BOOK REVIEW
Orthopaedic Basic Science 4th Edition
very popular examination topics such as tribology including modes and mechanisms of wear etc. It is particularly disappointing that only the kinesiology of the knee is covered (in its own chapter) with no mention of the kinesiology of other joints. There is no chapter on orthoses or orthotic materials; another popular examination topic that many find difficult. The illustrations throughout are good and this makes chapters such as Form and Function of Articular cartilage, Form and Function of Bone, and Bone Metabolism easy to follow. Overall this book will make very interesting and enjoyable reading for both trainees and established consultants and will clear up many confusions, particularly those topics covered in the new Clinical Science section. When compared with the previous editions the new chapters are very interesting but they have been introduced to the detriment of some of the established chapters, where the topics were covered in more detail in previous editions. Overall this edition is an improvement on previous editions, but with some reservations. For trainees in the UK there are other Basic Science sources that are more closely aligned to the syllabus of the FRCS (Tr & Orth) examination and although this book will be extremely useful for anyone revising for the examination it is recommended that it would be best used in conjunction with another source to ensure adequate coverage of the syllabus. A
J O’Keefe, et al., 4th edn. Published by: American Academy of Orthopaedic Surgeons, 2013, ISBN 9780892038435. Price: $279, pages: 544
Orthopaedic Basic Science has now been released in its fourth edition. Compared with the third edition there are some new chapters; Tissue Engineering, Immunology in Orthopaedics, and Bone Biology & Engineering. There is also an entirely new section entitled “Clinical Science”, which deals with many of the topics generally grouped together as “statistics” and which many Orthopaedic surgeons find difficult to understand. The chapters in the Clinical Science section are easy to read and cover most, if not all, the basic concepts and terms that are likely to be encountered when reading the Orthopaedic literature or when setting up a research project, including topics such as Bias (there is an entire chapter devoted to this), confidence intervals vs Pvalues, positive and negative predictive values, and systematic reviews and meta-analyses (a whole chapter explaining how these are performed). Some relatively more complex topics such as Bayesian statistics; Stochastic Simulation Analysis; CostEffectiveness, Cost-Utility and Cost-Benefit analyses; Markov modelling and Monte Carlo simulation are explained briefly and understandably. Many will find the chapter on Decision analysis both interesting and useful in their practice. In order to make room for the new chapters and section a number of the other chapters are brief and cover some of the topics only superficially or not at all. The chapter on Biomechanics of Musculoskeletal Tissues only deals very briefly with a number of topics, including free body diagrams, a topic that many trainees find very difficult to understand. The chapter on Biomaterials is also very brief, not covering in detail a number of
ORTHOPAEDICS AND TRAUMA 28:3
K Sherman
FRCS MEd PhD
Consultant Orthopaedic Surgeon, Hull Royal Infirmary, Hull, UK
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