2nd Ed. This book brings together the best evidence for treatments as well as any complications.
Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries ofevidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray imagesProvides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatmentCovers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacementsHelps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
EVIDENCE-BASED ORTHOPEDICS SECOND EDITION Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE--a transparent framework for developing and presenting summaries of evidence--to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics : Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
EVIDENCE-BASED ORTHOPEDICS SECOND EDITION Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE--a transparent framework for developing and presenting summaries of evidence--to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics : Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
MOHIT BHANDARI, MD, PHD, FRCSC, is Professor of Surgery in the Division of Orthopedic Surgery at McMaster University, Ontario, Canada. He is a University Scholar, holds a Canada Research Chair in Evidence-Based Orthopedics, serves as Associate Chair-Research in the Department of Surgery, and was inducted as a member of the Order of Canada. Dr Bhandari has been acknowledged as one of the top 10 most cited orthopedic fracture surgeons in the world. He conducts major multinational, transformative randomized clinical trials, publishes actively in the top medical journals, lectures to thousands around the world, and edits several major textbooks. He is Editor-in-Chief of OrthoEvidence, an online source for high quality and timely evidence-based orthopedic summaries.
Contributors xv Foreword xxix Preface xxxi Abbreviations xxxiii Section I Methodology of Evidence-Based Orthopedics 1 Principles of Evidence-Based Orthopedics 3
Niek Van Der Hoek MD and Paul Tornetta III MD 2 Hierarchy of Evidence and Common Study Designs 7
Annie George BHSc, Ydo V. Kleinlugtenbelt MD PhD, and Kim Madden PhD 3 Systematic Reviews and Meta-Analyses 11
Joseph T. Patterson MD and Saam Morshed MD PhD MPH 4 Healthcare Recommendations: Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) Approach 19
Mark Phillips BSc PhD, Cand 5 Outcomes and Their Interpretations 25
Leah Gitajn MD 6 Value-Based Orthopedics 31
Nathan N. O'Hara MHA and Daniel Mwayafu MBChB MMed Section II Orthopedic Medicine 7 Critical Issues in Osteoporosis Management 39
Matthew Wong-Pack BHSc MD (Cand), Kyra Cummings, Arthur Lau MD FRCPC, and Jonathan D. Adachi MD FRCPC 8 Venous Thromboembolic Events 51
Ernest Kwek MBBS FRCS(Ed) and Richard E. Buckley MD FRCSC 9 Blood Transfusion 55
Seper Ekhtiari MD MSc, David W. Sanders MD FRCSC, and Jeffrey L. Carson MD 10 Wound Infections 59
Mark D. Hasenauer MD, Michael D. Hunter MD, Kyle J. Jeray MD, and Atul F. Kamath MD 11 Smoking Cessation 65
Paul E. Matuszewski MD, David Zuelzer MD, and Robert V. O'Toole MD 12 Perioperative Medical Management 71
Jennifer Muniak MD, Susan M. Friedman MD MPH, Joseph A. Nicholas MD MPH, and Daniel A. Mendelson MD MSc 13 Orthobiologics 75
