Current Orthopaedics (1997) 11, 288-291 © 1997 Harcourt Brace & Co Ltd
Book Reviews
indications are stretched and a reference text most required, the vital information at the periphery of current practice is not forthcoming.
The Science and Practice of Intramedullary Nailing 2nd Ed. Bruce D Browner, Williams & Wilkins 1996 ISBN 0-683-01123-5
374 pages
Price £120.00 D. LIMB
Almost a decade of experience has rendered the first edition of this book outdated. The author has enlisted the help of 35 contributors to summarise the current status of intramedullary nailing in orthopaedic practice. It will not surprise many readers that in parts this edition is already lagging behind new developments. The book begins with a section on the conceptual basis of nailing covering the history, biology and biomechanics of intramedullary devices. It is a good summary, though the essential information is available in more general texts. The Hanover group have contributed a chapter on pulmonary complications which probably represents the most topical research area covered in the text, though by its very nature this chapter is the one which will become obsolete most rapidly. The emphasis throughout is placed on nailing procedures and it is interesting that in the chapter on pulmonary complications the only alternative mentioned in relation to femoral shaft management in the polytraumatised patient is external fixation of the femur. Subsequent sections cover the proximal femul, middle and distal femur, tibia, upper extremity and special techniques. For each region the main types of device available are discussed and the format is clear and useful. The design rationale is discussed, the indications, surgical technique and postoperative management are described and there are occasionally useful sections on tips and pitfalls. Each is then illustrated with appropriate clinical cases. There is some repetition, unfortunately, with further unnecessary discussion of pulmonary complications in the section on femoral fractures. The section on special techniques seems to concentrate on the areas of interest of a selected group of authors rather than a discussion of the range of techniques available. Chapters cover, for instance, the application of reamed nails in femoral nonunions, intramedullary femoral lengthening and the self guiding nail. About half of this section would have been better included in a discussion of available techniques in a more general context. Overall, the book forms an interesting atlas of many techniques available in intramedullary nailing but is not as complete as one would hope. Many British trainees will probably find themselves working at times with femoral nails which are a generation ahead of what is described in this book and when the
Master Techniques in Orthopaedic Surgery Reconstructive Knee Surgery Editor: Douglas W. Jackson MD, Raven Press 1995 ISBN 07817 0031 0
316 pages
Price £188.00
At £188 this volume from the Master Techniques series is unlikely to be bought by all trainees. It is, however, a superb volume from this well-established series. As with other volumes in the Master Techniques series, the authors are mainly from North America who have been selected for their up-to-date knowledge and surgical technique. The illustrative quality is superb throughout the text. For the trainee the sections on meniscal surgery and anterior/posterior cruciate ligament reconstruction will be particularly interesting and informative, with excellent line drawings and arthroscopic images. For the more experienced trainee and established knee surgeon the chapters on posterolateral deficiency, knee dislocations and tibial osteotomy in ligament deficient knees will all be of great interest. As with other volumes in the series, I am sure this text should be part of any training establishment's library. Trainees and trainers with a particular interest in knee surgery will probably consider buying this for their own office. D.A. MACDONALD
Reconstructive Surgery of the Joints - 2nd Ed. Edited by Bernard F Morrey. Churchill Livingstone, 1996 ISBN 0-443-08982-5
871 pages
Price £250.00
In case the reader is wondering how the first edition of this book passed them by unnoticed, that edition was entitled Joint Replacement Arthroplasty and was published in 1991. It has grown in the interim to encompass all reconstructive options and is therefore a significantly weightier tome. The ninety-seven contributors, excepting some of those writing on basic science, are drawn from the staff of the Mayo clinic
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