Surgical Approaches in Orthopaedics 4th edition
Surgical Approaches in Orthopaedics 4th edition—The Anatomic Approach was first published in 1984, 25 years ago.The fourth edition includes many new approaches involving minimal access surgery. These approaches are used mainly in the field of traumatology and reflect the major surgical interest of two of the authors and the majority of their resident readers. New minimal access approaches are included for the humerus, distal femur, and proximal and distal tibia. New external fixation approaches are included, especially bridging fixation. New approaches for the spine and calcaneus were conspicuously absent in previous editions, now part of this revision.
Minimal access surgery is a classic double edge sword. The purpose of the surgery is to preserve the biology around the site of traumatic injury and to minimize the associated soft-tissue damage in elective orthopaedic surgery. The cost of this technique is decreased visualization, and many of the techniques described require the use of imaging to be safe C-arm technologies are now readily available throughout the world. Computer-assisted surgery is also growing rapidly, particularly in the field of joint replacement surgery.
A big danger of minimal access surgery is inadvertent damage to vital structures. It follows, therefore, that sound knowledge of underlying anatomy is even more critical for minimal access surgery than it is for conventional open approaches. Readers are earnestly advised to study the anatomical sections of the new approaches along with the classic approaches to ensure patient safety.
We feel that he Surgical Approaches in Orthopaedics 4th edition book now incorporates a comprehensive range of surgical approaches required for the treatment of patients with orthopaedic and traumatological complaints. Classic extensile surgical approaches, minimal access surgery, arthroscopy, and external fixation are all tools that a competent surgeon must be able to use to fully help patients.
In the Surgical Approaches in Orthopaedics 4th edition book, great emphasis was given to the concept of subperiosteal dissection. Subperiosteal dissection ensured that the surgical approach did not damage vital structures close to the bone, but the sacrifice was significant devitalization of the bone and its surrounding soft tissues.