John A. Buza III MD and Thomas A. Einhorn MD 14 Intimate Partner Violence 83
Sheila Sprague PhD, Taryn Scott MSW, Erika Arseneau MSc, Prism Schneider MD FRCSC, Andrew Furey MD FRCSC, Rudolf Poolman MD PhD, Emil Schemitsch MD, and Mohit Bhandari MD PhD 15 Pain Management in Orthopedic Surgery 91
Vishal Uppal MD FRCA and Harsha Shanthanna MD PhD 16 Post-Traumatic Stress Disorder and Depression 99
Basem Attum MD and William Obremsky 17 Nutrition and Supplements in Orthopedic Care, 105
Martí Bernaus MD, Brad Petrisor MD MSc, Sofia Bzovsky MSc, and Sheila Sprague PhD Section III Joint Reconstruction III.I Hip and Knee 18 Outpatient Total Joint Arthroplasty 113
Michael Pollock BSc MSc and Brent Lanting MD 19 Hip Preservation 117
Ahmed El-Bakoury MBBS PhD, Asif A. H. Parkar MBBS, and James N. Powell MD 20 The Direct Anterior Approach 123
Thomas J. Wood MD and Brent Lanting MD MSc 21 Computer Navigation in Total Hip Arthroplasty 129
Aamer Malik MD PhD and Lawrence Dorr MD 22 Highly Crosslinked Polyethylene in Total Hip Arthroplasty 135
Glen Richardson MD MSc FRCSC and Michael J. Dunbar MD PhD FRCSC 23 Hip Resurfacing 141
Adam Hart MD MASc, Nikolaos Davarinos MD MSc, and John Antoniou MD PhD 24 Metal-on-Metal Hip Arthroplasty 147
Oliver Marin-Peña MD, Olga Pidgaiska MD, and Pedro Reis-Campos 25 Ceramic in Total Hip Arthroplasty 153
Peter M. Lewis MB BCh FRCS(Orth) and James P. Waddell MD FRCSC 26 Cement in Total Hip Arthroplasty 161
Jorge H. Nuñez MD, Tony Fraguas MD, Ernesto Guerra-Farfán MD, and Diego Collado MD 27 Head Size in Total Hip Arthroplasty 167
Francesc Angles MD, Jorge H. Nuñez MD, and Pablo Castillón MD 28 Dual Mobility in Total Hip Arthroplasty 173
Iñaki Mimendia MD, Maria Jurado MD, Ernesto Guerra-Farfán MD, and Victor BarroMDPhD 29 Trunnionosis 179
Christopher Del Balso MBBS MSc, Emil Schemitsch MD, and Brent Lanting MD MSc 30 Periprosthetic Hip Fractures 185
Lisa C. Howard MD, Bas A. Masri MD, Don S. Garbuz MD, and Clive P. Duncan MD 31 The Infected Total Hip Arthroplasty 191
Sebastián A. León MD, Xin Y. Mei MD, and Paul R. Kuzyk MD MASc 32 The Painful Total Hip Arthroplasty 199
Asif A. H. Parkar MBBS, Ahmed El-Bakoury MBBS PhD, and James N. Powell MD 33 Revision of the Femoral Component 205
Lisa C. Howard MD, Bas A. Masri MD, Don S. Garbuz MD, and Clive P. Duncan MD 34 Revision of the Acetabular Component 213
Nikolaos Davarinos MD MSc, Adam Hart MDCM MASc, and John Antoniou MD PhD 35 Antibiotic Cement in Total Knee Arthroplasty 221
Stephen M. Petis MD MSc FRCSC and Steven J. MacDonald MD FRCSC 36 Unicompartmental Knee Arthroplasty and Patellofemoral Resurfacing Arthroplasty 225
Waleed Albishi MBBS, Paul Jamieson MD, Ivan Kamikovski MD, and Geoffrey Dervin MD 37 Cemented versus Uncemented Fixation in Total Knee Arthroplasty 231
Thomas Turgeon MD FRCSC 38 Cruciate Retaining versus Posterior Stabilized Total Knee Arthroplasty 237
Michael G. Zywiel MD MSc FRCSC and Sarah Ward MD MLA FRCSC 39 Patellar Resurfacing in Total Knee Arthroplasty 243
Michael G. Zywiel MD MSc FRCSC, Rajiv Gandhi MD MSc FRCSC, and Nizar N. Mahomed MD ScD FRCSC 40 Mechanical versus Kinematic Alignment in Total Knee Arthroplasty 249
