Master Techniques in Orthopaedic Surgery: Pediatrics

Author: David Skaggs, MD, MMM, Mininder Kocher, MD, MPH
Affiliation:
Publisher: Lippincott Williams & Wilkins
Publication Date: 2016
ISBN 10: 1451194447
ISBN 13: 9781451194449
Edition: 2nd

Description:

Master the pediatric orthopaedic techniques preferred by today's expert surgeons! This 2nd Edition remains your go-to resource for the most advanced and effective surgical techniques for treating fractures, congenital conditions, and other orthopaedic problems in children and adolescents. More than 1,000 high-quality photographs and drawings guide you step by step through each procedure, and personal pearls from master surgeons provide operative tips that foster optimal care and outcomes. Twelve new chapters bring you completely up to date with what's new in the field. Key Features *New chapters cover pediatric sports injuries; medial femoral patella ligament reconstruction and tibial spine; surgical hip dislocation for SCFE, hip arthroscopy, and periacetabular osteotomy; and pediatric trauma procedures including medial epicondyle fractures, proximal humerus CRPP, distal radius fractures, closed reduction and casting of forearm fractures.*Full-color, sequential, surgeon's-eye view intraoperative photographs combine with radiographs and detailed drawings by noted medical illustrators to provide a highly visual guide to pediatric orthopaedic surgery.* The world's foremost surgeons describe their preferred techniques in step-by-step detail, explain the indications and contraindications, identify pitfalls and potential complications, and offer pearls and tips for improving results

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • Contributors
  • Preface
  • Preface to the First Edition
  • Series Preface

PART I Trauma

    1: Closed Reduction and Pinning of Supracondylar Humerus Fractures

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Pearls and Pitfalls
    • References

    2: Lateral Condyle Fractures

    • Introduction
    • Indications and Preoperative Preparation
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    3: Screw Fixation of Medial Epicondyle Fractures

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • References
    • Recommended Reading

    4: Operative Treatment of Radial Neck Fractures

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    5: Operative Treatment of Pediatric Forearm Fractures Using Flexible IM Rodding

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Pearls and Pitfalls
    • Recommended Reading

    6: Closed Reduction and Casting of Forearm Fractures

    • Introduction
    • Indications/Contraindications
    • Preoperative Preparation
    • Technical procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    7: Pediatric Distal Radius Fractures

    • Introduction
    • Closed Treatment with or without Reduction
    • Closed Reduction and Percutaneous Pinning
    • Open Reduction and Internal Fixation
    • Physeal Arrest Treatment with Distal Ulna Epiphysiodesis and Ulnar Shortening Osteotomy
    • References
    • Recommended Reading

    8: Operative Treatment of Femur Fractures Using Flexible IM Nails

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Special Cases
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    9: Spica Cast Application for Femur Fractures

    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    10: Operative Treatment of Femur Fractures Using Submuscular Plating

    • Introduction
    • Indication/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Discussion
    • Pearls and Pitfalls
    • References

    11: Operative Treatment of Femur Fractures Using a Greater Trochanteric Entry IM Nail

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications
    • Pearls and Pitfalls
    • Recommended Reading

    12: Transitional Ankle Fractures: Juvenile Tillaux and Triplane Fractures

    • Introduction
    • Indications for Operative Management
    • Preoperative Preparation/Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Cases
    • Pearls and Pitfalls
    • Recommended Reading

    13: Proximal Humerus Fracture Closed Reduction and Percutaneous Pinning

    • Introduction
    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

PART II Cerebral Palsy

    14: Lower-Extremity Surgery in Children with Cerebral Palsy

    • Introduction
    • Pathology
    • Presentation
    • The Decision for Surgery
    • Preoperative Planning
    • Soft-Tissue Surgery
    • Surgeries for Varus Feet
    • Surgery for Valgus Feet
    • Rotational Osteotomies of the Lower Extremities
    • Summary
    • References
    • Recommended Reading

PART III Hips

    15: Open Reduction of a Developmentally Dislocated Hip and Salter Innominate Osteotomy

    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Femoral Shortening/Derotational Osteotomy
    • Capsular Management
    • Salter Innominate Osteotomy
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    16: Dega Acetabuloplasty

