Still the most widely used comprehensive resource in orthopaedic surgery, Campbell’s Operative Orthopaedics is an essential reference for trainees, a trusted clinical tool for practitioners, and the gold standard for worldwide orthopaedic practice. Unparalleled in scope and depth, this 14th Edition contains updated diagnostic images, practical guidance on when and how to perform every procedure, and rapid access to data in preparation for surgical cases or patient evaluation. Drs. Frederick M. Azar and James H. Beaty, along with other expert contributors from the world-renowned Campbell Clinic, have collaborated diligently to ensure that this 4-volume text remains a valuable resource in your practice, helping you achieve optimal outcomes with every patient.
Features evidence-based surgical coverage throughout to aid in making informed clinical choices for each patient.
Covers multiple procedures for all body regions to provide comprehensive coverage.
Keeps you up to date with even more high-quality procedural videos, a new chapter on biologics in orthopaedics, and expanded and updated content on hip arthroscopy, patellofemoral arthritis and more.
Follows a standard template for every chapter that features highlighted procedural steps, high-quality illustrations for clear visual guidance, and bulleted text.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Campbell’s Operative Orthopaedics, 14th ed. List of Techniques - p. ES1 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vii 8. Preface - p. ix 9. Videos - p. ix 10. Part I. General Principles - p. ix 11. Chapter 1. Surgical Techniques - p. 2 12. Surgical Techniques - p. 2 13. Tourniquets - p. 2 14. Radiographs in the Operating Room - p. 5 15. Preventing Mistakes - p. 6 16. Positioning of the Patient - p. 6 17. Local Preparation of the Patient - p. 7 18. Draping - p. 9 19. Prevention of Human Immunodeficiency Virus and Hepatitis Virus Transmission - p. 10 20. Reversing Prophylactic Anticoagulation Prior to Surgery - p. 10 21. Blood Loss Control During Surgery - p. 10 22. Venous Thromboembolism Prophylaxis - p. 11 23. Postoperative Pain Control - p. 11 24. Special Operative Techniques - p. 14 25. Methods of Tendon-to-Bone Fixation - p. 14 26. Fixation of Tendon to Bone - p. 14 27. Tendon Fixation into the Intramedullary Canal - p. 15 28. Tendon to Bone Fixation Using Locking Loop Suture - p. 15 29. Tendon to Bone Fixation Using Wire Suture - p. 16 30. Fixation of Osseous Attachment of Tendon to Bone - p. 17 31. Bone Grafting - p. 18 32. Removal of a Tibial Graft - p. 22 33. Removal of Fibular Grafts - p. 23 34. Removal of an Iliac Bone Graft - p. 25 35. Surgical Approaches - p. 27 36. Approach to the Interphalangeal Joints - p. 28 37. Medial Approach to the Great Toe Metatarsophalangeal Joint - p. 28 38. Dorsomedial Approach to Great Toe Metatarsophalangeal Joint - p. 29 39. Approach to the Lesser Toe Metatarsophalangeal Joints - p. 29 40. Medial Approach to the Calcaneus - p. 29 41. Lateral Approach to the Calcaneus - p. 29 42. Extended Lateral Approach to the Calcaneus - p. 29 43. Sinus Tarsi Approach - p. 31 44. U-Shaped Approach to the Calcaneus - p. 31 45. Kocher Approach (Curved L) to the Calcaneus - p. 32 46. Tarsus and Ankle - p. 32 47. Anterolateral Approach to Chopart Joint - p. 32 48. Anterior Approach to Expose the Ankle Joint and Both Malleoli - p. 33 49. Kocher Lateral Approach to the Tarsus and Ankle - p. 34 50. Ollier Approach to the Tarsus - p. 34 51. Single-Incision Posterolateral Approach to the Lateral and Posterior Malleoli - p. 35 52. Posterolateral Approach to the Ankle - p. 35 53. Anterolateral Approach to the Lateral Dome of the Talus - p. 35 54. Posterior Approach to the Ankle - p. 36 55. Medial Approach to the Tarsus - p. 37 56. Medial Approach to the Ankle - p. 37 57. Medial Approach to the Posterior Lip of the Tibia - p. 38 58. Tibia - p. 38 59. Anterolateral Approach to the Tibia - p. 39 60. Medial Approach to the Tibia - p. 39 61. Posterolateral Approach to the Tibial Shaft - p. 39 62. Anterolateral Approach to the Lateral Tibial Plateau - p. 39 63. Medial Approach to the Medial Tibial Plateau - p. 41 64. Posteromedial Approach to the Medial Tibial Plateau - p. 41 65. Posteromedial Approach (Prone) to the Superomedial Tibia - p. 42 66. Posterolateral Approach to the Tibial Plateau - p. 43 67. Posterolateral Approach to the Tibial Plateau Without Fibular Osteotomy - p. 44 68. Tscherne-Johnson Extensile Approach to the Lateral Tibial Plateau - p. 44 69. Anterolateral Approach for Access to Posterolateral Corner - p. 45 70. Posterolateral Approach to the Fibula - p. 46 71. Knee - p. 47 72. Anteromedial Parapatellar Approach - p. 47 73. Subvastus (Southern) Anteromedial Approach to the Knee - p. 47 74. Anterolateral Approach to the Knee - p. 48 75. Posterolateral Approach to the Knee - p. 49 76. Posteromedial Approach to the Knee - p. 51 77. Medial Approach to the Knee - p. 52 78. Medial Approach to the Knee - p. 53 79. Transverse Approach to the Meniscus - p. 53 80. Lateral Approach to the Knee - p. 55 81. Lateral Approach to the Knee - p. 56 82. Lateral Approach to the Knee - p. 57 83. Extensile Approach to the Knee - p. 58 84. Direct Posterior Approach to the Knee - p. 58 85. Direct Posteromedial Approach to the Knee for Tibial Plateau Fracture - p. 61 86. Direct Posterolateral Approach to the Knee - p. 62 87. Anterolateral Approach to the Femur - p. 62 88. Lateral Approach to the Femoral Shaft - p. 63 89. Posterolateral Approach to the Femoral Shaft - p. 64 90. Posterior Approach to the Femur - p. 64 91. Medial Approach to the Posterior Surface of the Femur in the Popliteal Space - p. 67 92. Lateral Approach to the Posterior Surface of the Femur in the Popliteal Space - p. 67 93. Lateral Approach to the Proximal Shaft and the Trochanteric Region - p. 68 94. Hip - p. 69 95. Anterior Iliofemoral Approach to the Hip - p. 69 96. Anterior Approach to the Hip Using a Transverse Incision - p. 71 97. Modified Anterolateral Iliofemoral Approach to the Hip - p. 71 98. Lateral Approach to the Hip - p. 73 99. Lateral Approach for Extensive Exposure of the Hip - p. 73 100. Lateral Approach to the Hip Preserving the Gluteus Medius - p. 75 101. Lateral Transgluteal Approach to the Hip - p. 75 102. Lateral Transgluteal Approach to the Hip - p. 77 103. Posterolateral Approach - p. 78 104. Posterior Approach to the Hip - p. 80 105. Posterior Approach to the Hip - p. 82 106. Medial Approach to the Hip - p. 83 107. Acetabulum and Pelvis - p. 84 108. Stoppa Approach - p. 85 109. Ilioinguinal Approach to the Acetabulum - p. 87 110. Iliofemoral Approach to the Acetabulum - p. 89 111. Kocher-Langenbeck Approach - p. 91 112. Modified Gibson Approach - p. 92 113. Extensile Iliofemoral Approach - p. 93 114. Extensile Iliofemoral Approach - p. 94 115. Triradiate Extensile Approach to the Acetabulum - p. 97 116. Extensile Approach to the Acetabulum - p. 99 117. Approach to the Ilium - p. 99 118. Approach to the Symphysis Pubis - p. 100 119. Posterior Approach to the Sacroiliac Joint - p. 102 120. Anterior Approach to the Sacroiliac Joint - p. 102 121. Approach to Both Sacroiliac Joints or Sacrum - p. 103 122. Spine - p. 104 123. Sternoclavicular Joint - p. 104 124. Approach to the Sternoclavicular Joint - p. 104 125. Approach to the Acromioclavicular Joint and Coracoid Process - p. 104 126. Shoulder - p. 105 127. Anteromedial Approach to the Shoulder - p. 105 128. Anteromedial/Posteromedial Approach to the Shoulder - p. 106 129. Anterior Axillary Approach to the Shoulder - p. 106 130. Anterolateral Limited Deltoid-Splitting Approach to the Shoulder - p. 106 131. Extensile Anterolateral Approach to the Shoulder - p. 109 132. Transacromial Approach to the Shoulder - p. 109 133. Posterior Deltoid-Splitting Approach to the Shoulder - p. 109 134. Posterior Approach to the Shoulder - p. 111 135. Simplified Posterior Approach to the Shoulder - p. 111 136. Posterior Inverted-U Approach to the Shoulder - p. 111 137. Humerus - p. 114 138. Anterolateral Approach to the Shaft of the Humerus - p. 114 139. Subbrachial Approach to the Humerus - p. 116 140. Posterior Approach to the Proximal Humerus - p. 116 141. Posterolateral Approach to the Distal Humeral Shaft - p. 118 142. Posterolateral Extensile (Cold) Approach to the Distal Humerus - p. 120 143. Elbow - p. 120 144. Posterolateral Approach to the Elbow - p. 120 145. Extensile Posterolateral Approach to the Elbow - p. 121 146. Posterior Approach to the Elbow by Olecranon Osteotomy - p. 123 147. Extensile Posterior Approach to the Elbow - p. 123 148. Lateral Approach to the Elbow - p. 124 149. Lateral J-Shaped Approach to the Elbow - p. 126 150. Medial Approach with Osteotomy of the Medial Epicondyle - p. 126 151. Medial and Lateral Approach to the Elbow - p. 127 152. Global Approach to the Elbow - p. 127 153. Posterolateral Approach to the Radial Head and Neck - p. 130 154. Approach to the Proximal and Middle Thirds of the Posterior Surface of the Radius - p. 131 155. Anterolateral Approach to the Proximal Shaft and Elbow Joint - p. 132 156. Anterior Approach to the Distal Half of the Radius - p. 132 157. Anterior Approach to the Coronoid Process of the Proximal Ulna - p. 133 158. Approach to the Proximal Third of the Ulna and the Proximal Fourth of the Radius - p. 135 159. Dorsal Approach to the Wrist - p. 137 160. Dorsal Approach to the Wrist - p. 137 161. Volar Approach to the Wrist - p. 137 162. Lateral Approach to the Wrist - p. 138 163. Medial Approach to the Wrist - p. 138 164. Hand - p. 139 165. References - p. 139 166. Supplemental References - p. 140 167. Chapter 2. Advanced Imaging in Orthopaedics - p. 141 168. Part II. Reconstructive Procedures of the Hip in Adults - p. 176.e4 169. Chapter 3. Arthroplasty of the Hip - p. 178 170. Applied Biomechanics - p. 179 171. Design and Selection of Total Hip Components - p. 183 172. Indications and Contraindications for Total Hip Arthroplasty - p. 200 173. Preoperative Patient Evaluation and Optimization - p. 200 174. Preoperative Radiographs - p. 203 175. Preoperative Templating for Total Hip Arthroplasty - p. 203 176. The Hip-Spine Relationship - p. 204 177. Preparation and Draping - p. 205 178. Surgical Approaches and Techniques - p. 205 179. Implantation of Cemented Acetabular Component - p. 212 180. Implantation of Cementless Femoral Component - p. 214 181. Implantation of Cemented Femoral Component - p. 217 182. Surgical Problems Relative to Specific Hip Disorders - p. 230 183. Complications - p. 253 184. Gluteus Maximus and Tensor Fascia Lata Transfer for Primary Deficiency of the Abductors of the Hip - p. 269 185. Revision After Adverse Local Tissue Reaction - p. 285 186. revision Of Total Hip Arthroplasty - p. 286 187. Transtrochanteric Approach for Revision Total Hip Arthroplasty - p. 289 188. Removal of Cementless Femoral Component - p. 290 189. Removal of Implants With Extensive Distal BoneIngrowth - p. 291 190. Extended Trochanteric Osteotomy - p. 292 191. Removal of a Broken Femoral Component - p. 294 192. Removal of a Broken Stem—Proximal Window - p. 294 193. Removal of a Broken Stem—Distal Window - p. 295 194. Removal of Femoral Cement - p. 295 195. Removal of Distal Cement With A High-Speed Burr - p. 296 196. Removal of Distal Cement With A High-Speed Burr and Cortical Window - p. 298 197. Removal of A Loose All-Polyethylene Cup - p. 299 198. Removal of a Metal-Backed, Cemented Acetabular Component - p. 299 199. Cementless Acetabular Component - p. 300 200. Management of Acetabular Cavitary Deficits - p. 302 201. Management of Segmental Acetabular Deficit with Femoral Head Allograft - p. 307 202. Management of Segmental Acetabular Deficit With Metal Augment - p. 307 203. Management of Combined Deficits With Structural Grafting - p. 308 204. Acetabular Distraction for Management of Pelvic Discontinuity - p. 310 205. Cup-Cage Technique for Management of Pelvic Discontinuity - p. 311 206. Management of Pelvic Discontinuity With Allografting and Custom Component - p. 311 207. Management of Femoral Deficit with Modular Femoral Component - p. 316 208. Revision with Extensively Porous-Coated Femoral Stem - p. 316 209. Management of Proximal Femoral Bone Loss With Modular Tapered Fluted Stem - p. 317 210. Management of Proximal Femoral Deficiencies with Impaction Bone Grafting and Cemented Revision Stem - p. 317 211. Management of Massive Deficits with Proximal Femoral Allograft-Prosthesis Composite - p. 319 212. Management of Massive Deficits with Modular Megaprosthesis - p. 321 213. Postoperative Management of Total Hip Arthroplasty - p. 321 214. References - p. 323 215. Developmental Dysplasia - p. 327 216. Supplemental References - p. 333 217. Chapter 4. Surface Replacement Hip Arthroplasty - p. 334 218. Chapter 5. Arthrodesis of the Hip - p. 348 219. Chapter 6. Hip Pain in the Young Adult and Hip Preservation Surgery - p. 356 220. Evaluation and History - p. 357 221. Femoroacetabular Impingement - p. 364 222. Surgical Dislocation Of The Hip - p. 367 223. Combined Hip Arthroscopy And Limited Open Osteochondroplasty - p. 371 224. Mini-Open Direct Anterior Approach - p. 372 225. Hip Dysplasia - p. 376 226. Bernese Periacetabular Osteotomy - p. 381 227. Rectus-Sparing Modification of Bernese Osteotomy - p. 385 228. Extraarticular Sources of Hip Pain - p. 386 229. Step-Cut Lengthening Of The Iliotibial Band - p. 388 230. Osteonecrosis of the Femoral Head - p. 390 231. Core Decompression - p. 393 232. Core Decompression—Percutaneous Technique - p. 394 233. Idiopathic Transient Osteoporosis - p. 397 234. Protrusio Acetabuli - p. 398 235. Adult-Onset Rheumatoid Arthritis - p. 398 236. Juvenile Idiopathic Arthritis - p. 398 237. Osteoarthritis - p. 399 238. Neuropathic Arthropathy (Charcot Joint) - p. 400 239. References - p. 400 240. Supplemental References - p. 405 241. Part III. Reconstructive Procedures of the Knee in Adults - p. 404.e8 242. Chapter 7. Arthroplasty of the Knee - p. 406 243. Modern Prosthesis Evolution and Design - p. 406 244. Knee and Implant Biomechanics - p. 413 245. Indications and Contraindications - p. 425 246. Results of Primary Total Knee Arthroplasty - p. 431 247. Preoperative evaluation - p. 434 248. Surgical Technique for Primary Total Knee Arthroplasty - p. 436 249. Surgical Approach for Primary Total Knee Arthroplasty - p. 436 250. Bone Preparation for Primary Total Knee Arthroplasty - p. 439 251. Pie-Crusting - p. 444 252. Posterior Stabilized Total Knee Arthroplasty in a Varus Knee - p. 445 253. Posterior Cruciate–Retaining Total Knee Arthroplasty of A Varus Knee - p. 445 254. Valgus Deformity Correction - p. 445 255. Flexion Contracture Correction - p. 447 256. Recurvatum Correction - p. 448 257. Posterior Cruciate Ligament Balancing - p. 448 258. Bone Grafting of Peripheral Tibial Defects - p. 450 259. Component Implantation - p. 453 260. Patellofemoral Arthroplasty - p. 456 261. Surgical Problems Relative to Specific Disorders - p. 456 262. Complications - p. 458 263. Arthrodesis With an Intramedullary Nail for an Infected Total Knee Arthroplasty - p. 463 264. Revision Total Knee Arthroplasty - p. 470 265. References - p. 477 266. Supplemental References - p. 484 267. Chapter 8. Arthrodesis of the Knee - p. 485 268. Chapter 9. Soft-Tissue Procedures and Osteotomies About the Knee - p. 493 269. Part IV. Reconstructive Procedures of the Ankle in Adults - p. 523.e2 270. Chapter 10. Total Ankle Arthroplasty - p. 526 271. Chapter 11. Ankle Arthrodesis - p. 563 272. Part V. Reconstructive Procedures of the Shoulder and Elbow in Adults - p. 598.e3 273. Chapter 12. Shoulder and Elbow Arthroplasty - p. 600 274. Reconstructive Procedures of the Shoulder - p. 600 275. Hemiarthroplasty - p. 608 276. Total Shoulder Arthroplasty - p. 612 277. Reverse Total Shoulder Arthroplasty - p. 617 278. Reconstructive Procedures of the Elbow - p. 630 279. Debridement Arthroplasty - p. 633 280. Interposition Arthroplasty - p. 637 281. Radial Head Arthroplasty - p. 639 282. Coonrad-Morrey Prosthesis - p. 642 283. Elbow Resection Arthroplasty - p. 648 284. References - p. 649 285. Supplemental References - p. 655 286. Chapter 13. Salvage Operations for the Shoulder and Elbow - p. 656 287. Part VI. Amputations - p. 677.e2 288. Chapter 14. General Principles of Amputations - p. 680 289. Chapter 15. Amputations of the Foot - p. 698 290. Chapter 16. Amputations of the Lower Extremity - p. 720 291. Chapter 17. Amputations of the Hip and Pelvis - p. 733 292. Chapter 18. Major Amputations of the Upper Extremity - p. 742 293. Chapter 19. Amputations of the Hand - p. 759 294. Part VII. Infections - p. 789.e1 295. Chapter 20. General Principles of Infection - p. 792 296. Chapter 21. Osteomyelitis - p. 817 297. Chapter 22. Infectious Arthritis - p. 842 298. Chapter 23. Tuberculosis and other Unusual Infections - p. 868 299. Part VIII. Tumors - p. 888.e2 300. Chapter 24. General Principles of Tumors - p. 890 301. Diagnostic Evaluation - p. 890 302. Adjuvant Treatment - p. 899 303. Principles of Surgery - p. 901 304. Surgical Techniques - p. 908 305. Resection of the Shoulder Girdle - p. 909 306. Resection of the Scapula - p. 913 307. Resection of the Proximal Humerus - p. 916 308. Intercalary Resection of the Humeral Shaft - p. 920 309. Resection of the Distal Humerus - p. 920 310. Resection of the Proximal Radius - p. 920 311. Resection of the Proximal Ulna - p. 921 312. Resection of the Distal Radius - p. 921 313. Resection of the Pubis and Ischium - p. 928 314. Resection of the Acetabulum - p. 932 315. Resection of the Innominate Bone (Internal Hemipelvectomy) - p. 934 316. Resection of the Sacroiliac Joint - p. 934 317. Resection of the Sacrum - p. 936 318. Resection of the Sacrum - p. 937 319. Resection of the Sacrum Through Posterior Approach - p. 937 320. Resection of Vertebrae - p. 937 321. Resection of the Proximal Femur - p. 938 322. Resection of the Entire Femur - p. 938 323. Intraarticular Resection of the Distal Femur with Endoprosthetic Reconstruction - p. 943 324. Resection of the Proximal Tibia - p. 944 325. Resection of the Distal Femur or Proximal Tibia with Allograft Arthrodesis - p. 945 326. Resection of the Proximal Fibula - p. 945 327. Resection of the Tibial Diaphysis - p. 945 328. Resection of the Distal Third of the Fibula - p. 945 329. Rotationplasty for a Lesion in the Distal Femur - p. 950 330. Rotationplasty for a Lesion of the Proximal Femur Without Involvement of the Hip Joint - p. 950 331. Rotationplasty for a Lesion of the Proximal Femur Involving the Hip Joint - p. 952 332. References - p. 952 333. Supplemental References - p. 956 334. Chapter 25. Benign Bone Tumors and Nonneoplastic Conditions Simulating Bone Tumors - p. 957 335. Chapter 26. Benign/Aggressive Tumors of Bone - p. 986 336. Chapter 27. Malignant Tumors of Bone - p. 1009 337. Osteosarcoma - p. 1009 338. Chondrosarcoma - p. 1015 339. Ewing Sarcoma - p. 1018 340. Chordoma - p. 1021 341. Adamantinoma - p. 1022 342. Malignant Vascular Tumors - p. 1023 343. Malignant Fibrous Histiocytoma and Fibrosarcoma - p. 1023 344. Multiple Myeloma and Plasmacytoma - p. 1024 345. Lymphoma - p. 1026 346. Metastatic Carcinoma - p. 1028 347. References - p. 1042 348. Supplemental References - p. 1048 349. Chapter 28. Soft-Tissue Tumors - p. 1049 350. Part IX. Congenital And Developmental Disorders - p. 1078.e4 351. Chapter 29. Congenital Anomalies of the Lower Extremity - p. 1080 352. Anomalies of the Toes - p. 1080 353. Amputation of an Extra Toe (Simple Postaxial Polydactyly) - p. 1081 354. Tsuge Ray Reduction - p. 1082 355. Ray Reduction - p. 1083 356. Ray Amputation - p. 1083 357. Simplified Cleft Closure - p. 1087 358. Correction of Angulated Toe - p. 1088 359. Arthroplasty of the Fifth Metatarsophalangeal Joint - p. 1088 360. Creation of Syndactyly of the Great Toe and Second Toe for Hallux Varus - p. 1090 361. Dome-Shaped Osteotomies of Metatarsal Bases - p. 1092 362. Cuneiform and Cuboid Osteotomies - p. 1095 363. Anomalies of the Foot - p. 1095 364. Anterior Tibial Tendon Transfer - p. 1100 365. Transverse Circumferential (Cincinnati) Incision - p. 1102 