عنوان

Surgical repair and reconstruction in rheumatoid disease.

(Number (ISBN

1447119428

(Number (ISBN

9781447119425

Number

b547068

Title Proper

Surgical repair and reconstruction in rheumatoid disease.

General Material Designation

[Book]

Place of Publication, Distribution, etc.

[Place of publication not identified]

Name of Publisher, Distributor, etc.

Springer

Date of Publication, Distribution, etc.

2013

Text of Note

1 General Considerations.- The Route to the Surgeon.- Diagnosis and Assessment.- Course of the Disease.- Communication.- Assessment of the Results of Surgery.- Bacterial Infection and Septic Arthritis.- Corticosteroids.- Bed Rest.- Psychological Factors.- Physiotherapy.- Surgical Trends.- 2 Aetiology and Pathology.- Aetiology.- The Causes of Rheumatoid Arthritis.- Disease Mechanisms.- The Nature of the Connective Tissue Lesion.- Cartilage and Bone Damage.- Vasculitis.- A General Disease Mechanism.- Targets for Drug Action.- Rationale for Synovectomy.- Synovitis Following Arthroplasty.- Synovial Biopsy.- Tissue Sampling.- Synovial Fluid Examination.- Lesions in Other Tissues.- Cardiac Involvement.- Associated Pathology.- Seronegative Spondarthropathies.- Systemic Lupus Erythematosus.- 3 Selection.- Assessment of the Specific Problem.- Surgical Selection.- Indications for Surgery.- Contraindications to Surgery.- Which Operation?.- How Soon?.- What Order?.- How Many?.- Recording a Decision.- 4 The Link with Medical Management.- The Physician's Plan of Care.- Prognosis.- Physical Activity.- Local vs. General Measures.- Aspiration and Lavage.- Injection.- Radionuclide Injection.- Systemic Drug Therapy.- Systemic Features and Associated Medical Problems.- Anaemia.- Gastrointestinal.- Osteopenia.- Neuropathy.- Cervical Myelopathy.- Haemodynamic and Renal.- Skin.- Respiratory.- Sepsis.- Rheumatological Emergencies.- Children with Rheumatic Disease.- Summary.- 5 Perioperative Care.- Preoperative Assessment.- Preoperative Investigation.- Blood Tests.- Radiology.- The Immediate Preoperative Period.- Drugs in the Perioperative Period.- Care During Surgery.- Postoperative Care.- Splints.- 6 Synovectomy.- Damage Produced by Synovitis.- Treatments of Synovitis and Synovial Hypertrophy.- Simple Physical Means.- Antirheumatic Drugs.- Intra-articular Cytotoxic Agents.- Physical Agents.- Osteotomy.- Surgical Synovectomy.- The Shoulder.- The Elbow.- The Wrist.- Metacarpophalangeal and Proximal Interphalangeal Joints.- The Hip.- The Knee.- Metatarsophalangeal Joints.- The Ankle.- Tendons.- Recurrent Synovitis after Synovectomy.- Children.- Seronegative Arthropathies.- Conclusion.- 7 Osteotomy.- Jaw.- Shoulder.- Metacarpophalangeal Joints.- Hip.- Knee.- Ankle.- Foot.- Action of Osteotomy.- Operative Technique.- Internal Fixation.- Wedges.- Total Replacement or Osteotomy?.- 8 Arthroplasty.- Excision Arthroplasty.- The Lateral and Medial Ends of the Clavicle.- Excision Arthroplasty Following Failed Total Joint Replacement.- Soft Tissue Interposition Arthroplasty.- Replacement by Massive Cadaveric Grafts.- Replacement by Prosthesis.- Partial.- Total.- Total Prosthetic Joint Replacement After Osteotomy.- Anatomical Placement.- Complications of Prosthetic Joint Replacement.- Failure of Total Joint Replacement.- Infection.- Urinary Tract Problems.- Skin Flap Necrosis.- Metal Sensitivity and Toxicity.- Cement Toxicity.- Loosening and its Diagnosis.- Material Problems.- Design of Cementless Implants.- Dislocation.- Fat Embolus.- Fractures Around Prostheses.- Surgery After Failure of a Prosthesis.- Revision.- Excision Arthroplasty.- Arthrodesis.- 9 Arthrodesis.- Cervical Spine.