Total knee replacement has been gaining acceptability in patients with severe arthritis not benefiting from medical treatment. In terms of postoperative results, the factors like postoperative pain and range of movement have been stressed upon. The outcomes of mobile bearings and high-flex knees have been reviewed. An increasing trend of total knee replacement in younger patients is itself an indication of the success of this procedure. Bone conserving options and patellofemoral replacement are being considered as potential advancements in the field of knee surgery. Moreover, newer techniques like computer- assisted knee arthroplasty and minimally invasive knee replacement have gained significant attention in making the procedures more precise and less traumatic.

Total hip replacement is increasingly gaining acceptance in patients with arthritis, trauma, or malignancy destroyed hip joints. Hip replacement being a highly complex surgery requires expertise and knowledge of different techniques and equipments. There has been an increase in the number of young patients undergoing hip replacement, thus more so increasing the need of long lasting implants and best possible functioning. Moreover, the newer techniques like computerassisted hip arthroplasty and minimally invasive hip replacement have benefited the patients with the advantages of faster recovery, less pain, shorter hospital stay, and reduction in treatment costs.

Little is known about pre- and post-operative weight changes in patients undergoing total joint arthroplasty (TJA). While intra-operative body mass index (BMI) is associated with higher risk of surgical site infections (SSI) and readmission rates post-TJA no studies evaluate the impact of non-surgical pre-operative weight loss and post-operative weight maintenance on risk of these outcomes. This study describes weight changes of patients undergoing TJA, evaluates characteristics associated with weight patterns one year pre- and post-TJA. Additionally, it evaluates whether pre-operative weight loss (5% change) and maintenance post-operatively is associated with SSI and readmission risk post-surgery. A cohort of primary TJAs (total hip arthroplasty (THA) and total knee arthroplasty (TKA)) performed between 01/01/2008 and 12/31/2010 was identified using a Total Joint Replacement Registry (TJRR). Using electronic medical records weight from one year pre- through one year post-TJA patients were categorized into: gainers (increased weight by 5%), losers (decreased by 5%), remained the same (changed of 5%). Patients were characterized by gender, age, race, health status, and co-morbidities. Endpoints, SSI (deep and superficial) and 90 day readmissions, were ascertained prospectively by the TJRR. In 30632 TJAs (10572 THAs and 20060 TKAs) most remained the same weight during the year prior (71.5% THAs and 75.7% TKAs) and year after (64.0% THAs and 68.5% TKAs) the procedure. Women, younger patients, Blacks, and those with certain co-morbidities were more susceptible to weight change pre- and post-TJA. Among obese (BMI̲30kg/m2) patients (4066 THAs and 10718 TKAs), few (18.0% THAs and 12.4% TKAs) lost weight prior to TJA or became (6% THA, 3% TKAs) non-obese (BMI

Pediatric foot details important and relevant topics in Pediatric foot. The book is meant to supplement, not replace available texts in Pediatric Orthopedics. The book is unique in dealing with many controversial subjects in pediatric foot. Topics like pes cavus, flat foot and surgery in clubfoot are known to stimulate a lot of debate and discourse. The ECAB on Pediatric Foot has been conceived keeping in mind the needs of Orthopedic surgeons in practice, orthopedic residents in training and Orthopedic surgeons dedicated to the practice of Pediatric orthopedics as a specialty. It would serve as a useful text for orthopedic residents appearing for their specialty board examinations like the MS Orthopedic Surgery, FRCS Trauma & Orthopedics and DNB Orthopedic Surgery.

Most discussions concerning the prophylaxis of Deep Vein Thrombosis usually end up with the resolution stating ‘we agree to disagree.’ The confusion persists and that is what makes this topic extremely exciting and challenging. The book is a result of multispecialty contribution to put together this manual with multispecialty contribution from vascular surgeon, anesthesiologist, physiotherapists, orthopedicians and most critically anatomists. The importance of venous thromboembolism (VTE) cannot be over empathized. Many questions may still be unanswered. Venous thromboembolism is a common disease; it includes both deep vein thrombosis (DVT) and pulmonary embolism (PE). It is a common, lethal disorder that affects hospitalized and nonhospitalized patients, recurs frequently, and is often overlooked, under-diagnosed, with an average annual incidence of more than 1 case per 1000 persons. We however hope that we have once again lit a fire of inquisitiveness in your mind.

Venous thromboembolism is a common and potentially lethal disease. Patients who have pulmonary embolism are at especially high risk for death. Sudden death is often the first clinical manifestation. Only a reduction in the incidence of venous thromboembolism can reduce sudden death owing to pulmonary embolism and venous stasis syndrome owing to deep vein thrombosis. Improvement in the incidence of venous thromboembolism will require (i) better recognition of persons at risk, (ii) improved estimates of the magnitude of risk, (iii)avoidance of risk exposure when possible, (iv)more widespread use of safe and effective prophylaxis when risk is unavoidable, and (v) targeting of prophylaxis to those persons who will benefit most. Early and timely diagnosis and management of deep vein thrombosis and pulmonary embolism considerably reduces the subsequent morbidity and mortality.

ECAB Difficult Hip Fracture - E-Book