366. Extensile Posteromedial and Posterolateral Release - p. 1103 367. Achilles Tendon Lengthening and Posterior Capsulotomy (Selective Approach) - p. 1106 368. First Metatarsal Osteotomy and Tendon Transfer for Dorsal Bunion - p. 1108 369. Osteotomy of the Calcaneus for Persistent Varus Deformity of the Heel - p. 1109 370. Medial Release with Osteotomy of the Distal Calcaneus - p. 1109 371. Selective Joint-Sparing Osteotomies for Residual Cavovarus Deformity - p. 1110 372. Triple Arthrodesis - p. 1112 373. Talectomy - p. 1112 374. Open Reduction and Realignment of Talonavicular and Subtalar Joints - p. 1115 375. Open Reduction and Extraarticular Subtalar Fusion - p. 1116 376. Anomalies of the Leg - p. 1118 377. Tibiofibular Synostosis - p. 1120 378. Insertion of Williams Intramedullary Rod and Bone Grafting - p. 1123 379. One-Stage or Two-Stage Release of Circumferential Constricting Band - p. 1126 380. Capsular Release and Quadriceps Lengthening for Correction of Congenital Knee Dislocation - p. 1127 381. Lateral Release and Medial Plication - p. 1129 382. Distal Fibulotalar Arthrodesis - p. 1136 383. Proximal Tibiofibular Synostosis - p. 1137 384. Varus Supramalleolar Osteotomy of the Ankle - p. 1139 385. Knee Fusion for Proximal Femoral Focal Deficiency - p. 1145 386. Rotationplasty - p. 1148 387. Syme Amputation - p. 1150 388. Boyd Amputation - p. 1152 389. Physeal Exposure Around the Knee - p. 1160 390. Percutaneous Epiphysiodesis - p. 1161 391. Percutaneous Transepiphyseal Screw Epiphysiodesis - p. 1162 392. Tension Plate Epiphysiodesis - p. 1164 393. Proximal Femoral Metaphyseal Shortening - p. 1165 394. Distal Femoral Metaphyseal Shortening - p. 1165 395. Proximal Tibial Metaphyseal Shortening - p. 1166 396. Tibial Diaphyseal Shortening - p. 1166 397. Closed Femoral Diaphyseal Shortening - p. 1166 398. Transiliac Lengthening - p. 1168 399. Tibial Lengthening - p. 1170 400. Tibial Lengthening - p. 1171 401. Tibial Lengthening Over Intramedullary Nail (PRECICE Intramedullary Lengthening System, Ellipse Technologies, Irvine, Ca) - p. 1174 402. Femoral Lengthening - p. 1175 403. Femoral Lengthening - p. 1175 404. Femoral Lengthening Over Intramedullary Nail (PRECICE) - p. 1179 405. References - p. 1182 406. Supplemental References - p. 1185 407. Chapter 30. Congenital and Developmental Abnormalities of the hip and Pelvis - p. 1186 408. Developmental Dysplasia of the hip - p. 1186 409. Arthrography of the hip in Ddh - p. 1193 410. Application of a Hip Spica Cast - p. 1195 411. Anterior Approach - p. 1197 412. Medial Approach - p. 1199 413. Trochanteric Advancement - p. 1202 414. Varus Derotational Osteotomy of the Femur in Hip Dysplasia, With Pediatric hip Screw Fixation - p. 1203 415. Primary Femoral Shortening - p. 1206 416. Innominate Osteotomy Including Open Reduction - p. 1209 417. Pericapsular Osteotomy of the Ilium - p. 1211 418. Triple Innominate Osteotomy - p. 1214 419. Transiliac (Dega) Osteotomy - p. 1216 420. Slotted Acetabular Augmentation - p. 1219 421. Innominate Osteotomy With Medial Displacement Of The Acetabulum (Chiari) - p. 1221 422. Congenital and Developmental Coxa Vara - p. 1224 423. Valgus Osteotomy for Developmental Coxa Vara - p. 1225 424. Exstrophy of the Bladder - p. 1225 425. Bilateral Anterior Iliac Osteotomies - p. 1227 426. References - p. 1228 427. Supplemental References - p. 1230 428. Chapter 31. Congenital Anomalies of the Trunk and Upper Extremity - p. 1231 429. Chapter 32. Osteochondrosis or Epiphysitis and Other Miscellaneous Affections - p. 1246 430. Legg-Calvé-Perthes Disease - p. 1246 431. Innominate Osteotomy for Legg-Calvé-Perthes Disease - p. 1250 432. Lateral Shelf Procedure for Legg-Calvé-Perthes Disease - p. 1252 433. Varus Derotational Osteotomy of the Proximal Femur for Legg-Calvé-Perthes Disease - p. 1253 434. Reversed or Closing Wedge Technique for Legg-Calvé-Perthes Disease - p. 1256 435. Arthrodiastasis for Legg-Calvé-Perthes Disease - p. 1257 436. Osteochondroplasty Surgical Dislocation of the hip - p. 1258 437. Trochanteric Advancement for Trochanteric Overgrowth - p. 1261 438. Trochanteric Advancement For Trochanteric Overgrowth - p. 1262 439. Greater Trochanteric Epiphysiodesis for Trochanteric Overgrowth - p. 1263 440. Osteochondrosis or Epiphysitis - p. 1263 441. Tibial Tuberosity and Ossicle Excision - p. 1267 442. Excision of Ununited Tibial Tuberosity Fragment for Osgood-Schlatter Disease - p. 1268 443. Arthroscopic Ossicle and Tibial Tuberosity Debridement for Osgood-Schlatter Disease - p. 1269 444. Extraarticular Drilling for Stable Osteochondritis Dissecans of The Knee - p. 1270 445. Reconstruction of The Articular Surface With Osteochondral Plug Grafts for Osteochondrosis of the Capitellum - p. 1276 446. Tibia Vara (Blount Disease) - p. 1276 447. Metaphyseal Osteotomy for Tibia Vara - p. 1281 448. Chevron Osteotomy for Tibia Vara - p. 1282 449. Epiphyseal and Metaphyseal Osteotomy for Tibia Vara - p. 1283 450. Hemielevation of The Epiphysis Osteotomy With Leg Lengthening Using an Ilizarov Frame for Tibia Vara - p. 1285 451. Rickets, Osteomalacia, and Renal Osteodystrophy - p. 1289 452. Hemophilia - p. 1290 453. Synovectomy of the Knee in Hemophilia - p. 1293 454. Synoviorthesis for Treatment of Hemophilic Arthropathy - p. 1293 455. Open Ankle Synovectomy in Hemophilia - p. 1293 456. Congenital Affections - p. 1295 457. Fassier-Duval Telescoping rod, Femur - p. 1297 458. Tibial Lengthening Over an Intramedullary Nail With External Fixation in Dwarfism - p. 1305 459. Bony Bridge Resection for Physeal Arrest - p. 1306 460. Bony Bridge Resection and Angulation Osteotomy for Physeal Arrest - p. 1306 461. Peripheral and Linear Physeal bar Resection for Physeal Arrest - p. 1308 462. Central Physeal bar Resection for Physeal Arrest - p. 1308 463. References - p. 1310 464. Supplemental References - p. 1315 465. Part X. Nervous System Disorders in Children - p. 1314.e13 466. Chapter 33. Cerebral Palsy - p. 1316 467. Etiology - p. 1316 468. Classification - p. 1318 469. Diagnosis - p. 1320 470. Associated Conditions - p. 1323 471. Treatment - p. 1323 472. Hip - p. 1326 473. Adductor Tenotomy and Release - p. 1328 474. Iliopsoas Recession - p. 1329 475. Iliopsoas Release at the Lesser Trochanter - p. 1329 476. Combined One-Stage Correction of Spastic Dislocated Hip - p. 1333 477. Proximal Femoral Resection - p. 1335 478. Redirectional Osteotomy (Mchale Procedure for Neglected Hip Dislocation) - p. 1337 479. Hip Arthrodesis - p. 1337 480. Knee - p. 1338 481. Fractional Lengthening of Hamstring Tendons - p. 1339 482. Distal Femoral Extension Osteotomy and Patellar Tendon Advancement - p. 1341 483. Rectus Femoris Transfer - p. 1343 484. Rotational Abnormalities - p. 1345 485. Foot and Ankle - p. 1345 486. Z-Plasty Lengthening of the Achilles Tendon - p. 1346 487. Percutaneous Lengthening of the Achilles Tendon - p. 1347 488. Gastrocnemius-Soleus Lengthening - p. 1348 489. Musculotendinous Recession of the Posterior Tibial Tendon - p. 1349 490. Split Posterior Tibial Tendon Transfer - p. 1350 491. Split Anterior Tibial Tendon Transfer - p. 1351 492. Lateral Closing-Wedge Calcaneal Osteotomy - p. 1353 493. Medial Displacement Calcaneal Osteotomy - p. 1354 494. Hindfoot Arthrodesis - p. 1355 495. Spine-Pelvic Obliquity and Scoliosis - p. 1357 496. Upper Extremity - p. 1358 497. Release of Elbow Flexion Contracture - p. 1359 498. Adults With Cerebral Palsy - p. 1360 499. Adult Stroke Patients - p. 1360 500. Correction of Talipes Equinovarus - p. 1362 501. Release of Internal Rotation Contracture of the Shoulder - p. 1363 502. Fractional Lengthening of Pectoralis Major, Latissimus Dorsi, Teres Major - p. 1364 503. References - p. 1364 504. Supplemental References - p. 1368 505. Chapter 34. Paralytic Disorders - p. 1369 506. Poliomyelitis - p. 1369 507. Posterior Transfer of Anterior Tibial Tendon - p. 1374 508. Subtalar Arthrodesis - p. 1376 509. Subtalar Arthrodesis - p. 1377 510. Triple Arthrodesis - p. 1378 511. Correction of Cavus Deformity - p. 1380 512. Lambrinudi Arthrodesis - p. 1380 513. Anterior Transfer of Posterior Tibial Tendon - p. 1382 514. Anterior Transfer of Posterior Tibial Tendon - p. 1382 515. Split Transfer of Anterior Tibial Tendon - p. 1383 516. Peroneal Tendon Transfer - p. 1384 517. Peroneus Longus, Flexor Digitorum Longus, or Flexor or Extensor Hallucis Longus Tendon Transfer - p. 1385 518. Tenodesis of The Achilles Tendon - p. 1386 519. Posterior Transfer of Peroneus Longus, Peroneus Brevis, and Posterior Tibial Tendons - p. 1387 520. Posterior Transfer of Posterior Tibial, Peroneus Longus, and Flexor Hallucis Longus Tendons - p. 1388 521. Transfer of Biceps Femoris and Semitendinosus Tendons - p. 1389 522. Osteotomy of the Tibia for Genu Recurvatum - p. 1391 523. Triple Tenodesis for Genu Recurvatum - p. 1392 524. Complete Release of Hip Flexion, Abduction, and External Rotation Contracture - p. 1394 525. Complete Release of Muscles from Iliac Wing and Transfer of Crest of Ilium - p. 1395 526. Posterior Transfer of the Iliopsoas for Paralysis of the Gluteus Medius and Maximus Muscles - p. 1396 527. Trapezius Transfer for Paralysis of Deltoid - p. 1401 528. Trapezius Transfer for Paralysis of Deltoid - p. 1402 529. Transfer of Deltoid Origin for Partial Paralysis - p. 1402 530. Transfer of Latissimus Dorsi or Teres Major or Both for Paralysis of Subscapularis or Infraspinatus - p. 1403 531. Flexorplasty - p. 1404 532. Anterior Transfer of the Triceps - p. 1405 533. Transfer of the Pectoralis Major Tendon - p. 1405 534. Transfer of the Latissimus Dorsi Muscle - p. 1406 535. Rerouting of Biceps Tendon for Supination Deformities of Forearm - p. 1408 536. Myelomeningocele - p. 1409 537. V-O Procedure - p. 1416 538. Anterolateral Release - p. 1418 539. Transfer of the Anterior Tibial Tendon to the Calcaneus - p. 1418 540. Screw Epiphysiodesis - p. 1422 541. Supramalleolar Varus Derotation Osteotomy - p. 1422 542. Radical Flexor Release - p. 1424 543. Anterior Hip Release - p. 1426 544. Fascial Release - p. 1427 545. Adductor Release - p. 1427 546. Transfer of Adductors, External Oblique, and Tensor Fasciae Latae - p. 1428 547. Proximal Femoral Resection and Interposition Arthroplasty - p. 1429 548. Pelvic Osteotomy - p. 1430 549. Arthrogryposis Multiplex Congenita - p. 1432 550. Correction of Knee Flexion Contracture with Circular-Frame External Fixation - p. 1436 551. Correction of Knee Flexion Contracture with Anterior Stapling - p. 1438 552. Reorientational Proximal Femoral Osteotomy for Hip Contractures in Arthrogryposis - p. 1439 553. Posterior Elbow Capsulotomy with Triceps Lengthening for Elbow Extension Contracture - p. 1442 554. Posterior Release of Elbow Extension Contracture and Triceps Tendon Transfer - p. 1442 555. Dorsal Closing Wedge Osteotomy of the Wrist - p. 1443 556. Brachial Plexus Palsy - p. 1444 557. Anterior Shoulder Release - p. 1449 558. Rotational Osteotomy of the Humerus - p. 1449 559. Derotational Osteotomy with Plate and Screw Fixation - p. 1450 560. Glenoid Anteversion Osteotomy and Tendon Transfer - p. 1450 561. Release of the Internal Rotation Contracture and Transfer of the Latissimus Dorsi and Teres Major - p. 1451 562. Arthroscopic Release and Transfer of the Latissimus Dorsi - p. 1455 563. References - p. 1455 564. Supplemental References - p. 1458.e1 565. Chapter 35. Neuromuscular Disorders - p. 1459 566. Part XI. Fractures and Dislocations in Children - p. 1490.e5 567. Chapter 36. Fractures and Dislocations in Children - p. 1492 568. General Principles - p. 1492 569. Growth Plate Injuries - p. 1492 570. Open Fractures - p. 1494 571. Birth Fractures - p. 1494 572. Nonaccidental Trauma - p. 1495 573. Clavicle - p. 1498 574. Sternoclavicular Fractures and Dislocations - p. 1498 575. Lateral (Distal) Clavicular Fractures - p. 1498 576. Acromioclavicular Dislocations - p. 1498 577. Shoulder Dislocations - p. 1500 578. Proximal Humeral Fractures - p. 1500 579. Closed Reduction and Percutaneous Pinning (or Screw Fixation) of Proximal Humerus - p. 1501 580. Closed Reduction and Intramedullary Nailing of Proximal Humerus - p. 1501 581. Humeral Shaft Fractures - p. 1502 582. Closed/Open Reduction and Intramedullary Nailing of Humeral Shaft - p. 1502 583. Supracondylar Humeral Fractures - p. 1502 584. Closed Reduction and Percutaneous Pinning of Supracondylar Fractures (Two Lateral Pins) - p. 1504 585. Anterior Approach - p. 1507 586. Lateral Closing Wedge Osteotomy for Cubitus Varus - p. 1509 587. Lateral Condylar Fractures - p. 1510 588. Open Reduction and Internal Fixation of Lateral Condylar Fracture - p. 1512 589. Osteotomy for Established Cubitus Valgus Secondary to Nonunion or Growth Arrest - p. 1513 590. Medial Condylar Fractures - p. 1514 591. Open Reduction and Internal Fixation of Medial Condylar Fracture - p. 1515 592. Medial Epicondylar Fractures - p. 1516 593. Open Reduction and Internal Fixation for Displaced or Entrapped Medial Epicondyle - p. 1518 594. Distal Humeral Fractures - p. 1519 595. Capitellar Fractures - p. 1521 596. Olecranon Fractures - p. 1521 597. Radial Head and Neck Fractures - p. 1522 598. Closed and Open Reduction of Radial Neck Fractures - p. 1526 599. Percutaneous Reduction and Pinning - p. 1527 600. Closed Intramedullary Nailing - p. 1527 601. Coronoid Fractures - p. 1528 602. Elbow Dislocations - p. 1528 603. Radial Head Dislocations (Monteggia Fracture-Dislocations) - p. 1529 604. Overcorrection Osteotomy and Ligamentous Repair or Reconstruction - p. 1535 605. Galeazzi Fractures - p. 1535 606. Nursemaid’s Elbow - p. 1536 607. Forearm Fractures - p. 1537 608. Intramedullary Forearm Nailing - p. 1538 609. Closed Reduction and Percutaneous Pinning of Fractures of the Distal Radius - p. 1540 610. Wrist Dislocations - p. 1541 611. Scaphoid and Carpal Fractures - p. 1541 612. Metacarpal Fractures - p. 1541 613. Phalangeal Fractures - p. 1542 614. Open Reduction and Internal Fixation of Physeal Fractures of Phalanges and Metacarpals - p. 1543 615. Pediatric Spine Fractures and Dislocations - p. 1544 616. Pelvic Fractures - p. 1549 617. Hip Fractures - p. 1555 618. Closed Reduction and Internal Fixation - p. 1561 619. Open Reduction and Internal Fixation - p. 1561 620. Valgus Subtrochanteric Osteotomy for Acquired Coxa Vara or Nonunion - p. 1561 621. Modified Pauwels Intertrochanteric Osteotomy for Acquired Coxa Vara or Nonunion - p. 1564 622. Traumatic Hip Dislocations - p. 1565 623. Slipped Capital Femoral Epiphysis - p. 1566 624. Determining The Entry Point for Cannulated Screw Fixation of a Slipped Epiphysis - p. 1569 625. Determining the Entry Point for Cannulated Screw Fixation of a Slipped Epiphysis - p. 1570 626. Positional Reduction and Fixation for Scfe - p. 1572 627. Subcapital Realignment of the Epiphysis (Modified Dunn) for Scfe - p. 1573 628. Compensatory Basilar Osteotomy of the Femoral Neck - p. 1575 629. Extracapsular Base-Of-Neck Osteotomy - p. 1576 630. Intertrochanteric Osteotomy (Imhäuser) - p. 1578 631. Femoral Fractures - p. 1580 632. Spica Cast Application - p. 1586 633. Flexible Intramedullary Nail Fixation - p. 1589 634. Closed or Open Reduction - p. 1595 635. Knee Fractures and Dislocations - p. 1596 636. Reconstruction of the Patellofemoral and Patellotibial Ligaments With a Semitendinosus Tendon Graft - p. 1598 637. 3-in-1 Procedure for Recurrent Dislocation of the Patella: Lateral Release, Vastus Medialis Obliquus Muscle Advancement, and Transfer of the Medial Third of the Patellar Tendon to the Medial Collateral Ligament - p. 1599 638. Open Reduction and Internal Fixation of Sleeve Fracture - p. 1600 639. Open Reduction and Internal Fixation of Tibial Eminence Fracture - p. 1602 640. Arthroscopic Reduction of Tibial Eminence Fracture and Internal Fixation With Bioabsorbable Nails - p. 1603 641. Open Reduction and Internal Fixation - p. 1606 642. Tibial and Fibular Fractures - p. 1609 643. Open Reduction and Removal of Interposed Tissue - p. 1611 644. Elastic Stable Intramedullary Nailing of Tibial Fracture - p. 1614 645. Open Reduction and Internal Fixation - p. 1617 646. Open Reduction and Internal Fixation - p. 1618 647. Foot Fractures - p. 1619 648. Excision of Osteochondral Fragment of the Talus - p. 1625 649. Open Reduction and Internal Fixation of Cuboid Compression (Nutcracker) Fracture - p. 1629 650. References - p. 1630 651. Supplemental References - p. 1639 652. Part XII. The Spine - p. 1639.e23 653. Chapter 37. Anatomic Approaches to the Spine - p. 1642 654. Chapter 38. Degenerative Disorders of the Cervical Spine - p. 1682 655. Overview of Disc Degeneration and Herniation in the Cervical Spine - p. 1682 656. Disc and Spine Anatomy - p. 1682 657. Natural History of Disc Disease - p. 1683 658. Diagnostic Studies - p. 1684 659. Injection Studies - p. 1686 660. Interlaminar Cervical Epidural Injection - p. 1688 661. Cervical Medial Branch Block Injection - p. 1689 662. Cervical Discography - p. 1690 663. Cervical Disc Disease - p. 1690 664. Removal of Posterolateral Herniations by Posterior Approach (Posterior Cervical Foraminotomy) - p. 1695 665. Minimally Invasive Posterior Cervical Foraminotomy With Tubular Distractors - p. 1697 666. Full-Endoscopic Posterior Cervical Foraminotomy - p. 1697 667. Tissue-Sparing Posterior Cervical Fusion - p. 1699 668. Smith-Robinson Anterior Cervical Fusion - p. 1703 669. Anterior Occipitocervical Arthrodesis By Extrapharyngeal Exposure - p. 1705 670. Fibular Strut Graft in Cervical Spine Arthrodesis With Corpectomy - p. 1705 671. Rheumatoid Arthritis of the Spine - p. 1709 672. Ankylosing Spondylitis of the Cervical Spine - p. 1713 673. References - p. 1715 674. Supplemental References - p. 1718 675. Chapter 39. Degenerative Disorders of the Thoracic and Lumbar Spine - p. 1719 676. Overview of Lumbar and Thoracic Disc Degeneration and Herniation - p. 1720 677. Disc and Spine Anatomy - p. 1720 678. Natural History of Disc Disease - p. 1721 679. Diagnostic Studies - p. 1723 680. Myelography - p. 1724 681. Interlaminar Thoracic Epidural Injection - p. 1728 682. Interlaminar Lumbar Epidural Injection - p. 1729 683. Transforaminal Lumbar and Sacral Epidural Injection - p. 1730 684. Caudal Sacral Epidural Injection - p. 1730 685. Lumbar Intraarticular Injection - p. 1732 686. Lumbar Medial Branch Block Injection - p. 1732 687. Sacroiliac Joint Injection - p. 1734 688. Lumbar Discography - p. 1735 689. Thoracic Discography - p. 1736 690. Thoracic Disc Disease - p. 1737 691. Thoracic Costotransversectomy - p. 1738 692. Thoracic Discectomy—Anterior Approach - p. 1738 693. Thoracoscopic Thoracic Discectomy - p. 1740 694. Minimally Invasive Thoracic Discectomy - p. 1740 695. Transforaminal Endoscopic Thoracic Discectomy - p. 1741 696. Lumbar Disc Disease - p. 1741 697. Microscopic Lumbar Discectomy - p. 1747 698. Transforaminal Endoscopic Lumbar Discectomy - p. 1750 699. Interlaminar Endoscopic Lumbar Discectomy - p. 1750 700. Dural Repair Augmented with Fibrin Glue - p. 1754 701. Repeat Lumbar Disc Excision - p. 1755 702. Thoracic and Lumbar Spine Arthrodesis - p. 1756 703. Transthoracic approach to the thoracic spine - p. 1756 704. Anterior Interbody Fusion of the Lumbar Spine - p. 1757 705. Percutaneous Anterior Lumbar Arthrodesis—Lateral Approach to L1 to L4-5 - p. 1758 706. Hibbs fusion - p. 1759 707. Posterolateral Lumbar Fusion - p. 1760 708. Intertransverse Lumbar Fusion - p. 1761 709. Minimally invasive transforaminal lumbar interbody fusion - p. 1762 710. Pseudarthrosis Repair - p. 1764 711. Degenerative Disc Disease and Internal Disc Derangement - p. 1764 712. Thoracic/Lumbar Disc Arthroplasty (Total Disc Replacement) - p. 1770 713. Stenosis of the Thoracic and Lumbar Spine - p. 1772 714. Midline Decompression (Neural Arch Resection) - p. 1780 715. Spinous Process Osteotomy (Decompression) - p. 1781 716. Microdecompression - p. 1782 717. Ankylosing Spondylitis - p. 1784 718. Adult Spinal Deformity - p. 1786 719. Pedicle Subtraction Osteotomy - p. 1792 720. Coccygeal Pain - p. 1794 721. Coccygeal Injection - p. 1795 722. References - p. 1796 723. Supplemental References - p. 1801 724. Chapter 