LEADER 11141nam 2200577 450 001 9910510564703321 005 20221026112233.0 010 $a3-030-81776-8 035 $a(MiAaPQ)EBC6819208 035 $a(Au-PeEL)EBL6819208 035 $a(CKB)19956524300041 035 $a(OCoLC)1287129669 035 $a(PPN)258841532 035 $a(EXLCZ)9919956524300041 100 $a20220820d2021 uy 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aKnee fractures /$fMarc Hanschen, Peter Biberthaler, James P. Waddell, editors 210 1$aCham, Switzerland :$cSpringer,$d[2021] 210 4$d©2021 215 $a1 online resource (293 pages) 225 1 $aStrategies in Fracture Treatments 311 08$aPrint version: Hanschen, Marc Knee Fractures Cham : Springer International Publishing AG,c2021 9783030817756 327 $aIntro -- Contents -- List of Editors -- List of Authors -- 1: Anatomy of the Knee -- 1.1 Anatomy of the Distal Femur -- 1.2 Anatomy of the Proximal Tibia -- 1.3 Anatomy of the Patella -- 1.4 Cartilage, Ligaments, Meniscus and Capsule of the Knee -- 1.4.1 Cartilage -- 1.4.2 Ligaments -- 1.4.2.1 Collateral Ligaments -- 1.4.2.2 Cruciate Ligaments -- 1.4.3 Meniscus -- 1.4.4 Capsule -- 1.5 Muscles, Nerves and Vessels of the Knee -- 1.5.1 Muscles -- 1.5.2 Vessels -- 1.5.3 Nerves -- 1.6 Functional Anatomy of the Knee -- References -- 2: Imaging Following Knee Injury -- 2.1 Plain Imaging -- 2.1.1 Introduction -- 2.1.2 Technique -- 2.1.2.1 Standard Views -- Knee Anteroposterior (AP) View -- Knee Lateral -- 2.1.2.2 Additionals -- Patella Axial View -- Tunnel View -- Oblique (Internal or External Rotation) -- 2.1.3 Examples and Catches to Avoid -- 2.2 Special Imaging -- 2.2.1 Introduction -- 2.2.2 Imaging Modalities -- 2.2.2.1 Computed Tomography (CT) -- 2.2.2.2 Magnetic Resonance Imaging (MRI) -- 2.2.2.3 Ultrasound -- 2.2.2.4 Arthrography -- 2.2.3 Summary -- References -- 3: Epidemiology and Classification of Distal Femur Fractures -- 3.1 Epidemiology of Distal Femur Fractures -- 3.1.1 Distal Femur Fractures in the Elderly and Super-Elderly -- 3.1.2 Distal Femur Fractures in the Younger Adult Population -- 3.1.3 Pediatric Distal Femur Fractures -- 3.2 Classification -- 3.2.1 Classification of Fracture Pattern -- 3.2.1.1 Neer Classification -- 3.2.1.2 Seinsheimer Classification -- 3.2.1.3 AO/OTA Classification of Distal Femur Fractures -- 3.2.2 Classification of Soft Tissue Damage -- 3.2.2.1 Tscherne and Oestern Classification -- 3.2.2.2 Gustilo and Anderson Classification -- 3.2.3 Classification of Periprosthetic Fractures -- 3.2.3.1 Rorabeck Classification -- 3.2.3.2 Unified Classification System. 327 $a3.2.4 Classification of Pediatric Fractures -- 3.2.4.1 Salter-Harris Classification for Distal Femoral Epiphyseal Fractures -- 3.2.4.2 AO Pediatric Comprehensive Classification of Long-Bone Fractures -- 3.3 Concomitant Injuries in High-Energy Trauma -- 3.3.1 Ipsilateral Injuries -- 3.3.2 Injuries in Other Body Regions -- References -- 4: Preoperative Planning in Distal Femur Fractures -- 4.1 Conservative Versus Surgical Treatment -- 4.1.1 Periprosthetic Fractures of the Distal Femur -- 4.2 Timing of Surgical Treatment -- 4.3 Preoperative Planning -- 4.3.1 Planning for Intramedullary Nailing of Distal Femoral Fractures -- 4.3.2 Planning for Intramedullary Nailing of Periprosthetic Distal Femoral Fractures -- 4.3.3 Planning for Internal Fixation of Distal Femoral Fractures -- 4.3.4 Planning for Internal Fixation of Periprosthetic Distal Femoral Fractures -- 4.3.5 Planning for Revision Arthroplasty of