Concepts and Cases in Nonunion Treatment

DESCRIPTION

The gold standard for the treatment of nonunions was set by Weber and Čech in the early 1970s. With this new book the Editors René K Marti and Peter Kloen provide a comprehensive update on the state-of-the-art treatment of nonunions.

More than 130 case descriptions are included in the unique cases section; the core of this collection represents 40 years of René Marti’s personal experience in nonunion treatment, demonstrating the principle “technique over technology”. The editors have also carefully selected additional cases, contributed by several experts in nonunion treatment. Each case provides step-by-step descriptions of case history, preoperative planning, surgical approach, reduction, fixation, rehabilitation, and finally pitfalls and pearls. Hundreds of full-color pictures, precise illustrations, and x-rays demonstrate the significant steps in nonunion treatment.

In the principles preceding the case presentations relevant information on evolution, basic science aspects, nonoperative treatment, bone graft, as well as infected nonunions is provided. The guidelines and solutions presented for the management of nonunions support orthopaedic and trauma surgeons worldwide.

REVIEWS

“This book will serve as an invaluable aid for any orthopaedic or trauma surgeon who has to deal with the problem of pseudarthrosis.”
Norbert P Haas, President of the AO Foundation

TABLE OF CONTENTS

PRINCIPLES

1. Evolution of treatment of nonunions
2. Basic science aspects
1. Normal and impaired fracture healing
2. Pathogenesis and treatment of impaired fracture healing
3. The role of growth factors and related molecules in fracture and nonunion treatment
4. Nonunion and the application of platelet leukocyte gel (PLG) and bone morphogenetic protein (BMP)
3. Nonoperative treatment
1. Pulsed electromagnetic fields in the treatment of nonunions
2. Ultrasound in osteotomies and nonunions—basic research
4. Bone graft
1. The role of decortication in the treatment of nonunions
2. Autogenous bone grafting in the treatment of nonunions
3. Open cancellous bone graft
4. Bone graft substitutes
5. Induced membranes—summary
5. Infected nonunions

CASES

1. Clavicle, shoulder
2. Humerus, proximal
3. Humerus, shaft
4. Humerus, distal
5. Forearm
6. Pelvis
7. Femoral neck
8. Intertrochanteric nonunion
9. Subtrochanteric nonunion
10. Femur, shaft
11. Femur, distal
12. Tibia, proximal
13. Tibia, shaft
14. Tibia, distal
15. Ankle
16. Foot