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Allografts in orthopaedic practice
210
BOOK
REVIEWS
The Hip
Ed R. A. Balderston. Philadelphia. 1991 538 pages
ISBN 08121 1302 0
Lea & Febiger.
imaging and therapeutic techniques but. unfortunately. the occasional anachronism can still be found particularly with respect to operative fracture treatment along the guidelines of the A0
996.00
This book is written by a number of very experienced authors from Jefferson University and Pennsylvania Hospital, Philadelphia. It includes sections on basic sciences. paediatrics. trauma. clinical syndromes. surgical techniques and total hip surgery. 1found the whole book very intense. The basic science section is packed with facts and densely written. It supports strongly the North American enthusiasm for rigid fixation at all interfaces and Indeed omits to mention the important work from Exeter in this country on the controversy about the strengths of the cementprosthesis interface. The following sections are more readable. However. there is an abundance of information throughout which made identification of hey points difficult. There is a tendency for all the literature on one topic to be included and to virtually neglect others. It is extraordinary that a text designed ‘to provide a comprehenslve approach to problem solving for the hip surgeon‘ dedicates no more than one or two paragraphs to deep vein thrombosis and its prevention. while allocating seven pages to the Smith-Peterson cup arthroplast~. Furthermore I found references difficult to find throughout the book. The page numbers have been placed adjacent to the page bindings which makes rapid page identification impossible. As a useful reference source book in a library this book probably has a place. I do not feel it will simplify problem solving for the resident about to sit his/her board examinations. M. H. STONE
Disorders of Bone and Mineral Metabolism Frederic
L. Coe,
Murray
J. Favus.
Raven
Press. New
York 1997 ISBN 0 88167 794 3
1136 pages
Price $244.00
The prospect of reviewing this multi-author tome of 1136 pages was initially somewhat daunting. Despite this, the text is laid out lnio seven sections. each sub-divided Into chapters which make it relatively easy to find the pertinent topic whoever the reader may be--mineral metabolic physiclan. pediatrician, urologist. endocrinologist or orthopaedic surgeon. Like most multi-author text books. content is often guilty of tautology and suffers at times from quite annoying variations in format; for example in one chapter serum mineral concentrations are quoted as milligrams per decilitrc whilst further on the style resorts to perhaps the more conventional nomenclature (certainly for the European readership) of millimoles per litre. One problem with a book such as this, aimed at a multidisciplinary readership, is that it is often dificult to see the wood for the trees. Certainly lack of content or attention to the recent literature is not a criticism that could be aimed at this book. As an example. the section index under Calcium Oxalate Crystalisation InhibItor contained sub-indexes of a variety of arcane topics such as fish anti-freeze protein! It cannot be said, therefore, that this book should represent core reading for the orthopaedic trainee but undoubtedly it would form an invaluable source of reference for hoth the day-to-day and the more esoteric problems that might befall the average orthopaedic clinician. I suspect it will find its real Irole in the departmental if not the university library. P. MILLNER
Outline of Fractures John Crawford Adams. Livingstone, Edinburgh ISBN 0 443 04371 X
David L. Hamblen. 199 I
340 pages
Outline qfOrf/lopaedics remain firmly on the undergraduate reading list. It has been updated to include innovations in diagnostic
Churchill
Price f15.50
Now in the 10th edition and including Professor David Hamblrn as ;I new co-author. O~tlinc, of‘ Frrrc~/ure.v and its companion volume
foundation. For instance, although a good deal of discussion is given to both closed and open intramedullary nailing little mention IS made of the vast increases in the indications for closed interlocking nailing particularly in the metaphyseal regions of long bones. Despite these minor criticisms. this texl conlams much to recommend it to the undergraduate and pl-e-fellowship orthopaedic trainee. After a general discussion of fracture biology. pathology and radiology the regional approach to traumatic orthopaedics with clear line drawings and excellent photographic reproduction of X-rdyS makes for an easy. if not occasionally simplistic read. Essentially. this is a text aimed at the undergraduate population rather than the post-graduate orthopaedic trainee although it may prove to be a useful source of information for further reading for the pre-fellowship candidate. P. MILL\EK
Knee Meniscus Basic and Clinical Foundations Edited by Van C. Mow. Steven P. Arnoczky. Douglas Jackson. Raven Press, New York, 1992 ISBN 0 88167 895 3
204 pages
W.
