Practical Orthopedics Biological Options and Simpler Techniques for Common Disorders PDF
Preview Practical Orthopedics Biological Options and Simpler Techniques for Common Disorders
PRACTICAL ORTHOPEDICS Biological Options and Simpler Techniques for Common Disorders PRACTICAL ORTHOPEDICS Biological Options and Simpler Techniques for Common Disorders SM Tuli MBBS MS PhD FAMS Senior Consultant in Spinal Diseases and Orthopedics Vidyasagar Institute of Mental Health and Neurosciences New Delhi, India Formerly Chairman of the Department of Orthopedics Banaras Hindu University Varanasi, Uttar Pradesh, India Professor and Head Department of Orthopedics University College of Medical Sciences New Delhi, India Foreword Hardas Singh Sandhu The Health Sciences Publisher New Delhi | London | Philadelphia | Panama Jaypee Brothers Medical Publishers (P) Ltd Headquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. 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Jaypee Brothers Medical Publishers (P) Ltd The Bourse 17/1-B Babar Road, Block-B, Shaymali 111 South Independence Mall East Mohammadpur, Dhaka-1207 Suite 835, Philadelphia, PA 19106, USA Bangladesh Phone: +1 267-519-9789 Mobile: +08801912003485 Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd Bhotahity, Kathmandu Nepal Phone: +977-9741283608 Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2015, Jaypee Brothers Medical Publishers The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. Inquiries for bulk sales may be solicited at: [email protected] Practical Orthopedics—Biological Options and Simpler Techniques for Common Disorders First Edition: 2015 ISBN 978-93-5152-656-8 Printed at Dedicated to My teachers Prof KS Grewal, Prof PK Duraiswami and Prof Balu Sankaran, the great orthopedic educators of their time My enquiring students who induced me to continue as “student of orthopedics” and My ungrudging patients who could understand and accept a balance between their expectations and constraints or limitations of clinical medicine. Foreword The author of Tuberculosis of the Skeletal System, Prof SM Tuli has come out with another very useful book Practical Orthopedics—Biological Options and Simpler Techniques for Common Disorders. Scientific papers on various aspects of orthopedics published in national and international journals of repute have earned him global recognition and popularity. The strength of this book is that it is a reflection of his vast experience of nearly six decades as a teacher, and of ethical practice in orthopedics. This book appropriately covers the fundamental principles of orthopedics and its practical applications. It would be a very useful book for new entrants and young orthopedic surgeons before they get exposed to the market-driven orthopedics. It will serve as a good guide to all medical practioners who are engaged in the care of musculoskeletal disorders. One can appreciate the advantages of simple but effective available technology. I congratulate Prof Tuli, for his effort to put his long experience in the shape of a book. Hardas Singh Sandhu MBBS MS FRCS FAMS Chairman Department of Orthopedics Government Medical College Amritsar, Punjab, India Preface There are many books on orthopedics but most of these are written by authors working in resource-rich countries. One must, however, realize that nearly 70 percent of people worldwide are living in resource-compromised environment far away from the modern facilities of metropolitan cities. The world is not made of New York, Paris, or Tokyo, and similarly Indian subcontinent is not made of Delhi, Mumbai or Chennai. Seventy percent of orthopedic problems are being managed in areas, which barely have moderate infrastructure facilities available. One should appreciate the skill, and ingenuity of these specialists, who show responsiveness to the needs of people who do not have access to the metropolitan facilities. Despite intentions of upgradation of infrastructure facilities worldwide, at all times there would be differences of economic inequalities and such differences are not likely to disappear in future as well. Due to perpetual man-made conflicts and natural disasters, there would always be pockets of deprivation, crowding, malnutrition and inaccessibilities. The experience and observations of orthopedic surgeons in resource-limited environments, related published material in national and international literature, and personal observations of over 60 years in the management of common orthopedic disorders in moderate facilities form the basis of this book. The readers of this book are requested and encouraged to communicate their thoughts for corrections, deletions and additions. I seek their cooperation for help to continually improve orthopedic education and related health care. The guidelines suggested here are based upon the observations of the natural course of common conditions and the observed efficacy of biological options and simpler techniques. The suggestions made here are not limited to geographic boundries, but are generally applicable to the patients who would prefer modalities in environments where they reside, options, which do not require major changes in their lifestyle or entail frequent medical or operative intervention, and are cost effective. I hope this write-up would provide credibility to the efforts and techniques for development of accessible, affordable and effective options for many orthopedic disorders. Sound advice would be available for the family physicians, physical therapists, nursing care personnel and concerned orthopedic specialists. Some problems, like complex spine operations, repeat surgeries for joint replacement and the care of the malignant disease, would, however, need to be referred to dedicated specialized hospitals. SM Tuli
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