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Operative Techniques in Orthopaedic Trauma Surgery

Edited by S. W. Wiesel, P. Tornetta III, G. R. Williams, M. L. Ramsey and T. R. Hunt III pp. 550 Philadelphia: Lippincott Williams & Wilkins, 2011 ISBN: 978-1-4511-0260-4

The book is aimed as a technical manual for the majority of orthopaedic trauma procedures, with details, tips and pitfalls presented visually. In this regard it succeeds.

Regionally arranged chapters are specifically edited to present the current breadth of operative options performed safely. This must have been a huge task but is well worth the effort.

Each chapter includes a summary of the relevant surgical anatomy, epidemiology, classifications and synopses of non-operative management. A very useful ‘Outcomes and complications’ brief is also included.

Treatment of non- and malunion of common upper limb fractures is very useful. Instead of a summary, similar in-depth discussion on principles of managing severe infections and nonunions of common lower limb fractures would have been helpful – if only to focus the mind on the index procedure.

Biomechanics of fracture patterns are beautifully illustrated; however I would have also liked a single separate chapter on the biomechanics of fracture implants to aid peri-operative decision making.

Problems of sub-editing, however, do become obvious. In parts the most current classification and its rationale have been included (the Jupiter subclassification of Type II Monteggia lesions) while others have included traditional but defunct classifications (such as Pauwels).

In some chapters, the outcomes summarise published studies whilst in others a balanced opinion is provided. Outcomes are bound to change, so perhaps an edited bullet summary such as nonunion or complication rate and specific problems for each injury may have read better.

For the UK trauma resident and surgeon, the absence of Paediatric Orthopaedic Trauma is glaringly obvious.

 On balance, this book achieves what it sets out to do and does it well.

A. Khaleel

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