Price $111.50
The meniscus has come a long way from Its status at the end of the last century. Then described as ‘the functionless remains of leg muscle ‘. it has graduated through a period as the ‘orthopaedic spleen‘ (‘while we are here, whip it out’), to having an entire textbook dedicated to it. As our understanding of biomechanics has improved. so the importance of this bit of gristle in normal knee mechanics has become increasingly plain. This excellent booh covers the full span of our knowledge of menisci, from basic structure and biomechanics. to the biology of healing and repair and includes up-to-date chapters on the exciting prospects of prosthetic meniscal replacement and meniscal allografting. The only detracting feature is the repeating of the basic facts about menisci. at the beginning of almost every chapter. This could surely have been avoided with some tighter editing of the multiple authors. However. for the orthopaedic trainee with an interest in knees this 1s a minor distraction. and the book is well worth a read. S. BOLLEN
.4llografts in Orthopaedic Practice Edited by Andrei A. Czitrom, Allan E. Gross. Williams Wilkins, Baltimore 1992 ISBN 0 683 02300 4
222 pages
&
Price E58.00
This elegant text on allografting reflects an exciting and expanding field in orthopaedic and trauma surgery. The IO chapters arc all clearly written and illustrated with simple drawings and excellent radiographs. The authors are all experts and have been well chosen by the editors, the North American slant is not surprising, and in this field is justified. There is something in this book for all trainees. Ranging from chapters on the biology of allografts to bone grafting in joint replacement, trauma and tumour surgery, through to an excellent rCsumt; of the current state of soft tissue allografting around the knee. This text represents the current state of the art. The area of allografting will be expandmg. It behoves all trainees to be aware of the present indications and limits of allografting, not only for success in speciality examination but for their future practice. I recommend that this text is available in all institutions training orthopaedic surgeons and could be usefully read by more senior surgeons to make them aware of how reconstructive surgery has advanced in recent years. DAvu> A. MACWVALI> I.K(‘S
BOOK
REVIEWS
The Hip
Ed R. A. Balderston. Philadelphia. 1991 538 pages
ISBN 08121 1302 0
Lea & Febiger.
imaging and therapeutic techniques but. unfortunately. the occasional anachronism can still be found particularly with respect to operative fracture treatment along the guidelines of the A0
996.00
This book is written by a number of very experienced authors from Jefferson University and Pennsylvania Hospital, Philadelphia. It includes sections on basic sciences. paediatrics. trauma. clinical syndromes. surgical techniques and total hip surgery. 1found the whole book very intense. The basic science section is packed with facts and densely written. It supports strongly the North American enthusiasm for rigid fixation at all interfaces and Indeed omits to mention the important work from Exeter in this country on the controversy about the strengths of the cementprosthesis interface. The following sections are more readable. However. there is an abundance of information throughout which made identification of hey points difficult. There is a tendency for all the literature on one topic to be included and to virtually neglect others. It is extraordinary that a text designed ‘to provide a comprehenslve approach to problem solving for the hip surgeon‘ dedicates no more than one or two paragraphs to deep vein thrombosis and its prevention. while allocating seven pages to the Smith-Peterson cup arthroplast~. Furthermore I found references difficult to find throughout the book. The page numbers have been placed adjacent to the page bindings which makes rapid page identification impossible. As a useful reference source book in a library this book probably has a place. I do not feel it will simplify problem solving for the resident about to sit his/her board examinations. M. H. STONE