Pascal-André Vendittoli MD MSc, William Blakeney MBBS MSc MS FRACS, Charles Rivière, and Gene Dossett 41 Ligament Balancing in Total Knee Arthroplasty 253
Pascal-André Vendittoli MD MSc, Jihad Matta MD, Christophe Fornasieri MD, and William Blakeney MBBS MSc MS FRACS 42 Robotics in Total Knee Arthroplasty 259
Seper Ekhtiari MD MSc, Vickas Khanna MD, and Anthony Adili MD 43 Patient-Specific Instrumentation in Total Knee Arthroplasty 265
Seper Ekhtiari MD MSc, Luc Rubinger MD, Vickas Khanna MD, and Anthony Adili MD 44 Metal Allergy in Total Knee Arthroplasty 269
Evangelos Tyrpenou MD, Amit Atrey MD MSc FRCSC 45 Perioperative Management in Total Knee Arthroplasty 275
Sebastian M. Klim MD and Mathias Glehr MD 46 Arthrofibrosis following Total Knee Arthroplasty 279
Samuel T. Walters MBBS, Saket Tibrewal MBBS, and Jakob van Oldenrijk MD PhD 47 High-Flexion Implants in Total Knee Arthroplasty 285
Thomas J. Wood MD FRCSC and Douglas D. R. Naudie MD FRCSC 48 Venous Thromboembolism in Total Knee Arthroplasty 289
Harman Chaudhry MD MSc and Mitch Winemaker MD
FRCSC 49 Highly Cross-Linked Polyethylene in Total Knee Arthroplasty 295
Pascal-André Vendittoli MD MSc, William Blakeney MBBS MSc MS FRACS, Ebru Oral, and Orhun Muratoglu 50 Exposure and Implant Options in Revision Total Knee Arthroplasty 301
Felipe Moreira MD, Maria Jurado MD, and Marcelo Casaccia MD 51 The Painful Total Knee Arthroplasty 307
Jason Werle MD FRCSC, Kelly Johnston MD FRCSC, Nicholas Desy MD FRCSC, and Stuart Goodman MD
PhD FRCSC 52 Diagnosing the Infected Total Knee Arthroplasty 315
Mina Tohidi MD and John F. Rudan MD 53 Management of the Infected Total Knee Arthroplasty 321
Ewout S. Veltman MD and Dirk Jan F. Moojen MD PhD 54 Management of the Unstable Total Knee Arthroplasty 325
John Esposito MD FRCSC and James L. Howard MD MSc FRCSC 55 Stem Choices in Revision Total Knee Arthroplasty 329
Pablo A. I. Slullitel MD, Gerard M. J. March MD FRCSC, and Paul R. Kim MD FRCSC 56 Periprosthetic Fractures: Knee 335
Jesse Wolfstadt MD MSc FRCSC and Aaron Nauth MD
MSc FRCSC 57 Femoral Bone Defects in Revision Total Knee Arthroplasty 341
Adam Katchky MD MSc FRCSC and David J. Backstein MEd MD FRCSC 58 Management of Structural Defects in Revision Knee Arthroplasty: Tibial Side 349
Sebastián León MD, Jennifer Leighton MD FRCSC, Xin Y. Mei MD, and Paul R. Kuzyk MD MASc FRCSC 59 Patellar Options in Revision Total Knee Arthroplasty 355
Jesse Wolfstadt MD MSc FRCSC and Paul Zalzal MASc MD FRCSC III.II Shoulder 60 Implant Design Options in the Treatment of Shoulder Osteoarthritis 361
Chad Myeroff MD, Michael Knudsen MD, and Michael D.McKee MD FRCS(C) 61 Cement in Shoulder Arthroplasty 369
Midhat Patel MD and Niloofar Dehghan MD FRCSC 62 Management of Glenoid Bone Loss 375
Diego Soza MD, Montserrat García-Portabella MD, Lledó Batalla MD, and Josep Massons MD PhD 63 Reverse Total Shoulder Arthroplasty 381
Mitchel D. Armstrong MD BMSc FRCSC, Bandar M. Assiry MBBS SB-orth, and Ryan T. Bicknell MD MSc FRCSC 64 Glenoid Components in Total Shoulder Arthroplasty 387
Eric Benson MD, George Athwal MD, and Kenneth Faber MD 65 Periprosthetic Joint Infection in Shoulder Arthroplasty 393
Peter Lapner MD FRCSC, Jay Keener MD, and Thomas Duquin MD III.III Foot and Ankle 66 Ankle Osteoarthritis 401