40. Spondylolisthesis - p. 1802 725. Chapter 41. Fractures, Dislocations, and Fracture-Dislocations of the Spine - p. 1832 726. Initial Management of Spinal Injury - p. 1832 727. Stretch Test - p. 1838 728. Spinal Cord Injury - p. 1841 729. Application of Gardner-Wells Tongs - p. 1843 730. Closed Reduction of the Cervical Spine - p. 1843 731. Cervical Spine Injuries - p. 1846 732. Halo Vest Application - p. 1848 733. Occipitocervical Fusion Using Modular Plate and Rod Construct, Segmental Fixation With Occipital Plating, C1 Lateral Mass Screw, C2 Isthmic (Pars) Screws, and Lateral Mass Fixation - p. 1851 734. Occipitocervical Fusion Using Wires and Bone Graft - p. 1853 735. Posterior Primary Osteosynthesis of C1 - p. 1856 736. Anterior Odontoid Screw Fixation - p. 1858 737. Posterior C1-C2 Fusion Using Rod and Screw Construct With C1 Lateral Mass Screws - p. 1859 738. Posterior C1-C2 Fusion With C2 Translaminar Screws - p. 1862 739. Posterior C1-C2 Transarticular Screws - p. 1863 740. Posterior C1-C2 Fusion Using the Modified Gallie Posterior Wiring Technique - p. 1863 741. Posterior C1-C2 Wiring - p. 1864 742. Anterior Cervical Discectomy and Fusion With Plating - p. 1873 743. Cervical Corpectomy and Reconstruction With Plating - p. 1875 744. Posterior Subaxial Fixation and Fusion - p. 1877 745. Lateral Mass Screw and Rod Fixation - p. 1877 746. Thoracic and Lumbar Injuries - p. 1880 747. Thoracic and Lumbar Segmental Fixation With Pedicle Screws - p. 1888 748. Anterior Plating - p. 1891 749. Sacral Fractures and Spinopelvic Dissociation Injuries - p. 1892 750. Lumbopelvic Fixation (Triangular Osteosynthesis) - p. 1895 751. References - p. 1898 752. Supplemental References - p. 1907 753. Chapter 42. Infections and Tumors of the Spine - p. 1924 754. Infections of the Spine - p. 1924 755. Drainage of Retropharyngeal Abscess Through Posterior Triangle of the Neck - p. 1934 756. Anterior Cervical Approach to Drainage of Retropharyngeal Abscess - p. 1934 757. Costotransversectomy for Drainage of Dorsal Spine Abscess - p. 1935 758. Drainage of Paravertebral Abscess - p. 1935 759. Drainage Through the Petit Triangle - p. 1936 760. Drainage by Lateral Incision - p. 1936 761. Drainage by Anterior Incision - p. 1937 762. Coccygectomy for Drainage of a Pelvic Abscess - p. 1937 763. Radical Debridement and Arthrodesis - p. 1937 764. Tumors of the Spine - p. 1939 765. Anterior Excision of Spinal Tumor - p. 1949 766. Costotransversectomy for Intralesional Excision of Spinal Tumor - p. 1950 767. Transpedicular Intralesional Excision for Tumor of the Spine - p. 1950 768. Supplemental References - p. 1951 769. Chapter 43. Pediatric Cervical Spine - p. 1957 770. Chapter 44. Scoliosis and Kyphosis - p. 1998 771. Scoliosis - p. 1999 772. Infantile Idiopathic Scoliosis - p. 1999 773. Casting for Idiopathic Scoliosis - p. 2002 774. Juvenile Idiopathic Scoliosis - p. 2004 775. Dual Growing Rod Instrumentation Without Fusion - p. 2007 776. Shilla Guided Growth System - p. 2008 777. Growing Rod Attachment Using Rib Anchors - p. 2010 778. Anterior Vertebral Tethering - p. 2012 779. Adolescent Idiopathic Scoliosis - p. 2013 780. Posterior Surgeries for Idiopathic Scoliosis - p. 2025 781. Facet Fusion - p. 2027 782. Facet Fusion - p. 2027 783. Autogenous Iliac Crest Bone Graft - p. 2028 784. Thoracic Pedicle Screw Insertion Techniques - p. 2035 785. Pedicle Hook Implantation - p. 2039 786. Transverse Process Hook Implantation - p. 2040 787. LaminaR Hook Implantation - p. 2040 788. Sublaminar Wires - p. 2040 789. Instrumentation Sequence in Typical Lenke 1A Curve - p. 2043 790. Deformity Correction By Direct Vertebral Rotation - p. 2044 791. Temporary Distraction Rod - p. 2048 792. Anterior Release - p. 2050 793. Osteotomy In Complex Spinal Deformity - p. 2050 794. Posterior Thoracic Vertebral Column Resection - p. 2051 795. Osteotomy of the Ribs - p. 2058 796. Thoracoabdominal Approach - p. 2059 797. Lumbar Extraperitoneal Approach - p. 2059 798. Disc Excision - p. 2060 799. Anterior Instrumentation of A Thoracolumbar Curve - p. 2060 800. Video-Assisted Thoracoscopic Discectomy - p. 2065 801. Thoracoscopic Vertebral Body Instrumentation for Vertebral Body Tether - p. 2067 802. Neuromuscular Scoliosis - p. 2070 803. Luque Rod Instrumentation And Sublaminar Wires Without Pelvic Fixation - p. 2074 804. Sacropelvic Fixation - p. 2075 805. Galveston Sacropelvic Fixation - p. 2076 806. Unit Rod Instrumentation With Pelvic Fixation - p. 2078 807. Iliac Fixation With Iliac Screws - p. 2079 808. Iliac and Lumbosacral Fixation With Sacral-Alar-Iliac Screws - p. 2081 809. Congenital Scoliosis - p. 2093 810. Transpedicular Convex Anterior Hemiepiphysiodesis and Posterior Arthrodesis - p. 2098 811. Convex Anterior and Posterior Hemiepiphysiodeses and Fusion - p. 2099 812. Hemivertebra Excision: Anteroposterior Approach - p. 2102 813. Hemivertebra Excision: Lateral-Posterior Approach - p. 2105 814. Hemivertebra Excision: Posterior Approach - p. 2105 815. Transpedicular Eggshell Osteotomies With Frameless Stereotactic Guidance - p. 2107 816. Expansion Thoracoplasty - p. 2110 817. Kyphosis - p. 2114 818. Scheuermann Disease - p. 2115 819. Anterior Release and Fusion - p. 2120 820. Posterior Multiple Hook and Screw Segmental Instrumentation - p. 2120 821. Posterior Column Shortening Procedure for Scheuermann Kyphosis - p. 2122 822. Congenital Kyphosis - p. 2123 823. Anterior Osteotomy and Fusion - p. 2129 824. Anterior Cord Decompression and Fusion - p. 2129 825. Anterior Vascular Rib Bone Grafting - p. 2130 826. Circumferential Decompression and Cantilever Bending - p. 2132 827. Posterior Hemivertebra Resection With Transpedicular Instrumentation - p. 2133 828. Progressive Anterior Vertebral Fusion - p. 2134 829. Infantile Lumbar Hypoplasia - p. 2135 830. Spondylolysis and Spondylolisthesis - p. 2136 831. Spondylolysis Repair - p. 2142 832. Modified Scott Repair Technique - p. 2143 833. Intralaminar Screw Fixation OF Pars Defect (Buck Screw Technique) - p. 2144 834. Spondylolysis Repair with U-Rod or V-Rod - p. 2144 835. Posterolateral Fusion and Pedicle Screw Fixation - p. 2147 836. Instrumented Reduction - p. 2147 837. Reduction and Interbody Fusion - p. 2150 838. One-Stage Decompression and Posterolateral Interbody Fusion - p. 2152 839. Uninstrumented Circumferential In Situ Fusion - p. 2154 840. Kyphoscoliosis - p. 2158 841. Posterior Instrumentation and Fusion - p. 2160 842. Vertebral Excision and Reduction of Kyphosis - p. 2163 843. Unusual Causes OF Scoliosis - p. 2167 844. Open Biopsy of Thoracic Vertebra - p. 2173 845. Unusual Causes of Kyphosis - p. 2182 846. References - p. 2190 847. Supplemental References - p. 2197 848. Part XIII. Sports Medicine - p. 2196.e28 849. Chapter 45. Knee Injuries - p. 2198 850. Anatomy - p. 2198 851. Mechanics - p. 2210 852. Menisci - p. 2211 853. Open Meniscal Repair - p. 2222 854. Arthroscopic Partial Meniscectomy and Decompression of Meniscal Cyst - p. 2226 855. Excision of Meniscal Cyst - p. 2227 856. Acute Traumatic Lesions of Ligaments - p. 2228 857. Repair of Medial Compartment Disruptions - p. 2244 858. Reconstruction of Medial Compartment - p. 2252 859. Repair of Posteromedial Corner - p. 2256 860. Reconstruction of Posteromedial Corner - p. 2257 861. Reconstruction of the Anterolateral Ligament - p. 2260 862. Repair of Lateral Compartment Disruptions - p. 2260 863. Reconstruction of the Posterolateral Structures for Mild-To-Moderate Posterolateral Instability - p. 2267 864. Reconstruction of the Popliteal Tendon Using the Iliotibial Band for Posterolateral Instability - p. 2270 865. Rerouting of the Biceps Tendon to the Femoral Epicondyle for Posterolateral Instability - p. 2273 866. Anatomic Posterolateral Knee Reconstruction for Grade III Posterolateral Injury - p. 2275 867. Posterolateral Corner Reconstruction With a Single Allograft Fibular Sling - p. 2276 868. Allograft Reconstruction of the Lateral Collateral Ligament - p. 2277 869. Reconstruction of Posterolateral Structures With Semitendinosus Tendon - p. 2279 870. Valgus Tibial Osteotomy and Posterolateral Reconstruction - p. 2280 871. Anterior Cruciate Ligament Injuries - p. 2282 872. Repair of Bony Tibial Avulsions of Anterior Cruciate Ligament - p. 2287 873. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2289 874. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2289 875. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2290 876. Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft - p. 2296 877. Anterior Cruciate Ligament Reconstruction With Hamstrings (With Proximal Release of Hamstrings) - p. 2301 878. Posterior Cruciate Ligament - p. 2312 879. Repair of Bony Avulsion - p. 2316 880. Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft - p. 2319 881. Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft - p. 2321 882. Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts - p. 2326 883. Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts - p. 2327 884. Traumatic Dislocations - p. 2328 885. Synovial Plicae - p. 2335 886. Articular Cartilage Injuries - p. 2336 887. Osteochondritis Dissecans - p. 2343 888. Disorders of the Patella - p. 2347 889. Subperiosteal Release of the Lateral Quadriceps Mechanism - p. 2348 890. Advancement of the Tibial Tuberosity - p. 2351 891. Patellectomy - p. 2352 892. Thompson Quadricepsplasty - p. 2353 893. Mini-Invasive Quadricepsplasty - p. 2353 894. Posterior Capsulotomy - p. 2356 895. Posterior Capsulotomy - p. 2356 896. Open Wounds of the Knee Joint - p. 2357 897. References - p. 2359 898. Supplemental References - p. 2373 899. Chapter 46. Shoulder and Elbow Injuries - p. 2374 900. Shoulder Injuries - p. 2374 901. Open Anterior Acromioplasty - p. 2388 902. Open Repair of Rotator Cuff Tears - p. 2392 903. Latissimus Dorsi Transfer - p. 2397 904. Decompression and Debridement of Massive Rotator Cuff Tears - p. 2398 905. Closed Manipulation - p. 2402 906. Posterior Surgical Approach for Quadrilateral Space Syndrome - p. 2406 907. Posterior Surgical Approach for Suprascapular Nerve Entrapment - p. 2407 908. Suprascapular Notch Decompression - p. 2408 909. Spinoglenoid Notch Decompression - p. 2408 910. Removal of a Ganglion From the Inferior Branch of the Suprascapular Nerve - p. 2409 911. Elbow Injuries - p. 2409 912. Correction of Tennis Elbow - p. 2412 913. Correction of Medial Epicondylitis - p. 2413 914. Anterior and Posterior Release of Elbow Contracture - p. 2416 915. Excision of Heterotopic Ossification - p. 2418 916. References - p. 2419 917. Supplemental References - p. 2425 918. Chapter 47. Recurrent Dislocations - p. 2426 919. Patella - p. 2426 920. Reconstruction of the Medial Patellofemoral Ligament - p. 2431 921. Medial Quadriceps Tendon-Femoral Ligament Reconstruction - p. 2432 922. Distal Realignment - p. 2434 923. Oblique Osteotomy of the Tuberosity - p. 2434 924. Fulkerson Osteotomy - p. 2435 925. Trochleoplasty - p. 2435 926. Hip - p. 2437 927. Sternoclavicular Joint - p. 2437 928. Shoulder - p. 2438 929. Bankart Operation - p. 2447 930. Modified Bankart Repair - p. 2448 931. Anterior Stabilization With Associated Glenoid Deficiency (Laterjet Procedure) - p. 2450 932. Reconstruction of Anterior Glenoid Using Iliac Crest Bone Autograft - p. 2453 933. Capsular Shift - p. 2454 934. Neer Inferior Capsular Shift Procedure Through a Posterior Approach - p. 2457 935. Tibone and Bradley Technique - p. 2459 936. Capsular Shift Reconstruction With Posterior Glenoid Osteotomy - p. 2460 937. Mclaughlin Procedure - p. 2461 938. Surgical Failures - p. 2462 939. Elbow - p. 2463 940. Ulnar collateral ligament reconstruction—andrews et al. Technique - p. 2468 941. Ulnar Collateral Ligament Reconstruction - p. 2470 942. Ulnar Collateral Ligament Repair With an Internal Brace - p. 2472 943. Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability - p. 2473 944. References - p. 2475 945. Supplemental References - p. 2478 946. Chapter 48. Traumatic Disorders - p. 2479 947. Compartment Syndrome - p. 2479 948. Fasciotomy for Acute Compartment Syndrome of the Thigh - p. 2482 949. Single-Incision Fasciotomy for Lower Leg Compartment Syndrome - p. 2483 950. Double-Incision Fasciotomy for Lower Leg Compartment Syndrome - p. 2484 951. Double Mini-Incision Fasciotomy for Chronic Anterior Compartment Syndrome - p. 2487 952. Single-Incision Fasciotomy for Chronic Anterior and Lateral Compartment Syndrome - p. 2487 953. Double-Incision Fasciotomy for Chronic Posterior Compartment Syndrome - p. 2489 954. Rupture of Muscles and Tendons - p. 2490 955. Open Repair of Acute Achilles Tendon Rupture - p. 2493 956. Open Repair of Achilles Tendon Rupture—Krackow et al. - p. 2494 957. Open Repair of Achilles Tendon Rupture—Lindholm - p. 2494 958. Repair of Acute Achilles Tendon Rupture Using Plantaris Tendon - p. 2495 959. Dynamic Loop Suture Technique for Acute Achilles Tendon Rupture - p. 2495 960. Minimally Invasive and Percutaneous Repair of Acute Achilles Tendon Rupture - p. 2496 961. Percutaneous Achilles Tendon Repair - p. 2497 962. Transfer of the Peroneus Brevis Tendon for Neglected Achilles Tendon Ruptures - p. 2500 963. Direct Repair of Neglected Achilles Tendon Ruptures - p. 2502 964. Repair of Neglected Achilles Tendon Ruptures Using Peroneus Brevis and Plantaris Tendons - p. 2502 965. Repair of Neglected Achilles Tendon Ruptures Using Gastrocnemius-Soleus Turn-Down Graft - p. 2503 966. V-Y Repair of Neglected Achilles Tendon Ruptures - p. 2503 967. Repair of Neglected Achilles Tendon Ruptures Using Flexor Hallucis Longus Tendon Transfer - p. 2504 968. Tenotomy and Repair for Chronic Patellar Tendinosis - p. 2507 969. Fixation of Patellar Stress Fracture - p. 2507 970. Suture Repair of Patellar Tendon Rupture - p. 2509 971. Suture Anchor Repair of Patellar Tendon Rupture - p. 2510 972. Achilles Tendon Allograft for Chronic Patellar Tendon Rupture - p. 2511 973. Hamstring (Semitendinosus and Gracilis) Autograft Augmentation for Chronic Patellar Tendon Rupture - p. 2513 974. Hamstring Autograft Augmentation for Chronic Patellar Tendon Rupture - p. 2514 975. Repair of Acute Rupture of the Tendon of the Quadriceps Femoris Muscle - p. 2514 976. Repair of Proximal Hamstring Avulsion - p. 2518 977. Open Repair of Proximal Hamstring Avulsion - p. 2519 978. Endoscopic Repair of Proximal Hamstring Avulsion - p. 2519 979. Repair of Proximal Biceps Tendon Rupture - p. 2521 980. Subpectoral Biceps Tenodesis - p. 2521 981. Two-Incision Technique for Repair of the Distal Biceps Tendon - p. 2524 982. Single-Incision Technique for Repair of the Distal Biceps Tendon - p. 2525 983. Double-Row Repair of the Distal Triceps Tendon - p. 2526 984. Displacement of Tendons - p. 2527 985. Repair of the Superior Peroneal Retinaculum - p. 2529 986. Fibular Groove Deepening With Tissue Transfer (Periosteal Flap) for Recurrent Peroneal Tendon Dislocation - p. 2529 987. Indirect (Impaction) Fibular Groove Deepening for Peroneal Tendon Dislocation - p. 2530 988. Achilles Tendon Augmentation of Superior Peroneal Retinaculum Repair - p. 2531 989. Treatment of Biceps Brachii Tendon Displacement - p. 2532 990. References - p. 2532 991. Supplemental References - p. 2538 992. Part XIV. Arthroscopy - p. 2538.e7 993. Chapter 49. General Principles of Arthroscopy - p. 2540 994. Chapter 50. Arthroscopy of the Foot and Ankle - p. 2552 995. Chapter 51. Arthroscopy of the Lower Extremity - p. 2576 996. Knee - p. 2576 997. Resection of Bucket-Handle Tear - p. 2585 998. Removal of Posterior Horn Tear - p. 2586 999. Treatment of Partial Depth Meniscal Tears - p. 2587 1000. Partial Excision of the Discoid Meniscus - p. 2588 1001. Inside-To-Outside Technique - p. 2590 1002. Outside-To-Inside Technique - p. 2592 1003. Lateral Meniscal Suturing - p. 2593 1004. Outside-In Repair of Complete Radial Tear of the Lateral Meniscus - p. 2594 1005. Transtibial Pull-Out Repair of Radial or Meniscal Root Tear - p. 2597 1006. Meniscal Replacement - p. 2599 1007. Removal of Loose Bodies - p. 2601 1008. Resection of Plica - p. 2603 1009. Arthroscopic Drilling of an Intact Lesion of the Femoral Condyle - p. 2605 1010. Arthroscopic Screw Fixation for Osteochondritis Dissecans Lesions in the Medial Femoral Condyle - p. 2605 1011. Osteochondral Autograft Transfer - p. 2606 1012. Anatomic Single-Bundle Endoscopic Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Graft - p. 2610 1013. Two-Incision Technique for Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Graft - p. 2616 1014. Endoscopic Quadruple Hamstring Graft - p. 2617 1015. All-Inside Quadruple Hamstring Graft Anterior Cruciate Ligament Reconstruction - p. 2619 1016. Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction - p. 2620 1017. Transepiphyseal Replacement of Anterior Cruciate Ligament Using Quadruple Hamstring Grafts - p. 2623 1018. Physeal-Sparing Reconstruction of the Anterior Cruciate Ligament - p. 2625 1019. Partial Transepiphyseal Acl Reconstruction in Skeletally Immature Athletes - p. 2626 1020. Anterior Cruciate and Anterolateral Ligament Reconstruction (BOX 51.8) - p. 2627 1021. Single-Tunnel Posterior Cruciate Ligament Reconstruction - p. 2631 1022. Double-Tunnel Posterior Cruciate Ligament Reconstruction - p. 2633 1023. Lateral Retinacular Release - p. 2637 1024. Arthroscopically Assisted Fracture Reduction and Percutaneous Fixation - p. 2639 1025. Arthroscopic Lysis and Excision of Adhesions - p. 2639 1026. HIP - p. 2640 1027. Supine Position Arthroscopy - p. 2642 1028. Lateral Position Arthroscopy - p. 2645 1029. Arthroscopic Repair of Labral Tears - p. 2649 1030. Arthroscopic Treatment of Pincer Impingement - p. 2652 1031. Arthroscopic Treatment of Cam Impingement - p. 2652 1032. Arthroscopic Labral Reconstruction - p. 2653 1033. Repair of the Adductor Tendon - p. 2655 1034. Treatment of External Snapping Hip - p. 2655 1035. Psoas Release at the Lesser Trochanter - p. 2656 1036. Psoas Release at the Joint Level - p. 2656 1037. References - p. 2656 1038. Supplemental References - p. 2662 1039. Chapter 52. Arthroscopy of the Upper Extremity - p. 2663 1040. Shoulder - p. 2663 1041. Establishing A Posterior Portal - p. 2667 1042. Antegrade Method - p. 2668 1043. Retrograde Method - p. 2668 1044. Establishing The Superior Portal - p. 2669 1045. Arthroscopic Removal of Loose Body - p. 2671 1046. Arthroscopic Fixation of Type II Slap Lesions - p. 2673 1047. Biceps Tendon Release - p. 2678 1048. Arthroscopic Biceps Tenodesis: Percutaneous Intraarticular Transtendon Technique - p. 2680 1049. Arthroscopic “Loop ‘N’ Tack” Tenodesis - p. 2680 1050. Biceps Tenodesis: Arthroscopic or Mini-Open Technique with Screw Fixation - p. 2682 1051. Arthroscopic Bankart Repair Technique - p. 2684 1052. Posterior Shoulder Stabilization - p. 2692 1053. Capsular Shift - p. 2694 1054. Arthroscopic Repair of Posterior Humeral Avulsion of the Glenohumeral Ligament - p. 2695 1055. Arthroscopic Subacromial Decompression and Acromioplasty - p. 2700 1056. Chock-Block Method for Acromioplasty - p. 2702 1057. Debridement of Partial-Thickness Rotator Cuff Tears - p. 2703 1058. Repair of Delamination and Localized, Articular-Side Partial-Thickness Cuff Tears - p. 2704 1059. Transtendinous Repair of A Partial Articular-Side Supraspinatus Tendon Avulsion Lesion - p. 2704 1060. Rotator Cuff Repair - p. 2713 1061. Superior Capsule Reconstruction - p. 2717 1062. Subscapularis Tendon Repair - p. 2721 1063. Arthroscopic Resection of the Distal End of the Clavicle (Mumford Procedure) - p. 2724 1064. Superior Approach - p. 2726 1065. Acromioclavicular Joint Separation - p. 2726 1066. Arthroscopically Assisted AC Joint Reconstruction - p. 2726 1067. Release of Calcific Tendinitis - p. 2727 1068. Capsular Release - p. 2730 1069. Suprascapular Nerve Release - p. 2731 1070. Scapulothoracic Bursectomy - p. 2733 1071. Elbow - p. 2735 1072. Arthroscopic Treatment of Osteochondritis Dissecans - p. 2744 1073. Osteochondral Autograft Transfer - p. 2744 1074. Removal of Olecranon Tip and Osteophytes - p. 2746 1075. Resection of Thickened Pathologic Synovial PLICA - p. 2747 1076. Arthroscopy for Arthrofibrosis - p. 2747 