Disorders of Bone and Mineral Metabolism Frederic
L. Coe,
Murray
J. Favus.
Raven
Press. New
York 1997 ISBN 0 88167 794 3
1136 pages
Price $244.00
The prospect of reviewing this multi-author tome of 1136 pages was initially somewhat daunting. Despite this, the text is laid out lnio seven sections. each sub-divided Into chapters which make it relatively easy to find the pertinent topic whoever the reader may be--mineral metabolic physiclan. pediatrician, urologist. endocrinologist or orthopaedic surgeon. Like most multi-author text books. content is often guilty of tautology and suffers at times from quite annoying variations in format; for example in one chapter serum mineral concentrations are quoted as milligrams per decilitrc whilst further on the style resorts to perhaps the more conventional nomenclature (certainly for the European readership) of millimoles per litre. One problem with a book such as this, aimed at a multidisciplinary readership, is that it is often dificult to see the wood for the trees. Certainly lack of content or attention to the recent literature is not a criticism that could be aimed at this book. As an example. the section index under Calcium Oxalate Crystalisation InhibItor contained sub-indexes of a variety of arcane topics such as fish anti-freeze protein! It cannot be said, therefore, that this book should represent core reading for the orthopaedic trainee but undoubtedly it would form an invaluable source of reference for hoth the day-to-day and the more esoteric problems that might befall the average orthopaedic clinician. I suspect it will find its real Irole in the departmental if not the university library. P. MILLNER
Outline of Fractures John Crawford Adams. Livingstone, Edinburgh ISBN 0 443 04371 X
David L. Hamblen. 199 I
340 pages
Outline qfOrf/lopaedics remain firmly on the undergraduate reading list. It has been updated to include innovations in diagnostic
Churchill
Price f15.50
Now in the 10th edition and including Professor David Hamblrn as ;I new co-author. O~tlinc, of‘ Frrrc~/ure.v and its companion volume
foundation. For instance, although a good deal of discussion is given to both closed and open intramedullary nailing little mention IS made of the vast increases in the indications for closed interlocking nailing particularly in the metaphyseal regions of long bones. Despite these minor criticisms. this texl conlams much to recommend it to the undergraduate and pl-e-fellowship orthopaedic trainee. After a general discussion of fracture biology. pathology and radiology the regional approach to traumatic orthopaedics with clear line drawings and excellent photographic reproduction of X-rdyS makes for an easy. if not occasionally simplistic read. Essentially. this is a text aimed at the undergraduate population rather than the post-graduate orthopaedic trainee although it may prove to be a useful source of information for further reading for the pre-fellowship candidate. P. MILL\EK
Knee Meniscus Basic and Clinical Foundations Edited by Van C. Mow. Steven P. Arnoczky. Douglas Jackson. Raven Press, New York, 1992 ISBN 0 88167 895 3
204 pages
W.
Price $111.50
The meniscus has come a long way from Its status at the end of the last century. Then described as ‘the functionless remains of leg muscle ‘. it has graduated through a period as the ‘orthopaedic spleen‘ (‘while we are here, whip it out’), to having an entire textbook dedicated to it. As our understanding of biomechanics has improved. so the importance of this bit of gristle in normal knee mechanics has become increasingly plain. This excellent booh covers the full span of our knowledge of menisci, from basic structure and biomechanics. to the biology of healing and repair and includes up-to-date chapters on the exciting prospects of prosthetic meniscal replacement and meniscal allografting. The only detracting feature is the repeating of the basic facts about menisci. at the beginning of almost every chapter. This could surely have been avoided with some tighter editing of the multiple authors. However. for the orthopaedic trainee with an interest in knees this 1s a minor distraction. and the book is well worth a read. S. BOLLEN
.4llografts in Orthopaedic Practice Edited by Andrei A. Czitrom, Allan E. Gross. Williams Wilkins, Baltimore 1992 ISBN 0 683 02300 4
222 pages
&
Price E58.00
This elegant text on allografting reflects an exciting and expanding field in orthopaedic and trauma surgery. The IO chapters arc all clearly written and illustrated with simple drawings and excellent radiographs. The authors are all experts and have been well chosen by the editors, the North American slant is not surprising, and in this field is justified. There is something in this book for all trainees. Ranging from chapters on the biology of allografts to bone grafting in joint replacement, trauma and tumour surgery, through to an excellent rCsumt; of the current state of soft tissue allografting around the knee. This text represents the current state of the art. The area of allografting will be expandmg. It behoves all trainees to be aware of the present indications and limits of allografting, not only for success in speciality examination but for their future practice. I recommend that this text is available in all institutions training orthopaedic surgeons and could be usefully read by more senior surgeons to make them aware of how reconstructive surgery has advanced in recent years. DAvu> A. MACWVALI> I.K(‘S