Periprosthetic Distal Femoral Fractures -- References -- 5: External Fixation of Distal Femur Fractures -- 5.1 Indications -- 5.2 Surgical Approach -- 5.2.1 Site of Placement of Schanz Screws -- 5.2.2 Angle of Placement -- 5.2.3 Plane of Placement -- 5.3 Case 'External Fixation of Distal Femur Fractures' -- References -- 6: Nail Osteosynthesis of Distal Femur Fractures -- 6.1 Introduction -- 6.2 Indications -- 6.3 Antegrade vs Retrograde Nailing -- 6.4 Retrograde Nailing Versus Locked Plating of Distal Femur Fractures -- 6.5 Surgical Approaches and Reduction Techniques -- 6.5.1 Reduction and Nail Insertion (Extra-articular Fractures) -- 6.5.2 Reduction and Nail Insertion (Intra-articular Fractures) -- 6.6 Postoperative Treatment -- 6.7 Conclusions -- References -- 7: Plate and Screw Osteosynthesis of Distal Femur Fractures -- 7.1 Indications for Plate and Screw Fixation of Distal Femur Fractures. 327 $a7.2 Choice of Implants for the Plate and Screw Fixation of Distal Femur Fractures -- 7.2.1 Conventional Plate Fixation -- 7.2.2 Fixed-Angle Plate Fixation -- 7.2.3 Locked Plate Fixation -- 7.3 Surgical Approaches to the Distal Femur for Plate and Screw Fixation -- 7.3.1 Lateral Approach -- 7.3.2 Medial Approach -- 7.3.3 Posterior Approach -- 7.4 Postoperative Course and Follow-Up After Plate and Screw Fixation of Distal Femur Fractures -- 7.5 Clinical Case: Plate and Screw Fixation of a Distal Femur Fracture -- References -- 8: Epidemiology and Classification of Proximal Tibia Fractures -- 8.1 Introduction -- 8.2 Epidemiology of Proximal Tibia Fractures -- 8.3 Patterns and Classification of Proximal Tibia Fractures -- 8.3.1 Schatzker Classification [Ref. 9 and Fig. 8.1] -- 8.3.2 AO/OTA Classification [Ref. 10 and Fig. 8.2] -- 8.3.3 The Three-Column Classification [Ref. 11, 12 and Fig. 8.3] -- 8.4 Concomitant Injuries and Classification of Open Fractures of the Proximal Tibia -- 8.4.1 Concomitant Injuries -- 8.4.2 Classification of Open Fractures of the Proximal Tibia -- 8.4.2.1 Take-Home Message -- References -- 9: Preoperative Planning in Proximal Tibia Fractures -- 9.1 Conservative Versus Surgical Treatment -- 9.2 Timing of Surgical Treatment -- 9.3 Pre- and Perioperative Procedure -- References -- 10: External Fixation of Proximal Tibia Fractures -- 10.1 Indications -- 10.2 Surgical Approach -- 10.2.1 Fixateur Externe -- 10.2.2 Hybrid Fixator -- 10.2.3 Motion Fixator -- 10.2.4 Ring Fixator -- 10.3 Case: External Fixation of Proximal Tibia Fractures -- References -- 11: Nail Osteosynthesis of Proximal Tibia Fractures -- 11.1 Indications -- 11.2 Surgical Approach -- 11.2.1 Preoperative Planning, Equipment, and Patient Positioning -- 11.2.2 Approach and Nail Entry Point -- 11.2.3 Fracture Reduction. 327 $a11.2.4 Reaming Process -- 11.2.5 Additional Fixation Tools -- 11.3 Subsequent Treatment and Follow-Up -- 11.4 Case: Reamed Intramedullary Nailing of Proximal Tibia Fractures (Figs. 11.1, 11.2 and 11.3) -- References -- 12: Plate and Screw Osteosynthesis of Proximal Tibia Fractures -- 12.1 Principal Considerations -- 12.2 Therapeutic Plan -- 12.3 Approaches -- 12.4 Placement -- 12.5 Reduction -- 12.6 Conclusion -- References -- 13: Epidemiology and Classification of Patella Fractures -- 13.1 Anatomy and Biomechanics -- 13.2 Etiology and Epidemiology of Patella Fractures -- 13.3 Fracture Patterns and Classification of Patella Fractures -- 13.4 