Rosa Busquets MD PhD and Andrea Sallent MD 67 Osteoarthritis of the 1st Metatarsophalangeal Joint 407
Seper Ekhtiari MD MSc and Waleed Kishta MD PhD 68 Hallux Valgus 413
Sebastián Drago Perez MD and Cristian Ortiz Mateluna MD 69 Cavovarus Foot 419
Sebastián Drago Perez MD and Cristian Ortiz Mateluna MD Section IV Trauma IV.I General Trauma 70 Damage Control Orthopedics 425
Sascha Halvachizadeh MD, Paolo Cinelli PhD, Florin Allemann MD, Philipp Kobbe MD MHBA, and Hans-Christoph Pap MD 71 Open Fractures 431
Michael D. Hunter MD, Mark D. Hasenauer MD, Atul F. Kamath MD, and Kyle J. Jeray MD 72 The Mangled Extremity 437
Tiffany Huynh MD and Ted V. Tufescu MD FRCSC 73 Acute Compartment Syndrome 441
Aurelia Bihari PhD, Christopher Del Balso MBBS MSc FRCSC, and Abdel-Rahman Lawend MD
PhD FRCSC 74 Noninvasive Technologies for Fracture Repair 447
Natsumi Saka MD, Yoshinobu Watanabe MD PhD, and Takashi Matsushita MD DSc 75 Calcium-Based Bone Substitutes 451
Ross Leighton BSc MD FRCSC, Kelly Trask BEng MSc CCRP, Thomas A. Russell MD, Mohit Bhandari MD MSc, and Richard E. Buckley MD FRCSC IV.II Shoulder Girdle and Upper Extremity 76 Scapula Fractures 457
Peter A. Cole MD and Lisa K. Schroder BS MBA 77 Sternoclavicular Joint 463
Annie Weber MD and Raymond A. Pensy MD 78 Clavicle Fractures 469
Chad Myeroff MD and Michael D.McKee MD FRCS(C) 79 Acromioclavicular Joint 475
Chad Myeroff MD and Michael D. McKee MD FRCS (C) 80 Proximal Humeral Fractures 481
Benjamin Kopp MD and David Ring MD PhD 81 Humeral Shaft Fractures 487
David J. Hak MD MBA FACS and Cyril Mauffrey MD FRCS FACS 82 Distal Humerus Fractures 491
Brandon Girardi MD, Emil H. Schemitsch MD, and Aaron Nauth MD MSc 83 Elbow Dislocations 499
Lisa C. Howard MD and Jason W. Pollock MD 84 Radial Head Fractures 505
James D. Spearman Jr MD MBA, David Ring MD PhD, and Lee M. Reichel MD 85 Olecranon Fractures 509
Michael C. Daly MD and Jesse B. Jupiter MD 86 Forearm Fractures 515
Habeeb Khan CCPA and Rudolf W. Poolman MD PhD 87 Distal Radius Fractures 521
Boris A. Zelle MD and Riikkaa E. Nomides MD 88 Carpal Dislocations 525
Carl Nunziato MD, Geert A. Buijze MD PhD, and David Ring MD PhD 89 Carpal Fractures 529
Bert Perey MD FRCSC, Emanuelle Villemaire-Côté MD FRCSC, and Francesc A. Marcano-Fernández MD
PhD 90 Metacarpal Fractures 537
Christina Ward MD IV.III Pelvis and Lower Extremity 91 Pelvic Fractures 541
G. Yves Laflamme MD FRCS(c), Jonah Hébert-Davies MD
FRCS(c)c, and Dominique M.Rouleau MD MSc FRCS(c) 92 Acetabular Fractures 547
Juan Antonio Porcel Vázquez MD and Ernesto Guerra-Farfán 93 Hip Dislocations 553
Luis Felipe López MD, Carlos Prada MD MHSc, Brett D. Crist MD FACS, and Gregory J. Della Rocca MD PhD Facs 94 Femoral Head Fractures 559
Kevin D. Phelps MD, Joshua L. Gary MD, and Milton Lee "Chip" Routt Jr MD 95 Femoral Neck Fractures in Younger Patients 565
Malynda Wynn MD, Trevor Gulbrandsen MD, Michael Willey MD, and Matthew Hogue MD 96 Femoral Neck Fractures in the Elderly 571
Dylan McCreary BA, Brian P. Cunningham MD, and Marc Swiontkowski MD 97 Extracapsular Hip Fractures 577
Luke A. Lopas MD, Andrew F. Tyler MD PhD, and Samir Mehta MD 98 Subtrochanteric Femur Fractures 583
