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Gowned and Gloved Orthopaedics: Introduction to Common Procedures PDF

428 Pages·2009·14.3 MB·English
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G G OWNED AND LOVED O RTHOPAEDICS This page intentionally left blank G G O W N E D A N D L O V E D O : R T H O P A E D I C S I N T R O D U C T I O N T O C P O M M O N R O C E D U R E S Neil P. Sheth, MD Instructor Department of Orthopaedic Surgery Hospital of the University of Pennsylvania Philadelphia, Pennsylvania Jess H. Lonner, MD Director of Knee Replacement Surgery Booth Bartolozzi Balderston Orthopaedics Pennsylvania Hospital; Medical Director Philadelphia Center for Minimally Invasive Knee Surgery Philadelphia, Pennsylvania 1600 John F. Kennedy Boulevard Suite 1800 Philadelphia, PA 19103-2899 GOWNED AND GLOVED ORTHOPAEDICS: INTRODUCTION TO COMMON PROCEDURES ISBN: 978-1-4160-4820-6 Copyright © 2009 by Saunders, an imprint of Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239 3804 (U.S.) or (+44) 1865 843830 (UK); fax: (+44) 1865 85333; e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com. Notice Knowledge and best practice in this fi eld are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book. The Publisher Library of Congress Cataloging-in-Publication Data Gowned and gloved orthopaedics : introduction to common procedures / [edited by] Neil P. Sheth, Jess H. Lonner. — 1st ed. p. ; cm. — (Gowned and gloved) Includes bibliographical references and index. ISBN 978-1-4160-4820-6 1. Orthopedics—Textbooks. I. Sheth, Neil P. II. Lonner, Jess H. III. Series. [DNLM: 1. Orthopedic Procedures—methods. WE 190 G723 2009] RD731.G69 2009 617.4′7—dc22 2008011021 Acquisitions Editor: James Merritt Developmental Editor: Andrea Vosburgh Publishing Services Manager: Joan Sinclair Design Direction: Gene Harris Working together to grow libraries in developing countries Printed in China www.elsevier.com | www.bookaid.org | www.sabre.org Last digit is the print number: 9 8 7 6 5 4 3 2 1 D EDICATION To the medical students who inspired the concept behind this text. To my mentors, many of whom were involved with this project— thank you for your direction and guidance throughout the years and for getting me to this point in my career. Most important, to my family and friends—thank you for your unconditional support of my academic endeavors. NPS To the students and residents who are considering a career in orthopaedic surgery—you are our future. I hope this book piques your interest and moves you to make a difference in this great specialty. To the surgeons and residents who motivated, inspired, and taught me when I was learning the trade. Most important, to my greatest joys—my wife, Ami, and our sons, Carson and Jared. JHL This page intentionally left blank C ONTRIBUTORS JOSEPH A. ABBOUD, MD DAVID J. BOZENTKA, MD Clinical Assistant Professor Associate Professor Department of Orthopaedic Surgery Department of Orthopaedic Surgery The University of Pennsylvania Health System University of Pennsylvania School of Medicine; Philadelphia, Pennsylvania Chief Department of Orthopaedic Surgery JAIMO AHN, MD, PHD Penn Presbyterian Medical Center Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania KINGSLEY R. CHIN, MD Philadelphia, Pennsylvania Assistant Professor of Orthopaedics Department of Orthopaedic Surgery NIRAV H. AMIN, BS Hospital of the University of Pennsylvania Medical Student Philadelphia, Pennsylvania Drexel University College of Medicine Philadelphia, Pennsylvania GREGORY K. DEIRMENGIAN, MD Instructor JOSHUA D. AUERBACH, MD Department of Orthopaedic Surgery Instructor Hospital of the University of Pennsylvania Department of Orthopaedic Surgery Philadelphia, Pennsylvania Hospital of the University of Pennsylvania Philadelphia, Pennsylvania DEREK DOMBROSKI, MD Instructor KEITH D. BALDWIN, MD, MSPT, MPH Department of Orthopaedic Surgery Instructor Hospital of the University of Pennsylvania Department of Orthopaedic Surgery Philadelphia, Pennsylvania Hospital of the University of Pennsylvania Philadelphia, Pennsylvania DEREK J. DONEGAN, MD Instructor PEDRO BEREDJIKLIAN, MD Department of Orthopaedic Surgery Associate Professor Hospital of the University of Pennsylvania Department of Orthopaedic Surgery Philadelphia, Pennsylvania University of Pennsylvania School of Medicine JOHN L. ESTERHAI, MD Philadelphia, Pennsylvania Professor Department of Orthopaedic Surgery KAREN J. BOSELLI, MD University of Pennsylvania School of Medicine; Instructor Chief of Orthopedics Department of Orthopaedic Surgery Department of Surgery Hospital of the University of Pennsylvania Veterans Affairs Medical Center Philadelphia, Pennsylvania Philadelphia, Pennsylvania ANDREA L. BOWERS, MD JOHN M. FLYNN, MD Instructor Associate Professor Department of Orthopaedic Surgery Department of Orthopaedic Surgery Hospital of the University of Pennsylvania University of Pennsylvania School of Medicine; Philadelphia, Pennsylvania Associate Chief Department of Pediatric Orthopaedics The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania vii viii Contributors