Gowned and Gloved Orthopaedics: Introduction to Common Procedures

428 Pages·2009·14.3 MB·English

by  Neil P. Sheth and Jess H. Lonner (Auth.)

G G
OWNED AND LOVED
O
RTHOPAEDICS
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G G
O W N E D A N D L O V E D
O :
R T H O P A E D I C S
I
N T R O D U C T I O N T O
C P
O M M O N R O C E D U R E S
Neil P. Sheth, MD
Instructor
Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
Jess H. Lonner, MD
Director of Knee Replacement Surgery
Booth Bartolozzi Balderston Orthopaedics
Pennsylvania Hospital;
Medical Director
Philadelphia Center for Minimally Invasive Knee Surgery
Philadelphia, Pennsylvania
1600 John F. Kennedy Boulevard
Suite 1800
Philadelphia, PA 19103-2899
GOWNED AND GLOVED ORTHOPAEDICS:
INTRODUCTION TO COMMON PROCEDURES ISBN: 978-1-4160-4820-6
Copyright © 2009 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by
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Notice
Knowledge and best practice in this fi eld are constantly changing. As new research and experience
broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or
appropriate. Readers are advised to check the most current information provided (i) on procedures
featured or (ii) by the manufacturer of each product to be administered, to verify the recommended
dose or formula, the method and duration of administration, and contraindications. It is the
responsibility of the practitioner, relying on their own experience and knowledge of the patient, to
make diagnoses, to determine dosages and the best treatment for each individual patient, and to take
all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the
Editors assume any liability for any injury and/or damage to persons or property arising out or
related to any use of the material contained in this book.
The Publisher
Library of Congress Cataloging-in-Publication Data
Gowned and gloved orthopaedics : introduction to common procedures /
[edited by] Neil P. Sheth, Jess H. Lonner. — 1st ed.
p. ; cm. — (Gowned and gloved)
Includes bibliographical references and index.
ISBN 978-1-4160-4820-6
1. Orthopedics—Textbooks. I. Sheth, Neil P. II. Lonner, Jess H. III. Series.
[DNLM: 1. Orthopedic Procedures—methods. WE 190 G723 2009]
RD731.G69 2009
617.4′7—dc22
2008011021
Acquisitions Editor: James Merritt
Developmental Editor: Andrea Vosburgh
Publishing Services Manager: Joan Sinclair
Design Direction: Gene Harris
Working together to grow
libraries in developing countries
Printed in China www.elsevier.com | www.bookaid.org | www.sabre.org
Last digit is the print number: 9 8 7 6 5 4 3 2 1
D
EDICATION
To the medical students who inspired the concept behind this text.
To my mentors, many of whom were involved with this project—
thank you for your direction and guidance throughout the years
and for getting me to this point in my career.
Most important, to my family and friends—thank you
for your unconditional support of my academic endeavors.
NPS
To the students and residents who are considering a career in
orthopaedic surgery—you are our future. I hope this book
piques your interest and moves you to make a difference in
this great specialty.
To the surgeons and residents who motivated, inspired,
and taught me when I was learning the trade.
Most important, to my greatest joys—my wife, Ami,
and our sons, Carson and Jared.
JHL
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C
ONTRIBUTORS
JOSEPH A. ABBOUD, MD DAVID J. BOZENTKA, MD
Clinical Assistant Professor Associate Professor
Department of Orthopaedic Surgery Department of Orthopaedic Surgery
The University of Pennsylvania Health System University of Pennsylvania School of Medicine;
Philadelphia, Pennsylvania Chief
Department of Orthopaedic Surgery
JAIMO AHN, MD, PHD Penn Presbyterian Medical Center
Instructor Philadelphia, Pennsylvania
Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania KINGSLEY R. CHIN, MD
Philadelphia, Pennsylvania Assistant Professor of Orthopaedics
Department of Orthopaedic Surgery
NIRAV H. AMIN, BS Hospital of the University of Pennsylvania
Medical Student Philadelphia, Pennsylvania
Drexel University College of Medicine
Philadelphia, Pennsylvania GREGORY K. DEIRMENGIAN, MD
Instructor
JOSHUA D. AUERBACH, MD Department of Orthopaedic Surgery
Instructor Hospital of the University of Pennsylvania
Department of Orthopaedic Surgery Philadelphia, Pennsylvania
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania DEREK DOMBROSKI, MD
Instructor
KEITH D. BALDWIN, MD, MSPT, MPH Department of Orthopaedic Surgery
Instructor Hospital of the University of Pennsylvania
Department of Orthopaedic Surgery Philadelphia, Pennsylvania
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania DEREK J. DONEGAN, MD
Instructor
PEDRO BEREDJIKLIAN, MD Department of Orthopaedic Surgery
Associate Professor Hospital of the University of Pennsylvania
Department of Orthopaedic Surgery Philadelphia, Pennsylvania
University of Pennsylvania School of
Medicine JOHN L. ESTERHAI, MD
Philadelphia, Pennsylvania Professor
Department of Orthopaedic Surgery
KAREN J. BOSELLI, MD University of Pennsylvania School of Medicine;
Instructor Chief of Orthopedics
Department of Orthopaedic Surgery Department of Surgery
Hospital of the University of Pennsylvania Veterans Affairs Medical Center
Philadelphia, Pennsylvania Philadelphia, Pennsylvania
ANDREA L. BOWERS, MD JOHN M. FLYNN, MD
Instructor Associate Professor