John Morellato BSc (Pharm) MBBS (Hons) FRCSC, Steven Papp BSc MSc MD FRCSC, Wade Gofton BSc MSc MD FRCSC, and Allan Liew BSc MD FRCSC 99 Femoral Shaft Fractures 589
Costas Papakostidis MD and Peter V. Giannoudis MD
Facs Frcs 100 Distal Femur Fractures 595
Graeme Hoit MD, Amir Khoshbin MD, and Rudolf W. Poolman MD PhD 101 Proximal Tibia Fractures 601
Daniel Axelrod MD, Richard Jenkinson MD MSc FRCSC, and Hans Kreder MD MPH FRCSC 102 Tibial Shaft Fractures 607
Taylor Yong MD MS, Ilda Molloy MD MS, and Leah Gitajn MD 103 Intra-Articular Distal Tibia (Pilon/Plafond) Fractures 613
Luc Rubinger MD, Seper Ekhtiari MD MSc, and Peter J. O'Brien MD 104 Malleolar Fractures 619
Daniel Axelrod MD and David W. Sanders MD FRCSC 105 Talus Fractures 625
Pablo Mery MD and Carlos Prada MD MHSc 106 Calcaneal Fractures 631
Richard E. Buckley MD FRCSC 107 Lisfranc Injuries 637
Robin R. Elliot MA FRCS, Nicholas B. Jorgensen MBBS, and Terrence S. Saxby MBBS FRACS 108 Fifth Metatarsal Fractures 643
Robin R. Elliot MA FRCS, Nicholas B. Jorgensen MBBS, and Terrence S. Saxby MBBS FRACS Section V Spine 109 Mechanical Neck Pain 651
Kenneth Nwosu MD and Thomas Cha MD MBA 110 Whiplash 655
Eren O. Kuris MD and Alan H. Daniels MD 111 Cervical Radiculopathy and Myelopathy 659
Michael Fehlings MD PhD FACS FRCSC and Jetan Badhiwala MD 112 Mechanical Low Back Pain: Operative Management 665
Pranay Patel MD, Ian Buchanan MD, Zorica Buser PhD, and Jeffrey C. Wang MD 113 Mechanical Low Back Pain: Nonoperative Management 671
Kirkham Wood MD and Craig McMains MD 114 Neurogenic Claudication 677
Gregor Lønne MD PhD and Øystein Nygaard MD 115 Lumbar Radiculopathy 683
Daniel G. Tobert MD and James D. Kang MD 116 Adolescent and Adult Spinal Deformity: Nonoperative Management 687
Patrick Thornley MD and Colby Oitment MD
FRCSC 117 Adolescent and Adult Spinal Deformity: Operative Management 693
Peter G. Passias MD, Frank A. Segreto MD, Samantha R. Horn BA, and Cole A. Bortz BA 118 Metastatic/Myeloma Disease 699
Marco Ferrone MD and Justin Bulcher MSc 119 Spinal Infections 705
Stuart D. Kinsella MD MTR, Lauren B. Barton BS, and Andrew J. Schoenfeld MD MSc Section VI Sports Medicine VI.I General 120 Ergogenic Aids 713
Michael J. O'Brien MD VI.II Shoulder 121 First Time Shoulder Dislocation 717
Dane Swinehart MD, Jordan Meiss MD, and Charles Cox MD 122 Recurrent Shoulder Instability 723
Joost I. P. Willems MD, Amber von Gerhardt MD, W. Jaap Willems MD, and Arthur van Noort MD PhD 123 Rotator Cuff Tears 729
Alberto Blanco MD, Montserrat García-Portabella MD, Lledó Batalla MD, and Josep Massons MD 124 Massive and Irreparable Rotator Cuff Tears 735
Brandon J. Erickson MD and Joshua S. Dines MD 125 Subacromial Pain Syndrome 739
Egbert J. D. Veen MD and Ron L. Diercks MD 126 Pathology of the Long Head of the Biceps 743
Daniel Wang BA, David Ring MD PhD, and Matt Driscoll MD 127 Superior Labral Tears and Throwing Shoulder Injuries 749
Michael T. Freehill MD, Jacob M. Kirsch MD, Hiroyuki Sugaya MD, and Jon J. P. Warner MD VI.III Elbow 128 Ulnar Collateral Ligament Injuries of the Elbow 755
Frank G. J. Loeffen MD, Izaäk F. Kodde MD PhD, and Denise Eygendaal MD PhD 129 Lateral Epicondylitis (Tennis Elbow) 761