1077. Arthroscopic Tennis Elbow Release - p. 2749 1078. Arthroscopic Bursectomy - p. 2750 1079. Wrist - p. 2751 1080. References - p. 2751 1081. Supplemental References - p. 2756 1082. Part XV. Fractures and Dislocations in Adults - p. 2755.e10 1083. Chapter 53. General Principles of Fracture Treatment - p. 2758 1084. Classification of Fractures - p. 2759 1085. Classification of Soft-Tissue Injuries - p. 2759 1086. Trauma Principles - p. 2763 1087. Percutaneous Drainage of a Morel-Lavallée Lesion - p. 2771 1088. Irrigation and Debridement of Open Wounds - p. 2774 1089. Fracture Healing (Bone Regeneration) - p. 2776 1090. Harvest of Femoral or Tibial Bone Graft With the RIA Instrumentation - p. 2779 1091. Principles of Surgical Treatment - p. 2783 1092. Biomaterials of Fracture Fixation - p. 2785 1093. Biomechanics of Implant Design and Fracture Fixation - p. 2787 1094. Screw Fixation - p. 2790 1095. Asif Cancellous Screw Technique - p. 2791 1096. Pin Insertion - p. 2804 1097. Rehabilitation - p. 2805 1098. Treatment of Complications From Surgical Treatment of Fractures - p. 2805 1099. References - p. 2808 1100. Supplemental References - p. 2811 1101. Chapter 54. Fractures of the Lower Extremity - p. 2812 1102. Ankle - p. 2812 1103. Fixation of the Lateral Malleolus - p. 2818 1104. Fixation of the Medial Malleolus - p. 2819 1105. Repair of the Deltoid Ligament and Internal Fixation of the Lateral Malleolus - p. 2821 1106. Reduction and Fixation of Posterior Malleolar Fracture - p. 2823 1107. Reduction and Fixation of Anterior Tibial Margin Fractures - p. 2824 1108. Stabilization of Unstable Ankle Fracture-Dislocation - p. 2826 1109. Staged Minimally Invasive Open Reduction and Internal Fixation - p. 2831 1110. Posterolateral Approach to Pilon Fractures - p. 2832 1111. Spanning External Fixation of Tibial Pilon Fracture - p. 2835 1112. Definitive Ring External Fixation of Tibial Pilon Fractures - p. 2837 1113. Fractures of the Tibial Shaft - p. 2839 1114. Intramedullary Nailing of Tibial Shaft Fractures - p. 2848 1115. External Fixation for Tibial Shaft Fractures - p. 2854 1116. Ilizarov External Fixation for Tibial Shaft Fractures - p. 2857 1117. Tibial Plateau Fracture - p. 2861 1118. Open Reduction and Fixation of a Lateral Tibial Plateau Fracture - p. 2869 1119. Posteromedial Exposure - p. 2871 1120. Open Reduction and Internal Fixation of Bicondylar Injuries - p. 2872 1121. Circular External Fixation - p. 2872 1122. Patella - p. 2873 1123. Common Approach and Technique for Patellar Fractures - p. 2876 1124. Circumferential Wire Loop Fixation - p. 2876 1125. Tension Band Wiring Fixation - p. 2877 1126. Partial Patellectomy - p. 2879 1127. Partial Patellectomy Using Figure-of-Eight Load-Sharing Wire or Cable - p. 2879 1128. Total Patellectomy - p. 2880 1129. Distal Femur - p. 2880 1130. Fracture Fixation of the Medial Condyle - p. 2884 1131. Fracture Fixation of the Posterior Part of the Medial Condyle - p. 2885 1132. Swashbuckler Approach to the Distal Femur - p. 2886 1133. Submuscular Minimally Invasive Locking Condylar Plate Application - p. 2887 1134. Double Plate Fixation - p. 2888 1135. Shaft of the Femur - p. 2890 1136. Antegrade Femoral Nailing - p. 2895 1137. Retrograde Femoral Nailing - p. 2901 1138. Extraction of an Unbroken Antegrade Femoral Nail - p. 2904 1139. Extraction of a Broken Femoral Antegrade Nail - p. 2904 1140. References - p. 2906 1141. Supplemental References - p. 2908 1142. Chapter 55. Fractures and Dislocations of the Hip - p. 2909 1143. Femoral Neck Fractures - p. 2909 1144. Fixation of Femoral Neck Fracture With Cannulated Screws - p. 2912 1145. Open Reduction and Internal Fixation - p. 2914 1146. Fluoroscopically Guided Capsulotomy of the Hip - p. 2918 1147. Intertrochanteric Femoral Fractures - p. 2924 1148. Screw–Side Plate Fixation of Intertrochanteric Femoral Fractures - p. 2925 1149. Intramedullary Nailing of Intertrochanteric Femoral Fractures - p. 2929 1150. Intramedullary Nailing of Intertrochanteric Femoral Fractures With Integrated Proximal Interlocking Screws (Intertan) - p. 2933 1151. Subtrochanteric Femoral Fractures - p. 2935 1152. Intramedullary Nailing in Reconstruction Mode - p. 2935 1153. Fixation of Subtrochanteric Femoral Fracture With a Proximal Femoral Locking Plate - p. 2938 1154. Fixation of Subtrochanteric Femoral Fracture With a Blade Plate - p. 2940 1155. Hip Dislocations and Femoral Head Fractures - p. 2943 1156. Open Reduction of Posterior Hip Dislocation Through a Posterior Approach - p. 2948 1157. Fractures of the Ipsilateral Femoral Neck and Shaft - p. 2952 1158. References - p. 2954 1159. Supplemental References - p. 2957 1160. Chapter 56. Fractures of the Acetabulum and Pelvis - p. 2958 1161. Acetabular Fractures - p. 2958 1162. Anterior Intra-Pelvic Approach - p. 2973 1163. Fixation of Comminuted Posterior Wall Fracture With or Without a Transverse Component - p. 2988 1164. Anterior Approach for Total Hip Arthroplasty for Fractures Involving Primarily the Anterior Wall and Column - p. 2988 1165. Pelvic Fractures - p. 2991 1166. Gluteal Pillar External Fixation - p. 3008 1167. Supra-Acetabular External Fixation - p. 3008 1168. Anterior Subcutaneous Internal Fixation - p. 3010 1169. Pelvic Clamps - p. 3011 1170. Open Reduction and Internal Fixation of the Pubic Symphysis - p. 3015 1171. Internal Fixation: Posterior Approach and Fixation of Sacral Fractures and Sacroiliac Dislocations (Prone) - p. 3016 1172. Percutaneous Iliosacral Screw Fixation of Sacroiliac Disruptions and Sacral Fractures (Supine) - p. 3017 1173. Anterior Approach and Stabilization of the Sacroiliac Joint - p. 3019 1174. References - p. 3027 1175. Supplemental References - p. 3030 1176. Chapter 57. Fractures of the Shoulder, Arm, and Forearm - p. 3031 1177. Clavicle - p. 3031 1178. Open Reduction and Internal Fixation of Clavicular Fractures - p. 3034 1179. Intramedullary Fixation With a Headed, Distally Threaded Pin (Rockwood Clavicle Pin) - p. 3036 1180. Distal Clavicular Fracture Repair With Coracoclavicular Ligament Reconstruction and Cortical Button Fixation - p. 3039 1181. Fractures Around The Shoulder - p. 3040 1182. Intramedullary Nailing of a Proximal Humeral Fracture - p. 3053 1183. Open Reduction and Internal Fixation of Proximal Humeral Fractures - p. 3054 1184. Anterolateral Acromial Approach for Internal Fixation of Proximal Humeral Fracture - p. 3055 1185. Fractures of the Humeral Shaft - p. 3058 1186. Open Reduction and Internal Fixation of the Humeral Shaft Through a Modified Posterior Approach (Triceps-Reflecting) - p. 3062 1187. Minimally Invasive Plate Osteosynthesis - p. 3064 1188. Antegrade Intramedullary Nailing of Humeral Shaft Fractures - p. 3067 1189. Fractures of the Humeral Shaft With Radial Nerve Palsy - p. 3067 1190. Open Reduction and Internal Fixation of the Distal Humerus With Olecranon Osteotomy - p. 3075 1191. Fractures, Dislocations, and Fracture-Dislocations of the Elbow - p. 3077 1192. Open Reduction and Internal Fixation of Radial Head Fracture - p. 3081 1193. Stabilization of “Terrible Triad” Elbow Fracture-Dislocation - p. 3084 1194. Internal Joint Stabilization for Elbow Instability - p. 3088 1195. Open Reduction and Internal Fixation of Olecranon Fracture - p. 3093 1196. Fractures of the Shafts of the Radius and Ulna - p. 3097 1197. Open Reduction and Internal Fixation of Both-Bone Forearm Fractures - p. 3097 1198. Fractures of the Distal Radius - p. 3099 1199. Closed Reduction and Percutaneous Pinning of Distal Radial Fracture - p. 3103 1200. External Fixation of Fracture of the Distal Radius - p. 3105 1201. Volar Plate Fixation of Fracture of the Distal Radius - p. 3108 1202. Distraction Plate Fixation - p. 3111 1203. References - p. 3118 1204. Supplemental References - p. 3126 1205. Chapter 58. Malunited Fractures - p. 3127 1206. Foot - p. 3128 1207. Correction of Metatarsal Angulation - p. 3129 1208. Correction of Tarsal Malunion - p. 3129 1209. Posterior Subtalar Arthrodesis - p. 3131 1210. Distraction Arthrodesis - p. 3132 1211. Resection of Lateral Prominence of Calcaneus - p. 3133 1212. Correction of Calcaneal Malunion Through Extensile Lateral Approach - p. 3134 1213. Correction of Valgus Malunion of Extraarticular Calcaneal Fracture - p. 3136 1214. Ankle - p. 3137 1215. Osteotomy for Bimalleolar Fracture - p. 3138 1216. Correction of Diastasis of the Tibia And Fibula - p. 3139 1217. Supramalleolar Osteotomy - p. 3139 1218. Tibia - p. 3140 1219. Oblique Tibial Osteotomy - p. 3142 1220. Clamshell Osteotomy - p. 3145 1221. Subcondylar Osteotomy and Wedge Graft for Malunion of Lateral Condyle - p. 3149 1222. Osteotomy and Internal Fixation of the Lateral Condyle - p. 3149 1223. Patella - p. 3150 1224. Femur and Hip - p. 3150 1225. Open Reduction and Internal Fixation - p. 3150 1226. Osteotomy for Femoral Malunion - p. 3152 1227. Osteotomy for Femoral Malunion in Children - p. 3155 1228. Correction of Cervicotrochanteric Malunion - p. 3157 1229. Acetabulum - p. 3158 1230. Pelvis - p. 3158 1231. Scapula - p. 3159 1232. Osteotomy and Reorientation of Scapular Neck - p. 3160 1233. Clavicle - p. 3161 1234. Osteotomy and Plate Fixation - p. 3161 1235. Osteotomy and Elastic Intramedullary Nailing of Midshaft Clavicular Fracture - p. 3164 1236. Humerus - p. 3165 1237. Closing Wedge Valgus Osteotomy for Varus Malunion of Proximal Humerus - p. 3168 1238. Correction of Proximal Third Humeral Malunion - p. 3169 1239. Forearm - p. 3169 1240. Correction of Radial Neck Malunion - p. 3170 1241. Osteotomy and Fixation of Monteggia Fracture Malunion - p. 3170 1242. Resection of Proximal Part of Radial Shaft - p. 3172 1243. Osteotomy and Plating for Forearm Malunion - p. 3173 1244. Correction of Forearm Malunion with Distal Radioulnar Joint Instability - p. 3174 1245. Drill Osteoclasis - p. 3174 1246. Distal Radius - p. 3175 1247. Opening Wedge Metaphyseal Osteotomy with Bone Grafting and Internal Fixation with Plate and Screws - p. 3179 1248. Volar Osteotomy - p. 3180 1249. Intramedullary Fixation - p. 3182 1250. External Fixation - p. 3183 1251. Osteotomy for Intraarticular Malunion - p. 3184 1252. Radiolunate Arthrodesis - p. 3185 1253. Ulnar Shortening Osteotomy - p. 3186 1254. Resection of the Distal Ulna - p. 3187 1255. Carpus - p. 3189 1256. Hand - p. 3189 1257. References - p. 3189 1258. Supplemental References - p. 3191 1259. Chapter 59. Delayed Union and Nonunion of Fractures - p. 3192 1260. Definitions - p. 3192 1261. Etiology and Pathophysiology - p. 3194 1262. General Treatment of Nonunions - p. 3195 1263. Decortication - p. 3199 1264. Fibular Autograft (Nonvascularized) - p. 3200 1265. Intramedullary Fibular Strut Allograft (Humerus) - p. 3200 1266. Factors Complicating Nonunion - p. 3206 1267. Nonunion of Specific Bones - p. 3208 1268. Resection of the Distal Fragment of the Medial Malleolus - p. 3210 1269. Sliding Graft - p. 3210 1270. Bone Graft of Medial Malleolar Nonunion - p. 3211 1271. Posterolateral Bone Grafting - p. 3212 1272. Anterior Central Bone Grafting - p. 3212 1273. Percutaneous Bone Marrow Injection - p. 3213 1274. Tibial Exchange Nailing - p. 3214 1275. Plate Fixation and Bone Grafting of the Clavicle - p. 3222 1276. References - p. 3224 1277. Supplemental References - p. 3227 1278. Chapter 60. Acute Dislocations - p. 3228 1279. Chapter 61. Old Unreduced Dislocations - p. 3246 1280. Part XVI. Peripheral Nerve Injuries of the Upper and Lower Extremities - p. 3270.e2 1281. Chapter 62. Peripheral Nerve Injuries - p. 3272 1282. Anatomy of the Spinal Nerves - p. 3272 1283. Internal Topography of Peripheral Nerves - p. 3275 1284. Neuronal Degeneration and Regeneration - p. 3275 1285. Classification of Nerve Injuries - p. 3276 1286. Effects of Peripheral Nerve Injuries - p. 3278 1287. Etiology of Peripheral Nerve Injuries - p. 3282 1288. Clinical Diagnosis of Nerve Injuries - p. 3282 1289. General Considerations of Treatment of Nerve Injuries - p. 3285 1290. Factors That Influence Regeneration After Neurorrhaphy - p. 3286 1291. General Considerations for Surgery - p. 3287 1292. Technique of Nerve Repair - p. 3288 1293. Epineurial Neurorrhaphy - p. 3292 1294. Perineurial (Fascicular) Neurorrhaphy - p. 3292 1295. Interfascicular Nerve Grafting - p. 3293 1296. Cervical Plexus - p. 3294 1297. Nerve Transfers - p. 3295 1298. Transfer of the Ulnar Nerve Fascicles to Nerve of the Biceps Muscle - p. 3295 1299. Double Fascicular Transfer From Ulnar and Median Nerves to Nerve of the Brachialis Branches - p. 3296 1300. Neurotization of the Suprascapular Nerve With the Spinal Accessory Nerve - p. 3297 1301. Neurotization of the Axillary Nerve With Radial Nerve - p. 3298 1302. Upper Extremity Nerve Injuries - p. 3300 1303. Posterior Approach for Division of the Transverse Scapular Ligament - p. 3300 1304. Approach to the Axillary Nerve - p. 3301 1305. Approach to the Musculocutaneous Nerve - p. 3302 1306. Approach to the Radial Nerve - p. 3303 1307. Approach to the Ulnar Nerve - p. 3306 1308. Nerve Transfer for Ulnar Nerve Reconstruction - p. 3308 1309. Approach to the Median Nerve - p. 3309 1310. Lumbar Plexus - p. 3311 1311. Approach to the Femoral Nerve - p. 3312 1312. Sacral Plexus - p. 3313 1313. Approach to the Sciatic Nerve - p. 3314 1314. Approach to the Common, Superficial, and Deep Peroneal Nerves - p. 3316 1315. Approach to the Tibial Nerve Deep to the Soleus Muscle - p. 3318 1316. References - p. 3319 1317. Supplemental References - p. 3322 1318. Part XVII. Microsurgery - p. 3321.e6 1319. Chapter 63. Microsurgery - p. 3324 1320. Microvascular Anastomosis (End-to-End) - p. 3325 1321. Microvascular End-to-Side Anastomosis - p. 3326 1322. Microvascular Vein Grafting - p. 3327 1323. Replantation - p. 3328 1324. Preparation for Replantation - p. 3334 1325. Vessel Repair in Replantation - p. 3337 1326. Nerve Repair for Replantation - p. 3338 1327. Reoperation - p. 3340 1328. Revascularization - p. 3341 1329. Pocket Technique For Microvascular Anastomosis - p. 3341 1330. Single-Stage Tissue Transfer (Free Flaps) - p. 3341 1331. Dissection for Free Groin Flap - p. 3347 1332. Dissection for Anterolateral Thigh Flap - p. 3349 1333. Dissection for Scapular and Parascapular Flap - p. 3350 1334. Dissection for Lateral Arm Flap - p. 3351 1335. Muscle and Musculocutaneous Free Flaps - p. 3352 1336. Dissection for Latissimus Dorsi Transfer - p. 3354 1337. Dissection for Serratus Anterior Flap - p. 3356 1338. Dissection for Tensor Fasciae Latae Muscle Flap - p. 3357 1339. Dissection for Gracilis Muscle Transfer - p. 3359 1340. Dissection for Rectus Abdominis Transfer - p. 3360 1341. Functioning Neuromuscular Transfers - p. 3360 1342. Transfer of Functioning Muscle - p. 3361 1343. Free Vascularized Bone Transplant - p. 3363 1344. Posterior Approach for Harvesting Fibular Graft - p. 3365 1345. Lateral Approach for Harvesting Fibular Graft - p. 3365 1346. Distal Tibiofibular Fusion to Prevent Progressive Valgus Deformity - p. 3368 1347. Free Iliac Crest Bone Graft - p. 3369 1348. Harvesting of Medial Femoral Condyle Corticoperiosteal Free Flap - p. 3369 1349. Medial Femoral Condyle Corticoperiosteal Free Flap for Scaphoid Arthroplasty - p. 3370 1350. Composite Free Tissue Transfers From the Foot - p. 3372 1351. Dorsalis Pedis Free Tissue Transfer - p. 3374 1352. Neurovascular Free Flap Transfer First Web Space - p. 3377 1353. Great Toe Wraparound Flap Transfer - p. 3378 1354. Thumb and Finger Reconstruction - p. 3380 1355. Single-Stage Great Toe Transfer - p. 3382 1356. Trimmed-Toe Transfer - p. 3384 1357. Second or Third Toe Transplantation - p. 3386 1358. Vascularized Free Flaps Containing Joints and Epiphyses - p. 3389 1359. References - p. 3389 1360. Supplemental References - p. 3391 1361. Part XVIII. The Hand - p. 3390.e6 1362. Chapter 64. Basic Surgical Technique and Postoperative Care - p. 3392 1363. Chapter 65. Acute Hand Injuries - p. 3417 1364. Chapter 66. Flexor and Extensor Tendon Injuries - p. 3442 1365. Flexor Tendons - p. 3442 1366. Modified Kessler-Tajima Suture - p. 3446 1367. Flexor Tendon Repair Using Six-Strand Repair (Adelaide Technique) - p. 3448 1368. Four- or Six-Strand Repair - p. 3449 1369. Multiple Looped Suture Tendon Repair - p. 3449 1370. Six-Strand Double-Loop Suture Repair - p. 3449 1371. Eight-Strand Repair - p. 3450 1372. End-to-Side Repair - p. 3451 1373. Roll Stitch - p. 3452 1374. Pull-Out Technique for Tendon Attachment - p. 3452 1375. Repair in Zones I and II - p. 3458 1376. Repair in Zones III, IV, and V - p. 3461 1377. Profundus Advancement - p. 3467 1378. Reconstruction of Finger Flexors: Single-Stage Tendon Graft - p. 3468 1379. Reconstruction of Flexor Tendon Pulleys - p. 3473 1380. Stage 1: Excision of Tendon and Scar and Reconstruction of Flexor Pulley - p. 3475 1381. Stage 2: Rod Removal and Tendon Graft Insertion - p. 3477 1382. Flexor Tendon Graft - p. 3478 1383. Two-Stage Flexor Tendon Graft for Flexor Pollicis Longus - p. 3478 1384. Transfer of Ring Finger Flexor Sublimis to Flexor Pollicis Longus - p. 3480 1385. Flexor Tenolysis After Repair and Grafting - p. 3480 1386. Freeing of Adherent Tendon - p. 3480 1387. Tenodesis - p. 3481 1388. Extensor Tendons - p. 3481 1389. Chronic Mallet Finger (Secondary Repair) - p. 3483 1390. Chronic Mallet Finger (Secondary Repair) - p. 3485 1391. Tendon Transfer for Correction of old Mallet Finger Deformity - p. 3486 1392. Tendon Graft for Correction of old Mallet Finger Deformity - p. 3486 1393. Repair of Central Slip of The Extensor Expansion Causing Boutonniere Deformity - p. 3487 1394. Reconstruction of the Extensor Mechanism for Chronic Boutonniere Deformity - p. 3488 1395. Repair of Traumatic Dislocation of the Extensor Tendon - p. 3491 1396. References - p. 3493 1397. Supplemental References - p. 3496 1398. Chapter 67. Fractures, Dislocations, and Ligamentous Injuries of The Hand and Wrist - p. 3497 1399. Chapter 68. Nerve Injuries at the Level of the Hand and Wrist - p. 3560 1400. Chapter 69. Wrist Disorders - p. 3577 1401. Anatomy - p. 3577 1402. Diagnosis of Wrist Conditions - p. 3581 1403. Arthroscopy of the Wrist - p. 3582 1404. Patient Positioning for Wrist Arthroscopy - p. 3585 1405. Radiocarpal Examination - p. 3586 1406. Midcarpal Examination - p. 3587 1407. Distal Radioulnar Examination - p. 3588 1408. Fractures and Dislocations of the Carpal Bones, Including Kienböck Disease - p. 3588 1409. Open Reduction and Internal Fixation OF Acute Displaced Fractures of the Scaphoid—Volar Approach with ILIAC Crest Bone Grafting - p. 3591 1410. Open Reduction and Internal Fixation of Acute Displaced Fractures of the Scaphoid—Dorsal Approach - p. 3592 1411. Open Reduction and Internal Fixation of Acute Displaced Fractures of the Scaphoid—Volar Approach with Distal Radial Autograft - p. 3593 1412. Percutaneous Fixation of Scaphoid Fractures - p. 3594 1413. Excision of the Proximal Fragment - p. 3598 1414. Proximal Row Carpectomy - p. 3600 1415. Arthroscopic Proximal Row Carpectomy - p. 3601 1416. Grafting Operations - p. 3604 1417. Grafting Operations - p. 3606 1418. Grafting Operations - p. 3606 1419. Pronator-Based Graft - p. 3608 1420. Vascularized BONE Grafts— - p. 3609 1421. Vascularized Bone Grafts— - p. 3609 1422. Excision Or Reduction and Fixation of the Hook of the Hamate - p. 3614 1423. Capitate Shortening With Capitate-Hamate Fusion - p. 3617 1424. Radial Decompression for Treatment of Kienböck Disease - p. 3620 1425. Radial Shortening - p. 3621 1426. Distal Radioulnar and Ulnocarpal Joint Injuries - p. 3622 1427. Arthroscopic Debridement of Triangular Fibrocartilage Tears - p. 3625 1428. Arthroscopic Repair of Class 1B Triangular Fibrocartilage Complex Tears from the Ulna - p. 3626 1429. Open Repair of Class 1B Injury - p. 3626 1430. Open Repair of Class 1c Injury - p. 3627 1431. Arthroscopic Repair of Class 1D Injury - p. 3627 1432. Open Repair of Class 1D Injuries - p. 3630 1433. Anatomic Reconstruction of the Distal Radioulnar Ligaments - p. 3632 1434. Reconstruction of the Dorsal Ligament of the Triangular Fibrocartilage Complex - p. 3634 1435. Ulnar Shortening Osteotomy - p. 3636 1436. Limited Ulnar Head Excision: Hemiresection