This Orthopedic Clinics of North America addresses important practice management guidelines necessary to survive and thrive in today's marketplace. Unfortunately, due to continued reductions in Medicare and private payor reimbursements, it is more important than ever to understand the "business" aspects of orthopedics and methods of enhancing practice revenue. Clearly, by developing group ancillary services, the physician will achieve the highest quality medical and surgical care for his patients by choosing the best practitioners associated with each service line and thus controlling the type and quality of care that each patient receives. A byproduct of controlling the patient's care, is that tremendous efficiencies and cost controls can be achieved by eliminating wasteful services and the downtime associated with inefficient staff; especially in a hospital-based setting. In today's economic environment, this type of patient care is mandatory to provide the best and most efficient delivery care systems possible and as legislative pressure continues to demand lower costs for procedures and patient services, the orthopedist is in a perfect position to enhance his practice and deliver the highest quality care possible at a reasonable cost. This periodical utilizes the resources of nationally recognized experienced, dedicated professionals in virtually all areas of the health care delivery system to describe how to achieve these goals.

This unique resource provides a solid introduction to practice management for orthopedic practitioners—whether employed in a hospital setting, in private practice, or on faculty at a university setting—and it will be especially valuable to all surgeons still in their residency, providing valuable insight into how to best prepare to effectively care for patients. Orthopedists both domestic and international will benefit immensely from its contents, skills that are often overlooked in medical training. Part one presents the essentials of starting and building a practice, including strategic, personal and legal considerations, partnerships and ancillaries, keys for growth and success, incorporating mid-level providers, and the use of social media. Leadership and management are covered in part two, discussing the management of a private practice and a privademic medical center, recruitment and expansion, outcome collections, the pursuit of a dual degree, and all-important healthcare policy. Additional relevant topics are presented in part three, including surgical training and education, independent medical exams and legal depositions, board certification and maintenance, principles of clinical research, and surgical innovation. In today’s ever-changing healthcare climate, practitioners must know how to deliver the medicine they spent so many years learning and perfecting. Orthopedic Practice Management is the first text dedicated to teaching surgeons the essential non-clinical fundamentals for succeeding in healthcare. No matter what stage of practice you are in—from student to master surgeon—you will find that this book contains invaluable information for achieving success in orthopedics.

This book addresses all aspects of digital techniques in orthopedics, from development of the core principles to imaging techniques, computer-aided design, reverse engineering and their applications. It illustrates the successful applications in accurate operation using 3-D reconstruction and applied digital techniques. All illustrations and tables were meticulously selected and are easy to understand. The book was written for all doctors and researchers who work in the fields of orthopedics, CAD/CAM and anatomy. Above all, surgeons, physiatrists, radiologists, and engineers in image processing and orthopedics will find it a valuable resource.

This issue of Orthopedics Clinics will survey a broad range of topics across sub-specialty areas on Quality, Value, and Patient Safety in Orthopedic Surgery. Each issue in the series is edited by an experienced team of surgeons from the prestigious Campbell Clinic. Articles in this issue will cover the following topics: Improving Joint Replacement with Continuous Quality Improvement Methods and Tools, Osteolysis as it Pertains to Total Hip Arthroplasty, Perioperative Safety, Pediatric Spine Surgery, Standardization of Care of Common Pediatric Fractures, The volume-value relationship in shoulder arthroplasty, Practicing cost-conscious shoulder surgery, Patient Safety with Driving after Foot and Ankle Surgery, Optimizing Outpatient Total Ankle Replacement from Clinic to Pain Management, The Role of Generic Implants in Orthopaedic Trauma, and The Role of Business Education in the Orthopaedic Curriculum, among others.

The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .

It’s always been said, "Children are not young adults," and the examination of a child needs to be conducted with emphasis on the physiologic differences in a growing child. Clinical Orthopedic Examination of a Child focuses on pediatric examination, a topic not much explored in the regular orthopedic texts. A child’s difficulty in verbally expressing his symptoms needs to be kept in mind during the examination, thus the examining surgeon has to be very observant in picking up even minor details that could help in diagnosis. This book serves as an essential companion to orthopedic surgeons, general practitioners, and professionals as well as being a welcome addition in pediatric orthopedic clinics. Key Features Reviews an unexplored topic of Pediatric Orthopedic examination with comprehensive clarity Has an algorithmic approach with step-by-step descriptions, complete with illustrations Provides helpful tips and insights to orthopedic surgeons, professionals, and trainees for accurate diagnosis and treatment

Global Orthopedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings was conceived and written to be a unique reference for surgeons working in resource-limited environments. The first sections provide historical background, global public health perspectives of orthopedics, the role of culture, and a broad discussion of clinical topics that orthopedic surgeons rarely deal with in high-resource settings but that affect orthopedic care. Adult and pediatric trauma are presented in an anatomical format for easy reference, with a focus on the natural history and the best treatment methods within existing limitations. The chapters on musculoskeletal infections provide a focused discussion about these common debilitating conditions that is unavailable in any other single modern text. The non-infectious pediatric conditions section has been written for the non-specialist to handle selected developmental and early childhood orthopedic problems commonly seen in low-resource settings. Detailed chapters on reconstruction surgery, tumor management, amputations, and the orthopedic needs in the face of conflicts and natural disasters round out the text.