OPERATIVE ORTHOPAEDICS This page intentionally left blank OPERATIVE ORTHOPAEDICS The Stanmore Guide Edited by Timothy Briggs MD MBBS (Hons) MCH (Orth) FRCS (Eng) FRCS (Ed) MD (Res) Royal National Orthopaedic Hospital Trust, Stanmore, UK Jonathan Miles MBCHB FRCS (Tr & Orth) Royal National Orthopaedic Hospital Trust, Stanmore, UK William Aston BSC MBBS FRCS (Tr & Orth) (Edinb) Royal National Orthopaedic Hospital Trust, Stanmore, UK First published in Great Britain in 2010 by Hodder Arnold, an imprint of Hodder Education, part of Hachette UK, 338 Euston Road, London NW1 3BH www.arnoldpublishers.com/ www.hodderarnold.com ©2010 Edward Arnold (publishers) Ltd All rights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced, stored or transmitted, in any form, or by any means with prior permission in writing of the publishers or in the case of reprographic production in accordance with the terms of licences issued by the Copyright Licensing Agency. In the United Kingdom such licences are issued by the Copyright Licensing Agency: Saffron House, 6-10 Kirby Street, London EC1N 8TS Hachette Livre UK’s Hodder Headline’s policy is to use papers that are natural, renewable and recyclable products and made from wood grown in sustainable forests. The logging and manufacturing processes are expected to conform to the environmental regulations of the country of origin. Whilst the advice and information in this book are believed to be true and accurate at the date of going to press, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. In particular (but without limiting the generality of the preceding disclaimer) every effort has been made to check drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult the drug companies' printed instructions before administering any of the drugs recommended in this book. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress ISBN 978 0 340 985 007 1 2 3 4 5 6 7 8 9 10 Commissioning Editor: Gavin Jamieson Project Editor: Joanna Silman Production Controller: Joanna Walker Cover Designer: Helen Townson Index: Jan Ross Typeset in 9.5pt Berling Roman by Phoenix Photosetting, Chatham, Kent Printed and bound in Spain by Graphycems What do you think about this book? Or any other Hodder Arnold title? Please visit our website at www.hodderarnold.com This book is dedicated to all hard-working orthopaedic trainees whose enthusiasm for learning and patient care was our motivation for creating this book. Tim Briggs, Jonathan Miles, Will Aston This page intentionally left blank Contents Contributors ix Preface xi Acknowledgements xiii 1 Anaesthesia in orthopaedic surgery 1 Hui Yin Vivian Ip and Michael Cooper 2 Tumours 6 William Aston and Timothy W R Briggs 3 Surgery of the cervical spine 14 Raman Kalyan and David J Harrison 4 Surgery of the thoracolumbar spine 26 Mathew Shaw and Sean Molloy 5 Surgery of the peripheral nerve 45 Gorav Datta, Max Horowitz and Mike Fox 6 Surgery of the shoulder 59 Omar Haddo and Mark Falworth 7 Surgery of the elbow 79 Deborah Higgs and Simon Lambert 8 Surgery of the wrist 100 James Donaldson and Nicholas Goddard 9 Surgery of the hand 114 Norbert Kang, Robert Pearl and Lauren Ovens 10 Surgery of the hip 145 Jonathan Miles and John Skinner 11 Surgery of the knee 172 Lee David and Timothy W R Briggs 12 Soft tissue surgery of the knee 200 Jonathan Miles and Richard Carrington 13 Surgery of the ankle 218 Laurence James and Dishan Singh viii Contents 14 Surgery of the foot 230 Simon Clint and Nick Cullen 15 Limb reconstruction 258 Robert Jennings and Peter Calder 16 Paediatric orthopaedic surgery 267 Russell Hawkins and Aresh Hashemi-Nejad 17 Amputations 293 William Aston and Rob Pollock Index 301 Contributors William Aston BScMBBSFRCS(Ed) (Tr & Orth) Mike Fox MBBS Consultant Orthopaedic Surgeon, Royal National Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital Trust, Stanmore, UK Orthopaedic Hospital Trust, Stanmore, UK Timothy W R Briggs MCH(Orth)FRCS(Ed) Nicholas Goddard FRCS Medical Director and Consultant Orthopaedic Consultant Orthopaedic Surgeon, Royal Free Hospital, Surgeon, Royal National Orthopaedic Hospital Trust, London, UK Stanmore, UK Omar Haddo BMedSciMBBSFRCS(Tr & Orth) Peter Calder MBBSFRCS(Eng)FRCS(Tr & Orth) Consultant Orthopaedic Surgeon, Whittington Consultant Orthopaedic Surgeon, Royal National Hospital, London, UK Orthopaedic Hospital Trust, Stanmore, UK David J Harrison MBBSBSc(Hons)AKCFRCS Richard Carrington MBBSFRCS(Orth) Consultant Orthopaedic Surgeon, Spinal Deformity Unit, Royal National Orthopaedic Hospital Trust, Consultant Orthopaedic Surgeon, Royal National Stanmore, UK Orthopaedic Hospital Trust, Stanmore, UK Simon Clint BScMBBSFRCS(Tr & Orth) Aresh Hashemi-Nejad FRCSFRCS(Orth) Consultant Orthopaedic Surgeon and Clinical Specialist Registrar, Royal National Orthopaedic Director, Royal National Orthopaedic Hospital Trust, Hospital Trust, Stanmore, UK Stanmore, UK, and Honorary Senior Lecturer, Michael Cooper BScMBCHBFRCA University College London, London, UK Department of Anaesthetics, Royal National Russell Hawkins BScMBBSMRCS(Eng)FRCS(Tr & Orth) Orthopaedic Hospital Trust, Stanmore, UK Specialist Registrar, Royal National Orthopaedic Nicholas Cullen BSCMBBSFRCS(Tr & Orth) Hospital Trust, Stanmore, UK Consultant Foot and Ankle Surgeon, The Royal Deborah Higgs FRCS(Tr & Orth) National Orthopaedic Hospital Trust, Stanmore, UK Royal National Orthopaedic Hospital Trust, Stanmore, Lee A David MBBSMRCS(Eng) FRCS(Tr & Orth) UK Consultant in Trauma and Orthopaedic Surgery, Max Horowitz MBBS Maidstone and Tunbridge Wells NHS Trust, Specialist Registrar, Royal National Orthopaedic Maidstone, UK Hospital Trust, Stanmore, UK Gorav Datta MDFRCS(Tr & Orth) Hui Yun Vivian Ip MBCHBMRCPFRCA Specialist Registrar, Royal National Orthopaedic Royal National Orthopaedic Hospital Trust, Hospital Trust, Stanmore, UK Stanmore, UK James Donaldson MBBSBScMRCS Laurence James BScMBBSMRCS(Eng)FRCS(Tr & Orth) Specialist Registrar, Royal National Orthopaedic Foot and Ankle Fellow, Royal National Orthopaedic Hospital Trust Rotation, Stanmore, UK Trust, Stanmore, UK Mark Falworth FRCS(Eng)FRCS(Orth) Robert Jennings MBBSBScMSCMFSEM(UK)FRCSED Consultant Shoulder Surgeon, Royal National (Tr & Orth) Orthopaedic Hospital Trust, Stanmore, UK Royal National Orthopaedic Hospital Trust, Stanmore, UK
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