Concomitant Injuries and Open Fractures of the Patella -- References -- 14: Preoperative Planning in Patella Fractures -- 14.1 Conservative Versus Surgical Treatment -- 14.2 Timing of Surgical Treatment -- 14.3 Preoperative Planning -- References -- 15: Wire, Screw and Plate Osteosynthesis of Patella Fractures -- 15.1 Introduction -- 15.2 Surgical Approach -- 15.3 Osteosynthesis Procedures -- 15.3.1 K-Wires and Tension Wiring -- 15.3.2 Screw Osteosynthesis -- 15.3.3 Plate Osteosynthesis -- 15.4 Augmentation Techniques -- 15.4.1 Alternative Materials for Cerclages and Tension Wiring -- 15.5 Partial Patellectomy and Total Patellectomy -- 15.6 Therapeutic Algorithm -- 15.7 Aftercare -- 15.8 Case Reports -- 15.8.1 Case 1 -- 15.8.2 Case 2 -- References -- 16: Periprosthetic Fractures Around the Knee -- 16.1 Epidemiology -- 16.2 Clinical Work-Up Following Periprosthetic Fractures Around the Knee -- 16.3 Classification of Periprosthetic Fractures Around the Knee -- 16.4 Therapy of Periprosthetic Fractures of the Distal Femur -- 16.5 Therapy of Periprosthetic Fractures of the Proximal Tibia -- 16.6 Therapy of Periprosthetic Fractures of the Patella. 327 $a16.7 Risk Factors for Failure of Osteosynthesis Following Periprosthetic Fractures Around the Knee -- 16.8 Case Report -- References -- 17: Floating Knee -- 17.1 Introduction -- 17.2 Epidemiology -- 17.3 Classification -- 17.4 Outcome Measures -- 17.5 Emergency Management -- 17.6 Definitive Surgical Management -- 17.7 Fraser Type 1: Ipsilateral Femoral and Tibial Shaft Fractures -- 17.8 Fraser Type II (a-c): Intra-articular Fracture Patterns -- 17.9 Associated Intra-articular Soft Tissue Injuries -- 17.10 Predictors of Outcome -- 17.11 Case Study 1 -- 17.12 Case Study 2 -- 17.13 Conclusion -- References -- 18: Infected Nonunions Around the Knee -- 18.1 Evaluation of the Problem -- 18.1.1 Introduction -- 18.1.2 Risk Factors and Epidemiology of Infected Nonunion -- 18.1.3 Patient Factors -- 18.1.4 Pathophysiology of Fracture-Related Infection -- 18.1.5 Duration of Infection -- 18.2 Preoperative Planning -- 18.2.1 Diagnosis -- 18.2.2 Clinical Presentation -- 18.2.3 Laboratory Tests -- 18.2.4 Imaging -- 18.2.4.1 Plain Radiographs -- 18.2.4.2 Ultrasonography -- 18.2.4.3 Computer Tomography -- 18.2.4.4 Magnetic Resonance Imaging -- 18.2.4.5 Nuclear Imaging -- 18.2.5 Microbiological and Histological Diagnosis -- 18.2.6 Classification of Infected Nonunion -- 18.3 Infection and Reconstruction Management -- 18.3.1 General Principles of Management -- 18.3.2 Particular Challenges Faced in Infected Nonunion Around the Knee -- 18.3.3 Timing of Surgery in Established Infected Nonunion -- 18.3.4 Principles of Surgical Management of Infected Nonunion -- 18.3.4.1 Microbiological Sampling -- 18.3.4.2 Debridement -- 18.3.4.3 Dead Space Management -- 18.3.4.4 Stability -- External Fixation -- Internal Fixation -- 18.3.4.5 Soft-Tissue Cover -- 18.3.4.6 Systemic Antibiotic Therapy. 327 $a18.3.5 Specific Surgical Techniques for Managing Bone Defects in Infected Nonunion. 410 0$aStrategies in fracture treatments. 606 $aKnee$xFractures 606 $aFractures$2thub 606 $aMalalties del genoll$2thub 608 $aLlibres electrònics$2thub 615 0$aKnee$xFractures. 615 7$aFractures 615 7$aMalalties del genoll 676 $a617.582 702 $aHanschen$b Marc 702 $aBiberthaler$b Peter 702 $aWaddell$b J. 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