Hip Fractures: A Practical Guide to Management PDF
Preview Hip Fractures: A Practical Guide to Management
Hip Fractures Springer Science+Business Media, LLC Kenneth]. Koval Chief, Fracture Service Department of Orthopaedic Surgery NYU - Hospital for Joint Diseases Associate Professor, Orthopaedic Surgery NYU School of Medicine ]oseph D. Zuckerman Chairman NYU - Hospital for Joint Diseases Department of Orthopaedic Surgery Walter A. 1. Thompson Professor, Orthopaedic Surgery NYU School of Medicine Hip Fractures A Practical Guide to Management Foreword by Charles A. Rockwood,]r. With 403 Figures, in 628 Parts Illustrations by Hugh Nachamie and Martin Finch Springer Kenneth]. Koval, MD Joseph D. Zuckerman, MD Hospital for Joint Diseases 301 East 17th Street New York, NY 10003 USA Library of Congress Cataloging-in-Publication Data Koval, Kenneth J. Hip fractures: a practical guide to management / Kenneth J. Koval, Joseph D. Zuckerman p. cm. Includes bibliographical references and index. (hardcover: alk. cover) 1. Hip joint-Fractures-Treatment. 2. Hip joint-Fractures Patients-Rehabilitation. I. Zuckerman, Joseph D. (Joseph David), 1952- H. Tide. [DNLM: 1. Hip Fractures-therapy. 2. Hip Fractures-diagnosis. WE 855 K88h 19991 RD549.K68 1999 617.1'58-<:lc21 DNLM/DLC for Library of Congress 99-11424 Printed on acid-free paper. © 2000 Springer Science+Business Media New York ISBN 978-1-4757-4054-7 ISBN 978-1-4757-4052-3 (eBook) DOI 10.1007/978-1-4757-4052-3 Originally published by Springer-Verlag New York. Inc in 2000. Softcover reprint ofthe hardcover I st edition 2000 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher Springer Science+Business Media, LLC , except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, comput er software, or by similar or dissimilar methodology now known or hereafter developed is for bidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as under stood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by any one. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal respon sibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Production coordinated by Impressions Book and Journal Services, Inc., and managed by Steven Pisano; manufacturing supervised by Joe Quatela. Typeset by Impressions Book and Journal Services, Inc., Madison, Wl. 9 8 7 6 5 4 3 2 1 Springer-Verlag New York Ber/in Heidelberg SPIN 10656803 lbis book is dedicated to my role models in Orthopaedics: (1) my father, a dedicated physician who showed me the value of hard work; (2) Ar.S'en Pankovich, who was my first experience with a true traumatologist,· (3) Roy Sander.S', who taught me how to peiform surgery and research; and (4) Joseph D. Zuckerman, my friend and partner who showed me how to deal with people. -Kenneth ]. Koval To Victor H. Frankei, M.D., Ph.D., KNO, wh 0, in 1985, said to me, 'Joe, you should study hip jractures in the elderly." And that is how it started ... -]oseph D. Zuckerman Foreword I was delighted when I received the invitation from Drs. Zuckerman and Koval to write the foreword for this text. I appreciate the invitation to be apart of this text. Both authors are good friends and because of their help with our textbook on fractures, I know that they generate excellent educational material. Fractures of the hip are a very common problem in orthopaedics, and the authors have presented an overview of this problem in a very clear and con cise manner. They have broken the subject down into 12 individual chapters. Following the anatomy chapter, the authors present a detailed description of how the reader should manage treatment of various types of hip fractures. They follow this with essential chapters on how to avoid problems, various types of rehabilitation, how to assess outcome, the economics of hip fracture, and, finally, prevention. Dr. Koval is a respected orthopedist who, following his residency in New York, served several orthopaedic trauma fellowships. He currently serves as the chief of the fracture service at the Hospital for Joint Diseases and New York University Medical Center in New York City. Joe Zuckerman is an inter nationally known expert in the care of hip fractures, and I don't know how he found the time to serve as a coauthor with Dr. Koval for this text. I have al ways admired the way Joe can present his material in a lively, entertaining, and lucid manner. Dr. Zuckerman is surgeon in chief at the Hospital for Joint Diseases and New York University Medical Center in New York City. Both au thors are superb teachers, writers, lecturers, and researchers. I congratulate them for this text, and on behalf of orthopaedic surgeons around the world, I thank them for this contribution. Charles A. Rockwood, jr, MD University of Texas Health Science Center San Antonio, Texas Preface This book represents the cumulative knowledge and experience of the many surgeons who have practieed and taught at the Hospital for Joint Diseases. Founded in 1906, the Hospital for Joint Diseases has had a long history of ex cellence in the evaluation and treatment of fractures of the proximal femur. David Te1son, in 1933, pioneered the use of threaded Steinmen pins to stabi lize femoral neck fractures. He performed surgery either in the hospital or at the patient's horne, on the kitchen table, using a blowtorch to sterilize the im plants. Joseph Buchman was one of the first surgeons to advocate use of open reduction under direct visualization to treat displaced femoral neck fractures; he recognized that the ability to perform an open reduction distinguished the orthopaedic surgeon from the general surgeon. Drs. Emanue1 Kaplan and Her man Robbins both had a love for anatomic dissections and lectured on the anatomy of the proximal femur. Victor H. Franke1, MD, PhD, former chairman of the Department of Or thopaedie Surgery at the Hospital for Joint Diseases, has dedieated his life's work to the prevention and treatment of fractures of the proximal femur. His doctoral thesis, published in 1960, focused on the forces required to create a femoral neck fracture, as weIl as the optimum implant configuration for frac ture stabilization. Later in his career, he developed and implanted a telemetrized hip nail into femoral neck fractures to determine the forces across the hip during activities of daily living. This work was the basis for our belief that all hip fracture patients should be allowed to bea r weight as tolerated after surgery. In 1985, upon the adviee and support of Vietor H. Franke1, the Hospital for Joint Diseases planned and initiated the geriatrie hip fracture program, an in terdisciplinary research group comprising orthopaedie surgeons, geriatricians, anesthesiologists, nursing staff, physieal therapists, social workers, nutrition ists, and epidemiologists. This program was designed for both patient care and research. Many aspects of patient care are collected prospectively and en tered into our database. This registry now includes information on more than 1000 patients and has served as the basis for many clinieal studies. In conjunction with the initiation of the geriatrie hip fracture program, the hospital established a musculoskeletal research center staffed by bioengineers and other basic scientists. Equipped with state-of-the-art testing equipment, the laboratory has initiated and completed numerous biomechanieal studies, including evaluation of different types of hip fracture fixation techniques. This comprehensive text on fractures of the proximal femur incorporates many of the teachings and philosophies of hip fracture management at the Hospital for Joint Diseases, including anatomy, diagnosis, preoperative eval uation, nonoperative and operative treatment, rehabilitation, and outcome assessment. We are deeply grateful for the contribution of all the physicians x Preface and scientists on whose hard work and experience this book was conceived and written. We recognize that this book would not have been possible without the wealth of experience in hip fracture management and research gained at the Hospital for Joint Diseases. KennethJ. Koval, MD Joseph D. Zuckerman, MD Acknowledgtnents We would like to thank all the people who made the writing of this book pos sible. In particular, we would like to acknowledge the work of Frank Martucci and Dwayne Harris whose photographic skills are evident throughout the book, William Green for his editorial insight, and the people of Springer who gave us the opportunity to produce this manuscript.
The list of books you might like