    • Introduction
    • Indications
    • Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    17: Varus Derotation Osteotomy of the Proximal Femur

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case (Fig. 17-12A, B)
    • Acknowledgments
    • Recommended Reading

    18: Irrigation and Debridement of a Septic Hip

    • Introduction
    • Indications/Contraindications
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • References

    19: Percutaneous Fixation of Slipped Capital Femoral Epiphysis

    • Introduction
    • The Stable SCFE
    • The Unstable SCFE
    • Complications to Avoid
    • Pearls and Pitfalls
    • References

    20: Surgical Hip Dislocation for the Treatment of Femoroacetabular Impingement and Slipped Capital Femoral Epiphysis

    • Introduction
    • Indication/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    21: Periacetabular Osteotomy

    • Indications/Contraindications
    • Goals
    • Anatomic Considerations
    • Preoperative Planning
    • Surgical Technique
    • Postoperative Management
    • Complications to Avoid
    • Pearls and Pitfalls
    • Recommended Reading

    22: Hip Arthroscopy

    • Introduction
    • Pathogenesis of FAI
    • Indications/Contraindications
    • History and Physical
    • Imaging
    • Nonoperative Management
    • Surgical Procedure
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Readings

PART IV Foot

    23: Ponseti Technique in the Treatment of Clubfoot

    • Introduction
    • Indications/Contraindications
    • Prevention of Recurrence
    • Complications to Avoid
    • Pearls and Pitfalls
    • Conclusions
    • References

    24: Posterior Medial Release for Clubfoot

    • Introduction
    • Indications
    • Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    25: Calcaneal Lengthening Osteotomy

    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls (Pitfalls are Obviously the Opposite)
    • Recommended Reading

    26: Cavus Foot Reconstruction

    • Cavovarus Foot
    • Indications
    • Contraindications
    • Preoperative Preparation
    • Surgical Procedures
    • Soft-Tissue Releases
    • Toes
    • Osteotomies
    • Postoperative Care
    • Complications to Avoid
    • Illustrative Case
    • Pearls
    • Pitfalls
    • Recommended Reading

    27: Anterior Tibial Tendon Transfer

    • Introduction
    • Indications and Contraindications
    • Surgical Procedures
    • Pearls and Pitfalls
    • References

    28: Excision of Tarsal Coalitions

    • Presentation/Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Acknowledgments
    • Recommended Reading

PART V Knee

    29: ACL Reconstruction in Skeletally Immature Patients

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Outcomes and Future Directions
    • References
    • Recommended Reading

    30: Hemiepiphysiodesis

    • Background
    • Hemiepiphysiodesis Methods
    • Indications/Contraindications
    • Contraindications to Guided Growth
    • Preoperative Planning
    • Surgical Procedure
    • Surgical Steps
    • Postoperative Management
    • Complications to Avoid
    • Complications
    • Illustrative Cases
    • Pearls and Pitfalls
    • Recommended Reading

    31: Epiphysiodesis

    • Indications/Contraindications
    • Surgical Procedure
    • Postoperative Management
    • Results
    • Complications to Avoid
    • References

    32: Proximal Tibial Osteotomy for Tibia Vara

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure (Acute Correction)
    • Postoperative Management (Acute Correction)
    • Surgical Procedure (Gradual Correction)
    • Postoperative Management
    • Complications to Avoid
    • Pearls and Pitfalls (Infantile Blount’s)
    • Pearls and Pitfalls (Infantile Blount’s)
    • Illustrative Cases
    • References

    33: Discoid Meniscus

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Complications to Avoid
    • Illustrative Cases
    • Pearls and Pitfalls
    • Recommended Reading

    34: Congenital Knee Dislocation

    • Introduction
    • Indications and Preoperative Planning
    • Nonoperative Treatment
    • Open Reduction with Femoral Shortening
    • Anterior Cruciate Ligament Reconstruction
    • References
    • Recommended Reading

    35: Medial Patellofemoral Ligament Reconstruction Using the Quadriceps Tendon

    • Indications and Contraindications
    • Preoperative Preparation
    • Preoperative Planning
    • Surgical Procedure
    • Quadriceps Tendon Graft Surgical Steps
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls
    • Pitfalls
    • Recommended Reading