Interposition Arthroplasty - p. 3637 1437. “Matched” Distal Ulnar Resection - p. 3639 1438. “Wafer” Distal Ulnar Resection - p. 3639 1439. Combined Arthroscopic “Wafer” Distal Ulnar Resection and Triangular Fibrocartilage Complex Debridement - p. 3640 1440. Distal Radioulnar Arthrodesis With Distal Ulnar Pseudarthrosis (Baldwin; Sauvé-Kapandji; Lauenstein) - p. 3641 1441. Tenodesis of the Extensor Carpi Ulnaris and Transfer of the Pronator Quadratus - p. 3643 1442. Combination Tenodesis of the Flexor Carpi Ulnaris and the Extensor Carpi Ulnaris - p. 3644 1443. Interposition for Failed Ulna Resection - p. 3646 1444. Arthrodesis of the Wrist - p. 3647 1445. Compression Plate Technique - p. 3648 1446. Arthrodesis of the Wrist - p. 3648 1447. Carpal Ligament Injuries and Instability Patterns - p. 3649 1448. Ligament Repair - p. 3653 1449. Ligament Reconstruction - p. 3654 1450. Ligament Reconstruction - p. 3657 1451. Ligament Reconstruction - p. 3658 1452. Dorsal Capsulodesis - p. 3659 1453. Scaphotrapezial-Trapezoid Fusion - p. 3660 1454. Scaphocapitate Arthrodesis - p. 3662 1455. Scaphocapitolunate Arthrodesis - p. 3662 1456. Lunotriquetral Arthrodesis - p. 3662 1457. Osteoarthritis of the Wrist - p. 3663 1458. References - p. 3665 1459. Supplemental References - p. 3669 1460. Chapter 70. Special Hand Disorders - p. 3670 1461. Chapter 71. Paralytic Hand - p. 3688 1462. Chapter 72. Cerebral Palsy of the Hand - p. 3731 1463. Chapter 73. Arthritic Hand - p. 3756 1464. Rheumatoid Arthritis - p. 3756 1465. Osteoarthritis - p. 3758 1466. Systemic Lupus Erythematosus - p. 3759 1467. Psoriatic Arthritis - p. 3759 1468. Reiter Syndrome - p. 3759 1469. Gout - p. 3759 1470. Scleroderma (Progressive Systemic Sclerosis) - p. 3761 1471. Nonoperative Treatment of Synovitis and Tenosynovitis - p. 3761 1472. Rheumatoid Nodules - p. 3761 1473. Staging of Operations - p. 3762 1474. Finger Deformities Caused by Rheumatoid Arthritis - p. 3762 1475. Correction of Proximal Interphalangeal Joint Hyperextension Deformity - p. 3766 1476. Lateral Band Mobilization and Skin Release - p. 3766 1477. Correction of Mild Boutonniere Deformity by Extensor Tenotomy - p. 3768 1478. Correction of Moderate Boutonniere Deformity - p. 3768 1479. Correction of Severe Boutonniere Deformity - p. 3768 1480. Proximal Interphalangeal Joint Volar Plate Interposition Arthroplasty - p. 3769 1481. Proximal Interphalangeal Joint Arthroplasty Through a Dorsal Approach - p. 3770 1482. Proximal Interphalangeal Joint Arthroplasty Through an Anterior (VOLAR) Approach - p. 3770 1483. Extensor Tendon Realignment and Intrinsic Rebalancing - p. 3773 1484. Metacarpophalangeal Joint Arthroplasty - p. 3774 1485. Metacarpal Joint Surface Arthroplasty - p. 3776 1486. Synovectomy - p. 3779 1487. Flexor Tendon Sheath Synovectomy - p. 3780 1488. Metacarpophalangeal Joint Arthrodesis - p. 3782 1489. Proximal Interphalangeal Joint Arthrodesis - p. 3782 1490. Deformities of the Thumb - p. 3783 1491. Thumb Interphalangeal Joint Synovectomy - p. 3785 1492. Thumb Metacarpophalangeal Joint Synovectomy - p. 3785 1493. Thumb Trapeziometacarpal Joint Synovectomy - p. 3785 1494. Interphalangeal Soft-Tissue Reconstruction - p. 3785 1495. Metacarpophalangeal Synovectomy with Extensor Tendon Reconstruction - p. 3786 1496. Thumb Metacarpophalangeal Joint Reconstruction for Rheumatoid Arthritis - p. 3786 1497. Metacarpophalangeal Arthroplasty - p. 3787 1498. Trapeziometacarpal Ligament Reconstruction - p. 3789 1499. Distraction Arthroplasty - p. 3792 1500. Tendon Interposition Arthroplasty with Ligament Reconstruction - p. 3793 1501. Arthroscopic Thumb Carpometacarpal Arthroplasty - p. 3796 1502. Interphalangeal Arthrodesis of the Thumb - p. 3801 1503. Metacarpophalangeal Arthrodesis of the Thumb - p. 3801 1504. Tension Band Arthrodesis of the Thumb Metacarpophalangeal Joint - p. 3801 1505. Thumb Metacarpophalangeal Joint Arthrodesis with Intramedullary Screw Fixation - p. 3803 1506. Trapeziometacarpal Arthrodesis - p. 3803 1507. Trapeziometacarpal Arthrodesis - p. 3805 1508. Thumb Carpometacarpal Arthrodesis with Kirschner Wire or Blade-Plate Fixation - p. 3805 1509. Rheumatoid Deformities of the Wrist - p. 3807 1510. Dorsal Synovectomy - p. 3807 1511. Volar Synovectomy - p. 3808 1512. Arthrodesis of the Wrist - p. 3812 1513. References - p. 3816 1514. Supplemental References - p. 3818 1515. Chapter 74. Compartment Syndromes and Volkmann Contracture - p. 3819 1516. Chapter 75. Dupuytren Contracture - p. 3832 1517. Chapter 76. Stenosing Tenosynovitis of the Wrist and Hand - p. 3850 1518. Chapter 77. Compressive Neuropathies of the Hand, Forearm, and Elbow - p. 3857 1519. Chapter 78. Tumors and Tumorous Conditions of the Hand - p. 3885 1520. Chapter 79. Hand Infections - p. 3920 1521. Chapter 80. Congenital Anomalies of the Hand - p. 3941 1522. Principles of Management - p. 3941 1523. Incidence and Classification - p. 3941 1524. Embryology - p. 3942 1525. Malformations Upper Extremity - p. 3944 1526. Metacarpal Lengthening - p. 3946 1527. Centralization of the Hand Using Transverse Ulnar Incisions - p. 3952 1528. Centralization of the Hand With Removal of the Distal Radial Anlage - p. 3953 1529. Centralization of the Hand and Tendon Transfers - p. 3957 1530. Centralization With Transfer of the Flexor Carpi Ulnaris - p. 3957 1531. Centralization of the Hand - p. 3957 1532. Triceps Transfer to Restore Elbow Flexion - p. 3958 1533. Rotational Osteotomy of the First Metacarpal - p. 3960 1534. Excision of an Ulnar Anlage - p. 3961 1535. Creation of a One-Bone Forearm - p. 3961 1536. Resection of a Dyschondrosteosis Lesion - p. 3963 1537. Closing Wedge Osteotomy Combined With Darrach Excision of the Distal Ulnar Head - p. 3964 1538. Dome Osteotomy and Excision of Vickers Ligament - p. 3964 1539. Malformations of Hand Plate - p. 3965 1540. Metacarpal Lengthening - p. 3966 1541. Lengthening With Distraction Stage I - p. 3968 1542. Lengthening With Distraction Stage II - p. 3968 1543. Callotasis Metacarpal Lengthening - p. 3968 1544. Toe-Phalanx Transplantation - p. 3968 1545. Toe-Phalanx Transplantation - p. 3968 1546. Simple Z-Plasty of the Thumb Web - p. 3970 1547. Four-Flap Z-Plasty - p. 3970 1548. Web Deepening With a Sliding Flap - p. 3972 1549. Opponensplasty - p. 3972 1550. Ring Sublimis Opponensplasty - p. 3973 1551. Ring Sublimis Opponensplasty With Ulnar Collateral Ligament Reconstruction - p. 3975 1552. Abductor Digiti Quinti Opponensplasty - p. 3975 1553. Rerouting of the Flexor Pollicis Longus - p. 3977 1554. Recession of the Index Finger - p. 3978 1555. Riordan Pollicization - p. 3979 1556. Buck-Gramcko Pollicization - p. 3979 1557. Foucher Pollicization - p. 3981 1558. Correction of Types I And II Bifid Thumbs - p. 3986 1559. Correction of Types III Through VI Bifid Thumbs - p. 3986 1560. Reduction Osteotomy - p. 3988 1561. Excision of the Proximal Ulna - p. 3990 1562. Reconstruction of the Hand and Wrist - p. 3991 1563. Excision of Extra Digit - p. 3992 1564. Malformations Unspecified - p. 3993 1565. Open Finger Syndactyly Release - p. 3996 1566. Syndactyly Release With Dorsal Flap - p. 3997 1567. Syndactyly Release With Matching Volar and Dorsal Proximally Based V-Shaped Flaps - p. 3997 1568. Tendon Release - p. 4001 1569. Transfer of the Flexor Superficialis Tendon to the Extensor Apparatus - p. 4001 1570. Group 2 Clasped Thumb Deformity - p. 4002 1571. Group 3 Clasped Thumb Deformity - p. 4003 1572. Reverse Wedge Osteotomy - p. 4005 1573. Opening Wedge Osteotomy of the Terminal Phalanx - p. 4006 1574. Cleft Closure - p. 4013 1575. Simple Closure of Type I and II Cleft Hands - p. 4013 1576. Combined Cleft Closure and Release of Thumb Adduction Contracture - p. 4017 1577. Cleft Closure and Release of Thumb Adduction Contracture - p. 4017 1578. Palmar Cleft Closure - p. 4017 1579. Deepening of Web and Metacarpal Osteotomy - p. 4017 1580. Tendon Transfer for Type II Deformities - p. 4017 1581. Reconstruction of the Hand in Apert Syndrome - p. 4018 1582. Deformations - p. 4020 1583. Multiple Z-Plasty Release of a Congenital Ring - p. 4021 1584. Release of a Congenital Trigger Thumb - p. 4023 1585. Release of a Trigger Finger - p. 4023 1586. Dysplasias - p. 4023 1587. Debulking - p. 4026 1588. Epiphysiodesis - p. 4026 1589. Digital Shortening - p. 4026 1590. Thumb Shortening - p. 4026 1591. References - p. 4026 1592. Supplemental References - p. 4028 1593. Part XIX. The Foot and Ankle - p. 4028.e6 1594. Chapter 81. Surgical Techniques - p. 4030 1595. Chapter 82. Disorders of the Hallux - p. 4041 1596. Hallux Valgus (Bunion) - p. 4041 1597. Modified Mcbride Bunionectomy - p. 4049 1598. Distal Chevron Metatarsal Osteotomy - p. 4062 1599. Modified Chevron Distal Metatarsal Osteotomy - p. 4064 1600. Johnson Modified Chevron Osteotomy - p. 4070 1601. Increased Displacement, Distal Chevron Osteotomy - p. 4071 1602. Chevron-Akin Double Osteotomy - p. 4072 1603. Chevron Bunionectomy - p. 4073 1604. Minimally Invasive Chevron-Akin Osteotomy - p. 4075 1605. Proximal Crescentic Osteotomy With A Distal Soft-Tissue Procedure - p. 4078 1606. Scarf Osteotomy - p. 4083 1607. Ludloff Osteotomy - p. 4087 1608. Proximal Opening Wedge Osteotomy and Distal Chevron Osteotomy - p. 4088 1609. Medial Cuneiform Osteotomy - p. 4089 1610. Akin Procedure - p. 4091 1611. Arthrodesis of the First Metatarsophalangeal Joint With Small Plate Fixation - p. 4095 1612. Arthrodesis of the First Metatarsophalangeal Joint With Low-Profile Contoured Dorsal Plate and Compression Screw Fixation - p. 4096 1613. Truncated Cone Arthrodesis of the First Metatarsophalangeal Joint - p. 4098 1614. Arthrodesis of the First Metatarsocuneiform Articulation (Lapidus Procedure) - p. 4098 1615. Arthrodesis of the First Metatarsocuneiform Articulation (Lapidus Procedure) with Plate Fixation - p. 4101 1616. Double First Metatarsal Osteotomies - p. 4107 1617. Modified Peterson Procedure - p. 4108 1618. First Cuneiform Osteotomy - p. 4110 1619. First Web Space Dissection, Lateral Release, and Repeat Capsular Imbrication (Hallux Valgus Angle Less than 30 Degrees and First-Second Intermetatarsal Angle Less than 15 Degrees) - p. 4113 1620. Correcting Distal Metatarsal Osteotomy - p. 4117 1621. Correction of Malunion of the Chevron Osteotomy - p. 4118 1622. Distraction Osteogenesis for Metatarsal Shortening - p. 4120 1623. Correction of Uniplanar (Static) Hallux Varus Deformity - p. 4123 1624. Distal Metatarsal Osteotomy, Medial Capsular Release Without Tendon Transfer - p. 4124 1625. Transfer of Extensor Hallucis Longus with Arthrodesis of the Interphalangeal Joint of the Hallux - p. 4125 1626. Extensor Hallucis Brevis Tenodesis - p. 4128 1627. Hallux Rigidus - p. 4132 1628. Cheilectomy - p. 4136 1629. Distal Oblique Osteotomy for Hallux Rigidus - p. 4137 1630. “V” Resection of the First Metatarsophalangeal Joint (Valenti Procedure) - p. 4138 1631. Excision of the Sesamoid - p. 4141 1632. Fibular Sesamoidectomy: Plantar Approach - p. 4144 1633. Arthritis of the Interphalangeal Joint - p. 4146 1634. References - p. 4150 1635. Supplemental References - p. 4153 1636. Chapter 83. Disorders of Tendons and Fascia and Adolescent and Adult Pes Planus - p. 4154 1637. Disorders of the Posterior Tibial Tendon - p. 4154 1638. Synovectomy with Repair of Incomplete Tears - p. 4161 1639. Transfer of Flexor Digitorum Longus or Flexor Hallucis Longus to Tarsal Navicular - p. 4164 1640. Repair of Spring Ligament - p. 4165 1641. Reconstruction of the Spring Ligament Using the Peroneus Longus - p. 4166 1642. Anterior Calcaneal Osteotomy (Lateral Column Lengthening) - p. 4168 1643. Step-Cut Calcaneal Lengthening Osteotomy (Z Osteotomy) - p. 4169 1644. Medial Calcaneal Displacement Osteotomy - p. 4169 1645. Opening Wedge Medial Cuneiform (Cotton) Osteotomy - p. 4171 1646. Isolated Medial Column Arthrodesis - p. 4175 1647. Minimally Invasive Deltoid Ligament Reconstruction - p. 4176 1648. Lateral Column Lengthening and Excision of Accessory Navicular - p. 4180 1649. Accessory Navicular Fusion - p. 4181 1650. Calcaneonavicular Bar Resection - p. 4184 1651. Resection of a Middle Facet Tarsal Coalition - p. 4187 1652. Disorders of the Achilles Tendon - p. 4187 1653. Calcaneal Osteotomy for Haglund Deformity - p. 4191 1654. Debridement of the Tendon for Insertional Achilles Tendon Disease - p. 4191 1655. Flexor Hallucis Longus Transfer for Chronic Noninsertional Achilles Tendinosis - p. 4193 1656. Disorders of the Anterior Tibial Tendon - p. 4195 1657. Synovectomy of the Anterior Tibial Tendon - p. 4196 1658. Debridement and Repair of the Distal Anterior Tibial Tendon - p. 4196 1659. Repair of Complete Rupture of the Anterior Tibial Tendon - p. 4198 1660. Minimally Invasive Tendon Reconstruction with Semitendinosus Autograft - p. 4199 1661. Disorders of the Peroneal Tendons - p. 4200 1662. Synovectomy of the Peroneal Tendons - p. 4203 1663. Fibular Groove Deepening and Repair of the Superior Retinaculum - p. 4205 1664. Repair of Rupture of the Peroneal Tendons - p. 4207 1665. Peroneal Tendon Repair-Reconstruction - p. 4209 1666. Debridement of the Peroneus Longus Tendon, Removal of OS Peroneum, and Tenodesis of Peroneus Longus Tendon to Peroneus Brevis Tendon - p. 4211 1667. Injuries of the Flexor Tendons - p. 4211 1668. Release of the Fibroosseous Tunnel - p. 4213 1669. Repair of Flexor Hallucis Tear - p. 4214 1670. Painful Heel - p. 4216 1671. Plantar Fascia and Nerve Release - p. 4218 1672. Two-Portal Endoscopic Plantar Fascia Release - p. 4219 1673. Single-Portal Endoscopic Plantar Fascia Release - p. 4220 1674. References - p. 4222 1675. Supplemental References - p. 4226 1676. Chapter 84. Lesser Toe Abnormalities - p. 4227 1677. Metatarsophalangeal Joint Instability - p. 4227 1678. Primary Plantar Plate Repair Through a Dorsal Approach - p. 4232 1679. Primary Plantar Plate Repair Through a Dorsal Approach - p. 4232 1680. Percutaneous Distal Lesser Toe Osteotomy for Grade 0-I Metatarsophalangeal Joint Instability - p. 4233 1681. Axial Plane Deformity of the Metatarsophalangeal Joint - p. 4234 1682. Modified Weil Osteotomy - p. 4235 1683. Correction of Multiplanar Deformity of the Second Toe With Metatarsophalangeal Release and Extensor Brevis Reconstruction - p. 4236 1684. Flexor-to-Extensor Transfer - p. 4238 1685. Extensor Digitorum Brevis Transfer for Crossover Toe Deformity - p. 4240 1686. Closing Wedge Osteotomy of the Proximal Phalanx for Correction of Axial Deformity - p. 4241 1687. Hammer Toe and Claw Toe - p. 4241 1688. Correction of Moderate Hammer Toe or Claw Toe Deformity - p. 4244 1689. Correction of Severe Deformity - p. 4246 1690. Metatarsophalangeal Joint Arthroplasty - p. 4248 1691. Shortening Metatarsal (Weil) Osteotomy - p. 4249 1692. Mallet Toe - p. 4251 1693. Resection Dermodesis - p. 4253 1694. Terminal Syme Procedure - p. 4254 1695. Combined Hammer Toe and Mallet Toe Deformity With Associated Double Corns - p. 4255 1696. Complications and Revision Surgery of Hammer Toe Deformities - p. 4255 1697. Proximal Interphalangeal Joint Arthrodesis With an Absorbable Intramedullary Pin - p. 4255 1698. Corns (Helomata and Clavi) - p. 4256 1699. Hard Corn Treatment - p. 4257 1700. Partial Syndactylization for Intractable Interdigital Corn - p. 4259 1701. Arthroplasty of the Metatarsophalangeal Joint - p. 4260 1702. Dorsal Closing Wedge Osteotomy of the Metatarsals for Intractable Plantar Keratosis - p. 4261 1703. Bunionette (Tailor’s Bunion) - p. 4261 1704. Partial Resection of the Lateral Condyle of the Fifth Metatarsal Head - p. 4264 1705. Resection of the Fifth Metatarsal Head for Bunionette Deformity - p. 4266 1706. Subcapital Oblique Osteotomy for Bunionette Deformity - p. 4267 1707. Transverse Medial Slide Osteotomy for Bunionette Deformity - p. 4268 1708. Oblique Diaphyseal Osteotomy of the Fifth Metatarsal for Severe Splay Foot or Metatarsus Quintus Valgus - p. 4268 1709. Chevron Osteotomy of the Fifth Metatarsal for Bunionette Deformity - p. 4269 1710. Minimally Invasive Kramer Osteotomy for Bunionette Deformity - p. 4271 1711. Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy for Fifth Toe Bunionette Correction - p. 4272 1712. Freiberg Infraction - p. 4272 1713. Dorsal Closing Wedge Osteotomy For Freiberg Disease - p. 4273 1714. Joint Debridement and Metatarsal Head Remodeling for Freiberg Disease - p. 4274 1715. Brachymetatarsia - p. 4274 1716. Distraction Osteogenesis for Lengthening of the Metatarsal in Brachymetatarsia - p. 4276 1717. One-Stage Metatarsal Interposition Lengthening With Autologous Fibular Graft With Locking Plate Fixation - p. 4277 1718. Metatarsal Lengthening by Circular External Fixation - p. 4277 1719. References - p. 4281 1720. Supplemental References - p. 4283 1721. Chapter 85. Arthritis of the Foot - p. 4284 1722. Chapter 86. Diabetic Foot - p. 4314 1723. Chapter 87. Neurogenic Disorders - p. 4345 1724. Chapter 88. Disorders of Nails - p. 4382 1725. Chapter 89. Fractures and Dislocations of the Foot - p. 4407 1726. Fractures of the Calcaneus - p. 4407 1727. Open Reduction of Calcaneal Fracture - p. 4411 1728. Subtalar Arthrodesis - p. 4413 1729. Open Reduction of Calcaneal Fracture: Sinus Tarsi Approach With or Without Medial Approach - p. 4417 1730. Axial Fixation of Calcaneal Fracture - p. 4420 1731. Percutaneous Reduction and Fixation of Calcaneal Fracture - p. 4421 1732. Lateral Decompression of a Malunited Calcaneal Fracture - p. 4426 1733. Subtalar Distraction Bone Block Arthrodesis - p. 4429 1734. Fractures of the Talus - p. 4430 1735. Open Reduction of the Talar Neck - p. 4438 1736. Onlay Graft Technique Through a Posterior Approach - p. 4443 1737. Tibiocalcaneal Arthrodesis - p. 4445 1738. Tibiotalar Arthrodesis - p. 4447 1739. Open Reduction and Internal Fixation of Fractures of the Lateral Process of the Talus - p. 4448 1740. Subtalar Dislocations - p. 4450 1741. Open Reduction of Subtalar Dislocation - p. 4453 1742. Midfoot Fractures and Dislocations - p. 4455 1743. Open Reduction and Internal Fixation of Tarsometatarsal (Lisfranc) Fractures - p. 4467 1744. Metatarsals - p. 4468 1745. Internal Fixation With an Intramedullary Screw - p. 4474 1746. Open Reduction and Plating of Lesser Metatarsal Stress Fracture - p. 4475 1747. Phalangeal Dislocations - p. 4477 1748. Open Reduction of Dislocation of the Interphalangeal Joints of the Hallux - p. 4477 1749. Open Reduction of First Metatarsophalangeal Joint Dislocation Using a Midline Medial Approach - p. 4480 1750. Plantar Plate Repair (Anderson) - p. 4481 1751. Phalangeal Fractures - p. 4483 1752. Sesamoid Fractures - p. 4483 1753. Sesamoidectomy - p. 4484 1754. Bone Grafting of Sesamoid Nonunion - p. 4484 1755. References - p. 4485 1756. Supplemental References - p. 4488 1757. Chapter 90. Sports Injuries of the Ankle - p. 4495 1758. Index - p. I-1
Still the most widely used comprehensive resource in orthopaedic surgery, Campbell’s Operative Orthopaedics is an essential reference for trainees, a trusted clinical tool for practitioners, and the gold standard for worldwide orthopaedic practice. Unparalleled in scope and depth, this 14th Edition contains updated diagnostic images, practical guidance on when and how to perform every procedure, and rapid access to data in preparation for surgical cases or patient evaluation. Drs. Frederick M. Azar and James H. Beaty, along with other expert contributors from the world-renowned Campbell Clinic, have collaborated diligently to ensure that this 4-volume text remains a valuable resource in your practice, helping you achieve optimal outcomes with every patient.
Features evidence-based surgical coverage throughout to aid in making informed clinical choices for each patient.
Covers multiple procedures for all body regions to provide comprehensive coverage.
Keeps you up to date with even more high-quality procedural videos, a new chapter on biologics in orthopaedics, and expanded and updated content on hip arthroscopy, patellofemoral arthritis and more.
Follows a standard template for every chapter that features highlighted procedural steps, high-quality illustrations for clear visual guidance, and bulleted text.
Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Campbell’s Operative Orthopaedics, 14th ed. List of Techniques - p. ES1 5. Copyright - p. iv 6. Dedication - p. v 7. Contributors - p. vii 8. Preface - p. ix 9. Videos - p. ix 10. Part I. General Principles - p. ix 11. Chapter 1. Surgical Techniques - p. 2 12. Surgical Techniques - p. 2 13. Tourniquets - p. 2 14. Radiographs in the Operating Room - p. 5 15. Preventing Mistakes - p. 6 16. Positioning of the Patient - p. 6 17. Local Preparation of the Patient - p. 7 18. Draping - p. 9 19. Prevention of Human Immunodeficiency Virus and Hepatitis Virus Transmission - p. 10 20. Reversing Prophylactic Anticoagulation Prior to Surgery - p. 10 21. Blood Loss Control During Surgery - p. 10 22. Venous Thromboembolism Prophylaxis - p. 11 23. Postoperative Pain Control - p. 11 24. Special Operative Techniques - p. 14 25. Methods of Tendon-to-Bone Fixation - p. 14 26. Fixation of Tendon to Bone - p. 14 27. Tendon Fixation into the Intramedullary Canal - p. 15 28. Tendon to Bone Fixation Using Locking Loop Suture - p. 15 29. Tendon to Bone Fixation Using Wire Suture - p. 16 30. Fixation of Osseous Attachment of Tendon to Bone - p. 17 31. Bone Grafting - p. 18 32. Removal of a Tibial Graft - p. 22 33. Removal of Fibular Grafts - p. 23 34. Removal of an Iliac Bone Graft - p. 25 35. Surgical Approaches - p. 27 36. Approach to the Interphalangeal Joints - p. 28 37. Medial Approach to the Great Toe Metatarsophalangeal Joint - p. 28 38. Dorsomedial Approach to Great Toe Metatarsophalangeal Joint - p. 29 39. Approach to the Lesser Toe Metatarsophalangeal Joints - p. 29 40. Medial Approach to the Calcaneus - p. 29 41. Lateral Approach to the Calcaneus - p. 29 42. Extended Lateral Approach to the Calcaneus - p. 29 43. Sinus Tarsi Approach - p. 31 44. U-Shaped Approach to the Calcaneus - p. 31 45. Kocher Approach (Curved L) to the Calcaneus - p. 32 46. Tarsus and Ankle - p. 32 47. Anterolateral Approach to Chopart Joint - p. 32 48. Anterior Approach to Expose the Ankle Joint and Both Malleoli - p. 33 49. Kocher Lateral Approach to the Tarsus and Ankle - p. 34 50. Ollier Approach to the Tarsus - p. 34 51. Single-Incision Posterolateral Approach to the Lateral and Posterior Malleoli - p. 35 52. Posterolateral Approach to the Ankle - p. 35 53. Anterolateral Approach to the Lateral Dome of the Talus - p. 35 54. Posterior Approach to the Ankle - p. 36 55. Medial Approach to the Tarsus - p. 37 56. Medial Approach to the Ankle - p. 37 57. Medial Approach to the Posterior Lip of the Tibia - p. 38 58. Tibia - p. 38 59. Anterolateral Approach to the Tibia - p. 39 60. Medial Approach to the Tibia - p. 39 61. Posterolateral Approach to the Tibial Shaft - p. 39 62. Anterolateral Approach to the Lateral Tibial Plateau - p. 39 63. Medial Approach to the Medial Tibial Plateau - p. 41 64. Posteromedial Approach to the Medial Tibial Plateau - p. 41 65. Posteromedial Approach (Prone) to the Superomedial Tibia - p. 42 66. Posterolateral Approach to the Tibial Plateau - p. 43 67. Posterolateral Approach to the Tibial Plateau Without Fibular Osteotomy - p. 44 68. Tscherne-Johnson Extensile Approach to the Lateral Tibial Plateau - p. 44 69. Anterolateral Approach for Access to Posterolateral Corner - p. 45 70. Posterolateral Approach to the Fibula - p. 46 71. Knee - p. 47 72. Anteromedial Parapatellar Approach - p. 47 73. Subvastus (Southern) Anteromedial Approach to the Knee - p. 47 74. Anterolateral Approach to the Knee - p. 48 75. Posterolateral Approach to the Knee - p. 49 76. Posteromedial Approach to the Knee - p. 51 77. Medial Approach to the Knee - p. 52 78. Medial Approach to the Knee - p. 53 79. Transverse Approach to the Meniscus - p. 53 80. Lateral Approach to the Knee - p. 55 81. Lateral Approach to the Knee - p. 56 82. Lateral Approach to the Knee - p. 57 83. Extensile Approach to the Knee - p. 58 84. Direct Posterior Approach to the Knee - p. 58 85. Direct Posteromedial Approach to the Knee for Tibial Plateau Fracture - p. 61 86. Direct Posterolateral Approach to the Knee - p. 62 87. Anterolateral Approach to the Femur - p. 62 88. Lateral Approach to the Femoral Shaft - p. 63 89. Posterolateral Approach to the Femoral Shaft - p. 64 90. Posterior Approach to the Femur - p. 64 91. Medial Approach to the Posterior Surface of the Femur in the Popliteal Space - p. 67 92. Lateral Approach to the Posterior Surface of the Femur in the Popliteal Space - p. 67 93. Lateral Approach to the Proximal Shaft and the Trochanteric Region - p. 68 94. Hip - p. 69 95. Anterior Iliofemoral Approach to the Hip - p. 69 96. Anterior Approach to the Hip Using a Transverse Incision - p. 71 97. Modified Anterolateral Iliofemoral Approach to the Hip - p. 71 98. Lateral Approach to the Hip - p. 73 99. Lateral Approach for Extensive Exposure of the Hip - p. 73 100. Lateral Approach to the Hip Preserving the Gluteus Medius - p. 75 101. Lateral Transgluteal Approach to the Hip - p. 75 102. Lateral Transgluteal Approach to the Hip - p. 77 103. Posterolateral Approach - p. 78 104. Posterior Approach to the Hip - p. 80 105. Posterior Approach to the Hip - p. 82 106. Medial Approach to the Hip - p. 83 107. Acetabulum and Pelvis - p. 84 108. Stoppa Approach - p. 85 109. Ilioinguinal Approach to the Acetabulum - p. 87 110. Iliofemoral Approach to the Acetabulum - p. 89 111. Kocher-Langenbeck Approach - p. 91 112. Modified Gibson Approach - p. 92 113. Extensile Iliofemoral Approach - p. 93 114. Extensile Iliofemoral Approach - p. 94 115. Triradiate Extensile Approach to the Acetabulum - p. 97 116. Extensile Approach to the Acetabulum - p. 99 117. Approach to the Ilium - p. 99 118. Approach to the Symphysis Pubis - p. 100 119. Posterior Approach to the Sacroiliac Joint - p. 102 120. Anterior Approach to the Sacroiliac Joint - p. 102 121. Approach to Both Sacroiliac Joints or Sacrum - p. 103 122. Spine - p. 104 123. Sternoclavicular Joint - p. 104 124. Approach to the Sternoclavicular Joint - p. 104 125. Approach to the Acromioclavicular Joint and Coracoid Process - p. 104 126. Shoulder - p. 105 127. Anteromedial Approach to the Shoulder - p. 105 128. Anteromedial/Posteromedial Approach to the Shoulder - p. 106 129. Anterior Axillary Approach to the Shoulder - p. 106 130. Anterolateral Limited Deltoid-Splitting Approach to the Shoulder - p. 106 131. Extensile Anterolateral Approach to the Shoulder - p. 109 132. Transacromial Approach to the Shoulder - p. 109 133. Posterior Deltoid-Splitting Approach to the Shoulder - p. 109 134. Posterior Approach to the Shoulder - p. 111 135. Simplified Posterior Approach to the Shoulder - p. 111 136. Posterior Inverted-U Approach to the Shoulder - p. 111 137. Humerus - p. 114 138. Anterolateral Approach to the Shaft of the Humerus - p. 114 139. Subbrachial Approach to the Humerus - p. 116 140. Posterior Approach to the Proximal Humerus - p. 116 141. Posterolateral Approach to the Distal Humeral Shaft - p. 118 142. Posterolateral Extensile (Cold) Approach to the Distal Humerus - p. 120 143. Elbow - p. 120 144. Posterolateral Approach to the Elbow - p. 120 145. Extensile Posterolateral Approach to the Elbow - p. 121 146. Posterior Approach to the Elbow by Olecranon Osteotomy - p. 123 147. Extensile Posterior Approach to the Elbow - p. 123 148. Lateral Approach to the Elbow - p. 124 149. Lateral J-Shaped Approach to the Elbow - p. 126 150. Medial Approach with Osteotomy of the Medial Epicondyle - p. 126 151. Medial and Lateral Approach to the Elbow - p. 127 152. Global Approach to the Elbow - p. 127 153. Posterolateral Approach to the Radial Head and Neck - p. 130 154. Approach to the Proximal and Middle Thirds of the Posterior Surface of the Radius - p. 131 155. Anterolateral Approach to the Proximal Shaft and Elbow Joint - p. 132 156. Anterior Approach to the Distal Half of the Radius - p. 132 157. Anterior Approach to the Coronoid Process of the Proximal Ulna - p. 133 158. Approach to the Proximal Third of the Ulna and the Proximal Fourth of the Radius - p. 135 159. Dorsal Approach to the Wrist - p. 137 160. Dorsal Approach to the Wrist - p. 137 161. Volar Approach to the Wrist - p. 137 162. Lateral Approach to the Wrist - p. 138 163. Medial Approach to the Wrist - p. 138 164. Hand - p. 139 165. References - p. 139 166. Supplemental References - p. 140 167. Chapter 2. Advanced Imaging in Orthopaedics - p. 141 168. Part II. Reconstructive Procedures of the Hip in Adults - p. 176.e4 169. Chapter 3. Arthroplasty of the Hip - p. 178 170. Applied Biomechanics - p. 179 171. Design and Selection of Total Hip Components - p. 183 172. Indications and Contraindications for Total Hip Arthroplasty - p. 200 173. Preoperative Patient Evaluation and Optimization - p. 200 174. Preoperative Radiographs - p. 203 175. Preoperative Templating for Total Hip Arthroplasty - p. 203 176. The Hip-Spine Relationship - p. 204 177. Preparation and Draping - p. 205 178. Surgical Approaches and Techniques - p. 205 179. Implantation of Cemented Acetabular Component - p. 212 180. Implantation of Cementless Femoral Component - p. 214 181. Implantation of Cemented Femoral Component - p. 217 182. Surgical Problems Relative to Specific Hip Disorders - p. 230 183. Complications - p. 253 184. Gluteus Maximus and Tensor Fascia Lata Transfer for Primary Deficiency of the Abductors of the Hip - p. 269 185. Revision After Adverse Local Tissue Reaction - p. 285 186. revision Of Total Hip Arthroplasty - p. 286 187. Transtrochanteric Approach for Revision Total Hip Arthroplasty - p. 289 188. Removal of Cementless Femoral Component - p. 290 189. Removal of Implants With Extensive Distal BoneIngrowth - p. 291 190. Extended Trochanteric Osteotomy - p. 292 191. Removal of a Broken Femoral Component - p. 294 192. Removal of a Broken Stem—Proximal Window - p. 294 193. Removal of a Broken Stem—Distal Window - p. 295 194. Removal of Femoral Cement - p. 295 195. Removal of Distal Cement With A High-Speed Burr - p. 296 196. Removal of Distal Cement With A High-Speed Burr and Cortical Window - p. 298 197. Removal of A Loose All-Polyethylene Cup - p. 299 198. Removal of a Metal-Backed, Cemented Acetabular Component - p. 299 199. Cementless Acetabular Component - p. 300 200. Management of Acetabular Cavitary Deficits - p. 302 201. Management of Segmental Acetabular Deficit with Femoral Head Allograft - p. 307 202. Management of Segmental Acetabular Deficit With Metal Augment - p. 307 203. Management of Combined Deficits With Structural Grafting - p. 308 204. Acetabular Distraction for Management of Pelvic Discontinuity - p. 310 205. Cup-Cage Technique for Management of Pelvic Discontinuity - p. 311 206. Management of Pelvic Discontinuity With Allografting and Custom Component - p. 311 207. Management of Femoral Deficit with Modular Femoral Component - p. 316 208. Revision with Extensively Porous-Coated Femoral Stem - p. 316 209. Management of Proximal Femoral Bone Loss With Modular Tapered Fluted Stem - p. 317 210. Management of Proximal Femoral Deficiencies with Impaction Bone Grafting and Cemented Revision Stem - p. 317 211. Management of Massive Deficits with Proximal Femoral Allograft-Prosthesis Composite - p. 319 212. Management of Massive Deficits with Modular Megaprosthesis - p. 321 213. Postoperative Management of Total Hip Arthroplasty - p. 321 214. References - p. 323 215. Developmental Dysplasia - p. 327 216. Supplemental References - p. 333 217. Chapter 4. Surface Replacement Hip Arthroplasty - p. 334 218. Chapter 5. Arthrodesis of the Hip - p. 348 219. Chapter 6. Hip Pain in the Young Adult and Hip Preservation Surgery - p. 356 220. Evaluation and History - p. 357 221. Femoroacetabular Impingement - p. 364 222. Surgical Dislocation Of The Hip - p. 367 223. Combined Hip Arthroscopy And Limited Open Osteochondroplasty - p. 371 224. Mini-Open Direct Anterior Approach - p. 372 225. Hip Dysplasia - p. 376 226. Bernese Periacetabular Osteotomy - p. 381 227. Rectus-Sparing Modification of Bernese Osteotomy - p. 385 228. Extraarticular Sources of Hip Pain - p. 386 229. Step-Cut Lengthening Of The Iliotibial Band - p. 388 230. Osteonecrosis of the Femoral Head - p. 390 231. Core Decompression - p. 393 232. Core Decompression—Percutaneous Technique - p. 394 233. Idiopathic Transient Osteoporosis - p. 397 234. Protrusio Acetabuli - p. 398 235. Adult-Onset Rheumatoid Arthritis - p. 398 236. Juvenile Idiopathic Arthritis - p. 398 237. Osteoarthritis - p. 399 238. Neuropathic Arthropathy (Charcot Joint) - p. 400 239. References - p. 400 240. Supplemental References - p. 405 241. Part III. Reconstructive Procedures of the Knee in Adults - p. 404.e8 242. Chapter 7. Arthroplasty of the Knee - p. 406 243. Modern Prosthesis Evolution and Design - p. 406 244. Knee and Implant Biomechanics - p. 413 245. Indications and Contraindications - p. 425 246. Results of Primary Total Knee Arthroplasty - p. 431 247. Preoperative evaluation - p. 434 248. Surgical Technique for Primary Total Knee Arthroplasty - p. 436 249. Surgical Approach for Primary Total Knee Arthroplasty - p. 436 250. Bone Preparation for Primary Total Knee Arthroplasty - p. 439 251. Pie-Crusting - p. 444 252. Posterior Stabilized Total Knee Arthroplasty in a Varus Knee - p. 445 253. Posterior Cruciate–Retaining Total Knee Arthroplasty of A Varus Knee - p. 445 254. Valgus Deformity Correction - p. 445 255. Flexion Contracture Correction - p. 447 256. Recurvatum Correction - p. 448 257. Posterior Cruciate Ligament Balancing - p. 448 258. Bone Grafting of Peripheral Tibial Defects - p. 450 259. Component Implantation - p. 453 260. Patellofemoral Arthroplasty - p. 456 261. Surgical Problems Relative to Specific Disorders - p. 456 262. Complications - p. 458 263. Arthrodesis With an Intramedullary Nail for an Infected Total Knee Arthroplasty - p. 463 264. Revision Total Knee Arthroplasty - p. 470 265. References - p. 477 266. Supplemental References - p. 484 267. Chapter 8. Arthrodesis of the Knee - p. 485 268. Chapter 9. Soft-Tissue Procedures and Osteotomies About the Knee - p. 493 269. Part IV. Reconstructive Procedures of the Ankle in Adults - p. 523.e2 270. Chapter 10. Total Ankle Arthroplasty - p. 526 271. Chapter 11. Ankle Arthrodesis - p. 563 272. Part V. Reconstructive Procedures of the Shoulder and Elbow in Adults - p. 598.e3 273. Chapter 12. Shoulder and Elbow Arthroplasty - p. 600 274. Reconstructive Procedures of the Shoulder - p. 600 275. Hemiarthroplasty - p. 608 276. Total Shoulder Arthroplasty - p. 612 277. Reverse Total Shoulder Arthroplasty - p. 617 278. Reconstructive Procedures of the Elbow - p. 630 279. Debridement Arthroplasty - p. 633 280. Interposition Arthroplasty - p. 637 281. Radial Head Arthroplasty - p. 639 282. Coonrad-Morrey Prosthesis - p. 642 283. Elbow Resection Arthroplasty - p. 648 284. References - p. 649 285. Supplemental References - p. 655 286. Chapter 13. Salvage Operations for the Shoulder and Elbow - p. 656 287. Part VI. Amputations - p. 677.e2 288. Chapter 14. General Principles of Amputations - p. 680 289. Chapter 15. Amputations of the Foot - p. 698 290. Chapter 16. Amputations of the Lower Extremity - p. 720 291. Chapter 17. Amputations of the Hip and Pelvis - p. 733 292. Chapter 18. Major Amputations of the Upper Extremity - p. 742 293. Chapter 19. Amputations of the Hand - p. 759 294. Part VII. Infections - p. 789.e1 295. Chapter 20. General Principles of Infection - p. 792 296. Chapter 21. Osteomyelitis - p. 817 297. Chapter 22. Infectious Arthritis - p. 842 298. Chapter 23. Tuberculosis and other Unusual Infections - p. 868 299. Part VIII. Tumors - p. 888.e2 300. Chapter 24. General Principles of Tumors - p. 890 301. Diagnostic Evaluation - p. 890 302. Adjuvant Treatment - p. 899 303. Principles of Surgery - p. 901 304. Surgical Techniques - p. 908 305. Resection of the Shoulder Girdle - p. 909 306. Resection of the Scapula - p. 913 307. Resection of the Proximal Humerus - p. 916 308. Intercalary Resection of the Humeral Shaft - p. 920 309. Resection of the Distal Humerus - p. 920 310. Resection of the Proximal Radius - p. 920 311. Resection of the Proximal Ulna - p. 921 312. Resection of the Distal Radius - p. 921 313. Resection of the Pubis and Ischium - p. 928 314. Resection of the Acetabulum - p. 932 315. Resection of the Innominate Bone (Internal Hemipelvectomy) - p. 934 316. Resection of the Sacroiliac Joint - p. 934 317. Resection of the Sacrum - p. 936 318. Resection of the Sacrum - p. 937 319. Resection of the Sacrum Through Posterior Approach - p. 937 320. Resection of Vertebrae - p. 937 321. Resection of the Proximal Femur - p. 938 322. Resection of the Entire Femur - p. 938 323. Intraarticular Resection of the Distal Femur with Endoprosthetic Reconstruction - p. 943 324. Resection of the Proximal Tibia - p. 944 325. Resection of the Distal Femur or Proximal Tibia with Allograft Arthrodesis - p. 945 326. Resection of the Proximal Fibula - p. 945 327. Resection of the Tibial Diaphysis - p. 945 328. Resection of the Distal Third of the Fibula - p. 945 329. Rotationplasty for a Lesion in the Distal Femur - p. 950 330. Rotationplasty for a Lesion of the Proximal Femur Without Involvement of the Hip Joint - p. 950 331. Rotationplasty for a Lesion of the Proximal Femur Involving the Hip Joint - p. 952 332. References - p. 952 333. Supplemental References - p. 956 334. Chapter 25. Benign Bone Tumors and Nonneoplastic Conditions Simulating Bone Tumors - p. 957 335. Chapter 26. Benign/Aggressive Tumors of Bone - p. 986 336. Chapter 27. Malignant Tumors of Bone - p. 1009 337. Osteosarcoma - p. 1009 338. Chondrosarcoma - p. 1015 339. Ewing Sarcoma - p. 1018 340. Chordoma - p. 1021 341. Adamantinoma - p. 1022 342. Malignant Vascular Tumors - p. 1023 343. Malignant Fibrous Histiocytoma and Fibrosarcoma - p. 1023 344. Multiple Myeloma and Plasmacytoma - p. 1024 345. Lymphoma - p. 1026 346. Metastatic Carcinoma - p. 1028 347. References - p. 1042 348. Supplemental References - p. 1048 349. Chapter 28. Soft-Tissue Tumors - p. 1049 350. Part IX. Congenital And Developmental Disorders - p. 1078.e4 351. Chapter 29. Congenital Anomalies of the Lower Extremity - p. 1080 352. Anomalies of the Toes - p. 1080 353. Amputation of an Extra Toe (Simple Postaxial Polydactyly) - p. 1081 354. Tsuge Ray Reduction - p. 1082 355. Ray Reduction - p. 1083 356. Ray Amputation - p. 1083 357. Simplified Cleft Closure - p. 1087 358. Correction of Angulated Toe - p. 1088 359. Arthroplasty of the Fifth Metatarsophalangeal Joint - p. 1088 360. Creation of Syndactyly of the Great Toe and Second Toe for Hallux Varus - p. 1090 361. Dome-Shaped Osteotomies of Metatarsal Bases - p. 1092 362. Cuneiform and Cuboid Osteotomies - p. 1095 363. Anomalies of the Foot - p. 1095 364. Anterior Tibial Tendon Transfer - p. 1100 365. Transverse Circumferential (Cincinnati) Incision - p. 1102 366. Extensile Posteromedial and Posterolateral Release - p. 1103 367. Achilles Tendon Lengthening and Posterior Capsulotomy (Selective Approach) - p. 1106 368. First Metatarsal Osteotomy and Tendon Transfer for Dorsal Bunion - p. 1108 369. Osteotomy of the Calcaneus for Persistent Varus Deformity of the Heel - p. 1109 370. Medial Release with Osteotomy of the Distal Calcaneus - p. 1109 371. Selective Joint-Sparing Osteotomies for Residual Cavovarus Deformity - p. 1110 372. Triple Arthrodesis - p. 1112 373. Talectomy - p. 1112 374. Open Reduction and Realignment of Talonavicular and Subtalar Joints - p. 1115 375. Open Reduction and Extraarticular Subtalar Fusion - p. 1116 376. Anomalies of the Leg - p. 1118 377. Tibiofibular Synostosis - p. 1120 378. Insertion of Williams Intramedullary Rod and Bone Grafting - p. 1123 379. One-Stage or Two-Stage Release of Circumferential Constricting Band - p. 1126 380. Capsular Release and Quadriceps Lengthening for Correction of Congenital Knee Dislocation - p. 1127 381. Lateral Release and Medial Plication - p. 1129 382. Distal Fibulotalar Arthrodesis - p. 1136 383. Proximal Tibiofibular Synostosis - p. 1137 384. Varus Supramalleolar Osteotomy of the Ankle - p. 1139 385. Knee Fusion for Proximal Femoral Focal Deficiency - p. 1145 386. Rotationplasty - p. 1148 387. Syme Amputation - p. 1150 388. Boyd Amputation - p. 1152 389. Physeal Exposure Around the Knee - p. 1160 390. Percutaneous Epiphysiodesis - p. 1161 391. Percutaneous Transepiphyseal Screw Epiphysiodesis - p. 1162 392. Tension Plate Epiphysiodesis - p. 1164 393. Proximal Femoral Metaphyseal Shortening - p. 1165 394. Distal