- Shoulder.- Elbow.- Wrist.- Carpometacarpal Joint of the Thumb.- Metacarpophalangeal Joint of the Thumb.- Interphalangeal Joint of the Thumb.- Proximal Interphalangeal Joints of the Fingers.- Distal Interphalangeal Joints of the Fingers.- The Hip.- The Knee.- The Ankle.- Subtaloid Joint.- Midtarsal Joints.- Metatarsophalangeal Joints.- Proximal Interphalangeal Joints of the Toes.- Distal Interphalangeal Joints of the Toes.- 10 The Spine.- Pathology.- Clinical Features.- Imaging of the Rheumatoid Spine.- Conservative Management.- Psychological Support.- Surgical Management.- Dorsal and Lumbar Spine.- Ankylosing Spondylitis.- Spinal Osteotomy.- 11 The Shoulder.- Progression of Joint Damage.- Rotator Cuff Impingement.- Acromioclavicular Joint.- Sternoclavicular Joint.- Glenohumeral Joint.- Shoulder Synovectomy.- Osteotomy.- Arthrodesis.- Glenoidectomy.- Interposition Arthroplasty.- Hemiarthroplasty.- Total Shoulder Replacement.- Conclusion.- 12 The Elbow.- Extra-articular Disease.- Fasciitis.- Tendinitis.- Bursitis.- Nerve Compressions.- Intra-articular Disease.- Synovitis.- Erosive Disease with Instability.- Arthrodesis.- Arthroplasty.- Excision Arthroplasty.- Fascial or Skin Arthroplasty.- Silicone Rubber Interposition Arthroplasty.- Prosthetic Replacement.- Conclusion.- 13 The Wrist.- The Carpal Tunnel.- The Long Flexor Tendons.- The Long Extensor Tendons.- De Quervain's Disease.- Deformity at the Wrist.- The Z Deformity.- Volar Subluxation of the Wrist.- Articular Pain.- Surgical Options.- Ulnar Head Excision.- Fibrous Stabilisation.- Limited Arthrodesis.- Arthrodesis.- Arthroplasty.- Surgical Technique: A Few Suggestions.- 14 The Hand.- Assessment and Priorities in Rheumatoid Hand Surgery.- Patterns of Disease.- Soft Tissue Swellings.- Rheumatoid Nodules.- Synovial Swellings.- Synovitis.- The Flexor Apparatus.- Synovitis of the Joints.- Genesis of Joint Deformity.- Finger Deformities.- Arthroplasty in the Hand.- Arthroplasty of the Metacarpophalangeal Joints.- Arthroplasty of the Interphalangeal Joints.- Arthrodesis.- The Rheumatoid Thumb.- The Jaccoud Hand.- Operative Techniques.- Conclusion.- 15 The Hip.- Surgical Priority.- Synovectomy.- Adductor Tenotomy.- Osteotomy.- Excision Arthroplasty.- Hemiarthroplasty.- Total Hip Replacement.- Indications.- Special Problem Groups.- Preoperative Considerations.- Technical Considerations.- Surgical Approach.- Prosthetic Designs.- Complications.- Advice for Patients Following Total Hip Arthroplasty.- Long-Term Outlook and Assessment of Total Joint Replacement.- 16 The Knee.- Examination.- Conservative Treatment.- Quadriceps Exercise.- Plaster Immobilisation.- Flexion Deformity.- Steroid Injection.- Operative Treatment.- Soft Tissue Release.- Patellectomy.- Debridement, Cheilectomy and Pridie's Procedure.- Synovectomy.- Osteotomy.- Bone and Cartilage Transplantation.- Total Replacement.- Conclusion.- 17 The Ankle and Foot.- Clinical Assessement.- Aims of Surgery.- Perioperative "Tips".- Ankle and Hindfoot.- Hindfoot Signs.- The Valgus Hindfoot.- Tibialis Posterior.- Mid-foot.- Forefoot.- Metatarsal Osteotomy.- Sesamoids.- Morton's Metatarsalgia.- Toe Deformities.- The Hallux.- The Lateral Four Toes.- Claw Toes and Plantar Prolapse of Metatarsal Heads.- Vascular and Neurological Problems.- Conclusion.- 18 The Rheumatoid in Society.- Prevalence.- Aids to Daily Living.- Walking Aids.- Chairs.- Wheelchairs.- Footwear.- Chiropody.- Diet.- Work.- Mobility.- Recreation.- Sexual Problems.- Planned Motherhood.- The More Disabled Person.- Conclusion.- Author Index.

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Book number

Electronic name

[Book]

Y