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A Textbook of Paediatric Orthopaedics by Broughton, Nigel S. Broughton

By Broughton, Nigel S. Broughton

A transparent, concise method of a small yet very important subspecialty that's an integral part of orthopaedic surgical education and ultimate examinations. Aimed additionally on the working towards orthopaedic health care provider wanting entry to simple paediatric info, it really is as appropriate for fast referral because it is for revision reasons. good points: * A concise account of a vital subspecialty * the entire easy rules of paediatric orthopaedics in a single simply obtainable publication * essentially illustrated * Covers all very important subject matters on the point of simple rules * Written via a unmarried very popular division, drawing at the joint services of its many individuals and their event operating as a crew * Geared heavily to the necessities of surgical trainees all through Europe and Australia

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In addition to its role in stabilizing some implant systems, radial head replacement is also employed to balance the load distribution across the elbow and decrease wear (MA, mechanical axis). 154 Techniques in Hand and Upper Extremity Surgery Elbow Arthroplasty Using a Convertible Implant modular anatomic components, which are available for the reconstruction of osteopenic, comminuted fractures of the distal humerus in elderly patients (Fig. 2). Late conversion to a total elbow arthroplasty is possible without the removal of well-fixed components.

If intraoperative or late instability is recognized with unlinked arthroplasty, ligamentous reconstruction or conversion to a linked articulation is indicated. Some cases of dysfunctional instability or posttraumatic arthritis require arthroplasty and ligament reconstruction. The need for prosthetic stability during healing of the ligament reconstruction is a relative contraindication to primary unlinked arthroplasty. An undesirable degree of stiffness can accompany postoperative casting, and bracing can be unreliable.

1982;170:204–212. 23. Bryan RS, Morrey BF. Extensive posterior exposure of the elbow. A triceps-sparing approach. Clin Orthop. 1982;166: 188–192. 24. Weiland AJ, Weiss AP, Wills RP, et al. Capitellocondylar total elbow replacement. A long-term follow-up study. J Bone Joint Surg Am. 1989;71:217–222. 25. Duck TR, Dunning CE, King GJ, et al. Variability and repeatability of the flexion axis at the ulnohumeral joint. J Orthop Res. 2003;21:399–404. 26. King GJ, Adams RA, Morrey BF. Total elbow arthroplasty: revision with use of a non-custom semiconstrained prosthesis.

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