BOOK REVIEWS
STANDARD ORTHOPAEDIC OPERATIONS, 4th Edn J. C. Adams and C. A. Stossel512pages. 610 illustrations, Churchill Livingstone, Edinburgh, 1992, ISBN O-443-043.51-5. Price g69.50 This established text for the junior surgeon has just been released in its 4th edition. Over the years its basic contents have changed little, however some valuable additions have been made to keep abreast with modern technology, fortunately without a substantial increase in size. Space has been created by an attractive lay out and employing ample use of headings and paragraph dividers which makes the chapters easily read. Lists of contents at the start of each section are helpful. The section on A0 technique is welcomed as are those on, for example, the application of the external fixator and dynamic hip screw. However, rather unfortunately, some obsolete procedures have been retained. Additional figures have been included and they continue the style of clear, uncluttered line drawings which contribute enormously to the description of the operative procedures. The “comments” paragraph at the end of each section gives a valuable contemporary critique of the procedure, its indications and complications and serves to put the operation described in a wider context. The text includes references to original papers on the procedures which enhances its resource value to the trainee. The price is not unreasonable for this comprehensive text which remains a very readable foundation resource for the trainee orthopaedic surgeon and as such is well set to rival more lengthy and ponderous works. John Dent
LE POIGNET-ANATOMIE RADIOLOGIQUE ET CHIRURGIE F. Schernherg. 232 pages. 192jgures. Masson, Paris, 1992. ISBN 2-225-82627-7. Price 390FF This book has 17 chapters. The first chapters deal with functional anatomy, clinical examination and imaging. There is a chapter on distal radial fractures, scaphoid fractures and non-unions and other carpal fractures. Separate chapters on sprains, subluxations, luxations, chondromalacia, the lax wrist and aseptic necrosis describe these conditions. The final section of the book is about arthritis, particularly osteoarthrosis, rheumatoid arthritis and periarticular pathology. The final chapter on tumours completes the coverage of the pathology and problems of the wrist. The book is laid out in a simple and easy to read fashion. The black and white diagrams are of excellent quality and are clear. The text might not be immediately understandable to those who do not speak French and this is a pity since the coverage of the conditions is extremely thorough. Although a number of classifications are very detailed and as a result lose some impact, the general presentation is refreshing, European, and presents a new view of some old subjects. The algorithms used when presenting the hi&archie des examans are excellent and clarify a number of difficult areas.
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There is a thorough discussion of techniques and although I have some disagreement in details of specific techniques I must say that this book is an exceptionally well presented treatise on the wrist. It provides at least as good a review of the wrist as Talesnik’s excellent book and is easier to read and understand. The bibliography is full and contains many of the European papers that we should be taking note of. The clever way in which North American and European views are brought together makes me think that this is a book that should be translated into English and if it were I think that it would do much to clarify some of the present muddled thinking about the wrist. John Stanley
PEDICLE FLAPS OF THE UPPER LIMB Edited by Alain Gilbert, Alain C. Masquelet and Vincent R. Hentz. 236pages. Martin Dunitz, 1992, ISBN 1-853-17 086-O. Price f49.95 This book is the English Language edition of “Les Lambeaux Arteriels du Membre Superieur” published in 1990. It draws attention to the many newly described axial pattern local and regional flaps. The list is not exhaustive and the outline is flap rather than skin defect oriented. Some chapters follow a standard textbook format while others could be viewed as reprints of previously published articles. The material is concise and clearly illustrated with line drawings and black and white photographs. The treatises of Manchot & Salmon concerning the vascularization of the skin, which remained unacknowledged for a long time, are covered by Tubiana in his chapter on historical perspectives. Chapters 2 & 3 deal with the vascularization of the skin of the upper limb and, in my opinion, could have been amalgamated into a single chapter. The scapular, parascapular, latissimus dorsi and pectoralis major flaps are described in two chapters with recommendations for their use in proximal shoulder and axillary defects. This is followed by an outline of the use of the lateral and posterior arm flaps, as pedicle flaps, for resurfacing the elbow region. The distally based forearm flaps (radial, antecubital, ulnar and posterior interosseous) and the mechanism of venous outflow are given the prominence they deserve in six chapters. The concept of raising a distally based forearm flap without sacrificing an arterial axis is illustrated in a chapter describing the so-called dorsal ulnar artery flap. Eight chapters deal with small hand flaps. This is perhaps the main attraction of this book. These include an arterialized palmar flap for first web space contractures, arterial digital, dorsal middle phalangeal, distally based homodigital and the kite flaps. A variety of flaps harvested from the skin of the thumb and the reverse flow venous flaps are also mentioned. The book is concluded by the editors with a chapter dealing with flap choice for particular skin and soft tissue defects. This book would be useful for plastic surgeons who are involved in hand surgery but hand surgeons who do little flap surgery would not be expected to find the book very useful. A.A. Quaba