Department of Orthopaedic Surgery Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania University of Pennsylvania School of Medicine;
Philadelphia, Pennsylvania Associate Chief
Department of Pediatric Orthopaedics
The Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania
vii
viii Contributors
THEODORE J. GANLEY, MD G. RUSSELL HUFFMAN, MD, MPH
Assistant Professor Assistant Professor
Department of Orthopaedic Surgery Department of Orthopaedic Surgery
University of Pennsylvania School of Medicine; University of Pennsylvania Sports Medicine Center
Orthopaedic Director of Sports Medicine Philadelphia, Pennsylvania
Department of Pediatric Orthopaedic Surgery
The Children’s Hospital of Philadelphia CRAIG L. ISRAELITE, MD
Philadelphia, Pennsylvania Assistant Professor
Department of Orthopaedic Surgery
JONATHAN P. GARINO, MD University of Pennsylvania School of Medicine
Associate Professor Philadelphia, Pennsylvania
Department of Orthopaedic Surgery
University of Pennsylvania School of Medicine; KRISTOFER J. JONES, MD
Director Instructor
Adult Reconstructive Service Department of Orthopaedic Surgery
Penn Presbyterian Medical Center Weill Cornell Medical College
Philadelphia, Pennsylvania Hospital for Special Surgery
New York, New York
ALBERT O. GEE, MD
Instructor JULIA A. KENNISTON, MD
Department of Orthopaedic Surgery Instructor
Hospital of the University of Pennsylvania Department of Orthopaedic Surgery
Philadelphia, Pennsylvania Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania
DAVID L. GLASER, MD
Assistant Professor SAFDAR N. KHAN, MD
Department of Orthopaedic Surgery Orthopaedic Resident
University of Pennsylvania School of Medicine; Department of Orthopaedic Surgery
Chief University of California at Davis
Shoulder and Elbow Service Sacramento, California
Penn Presbyterian Medical Center
Philadelphia, Pennsylvania ERIC O. KLINEBERG, MD
Assistant Professor
R. BRUCE HEPPENSTALL, MD, BSC, MA
Department of Orthopaedic Surgery
(HON.) University of California at Davis;
Professor and Vice Chair for Clinical Affairs Assistant Professor
Department of Orthopaedic Surgery Department of Orthopaedic Surgery
University of Pennsylvania School of Medicine; University of California at Davis Medical Center
Department of Orthopaedic Surgery Sacramento, California
Hospital of the University of Pennsylvania;
Department of Orthopaedic Surgery ANDREW F. KUNTZ, MD
Pennsylvania Hospital Instructor
Philadelphia, Pennsylvania Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania
B. DAVID HORN, MD Philadelphia, Pennsylvania
Assistant Professor
Department of Orthopaedic Surgery J. TODD R. LAWRENCE, MD, PHD
University of Pennsylvania School of Medicine; Instructor
Assistant Surgeon Department of Orthopaedic Surgery
Department of Orthopaedic Surgery Hospital of the University of Pennsylvania
The Children’s Hospital of Philadelphia Philadelphia, Pennsylvania
Philadelphia, Pennsylvania
Contributors ix
JESS H. LONNER, MD DAVID I. PEDOWITZ, MD, MS
Director of Knee Replacement Surgery Instructor
Booth Bartolozzi Balderston Orthopaedics Department of Orthopaedic Surgery
Pennsylvania Hospital; Hospital of the University of Pennsylvania
Medical Director Philadelphia, Pennsylvania
Philadelphia Center for Minimally Invasive Knee
Surgery STEPHAN G. PILL, MD, MSPT
Philadelphia, Pennsylvania Instructor
Department of Orthopaedic Surgery
JONAS L. MATZON, MD Hospital of the University of Pennsylvania
Instructor Philadelphia, Pennsylvania
Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania MATTHEW L. RAMSEY, MD
Philadelphia, Pennsylvania Associate Professor
Department of Orthopaedic Surgery
SAMIR MEHTA, MD Thomas Jefferson University;
Assistant Professor Shoulder and Elbow Service
Department of Orthopaedic Surgery Rothman Institute
University of Pennsylvania School of Medicine; Philadelphia, Pennsylvania
Chief, Orthopaedic Trauma Service
Department of Orthopaedic Surgery SUDHEER REDDY, MD
Hospital of the University of Pennsylvania Instructor
Philadelphia, Pennsylvania Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania
J. STUART MELVIN, MD Philadelphia, Pennsylvania
Instructor
Department of Orthopaedic Surgery ERIC T. RICCHETTI, MD
Hospital of the University of Pennsylvania Instructor
Philadelphia, Pennsylvania Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania
SAMEER NAGDA, MD Philadelphia, Pennsylvania
Attending Orthopaedic Surgeon
Anderson Orthopaedic Clinic SCOTT A. RUSHTON, MD
Arlington, Virginia Assistant Clinical Professor
Department of Orthopaedic Surgery
CHARLES L. NELSON, MD University of Pennsylvania School of Medicine;
Associate Professor Director
Department of Orthopaedic Surgery Pennsylvania Hospital Spinal Reconstructive Fellowship
University of Pennsylvania School of Medicine Pennsylvania Hospital
Philadelphia, Pennsylvania Philadelphia, Pennsylvania;
Medical Director
ENYI OKEREKE, PHARMD, MD Center for Spinal Disorders
Associate Professor Lankenau Hospital
Chief, Foot and Ankle Division Wynnewood, Pennsylvania
Department of Orthopaedic Surgery
University of Pennsylvania School of Medicine WUDBHAV N. SANKAR, MD
Philadelphia, Pennsylvania Instructor
Department of Orthopaedic Surgery
NIRAV K. PANDYA, MD Hospital of the University of Pennsylvania
Instructor Philadelphia, Pennsylvania
Department of Orthopaedic Surgery
Hospital of the University of Pennsylvania BRIAN J. SENNETT, MD
Philadelphia, Pennsylvania Assistant Professor
Department of Orthopaedic Surgery
Penn Sports Medicine Center
Philadelphia, Pennsylvania