The book is structured similarly to the structure of orthopedic surgery. Natural subspecialization has occurred in orthopedic surgery over the years, which has resulted in some overlap in anatomic areas. This has resulted in the book having some overlap and some artificial division of subjects. Because of the primarily subspecialization structure, the reader is encouraged to read entire chapters or, for more discrete topics, go directly to the index for information. For example, the house officer rotating on the pediatric orthopedic service would find reading the pediatric chapter to be a prudent method of developing a baseline knowledge in pediatric orthopedic surgery. Knee problems, however, might be best approached by looking in the sports medicine chapter or in the adult reconstruction chapter, since these areas overlap, mostly in age of patient.
The first chapter introduces aspects of interest in the perioperative care of the orthopedic patient, including social aspects of the patient-physician relationship, and is an outgrowth of the importance of outcomes in orthopedics. Management of orthopedic problems arising from trauma is covered in Chapter 2. New to this edition, because the field of sports medicine has grown so large, we have split this topic into two chapters: Chapters 3 focuses on the upper extremity and Chapter 4 on the lower extremity. Chapter 5 covers all aspects of spine surgery, including infection of the spine, degenerative spinal problems, spinal deformity, and spinal trauma.
Chapter 6 provides comprehensive coverage of tumors in orthopedic surgery, including benign and malignant soft-tissue and hard-tissue tumors. Also new to this edition, because there is so much more information, Chapter 7 on arthritis and joint preservation surgery has been split off from Chapter 8 on adult joint reconstruction. In Chapter 9, infections, with their special implications for orthopedic surgery, are covered. Chapter 10 discusses foot and ankle surgery, and Chapter 11, hand surgery. Chapter 12 covers diseases in orthopedics unique to children. The final chapter, Chapter 13, deals with amputation and all aspects of rehabilitation fundamental to orthopedic surgeons in returning patients to full function.