Neeru Jayanthi MD 130 Osteochondritis Dissecans Lesions of the Elbow 769
Matthew Smith MD and Mitchel Obey MD VI.IV Hip 131 Labral Tears 775
Chetan Gohal MD, Nolan S. Horner MD, and Marc R. Safran MD 132 Femoroacetabular Impingement 779
Marc J. Philippon MD, Ioanna K. Bolia MD, and Karen K. Briggs MPH VI.V Knee 133 Initial Management of the Sports Injured Knee 783
Marc Aguilar Garcia MD, Carla Carbonell Rosell MD, and Joan Pijoan Bueno MD 134 Meniscal Tears 787
Nicola Maffulli MD MS PhD FRCS (Orth), Domiziano Tarantino MD, and Rocco Aicale MD 135 Anterior Cruciate Ligament Injuries 793
Aaron Gazendam MD, Darren de SA MD, and Freddie Fu MD 136 Posterior Cruciate Ligament Injuries 799
Chetan Gohal MD, Nolan S. Horner MD, Jihad Abouali MD, and John Theodoropoulos MD MSc 137 Combined Anterior Cruciate Ligament and Medial Collateral Ligament Injuries 805
Domiziano Tarantino MD, Rocco Aicale MD, and NicolaMaffulli MD MS PhD FRCS (Orth) 138 Multiligamentous Knee Injuries 811
James P. Stannard MD and Hee Young Lee MD 139 Posterolateral Corner Injuries 815
Nolan S. Horner MD, Chetan Gohal MD, Olufemi R. Ayeni MD PhD, and Daniel B. Whelan MD MSc 140 Lateral Extra-Articular Tenodesis Procedures and the Anterolateral Ligament 819
Felipe Moreira MD, Merce Reverté MD PhD, Enric Castellet MD, and Joan Minguell MD PhD 141 Cartilage Lesions of the Knee 825
Mario Hevesi MD, Aaron J. Krych MD, and Daniël B. F. Saris MD PhD 142 Patellofemoral Pain Syndrome (Runner's Knee) 831
Carlos Prada MD MHSc and Sebastián Irarrázaval MD 143 Osteotomy and Lower Extremity Realignment Procedures 837
Jayson Lian BA, Darren de SA MD, João V. Novaretti MD, and Volker Musahl MD VI.VI Foot & Ankle 144 Ankle Ligament Injuries 843
Gwendolyn Vuurberg PhD, J. Nienke Altink BSc, Rover Krips MD PhD, and Gino M. M. J. Kerkhoffs MD PhD 145 Achilles Tendinopathy 849
Domiziano Tarantino MD, Rocco Aicale MD, and Nicola Maffulli MD MS PhD FRCS (Orth) Section VII Wrist 146 Distal Radius Malunions 855
Muhanned Ali MD, Roberto S. Rosales MD PhD, and Isam Atroshi MD PhD 147 Distal Radial–Ulnar Joint 861
Nina Suh MD 148 Wrist Osteoarthritis 867
Randy Bindra MD 149 Rheumatoid Wrist Reconstruction 873
Warren Hammert DDS MD 150 Acute Scaphoid Fractures 877
Joseph J. Dias MD (Research) FRCS MBBS 151 Scaphoid Nonunions 883
Anne Eva J. Bulstra MD, Job N. Doornberg MD PhD, Myriam C. Obdeijn MD PhD, and Geert A. Buijze MD
PhD 152 Carpal Instability 889
Jessica B. Hawken MD and Aviram M. Giladi MD MS 153 Kienböck's Disease 895
Simon B. M. MacLean and Gregory I. Bain 154 Trapeziometacarpal Osteoarthritis 899
Jeremiah D. Johnson MD, Jennifer M. Brewer BA, and Jennifer Moriatis Wolf MD Section VIII Hand 155 Carpal Tunnel Syndrome: Nonoperative Management 907
Thomas A. Miller MD FRCPC, Christopher Doherty MD
MPH FRCSC, and Douglas C. Ross MD MEd FRCSC 156 Carpal Tunnel Syndrome: Operative Management 913
Douglas C. Ross MD MEd FRCSC, Christopher Doherty MD MPH FRCSC, and Thomas A. Miller MD FRCPC 157 Carpal Tunnel Release: Minor Procedure Room or Operating Room? 917
Kevin Cheung MD and Hannah St Denis-Katz MD 158 Thumb Carpometacarpal Osteoarthritis 921
Ryan Wolek MD, Steven McCabe MD MSc, and Matthew Furey MD MSc 159 Flexor Tendon Injuries: Surgical Management 925
