artery and vein and the femoral nerve have to be adequately exposed and mobilized in order to gain access to the inner portion of the pelvis and medial wall. Posteriorly, exposure of the greater sciatic notch and sciatic nerve is mandatory to approach supra- and retroacetabnlar areas. Depending upon medial soft tissue extension and region III involvement, considerable work may be necessary to dissect the retropubic space, including urethra, minary bladder, and ipsilateral ureter.
In specific circumstances dictated by tumor location and extension, the exposure can be further improved by • Extending the ilioinguinal incision across the symphysis • Starting the femoral branch more medially and closer to the femoral vessels if significant vascular dissection may be anticipated • Extending the vertical incision to the ischial tnberosity and eventnally in the subnatal crease Case 1-Iliofemoral Pseudoarthrosis The case of a 57-year-old woman with a 6-year histmy of progressive pain and swelling of the left pubic region is shown.
Complications and functional outcome of prostheses. J Bone Joint Surg Br. 1997;79(5):773-779. 15. Aljassir F, Beadel GP, Turcotte RE, et aL Outcome after pelvic sarcoma resection reconstructed with saddle prosthesis. Clin Orthop Relat Res. 2005;438:36-41. 16. Bell RS, Davis AM, Wunder JS, et aL Allograft reconstruction of the acetabulum after resection of stage-liB sarcoma. Intermedialll-term results. J Bou Joint Surg Am. 1997;79: 1663-1674. 17. Hillmann A, Hoffmann C, Gosheger G, et aL Tumors of the pelvis: complications after reconstruction.