    36: Arthroscopic Suture or Screw Repair of Tibial Spine Fractures

    • Introduction
    • Surgical Technique
    • Indications/Contraindications
    • Pearls and Pitfalls for Surgical Indications
    • Surgical Technique
    • Pearls and Pitfalls
    • Complications to Avoid
    • Illustrative Case 1 (Fig. 36-8; Video 36-1)
    • Illustrative Case 2 (Videos 36-2 through 36-11)
    • References
    • Recommended Reading

PART VI Spine

    37: Anterior Spinal Fusion for Thoracolumbar Idiopathic Scoliosis

    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications
    • Bullet Points
    • References

    38: Thoracoplasty

    • Introduction
    • Indications and Contraindications
    • Preoperative Planning
    • Surgical Technique
    • Postoperative Management
    • Complications to Avoid
    • Conclusions
    • Illustrative Case
    • References

    39: Posterior Occiput–C2 and C1–C2 Cervical Fusion

    • Introduction
    • Pertinent Anatomy
    • Diagnosis of Cervical Instability
    • Indications for Arthrodesis
    • Etiology of Upper Cervical Instability
    • Halo Application
    • Preoperative Preparation
    • Surgical Procedure: Occiput to C2 Posterior Arthrodesis (See Fig. 39-3)
    • Surgical Procedure: C1–C2 Posterior Arthrodesis with a Screw Construct
    • Surgical Procedure: C1–C2 Posterior Arthrodesis with Wire-/Cable-Based Construct Using Dickman-Sontag Technique (See Fig. 39-8)
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Cases
    • Pearls and Pitfalls
    • Recommended Reading

    40: Hemivertebrae Excision: Posterior-Only Approach

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Results
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • References

    41: Distraction-Based Growing Rods—Including Hybrids

    • Introduction
    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • References
    • Recommended Reading

    42: Vertical Expandable Prosthetic Titanium Rib for the Treatment of Early-Onset Scoliosis

    • Indication/Contraindications
    • Preoperative Planning
    • Surgical Procedure for Scoliosis without Rib Anomalies
    • Postoperative Management
    • Complications to Avoid
    • Surgical Procedure for Congenital Scoliosis with Fused/Absent Ribs
    • Illustrative Cases
    • References

    43: Temporary Distraction Rods in the Correction of Severe Scoliosis

    • Introduction
    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Complications to Avoid
    • Illustrative Cases
    • Pearls and Pitfalls
    • References

    44: Pedicle Screw Insertion—Manual and Power Techniques

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • References

    45: Alternative Anchors: Hooks and Sublaminar Wires

    • Introduction
    • Sublaminar Wires and Tapes
    • Hook Placement
    • Complications to Avoid
    • Illustrative Case
    • Pearls and Pitfalls
    • Recommended Reading

    46: Pelvic Fixation with Sacral-Alar-Iliac Screws in Neuromuscular Scoliosis

    • Introduction
    • Indications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Pearls and Pitfalls
    • Illustrative Case
    • References

    47: Shilla

    • Introduction
    • Surgical Procedure
    • Order of Procedure
    • Complications to Avoid
    • Pearls and Pitfalls
    • References
    • Recommended Reading

    48: Intra-operative Skull-Skeletal Traction

    • Introduction
    • Role of Traction
    • Indications
    • Technique of Intraoperative Skull-Skeletal Traction
    • Choice of Weight
    • Interpreting the Intraoperative Traction Radiograph
    • Expected Correction in Traction
    • Neuromonitoring and Traction
    • Correcting the Curve with Traction
    • Complications of Traction
    • Summary
    • References

    49: Derotation of the Scoliotic Spine

    • Introduction
    • Indication/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Pitfalls
    • Illustrative Case
    • Recommended Readings

    50: Anterior Tether for Growth Modulation

    • Indications/Contraindications
    • Preoperative Preparation
    • Surgical Procedure
    • Postoperative Management
    • Complications to Avoid
    • Illustrative Case
    • Pearls
    • Pitfalls
    • Recommended Reading

    51: Spondylolisthesis: Decompression, Partial Reduction, and Fusion

    • Indications/Contraindications
    • Preoperative Planning
    • Surgical Procedure
    • Postoperative Management
    • Complications
    • Illustrative Case
    • Pearls and Pitfalls
    • References