Robert M. Szabo MD MPH and Shima Sokol MD 160 Flexor Tendon Injuries: Rehabilitation 931
Matthew McRae MD, Mark McRae MD, Daniel Waltho MD, and Jenny Santos MSc 161 Extensor Tendon Injuries 935
Noor Alolabi MD, Monica Alderson MSc, and Carolyn M. Levis MD MSc 162 Dupuytren's Disease 947
Lauren Willoughby BMSc MD FRCSC, Daniel Waltho MD, Marta Karpinski BHSc, and Achilleas Thoma MD
MSc 163 Rheumatoid Hand Reconstruction 953
Kevin C. Chung MD MS, Oluseyi Aliu MD, and Sandra V. Kotsis MPH 164 Replantation 957
Serge Goekjian MD FRCS (C), Lucas Gallo BHSc MD (c), and Achilleas Thoma MD MSc 165 Ulnar Neuropathy 963
Christopher Doherty MD MPH FRCSC, Thomas A. Miller MD FRCPC, and Douglas C. Ross MD MEd FRCSC 166 Finger Fractures 969
Claire Ryan MD and David Ring MD PhD Section IX Oncology 167 Radiation Therapy in Soft Tissue Sarcoma 975
Anthony Bozzo MD MSc, Aaron Gazendam MD, and Kurt R. Weiss MD 168 Chemotherapy in Soft Tissue Sarcoma 981
Robert J. Wilson ii MD, Jennifer L. Halpern MD, Jill Gilbert MD, Ginger E. Holt MD, Vicki L. Keedy MD, and Herbert S. Schwartz MD 169 Surgical Margins in Soft Tissue Sarcoma 993
Eugenia Schwarzkopf MD, Tomohiro Fujiwara MD, and John H. Healey MD 170 Allograft versus Megaprosthesis 999
Kelly C. Homlar MD, Robert J. Wilson ii MD, Jessica Rose Wilson MD MSCI, Jennifer L. Halpern MD, Herbert S. Schwartz MD, and Ginger E. Holt MD 171 Biopsy of Soft Tissue Masses 1005
Aaron Gazendam MD, Anthony Bozzo MD MSc, Casey Wang MD, and David Wilson MD MASc 172 Denosumab in Giant Cell Tumors of Bone 1011
Michael Parry MD and Robert Grimer MD Section X Pediatrics 174 Cerebral Palsy 1029
Vedant Kulkarni MD 175 Pediatric Osteoarticular Infections 1035
Brice Ilharreborde MD, Cindy Mallet MD, and Dimitri Ceroni MD 176 Simple Bone Cysts 1041
Cristina Alves MD FEBOT, Inês Balacó MD, Marta Salom Taverner MD PhD, Thomas Wirth MD PhD, and Michiel Van De Sande MD PhD 177 Pediatric Clavicle Fractures 1047
Benton E. Heyworth MD and Nirav Pandya MD 178 Supracondylar Humerus Fractures 1053
Ravi Brar MD MPH, David Skaggs MD MMM, and Sanjeev Sabharwal MD MPH 179 Adolescent Spondylolisthesis 1061
Matthew E. Oetgen MD MBA and M. Timothy Hresko MD 180 Early Onset Scoliosis 1067
Jason Pui Yin Cheung MBBS MMedSc MS FHKAM (orth) FRCS(orth) FHKCOS(Edin), Susan Nelson MD
MPH, James O. Sanders MD, and Ron El-Hawary MD
MSc FRCS (C) 181 Developmental Dysplasia of the Hip 1075
Emily K. Schaeffer PhD and Wudbhav N. Sankar MD 182 Legg–Calvé–Perthes Disease 1081
Benjamin Joseph MS Orth MCh Orth FRCS Ed and Hitesh Shah MS Orth 183 Slipped Capital Femoral Epiphysis 1087
Eduardo Novais MD and Randy Loder MD 184 Pediatric Femoral Shaft Fractures 1093
Matthew Winterton MD, Shital Parikh MD FACS, and Keith Baldwin MD MSPT MPH 185 Infantile Blount Disease 1099
Steven M. Rivero MD and Sanjeev Sabharwal MD MPH 186 Pediatric Anterior Cruciate Ligament Injuries 1107
Lindsay Schlichte MS, Colleen Wixted BS, and Daniel Green MD MS FACS 187 Clubfoot 1113
Anna D. Vergun MD and Peter Moskal MD 188 Tarsal Coalitions 1119
Joseph Fox MD and Maryse Bouchard MD MSc 173 Outcomes in Pediatric Orthopedics 1019
Unni G. Narayanan MBBS MSc FRCS(C) Index, 1125