THEODORE J. GANLEY, MD G. RUSSELL HUFFMAN, MD, MPH Assistant Professor Assistant Professor Department of Orthopaedic Surgery Department of Orthopaedic Surgery University of Pennsylvania School of Medicine; University of Pennsylvania Sports Medicine Center Orthopaedic Director of Sports Medicine Philadelphia, Pennsylvania Department of Pediatric Orthopaedic Surgery The Children’s Hospital of Philadelphia CRAIG L. ISRAELITE, MD Philadelphia, Pennsylvania Assistant Professor Department of Orthopaedic Surgery JONATHAN P. GARINO, MD University of Pennsylvania School of Medicine Associate Professor Philadelphia, Pennsylvania Department of Orthopaedic Surgery University of Pennsylvania School of Medicine; KRISTOFER J. JONES, MD Director Instructor Adult Reconstructive Service Department of Orthopaedic Surgery Penn Presbyterian Medical Center Weill Cornell Medical College Philadelphia, Pennsylvania Hospital for Special Surgery New York, New York ALBERT O. GEE, MD Instructor JULIA A. KENNISTON, MD Department of Orthopaedic Surgery Instructor Hospital of the University of Pennsylvania Department of Orthopaedic Surgery Philadelphia, Pennsylvania Hospital of the University of Pennsylvania Philadelphia, Pennsylvania DAVID L. GLASER, MD Assistant Professor SAFDAR N. KHAN, MD Department of Orthopaedic Surgery Orthopaedic Resident University of Pennsylvania School of Medicine; Department of Orthopaedic Surgery Chief University of California at Davis Shoulder and Elbow Service Sacramento, California Penn Presbyterian Medical Center Philadelphia, Pennsylvania ERIC O. KLINEBERG, MD Assistant Professor R. BRUCE HEPPENSTALL, MD, BSC, MA Department of Orthopaedic Surgery (HON.) University of California at Davis; Professor and Vice Chair for Clinical Affairs Assistant Professor Department of Orthopaedic Surgery Department of Orthopaedic Surgery University of Pennsylvania School of Medicine; University of California at Davis Medical Center Department of Orthopaedic Surgery Sacramento, California Hospital of the University of Pennsylvania; Department of Orthopaedic Surgery ANDREW F. KUNTZ, MD Pennsylvania Hospital Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania B. DAVID HORN, MD Philadelphia, Pennsylvania Assistant Professor Department of Orthopaedic Surgery J. TODD R. LAWRENCE, MD, PHD University of Pennsylvania School of Medicine; Instructor Assistant Surgeon Department of Orthopaedic Surgery Department of Orthopaedic Surgery Hospital of the University of Pennsylvania The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania Philadelphia, Pennsylvania Contributors ix JESS H. LONNER, MD DAVID I. PEDOWITZ, MD, MS Director of Knee Replacement Surgery Instructor Booth Bartolozzi Balderston Orthopaedics Department of Orthopaedic Surgery Pennsylvania Hospital; Hospital of the University of Pennsylvania Medical Director Philadelphia, Pennsylvania Philadelphia Center for Minimally Invasive Knee Surgery STEPHAN G. PILL, MD, MSPT Philadelphia, Pennsylvania Instructor Department of Orthopaedic Surgery JONAS L. MATZON, MD Hospital of the University of Pennsylvania Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania MATTHEW L. RAMSEY, MD Philadelphia, Pennsylvania Associate Professor Department of Orthopaedic Surgery SAMIR MEHTA, MD Thomas Jefferson University; Assistant Professor Shoulder and Elbow Service Department of Orthopaedic Surgery Rothman Institute University of Pennsylvania School of Medicine; Philadelphia, Pennsylvania Chief, Orthopaedic Trauma Service Department of Orthopaedic Surgery SUDHEER REDDY, MD Hospital of the University of Pennsylvania Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania J. STUART MELVIN, MD Philadelphia, Pennsylvania Instructor Department of Orthopaedic Surgery ERIC T. RICCHETTI, MD Hospital of the University of Pennsylvania Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania SAMEER NAGDA, MD Philadelphia, Pennsylvania Attending Orthopaedic Surgeon Anderson Orthopaedic Clinic SCOTT A. RUSHTON, MD Arlington, Virginia Assistant Clinical Professor Department of Orthopaedic Surgery CHARLES L. NELSON, MD University of Pennsylvania School of Medicine; Associate Professor Director Department of Orthopaedic Surgery Pennsylvania Hospital Spinal Reconstructive Fellowship University of Pennsylvania School of Medicine Pennsylvania Hospital Philadelphia, Pennsylvania Philadelphia, Pennsylvania; Medical Director ENYI OKEREKE, PHARMD, MD Center for Spinal Disorders Associate Professor Lankenau Hospital Chief, Foot and Ankle Division Wynnewood, Pennsylvania Department of Orthopaedic Surgery University of Pennsylvania School of Medicine WUDBHAV N. SANKAR, MD Philadelphia, Pennsylvania Instructor Department of Orthopaedic Surgery NIRAV K. PANDYA, MD Hospital of the University of Pennsylvania Instructor Philadelphia, Pennsylvania Department of Orthopaedic Surgery Hospital of the University of Pennsylvania BRIAN J. SENNETT, MD Philadelphia, Pennsylvania Assistant Professor Department of Orthopaedic Surgery Penn Sports Medicine Center Philadelphia, Pennsylvania

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