Femoral Metaphyseal Shortening - p. 1165 395. Proximal Tibial Metaphyseal Shortening - p. 1166 396. Tibial Diaphyseal Shortening - p. 1166 397. Closed Femoral Diaphyseal Shortening - p. 1166 398. Transiliac Lengthening - p. 1168 399. Tibial Lengthening - p. 1170 400. Tibial Lengthening - p. 1171 401. Tibial Lengthening Over Intramedullary Nail (PRECICE Intramedullary Lengthening System, Ellipse Technologies, Irvine, Ca) - p. 1174 402. Femoral Lengthening - p. 1175 403. Femoral Lengthening - p. 1175 404. Femoral Lengthening Over Intramedullary Nail (PRECICE) - p. 1179 405. References - p. 1182 406. Supplemental References - p. 1185 407. Chapter 30. Congenital and Developmental Abnormalities of the hip and Pelvis - p. 1186 408. Developmental Dysplasia of the hip - p. 1186 409. Arthrography of the hip in Ddh - p. 1193 410. Application of a Hip Spica Cast - p. 1195 411. Anterior Approach - p. 1197 412. Medial Approach - p. 1199 413. Trochanteric Advancement - p. 1202 414. Varus Derotational Osteotomy of the Femur in Hip Dysplasia, With Pediatric hip Screw Fixation - p. 1203 415. Primary Femoral Shortening - p. 1206 416. Innominate Osteotomy Including Open Reduction - p. 1209 417. Pericapsular Osteotomy of the Ilium - p. 1211 418. Triple Innominate Osteotomy - p. 1214 419. Transiliac (Dega) Osteotomy - p. 1216 420. Slotted Acetabular Augmentation - p. 1219 421. Innominate Osteotomy With Medial Displacement Of The Acetabulum (Chiari) - p. 1221 422. Congenital and Developmental Coxa Vara - p. 1224 423. Valgus Osteotomy for Developmental Coxa Vara - p. 1225 424. Exstrophy of the Bladder - p. 1225 425. Bilateral Anterior Iliac Osteotomies - p. 1227 426. References - p. 1228 427. Supplemental References - p. 1230 428. Chapter 31. Congenital Anomalies of the Trunk and Upper Extremity - p. 1231 429. Chapter 32. Osteochondrosis or Epiphysitis and Other Miscellaneous Affections - p. 1246 430. Legg-Calvé-Perthes Disease - p. 1246 431. Innominate Osteotomy for Legg-Calvé-Perthes Disease - p. 1250 432. Lateral Shelf Procedure for Legg-Calvé-Perthes Disease - p. 1252 433. Varus Derotational Osteotomy of the Proximal Femur for Legg-Calvé-Perthes Disease - p. 1253 434. Reversed or Closing Wedge Technique for Legg-Calvé-Perthes Disease - p. 1256 435. Arthrodiastasis for Legg-Calvé-Perthes Disease - p. 1257 436. Osteochondroplasty Surgical Dislocation of the hip - p. 1258 437. Trochanteric Advancement for Trochanteric Overgrowth - p. 1261 438. Trochanteric Advancement For Trochanteric Overgrowth - p. 1262 439. Greater Trochanteric Epiphysiodesis for Trochanteric Overgrowth - p. 1263 440. Osteochondrosis or Epiphysitis - p. 1263 441. Tibial Tuberosity and Ossicle Excision - p. 1267 442. Excision of Ununited Tibial Tuberosity Fragment for Osgood-Schlatter Disease - p. 1268 443. Arthroscopic Ossicle and Tibial Tuberosity Debridement for Osgood-Schlatter Disease - p. 1269 444. Extraarticular Drilling for Stable Osteochondritis Dissecans of The Knee - p. 1270 445. Reconstruction of The Articular Surface With Osteochondral Plug Grafts for Osteochondrosis of the Capitellum - p. 1276 446. Tibia Vara (Blount Disease) - p. 1276 447. Metaphyseal Osteotomy for Tibia Vara - p. 1281 448. Chevron Osteotomy for Tibia Vara - p. 1282 449. Epiphyseal and Metaphyseal Osteotomy for Tibia Vara - p. 1283 450. Hemielevation of The Epiphysis Osteotomy With Leg Lengthening Using an Ilizarov Frame for Tibia Vara - p. 1285 451. Rickets, Osteomalacia, and Renal Osteodystrophy - p. 1289 452. Hemophilia - p. 1290 453. Synovectomy of the Knee in Hemophilia - p. 1293 454. Synoviorthesis for Treatment of Hemophilic Arthropathy - p. 1293 455. Open Ankle Synovectomy in Hemophilia - p. 1293 456. Congenital Affections - p. 1295 457. Fassier-Duval Telescoping rod, Femur - p. 1297 458. Tibial Lengthening Over an Intramedullary Nail With External Fixation in Dwarfism - p. 1305 459. Bony Bridge Resection for Physeal Arrest - p. 1306 460. Bony Bridge Resection and Angulation Osteotomy for Physeal Arrest - p. 1306 461. Peripheral and Linear Physeal bar Resection for Physeal Arrest - p. 1308 462. Central Physeal bar Resection for Physeal Arrest - p. 1308 463. References - p. 1310 464. Supplemental References - p. 1315 465. Part X. Nervous System Disorders in Children - p. 1314.e13 466. Chapter 33. Cerebral Palsy - p. 1316 467. Etiology - p. 1316 468. Classification - p. 1318 469. Diagnosis - p. 1320 470. Associated Conditions - p. 1323 471. Treatment - p. 1323 472. Hip - p. 1326 473. Adductor Tenotomy and Release - p. 1328 474. Iliopsoas Recession - p. 1329 475. Iliopsoas Release at the Lesser Trochanter - p. 1329 476. Combined One-Stage Correction of Spastic Dislocated Hip - p. 1333 477. Proximal Femoral Resection - p. 1335 478. Redirectional Osteotomy (Mchale Procedure for Neglected Hip Dislocation) - p. 1337 479. Hip Arthrodesis - p. 1337 480. Knee - p. 1338 481. Fractional Lengthening of Hamstring Tendons - p. 1339 482. Distal Femoral Extension Osteotomy and Patellar Tendon Advancement - p. 1341 483. Rectus Femoris Transfer - p. 1343 484. Rotational Abnormalities - p. 1345 485. Foot and Ankle - p. 1345 486. Z-Plasty Lengthening of the Achilles Tendon - p. 1346 487. Percutaneous Lengthening of the Achilles Tendon - p. 1347 488. Gastrocnemius-Soleus Lengthening - p. 1348 489. Musculotendinous Recession of the Posterior Tibial Tendon - p. 1349 490. Split Posterior Tibial Tendon Transfer - p. 1350 491. Split Anterior Tibial Tendon Transfer - p. 1351 492. Lateral Closing-Wedge Calcaneal Osteotomy - p. 1353 493. Medial Displacement Calcaneal Osteotomy - p. 1354 494. Hindfoot Arthrodesis - p. 1355 495. Spine-Pelvic Obliquity and Scoliosis - p. 1357 496. Upper Extremity - p. 1358 497. Release of Elbow Flexion Contracture - p. 1359 498. Adults With Cerebral Palsy - p. 1360 499. Adult Stroke Patients - p. 1360 500. Correction of Talipes Equinovarus - p. 1362 501. Release of Internal Rotation Contracture of the Shoulder - p. 1363 502. Fractional Lengthening of Pectoralis Major, Latissimus Dorsi, Teres Major - p. 1364 503. References - p. 1364 504. Supplemental References - p. 1368 505. Chapter 34. Paralytic Disorders - p. 1369 506. Poliomyelitis - p. 1369 507. Posterior Transfer of Anterior Tibial Tendon - p. 1374 508. Subtalar Arthrodesis - p. 1376 509. Subtalar Arthrodesis - p. 1377 510. Triple Arthrodesis - p. 1378 511. Correction of Cavus Deformity - p. 1380 512. Lambrinudi Arthrodesis - p. 1380 513. Anterior Transfer of Posterior Tibial Tendon - p. 1382 514. Anterior Transfer of Posterior Tibial Tendon - p. 1382 515. Split Transfer of Anterior Tibial Tendon - p. 1383 516. Peroneal Tendon Transfer - p. 1384 517. Peroneus Longus, Flexor Digitorum Longus, or Flexor or Extensor Hallucis Longus Tendon Transfer - p. 1385 518. Tenodesis of The Achilles Tendon - p. 1386 519. Posterior Transfer of Peroneus Longus, Peroneus Brevis, and Posterior Tibial Tendons - p. 1387 520. Posterior Transfer of Posterior Tibial, Peroneus Longus, and Flexor Hallucis Longus Tendons - p. 1388 521. Transfer of Biceps Femoris and Semitendinosus Tendons - p. 1389 522. Osteotomy of the Tibia for Genu Recurvatum - p. 1391 523. Triple Tenodesis for Genu Recurvatum - p. 1392 524. Complete Release of Hip Flexion, Abduction, and External Rotation Contracture - p. 1394 525. Complete Release of Muscles from Iliac Wing and Transfer of Crest of Ilium - p. 1395 526. Posterior Transfer of the Iliopsoas for Paralysis of the Gluteus Medius and Maximus Muscles - p. 1396 527. Trapezius Transfer for Paralysis of Deltoid - p. 1401 528. Trapezius Transfer for Paralysis of Deltoid - p. 1402 529. Transfer of Deltoid Origin for Partial Paralysis - p. 1402 530. Transfer of Latissimus Dorsi or Teres Major or Both for Paralysis of Subscapularis or Infraspinatus - p. 1403 531. Flexorplasty - p. 1404 532. Anterior Transfer of the Triceps - p. 1405 533. Transfer of the Pectoralis Major Tendon - p. 1405 534. Transfer of the Latissimus Dorsi Muscle - p. 1406 535. Rerouting of Biceps Tendon for Supination Deformities of Forearm - p. 1408 536. Myelomeningocele - p. 1409 537. V-O Procedure - p. 1416 538. Anterolateral Release - p. 1418 539. Transfer of the Anterior Tibial Tendon to the Calcaneus - p. 1418 540. Screw Epiphysiodesis - p. 1422 541. Supramalleolar Varus Derotation Osteotomy - p. 1422 542. Radical Flexor Release - p. 1424 543. Anterior Hip Release - p. 1426 544. Fascial Release - p. 1427 545. Adductor Release - p. 1427 546. Transfer of Adductors, External Oblique, and Tensor Fasciae Latae - p. 1428 547. Proximal Femoral Resection and Interposition Arthroplasty - p. 1429 548. Pelvic Osteotomy - p. 1430 549. Arthrogryposis Multiplex Congenita - p. 1432 550. Correction of Knee Flexion Contracture with Circular-Frame External Fixation - p. 1436 551. Correction of Knee Flexion Contracture with Anterior Stapling - p. 1438 552. Reorientational Proximal Femoral Osteotomy for Hip Contractures in Arthrogryposis - p. 1439 553. Posterior Elbow Capsulotomy with Triceps Lengthening for Elbow Extension Contracture - p. 1442 554. Posterior Release of Elbow Extension Contracture and Triceps Tendon Transfer - p. 1442 555. Dorsal Closing Wedge Osteotomy of the Wrist - p. 1443 556. Brachial Plexus Palsy - p. 1444 557. Anterior Shoulder Release - p. 1449 558. Rotational Osteotomy of the Humerus - p. 1449 559. Derotational Osteotomy with Plate and Screw Fixation - p. 1450 560. Glenoid Anteversion Osteotomy and Tendon Transfer - p. 1450 561. Release of the Internal Rotation Contracture and Transfer of the Latissimus Dorsi and Teres Major - p. 1451 562. Arthroscopic Release and Transfer of the Latissimus Dorsi - p. 1455 563. References - p. 1455 564. Supplemental References - p. 1458.e1 565. Chapter 35. Neuromuscular Disorders - p. 1459 566. Part XI. Fractures and Dislocations in Children - p. 1490.e5 567. Chapter 36. Fractures and Dislocations in Children - p. 1492 568. General Principles - p. 1492 569. Growth Plate Injuries - p. 1492 570. Open Fractures - p. 1494 571. Birth Fractures - p. 1494 572. Nonaccidental Trauma - p. 1495 573. Clavicle - p. 1498 574. Sternoclavicular Fractures and Dislocations - p. 1498 575. Lateral (Distal) Clavicular Fractures - p. 1498 576. Acromioclavicular Dislocations - p. 1498 577. Shoulder Dislocations - p. 1500 578. Proximal Humeral Fractures - p. 1500 579. Closed Reduction and Percutaneous Pinning (or Screw Fixation) of Proximal Humerus - p. 1501 580. Closed Reduction and Intramedullary Nailing of Proximal Humerus - p. 1501 581. Humeral Shaft Fractures - p. 1502 582. Closed/Open Reduction and Intramedullary Nailing of Humeral Shaft - p. 1502 583. Supracondylar Humeral Fractures - p. 1502 584. Closed Reduction and Percutaneous Pinning of Supracondylar Fractures (Two Lateral Pins) - p. 1504 585. Anterior Approach - p. 1507 586. Lateral Closing Wedge Osteotomy for Cubitus Varus - p. 1509 587. Lateral Condylar Fractures - p. 1510 588. Open Reduction and Internal Fixation of Lateral Condylar Fracture - p. 1512 589. Osteotomy for Established Cubitus Valgus Secondary to Nonunion or Growth Arrest - p. 1513 590. Medial Condylar Fractures - p. 1514 591. Open Reduction and Internal Fixation of Medial Condylar Fracture - p. 1515 592. Medial Epicondylar Fractures - p. 1516 593. Open Reduction and Internal Fixation for Displaced or Entrapped Medial Epicondyle - p. 1518 594. Distal Humeral Fractures - p. 1519 595. Capitellar Fractures - p. 1521 596. Olecranon Fractures - p. 1521 597. Radial Head and Neck Fractures - p. 1522 598. Closed and Open Reduction of Radial Neck Fractures - p. 1526 599. Percutaneous Reduction and Pinning - p. 1527 600. Closed Intramedullary Nailing - p. 1527 601. Coronoid Fractures - p. 1528 602. Elbow Dislocations - p. 1528 603. Radial Head Dislocations (Monteggia Fracture-Dislocations) - p. 1529 604. Overcorrection Osteotomy and Ligamentous Repair or Reconstruction - p. 1535 605. Galeazzi Fractures - p. 1535 606. Nursemaid’s Elbow - p. 1536 607. Forearm Fractures - p. 1537 608. Intramedullary Forearm Nailing - p. 1538 609. Closed Reduction and Percutaneous Pinning of Fractures of the Distal Radius - p. 1540 610. Wrist Dislocations - p. 1541 611. Scaphoid and Carpal Fractures - p. 1541 612. Metacarpal Fractures - p. 1541 613. Phalangeal Fractures - p. 1542 614. Open Reduction and Internal Fixation of Physeal Fractures of Phalanges and Metacarpals - p. 1543 615. Pediatric Spine Fractures and Dislocations - p. 1544 616. Pelvic Fractures - p. 1549 617. Hip Fractures - p. 1555 618. Closed Reduction and Internal Fixation - p. 1561 619. Open Reduction and Internal Fixation - p. 1561 620. Valgus Subtrochanteric Osteotomy for Acquired Coxa Vara or Nonunion - p. 1561 621. Modified Pauwels Intertrochanteric Osteotomy for Acquired Coxa Vara or Nonunion - p. 1564 622. Traumatic Hip Dislocations - p. 1565 623. Slipped Capital Femoral Epiphysis - p. 1566 624. Determining The Entry Point for Cannulated Screw Fixation of a Slipped Epiphysis - p. 1569 625. Determining the Entry Point for Cannulated Screw Fixation of a Slipped Epiphysis - p. 1570 626. Positional Reduction and Fixation for Scfe - p. 1572 627. Subcapital Realignment of the Epiphysis (Modified Dunn) for Scfe - p. 1573 628. Compensatory Basilar Osteotomy of the Femoral Neck - p. 1575 629. Extracapsular Base-Of-Neck Osteotomy - p. 1576 630. Intertrochanteric Osteotomy (Imhäuser) - p. 1578 631. Femoral Fractures - p. 1580 632. Spica Cast Application - p. 1586 633. Flexible Intramedullary Nail Fixation - p. 1589 634. Closed or Open Reduction - p. 1595 635. Knee Fractures and Dislocations - p. 1596 636. Reconstruction of the Patellofemoral and Patellotibial Ligaments With a Semitendinosus Tendon Graft - p. 1598 637. 3-in-1 Procedure for Recurrent Dislocation of the Patella: Lateral Release, Vastus Medialis Obliquus Muscle Advancement, and Transfer of the Medial Third of the Patellar Tendon to the Medial Collateral Ligament - p. 1599 638. Open Reduction and Internal Fixation of Sleeve Fracture - p. 1600 639. Open Reduction and Internal Fixation of Tibial Eminence Fracture - p. 1602 640. Arthroscopic Reduction of Tibial Eminence Fracture and Internal Fixation With Bioabsorbable Nails - p. 1603 641. Open Reduction and Internal Fixation - p. 1606 642. Tibial and Fibular Fractures - p. 1609 643. Open Reduction and Removal of Interposed Tissue - p. 1611 644. Elastic Stable Intramedullary Nailing of Tibial Fracture - p. 1614 645. Open Reduction and Internal Fixation - p. 1617 646. Open Reduction and Internal Fixation - p. 1618 647. Foot Fractures - p. 1619 648. Excision of Osteochondral Fragment of the Talus - p. 1625 649. Open Reduction and Internal Fixation of Cuboid Compression (Nutcracker) Fracture - p. 1629 650. References - p. 1630 651. Supplemental References - p. 1639 652. Part XII. The Spine - p. 1639.e23 653. Chapter 37. Anatomic Approaches to the Spine - p. 1642 654. Chapter 38. Degenerative Disorders of the Cervical Spine - p. 1682 655. Overview of Disc Degeneration and Herniation in the Cervical Spine - p. 1682 656. Disc and Spine Anatomy - p. 1682 657. Natural History of Disc Disease - p. 1683 658. Diagnostic Studies - p. 1684 659. Injection Studies - p. 1686 660. Interlaminar Cervical Epidural Injection - p. 1688 661. Cervical Medial Branch Block Injection - p. 1689 662. Cervical Discography - p. 1690 663. Cervical Disc Disease - p. 1690 664. Removal of Posterolateral Herniations by Posterior Approach (Posterior Cervical Foraminotomy) - p. 1695 665. Minimally Invasive Posterior Cervical Foraminotomy With Tubular Distractors - p. 1697 666. Full-Endoscopic Posterior Cervical Foraminotomy - p. 1697 667. Tissue-Sparing Posterior Cervical Fusion - p. 1699 668. Smith-Robinson Anterior Cervical Fusion - p. 1703 669. Anterior Occipitocervical Arthrodesis By Extrapharyngeal Exposure - p. 1705 670. Fibular Strut Graft in Cervical Spine Arthrodesis With Corpectomy - p. 1705 671. Rheumatoid Arthritis of the Spine - p. 1709 672. Ankylosing Spondylitis of the Cervical Spine - p. 1713 673. References - p. 1715 674. Supplemental References - p. 1718 675. Chapter 39. Degenerative Disorders of the Thoracic and Lumbar Spine - p. 1719 676. Overview of Lumbar and Thoracic Disc Degeneration and Herniation - p. 1720 677. Disc and Spine Anatomy - p. 1720 678. Natural History of Disc Disease - p. 1721 679. Diagnostic Studies - p. 1723 680. Myelography - p. 1724 681. Interlaminar Thoracic Epidural Injection - p. 1728 682. Interlaminar Lumbar Epidural Injection - p. 1729 683. Transforaminal Lumbar and Sacral Epidural Injection - p. 1730 684. Caudal Sacral Epidural Injection - p. 1730 685. Lumbar Intraarticular Injection - p. 1732 686. Lumbar Medial Branch Block Injection - p. 1732 687. Sacroiliac Joint Injection - p. 1734 688. Lumbar Discography - p. 1735 689. Thoracic Discography - p. 1736 690. Thoracic Disc Disease - p. 1737 691. Thoracic Costotransversectomy - p. 1738 692. Thoracic Discectomy—Anterior Approach - p. 1738 693. Thoracoscopic Thoracic Discectomy - p. 1740 694. Minimally Invasive Thoracic Discectomy - p. 1740 695. Transforaminal Endoscopic Thoracic Discectomy - p. 1741 696. Lumbar Disc Disease - p. 1741 697. Microscopic Lumbar Discectomy - p. 1747 698. Transforaminal Endoscopic Lumbar Discectomy - p. 1750 699. Interlaminar Endoscopic Lumbar Discectomy - p. 1750 700. Dural Repair Augmented with Fibrin Glue - p. 1754 701. Repeat Lumbar Disc Excision - p. 1755 702. Thoracic and Lumbar Spine Arthrodesis - p. 1756 703. Transthoracic approach to the thoracic spine - p. 1756 704. Anterior Interbody Fusion of the Lumbar Spine - p. 1757 705. Percutaneous Anterior Lumbar Arthrodesis—Lateral Approach to L1 to L4-5 - p. 1758 706. Hibbs fusion - p. 1759 707. Posterolateral Lumbar Fusion - p. 1760 708. Intertransverse Lumbar Fusion - p. 1761 709. Minimally invasive transforaminal lumbar interbody fusion - p. 1762 710. Pseudarthrosis Repair - p. 1764 711. Degenerative Disc Disease and Internal Disc Derangement - p. 1764 712. Thoracic/Lumbar Disc Arthroplasty (Total Disc Replacement) - p. 1770 713. Stenosis of the Thoracic and Lumbar Spine - p. 1772 714. Midline Decompression (Neural Arch Resection) - p. 1780 715. Spinous Process Osteotomy (Decompression) - p. 1781 716. Microdecompression - p. 1782 717. Ankylosing Spondylitis - p. 1784 718. Adult Spinal Deformity - p. 1786 719. Pedicle Subtraction Osteotomy - p. 1792 720. Coccygeal Pain - p. 1794 721. Coccygeal Injection - p. 1795 722. References - p. 1796 723. Supplemental References - p. 1801 724. Chapter 40. Spondylolisthesis - p. 1802 725. Chapter 41. Fractures, Dislocations, and Fracture-Dislocations of the Spine - p. 1832 726. Initial Management of Spinal Injury - p. 1832 727. Stretch Test - p. 1838 728. Spinal Cord Injury - p. 1841 729. Application of Gardner-Wells Tongs - p. 1843 730. Closed Reduction of the Cervical Spine - p. 1843 731. Cervical Spine Injuries - p. 1846 732. Halo Vest Application - p. 1848 733. Occipitocervical Fusion Using Modular Plate and Rod Construct, Segmental Fixation With Occipital Plating, C1 Lateral Mass Screw, C2 Isthmic (Pars) Screws, and Lateral Mass Fixation - p. 1851 734. Occipitocervical Fusion Using Wires and Bone Graft - p. 1853 735. Posterior Primary Osteosynthesis of C1 - p. 1856 736. Anterior Odontoid Screw Fixation - p. 1858 737. Posterior C1-C2 Fusion Using Rod and Screw Construct With C1 Lateral Mass Screws - p. 1859 738. Posterior C1-C2 Fusion With C2 Translaminar Screws - p. 1862 739. Posterior C1-C2 Transarticular Screws - p. 1863 740. Posterior C1-C2 Fusion Using the Modified Gallie Posterior Wiring Technique - p. 1863 741. Posterior C1-C2 Wiring - p. 1864 742. Anterior Cervical Discectomy and Fusion With Plating - p. 1873 743. Cervical Corpectomy and Reconstruction With Plating - p. 1875 744. Posterior Subaxial Fixation and Fusion - p. 1877 745. Lateral Mass Screw and Rod Fixation - p. 1877 746. Thoracic and Lumbar Injuries - p. 1880 747. Thoracic and Lumbar Segmental Fixation With Pedicle Screws - p. 1888 748. Anterior Plating - p. 1891 749. Sacral Fractures and Spinopelvic Dissociation Injuries - p. 1892 750. Lumbopelvic Fixation (Triangular Osteosynthesis) - p. 1895 751. References - p. 1898 752. Supplemental References - p. 1907 753. Chapter 42. Infections and Tumors of the Spine - p. 1924 754. Infections of the Spine - p. 1924 755. Drainage of Retropharyngeal Abscess Through Posterior Triangle of the Neck - p. 1934 756. Anterior Cervical Approach to Drainage of Retropharyngeal Abscess - p. 1934 757. Costotransversectomy for Drainage of Dorsal Spine Abscess - p. 1935 758. Drainage of Paravertebral Abscess - p. 1935 759. Drainage Through the Petit Triangle - p. 1936 760. Drainage by Lateral Incision - p. 1936 761. Drainage by Anterior Incision - p. 1937 762. Coccygectomy for Drainage of a Pelvic Abscess - p. 1937 763. Radical Debridement and Arthrodesis - p. 1937 764. Tumors of the Spine - p. 1939 765. Anterior Excision of Spinal Tumor - p. 1949 766. Costotransversectomy for Intralesional Excision of Spinal Tumor - p. 1950 767. Transpedicular Intralesional Excision for Tumor of the Spine - p. 1950 768. Supplemental References - p. 1951 769. Chapter 43. Pediatric Cervical Spine - p. 1957 770. Chapter 44. Scoliosis and Kyphosis - p. 1998 771. Scoliosis - p. 1999 772. Infantile Idiopathic Scoliosis - p. 1999 773. Casting for Idiopathic Scoliosis - p. 2002 774. Juvenile Idiopathic Scoliosis - p. 2004 775. Dual Growing Rod Instrumentation Without Fusion - p. 2007 776. Shilla Guided Growth System - p. 2008 777. Growing Rod Attachment Using Rib Anchors - p. 2010 778. Anterior Vertebral Tethering - p. 2012 779. Adolescent Idiopathic Scoliosis - p. 2013 780. Posterior Surgeries for Idiopathic Scoliosis - p. 2025 781. Facet Fusion - p. 2027 782. Facet Fusion - p. 2027 783. Autogenous Iliac Crest Bone Graft - p. 2028 784. Thoracic Pedicle Screw Insertion Techniques - p. 2035 785. Pedicle Hook Implantation - p. 2039 786. Transverse Process Hook Implantation - p. 2040 787. LaminaR Hook Implantation - p. 2040 788. Sublaminar Wires - p. 2040 789. Instrumentation Sequence in Typical Lenke 1A Curve - p. 2043 790. Deformity Correction By Direct Vertebral Rotation - p. 2044 791. Temporary Distraction Rod - p. 2048 792. Anterior Release - p. 2050 793. Osteotomy In Complex Spinal Deformity - p. 2050 794. Posterior Thoracic Vertebral Column Resection - p. 2051 795. Osteotomy of the Ribs - p. 2058 796. Thoracoabdominal Approach - p. 2059 797. Lumbar Extraperitoneal Approach - p. 2059 798. Disc Excision - p. 2060 799. Anterior Instrumentation of A Thoracolumbar Curve - p. 2060 800. Video-Assisted Thoracoscopic Discectomy - p. 2065 801. Thoracoscopic Vertebral Body Instrumentation for Vertebral Body Tether - p. 2067 802. Neuromuscular Scoliosis - p. 2070 803. Luque Rod Instrumentation And Sublaminar Wires Without Pelvic Fixation - p. 2074 804. Sacropelvic Fixation - p. 2075 805. Galveston Sacropelvic Fixation - p. 2076 806. Unit Rod Instrumentation With Pelvic Fixation - p. 2078 807. Iliac Fixation With Iliac Screws - p. 2079 808. Iliac and Lumbosacral Fixation With Sacral-Alar-Iliac Screws - p. 2081 809. Congenital Scoliosis - p. 2093 810. Transpedicular Convex Anterior Hemiepiphysiodesis and Posterior Arthrodesis - p. 2098 811. Convex Anterior and Posterior Hemiepiphysiodeses and Fusion - p. 2099 812. Hemivertebra Excision: Anteroposterior Approach - p. 2102 813. Hemivertebra Excision: Lateral-Posterior Approach - p. 2105 814. Hemivertebra Excision: Posterior Approach - p. 2105 815. Transpedicular Eggshell Osteotomies With Frameless Stereotactic Guidance - p. 2107 816. Expansion Thoracoplasty - p. 2110 817. Kyphosis - p. 2114 818. Scheuermann Disease - p. 2115 819. Anterior Release and Fusion - p. 2120 820. Posterior Multiple Hook and Screw Segmental Instrumentation - p. 2120 821. Posterior Column Shortening Procedure for Scheuermann Kyphosis - p. 2122 822. Congenital Kyphosis - p. 2123 823. Anterior Osteotomy and Fusion - p. 2129 824. Anterior Cord Decompression and Fusion - p. 2129 825. Anterior Vascular Rib Bone Grafting - p. 2130 826. Circumferential Decompression and Cantilever Bending - p. 2132 827. Posterior Hemivertebra Resection With Transpedicular Instrumentation - p. 2133 828. Progressive Anterior Vertebral Fusion - p. 2134 829. Infantile Lumbar Hypoplasia - p. 2135 830. Spondylolysis and Spondylolisthesis - p. 2136 831. Spondylolysis Repair - p. 2142 832. Modified Scott Repair Technique - p. 2143 833. Intralaminar Screw Fixation OF Pars Defect (Buck Screw Technique) - p. 2144 834. Spondylolysis Repair with U-Rod or V-Rod - p. 2144 835. Posterolateral Fusion and Pedicle Screw Fixation - p. 2147 836. Instrumented Reduction - p. 2147 837. Reduction and Interbody Fusion - p. 2150 838. One-Stage Decompression and Posterolateral Interbody Fusion - p. 2152 839. Uninstrumented Circumferential In Situ Fusion - p. 2154 840. Kyphoscoliosis - p. 2158 841. Posterior Instrumentation and Fusion - p. 2160 842. Vertebral Excision and Reduction of Kyphosis - p. 2163 843. Unusual Causes OF Scoliosis - p. 2167 844. Open Biopsy of Thoracic Vertebra - p. 2173 845. Unusual Causes of Kyphosis - p. 2182 846. References - p. 2190 847. Supplemental References - p. 2197 848. Part XIII. Sports Medicine - p. 2196.e28 849. Chapter 45. Knee Injuries - p. 2198 850. Anatomy - p. 2198 851. Mechanics - p. 2210 852. Menisci - p. 2211 853. Open Meniscal Repair - p. 2222 854. Arthroscopic Partial Meniscectomy and Decompression of Meniscal Cyst - p. 2226 855. Excision of Meniscal Cyst - p. 2227 856. Acute Traumatic Lesions of Ligaments - p. 2228 857. Repair of Medial Compartment Disruptions - p. 2244 858. Reconstruction of Medial Compartment - p. 2252 859. Repair of Posteromedial Corner - p. 2256 860. Reconstruction of Posteromedial Corner - p. 2257 861. Reconstruction of the Anterolateral Ligament - p. 2260 862. Repair of Lateral Compartment Disruptions - p. 2260 863. Reconstruction of the Posterolateral Structures for Mild-To-Moderate Posterolateral Instability - p. 2267 864. Reconstruction of the Popliteal Tendon Using the Iliotibial Band for Posterolateral Instability - p. 2270 865. Rerouting of the Biceps Tendon to the Femoral Epicondyle for Posterolateral Instability - p. 2273 866. Anatomic Posterolateral Knee Reconstruction for Grade III Posterolateral Injury - p. 2275 867. Posterolateral Corner Reconstruction With a Single Allograft Fibular Sling - p. 2276 868. Allograft Reconstruction of the Lateral Collateral Ligament - p. 2277 869. Reconstruction of Posterolateral Structures With Semitendinosus Tendon - p. 2279 870. Valgus Tibial Osteotomy and Posterolateral Reconstruction - p. 2280 871. Anterior Cruciate Ligament Injuries - p. 2282 872. Repair of Bony Tibial Avulsions of Anterior Cruciate Ligament - p. 2287 873. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2289 874. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2289 875. Extraarticular Procedures (Iliotibial Band Tenodesis) - p. 2290 876. Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Graft - p. 2296 877. Anterior Cruciate Ligament Reconstruction With Hamstrings (With Proximal Release of Hamstrings) - p. 2301 878. Posterior Cruciate Ligament - p. 2312 879. Repair of Bony Avulsion - p. 2316 880. Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft - p. 2319 881. Reconstruction of Posterior Cruciate Ligament With Patellar Tendon Graft - p. 2321 882. Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts - p. 2326 883. Reconstruction of Posterior Cruciate Ligament With Bone–Patellar Tendon–Bone or Achilles Tendon–Bone Grafts - p. 2327 884. Traumatic Dislocations - p. 2328 885. Synovial Plicae - p. 2335 886. Articular Cartilage Injuries - p. 2336 887. Osteochondritis Dissecans - p. 2343 888. Disorders of the Patella - p. 2347 889. Subperiosteal Release of the Lateral Quadriceps Mechanism - p. 2348 890. Advancement of the Tibial Tuberosity - p. 2351 891. Patellectomy - p. 2352 892. Thompson Quadricepsplasty - p. 2353 893. Mini-Invasive Quadricepsplasty - p. 2353 894. Posterior Capsulotomy - p. 2356 895. Posterior Capsulotomy - p. 2356 896. Open Wounds of the Knee Joint - p. 2357 897. References - p. 2359 898. Supplemental References - p. 2373 899. Chapter 46. Shoulder and Elbow Injuries - p. 2374 900. Shoulder Injuries - p. 2374 901. Open Anterior Acromioplasty - p. 2388 902. Open Repair of Rotator Cuff Tears - p. 2392 903. Latissimus Dorsi Transfer - p. 2397 904. Decompression and Debridement of Massive Rotator Cuff Tears - p. 2398 905. Closed Manipulation - p. 2402 906. Posterior Surgical Approach for Quadrilateral Space Syndrome - p. 2406 907. Posterior Surgical Approach for Suprascapular Nerve Entrapment - p. 2407 908. Suprascapular Notch Decompression - p. 2408 909. Spinoglenoid Notch Decompression - p. 2408 910. Removal of a Ganglion From the Inferior Branch of the Suprascapular Nerve - p. 2409 911. Elbow Injuries - p. 2409 912. Correction of Tennis Elbow - p. 2412 913. Correction of Medial Epicondylitis - p. 2413 914. Anterior and Posterior Release of Elbow Contracture - p. 2416 915. Excision of Heterotopic Ossification - p. 2418 916. References - p. 2419 917. Supplemental References - p. 2425 918. Chapter 47. Recurrent Dislocations - p. 2426 919. Patella - p. 2426 920. Reconstruction of the Medial Patellofemoral Ligament - p. 2431 921. Medial Quadriceps Tendon-Femoral Ligament Reconstruction - p. 2432 922. Distal Realignment - p. 2434 923. Oblique Osteotomy of the Tuberosity - p. 2434 924. Fulkerson Osteotomy - p. 2435 925. Trochleoplasty - p. 2435 926. Hip - p. 2437 927. Sternoclavicular Joint - p. 2437 928. Shoulder - p. 2438 929. Bankart Operation - p. 2447 930. Modified Bankart Repair - p. 2448 931. Anterior Stabilization With Associated Glenoid Deficiency (Laterjet Procedure) - p. 2450 932. Reconstruction of Anterior Glenoid Using Iliac Crest Bone Autograft - p. 2453 933. Capsular Shift - p. 2454 934. Neer Inferior Capsular Shift Procedure Through a Posterior Approach - p. 2457 935. Tibone and Bradley Technique - p. 2459 936. Capsular Shift Reconstruction With Posterior Glenoid Osteotomy - p. 2460 937. Mclaughlin Procedure - p. 2461 938. Surgical Failures - p. 2462 939. Elbow - p. 2463 940. Ulnar collateral ligament reconstruction—andrews et al. Technique - p. 2468 941. Ulnar Collateral Ligament Reconstruction - p. 2470 942. Ulnar Collateral Ligament Repair With an Internal Brace - p. 2472 943. Lateral Ulnar Collateral Ligament Reconstruction for Posterolateral Rotatory Instability - p. 2473 944. References - p. 2475 945. Supplemental References - p. 2478 946. Chapter 48. Traumatic Disorders - p. 2479 947. Compartment Syndrome - p. 2479 948. Fasciotomy for Acute Compartment Syndrome of the Thigh - p. 2482 949. Single-Incision Fasciotomy for Lower Leg Compartment Syndrome - p. 2483 950. Double-Incision Fasciotomy for Lower Leg Compartment Syndrome - p. 2484 951. Double Mini-Incision Fasciotomy for Chronic Anterior Compartment Syndrome - p. 2487 952. Single-Incision Fasciotomy for Chronic Anterior and Lateral Compartment Syndrome - p. 2487 953. Double-Incision Fasciotomy for Chronic Posterior Compartment Syndrome - p. 2489 954. Rupture of Muscles and Tendons - p. 2490 955. Open Repair of Acute Achilles Tendon Rupture - p. 2493 956. Open Repair of Achilles Tendon Rupture—Krackow et al. - p. 2494 957. Open Repair of Achilles Tendon Rupture—Lindholm - p. 2494 958. Repair of Acute Achilles Tendon Rupture Using Plantaris Tendon - p. 2495 959. Dynamic Loop Suture Technique for Acute Achilles Tendon Rupture - p. 2495 960. Minimally Invasive and Percutaneous Repair of Acute Achilles Tendon Rupture - p. 2496 961. Percutaneous Achilles Tendon Repair - p. 2497 962. Transfer of the Peroneus Brevis Tendon for Neglected Achilles Tendon Ruptures - p. 2500 963. Direct Repair of Neglected Achilles Tendon Ruptures - p. 2502 964. Repair of Neglected Achilles Tendon Ruptures Using Peroneus Brevis and Plantaris Tendons - p. 2502 965. Repair of Neglected Achilles Tendon Ruptures Using Gastrocnemius-Soleus Turn-Down Graft - p. 2503 966. V-Y Repair of Neglected Achilles Tendon Ruptures - p. 2503 967. Repair of Neglected Achilles Tendon Ruptures Using Flexor Hallucis Longus Tendon Transfer - p. 2504 968. Tenotomy and Repair for Chronic Patellar Tendinosis - p. 2507 969. Fixation of Patellar Stress Fracture - p. 2507 970. Suture Repair of Patellar Tendon Rupture - p. 2509 971. Suture Anchor Repair of Patellar Tendon Rupture - p. 2510 972. Achilles Tendon Allograft for Chronic Patellar Tendon Rupture - p. 2511 973. Hamstring (Semitendinosus and Gracilis) Autograft Augmentation for Chronic Patellar Tendon Rupture - p. 2513 974. Hamstring Autograft Augmentation for Chronic Patellar Tendon Rupture - p. 2514 975. Repair of Acute Rupture of the Tendon of the Quadriceps Femoris Muscle - p. 2514 976. Repair of Proximal Hamstring Avulsion - p. 2518 977. Open Repair of Proximal Hamstring Avulsion - p. 2519 978. Endoscopic Repair of Proximal Hamstring Avulsion - p. 2519 979. Repair of Proximal Biceps Tendon Rupture - p. 2521 980. Subpectoral Biceps Tenodesis - p. 2521 981. Two-Incision Technique for Repair of the Distal Biceps Tendon - p. 2524 982. Single-Incision Technique for Repair of the Distal Biceps Tendon - p. 2525 983. Double-Row Repair of the Distal Triceps Tendon - p. 2526 984. Displacement of Tendons - p. 2527 985. Repair of the Superior Peroneal Retinaculum - p. 2529 986. Fibular Groove Deepening With Tissue Transfer (Periosteal Flap) for Recurrent Peroneal Tendon Dislocation - p. 2529 987. Indirect (Impaction) Fibular Groove Deepening for Peroneal Tendon Dislocation - p. 2530 988. Achilles Tendon Augmentation of Superior Peroneal Retinaculum Repair - p. 2531 989. Treatment of Biceps Brachii Tendon Displacement - p. 2532 990. References - p. 2532 991. Supplemental References - p. 2538 992. Part XIV. Arthroscopy - p. 2538.e7 993. Chapter 49. General Principles of Arthroscopy - p. 2540 994. Chapter 50. Arthroscopy of the Foot and Ankle - p. 2552 995. Chapter 51. Arthroscopy of the Lower Extremity - p. 2576 996. Knee - p. 2576 997. Resection of Bucket-Handle Tear - p. 2585 998. Removal of Posterior Horn Tear - p. 2586 999. Treatment of Partial Depth Meniscal Tears - p. 2587 1000. Partial Excision of the Discoid Meniscus - p. 2588 1001. Inside-To-Outside Technique - p. 2590 1002. Outside-To-Inside Technique - p. 2592 1003. Lateral Meniscal Suturing - p. 2593 1004. Outside-In Repair of Complete Radial Tear of the Lateral Meniscus - p. 2594 1005. Transtibial Pull-Out Repair of Radial or Meniscal Root Tear - p. 2597 1006. Meniscal Replacement - p. 2599 1007. Removal of Loose Bodies - p. 2601 1008. Resection of Plica - p. 2603 1009. Arthroscopic Drilling of an Intact Lesion of the Femoral Condyle - p. 2605 1010. Arthroscopic Screw Fixation for Osteochondritis Dissecans Lesions in the Medial Femoral Condyle - p. 2605 1011. Osteochondral Autograft Transfer - p. 2606 1012. Anatomic Single-Bundle Endoscopic Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Graft - p. 2610 1013. Two-Incision Technique for Anterior Cruciate Ligament Reconstruction Using Bone–Patellar Tendon–Bone Graft - p. 2616 1014. Endoscopic Quadruple Hamstring Graft - p. 2617 1015. All-Inside Quadruple Hamstring Graft Anterior Cruciate Ligament Reconstruction - p. 2619 1016. Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction - p. 2620 1017. Transepiphyseal Replacement of Anterior Cruciate Ligament Using Quadruple Hamstring Grafts - p. 2623 1018. Physeal-Sparing Reconstruction of the Anterior Cruciate Ligament - p. 2625 1019. Partial Transepiphyseal Acl Reconstruction in Skeletally Immature Athletes - p. 2626 1020. Anterior Cruciate and Anterolateral Ligament Reconstruction (BOX 51.8) - p. 2627 1021. Single-Tunnel Posterior Cruciate Ligament Reconstruction - p. 2631 1022. Double-Tunnel Posterior Cruciate Ligament Reconstruction - p. 2633 1023. Lateral Retinacular Release - p. 2637 1024. Arthroscopically Assisted Fracture Reduction and Percutaneous Fixation - p. 2639 1025. Arthroscopic Lysis and Excision of Adhesions - p. 2639 1026. HIP - p. 2640 1027. Supine Position Arthroscopy - p. 2642 1028. Lateral Position Arthroscopy - p. 2645 1029. Arthroscopic Repair of Labral Tears - p. 2649 1030. Arthroscopic Treatment of Pincer Impingement - p. 2652 1031. Arthroscopic Treatment of Cam Impingement - p. 2652 1032. Arthroscopic Labral Reconstruction - p. 2653 1033. Repair of the Adductor Tendon - p. 2655 1034. Treatment of External Snapping Hip - p. 2655 1035. Psoas Release at the Lesser Trochanter - p. 2656 1036. Psoas Release at the Joint Level - p. 2656 1037. References - p. 2656 1038. Supplemental References - p. 2662 1039. Chapter 52. Arthroscopy of the Upper Extremity - p. 2663 1040. Shoulder - p. 2663 1041. Establishing A Posterior Portal - p. 2667 1042. Antegrade Method - p. 2668 1043. Retrograde Method - p. 2668 1044. Establishing The Superior Portal - p. 2669 1045. Arthroscopic Removal of Loose Body - p. 2671 1046. Arthroscopic Fixation of Type II Slap Lesions - p. 2673 1047. Biceps Tendon Release - p. 2678 1048. Arthroscopic Biceps Tenodesis: Percutaneous Intraarticular Transtendon Technique - p. 2680 1049. Arthroscopic “Loop ‘N’ Tack” Tenodesis - p. 2680 1050. Biceps Tenodesis: Arthroscopic or Mini-Open Technique with Screw Fixation - p. 2682 1051. Arthroscopic Bankart Repair Technique - p. 2684 1052. Posterior Shoulder Stabilization - p. 2692 1053. Capsular Shift - p. 2694 1054. Arthroscopic Repair of Posterior Humeral Avulsion of the Glenohumeral Ligament - p. 2695 1055. Arthroscopic Subacromial Decompression and Acromioplasty - p. 2700 1056. Chock-Block Method for Acromioplasty - p. 2702 1057. Debridement of Partial-Thickness Rotator Cuff Tears - p. 2703 1058. Repair of Delamination and Localized, Articular-Side Partial-Thickness Cuff Tears - p. 2704 1059. Transtendinous Repair of A Partial Articular-Side Supraspinatus Tendon Avulsion Lesion - p. 2704 1060. Rotator Cuff Repair - p. 2713 1061. Superior Capsule Reconstruction - p. 2717 1062. Subscapularis Tendon Repair - p. 2721 1063. Arthroscopic Resection of the Distal End of the Clavicle (Mumford Procedure) - p. 2724 1064. Superior Approach - p. 2726 1065. Acromioclavicular Joint Separation - p. 2726 1066. Arthroscopically Assisted AC Joint Reconstruction - p. 2726 1067. Release of Calcific Tendinitis - p. 2727 1068. Capsular Release - p. 2730 1069. Suprascapular Nerve Release - p. 2731 1070. Scapulothoracic Bursectomy - p. 2733 1071. Elbow - p. 2735 1072. Arthroscopic Treatment of Osteochondritis Dissecans - p. 2744 1073. Osteochondral Autograft Transfer - p. 2744 1074. Removal of Olecranon Tip and Osteophytes - p. 2746 1075. Resection of Thickened Pathologic Synovial PLICA - p. 2747 1076. Arthroscopy for Arthrofibrosis - p. 2747 1077. Arthroscopic Tennis Elbow Release - p. 2749 1078. Arthroscopic Bursectomy - p. 2750 1079. Wrist - p. 2751 1080. References - p. 2751 1081. Supplemental References - p. 2756 1082. Part XV. Fractures and Dislocations in Adults - p. 2755.e10 1083. Chapter 53. General Principles of Fracture Treatment - p. 2758 1084. Classification of Fractures - p. 2759 1085. Classification of Soft-Tissue Injuries - p. 2759 1086. Trauma Principles - p. 2763 1087. Percutaneous Drainage of a Morel-Lavallée Lesion - p. 2771 1088. Irrigation and Debridement of Open Wounds - p. 2774 1089. Fracture Healing (Bone Regeneration) - p. 2776 1090. Harvest of Femoral or Tibial Bone Graft With the RIA Instrumentation - p. 2779 1091. Principles of Surgical Treatment - p. 2783 1092. Biomaterials of Fracture Fixation - p. 2785 1093. Biomechanics of Implant Design and Fracture Fixation - p. 2787 1094. Screw Fixation - p. 2790 1095. Asif Cancellous Screw Technique - p. 2791 1096. Pin Insertion - p. 2804 1097. Rehabilitation - p. 2805 1098. Treatment of Complications From Surgical Treatment of Fractures - p. 2805 1099. References - p. 2808 1100. Supplemental References - p. 2811 1101. Chapter 54. Fractures of the Lower Extremity - p. 2812 1102. Ankle - p. 2812 1103. Fixation of the Lateral Malleolus - p. 2818 1104. Fixation of the Medial Malleolus - p. 2819 1105. Repair of the Deltoid Ligament and Internal Fixation of the Lateral Malleolus - p. 2821 1106. Reduction and Fixation of Posterior Malleolar Fracture - p. 2823 1107. Reduction and Fixation of Anterior Tibial Margin Fractures - p. 2824 1108. Stabilization of Unstable Ankle Fracture-Dislocation - p. 2826 1109. Staged Minimally Invasive Open Reduction and Internal Fixation - p. 2831 1110. Posterolateral Approach to Pilon Fractures - p. 2832 1111. Spanning External Fixation of Tibial Pilon Fracture - p. 2835 1112. Definitive Ring External Fixation of Tibial Pilon Fractures - p. 2837 1113. Fractures of the Tibial Shaft - p. 2839 1114. Intramedullary Nailing of Tibial Shaft Fractures - p. 2848 1115. External Fixation for Tibial Shaft Fractures - p. 2854 1116. Ilizarov External Fixation for Tibial Shaft Fractures - p. 2857 1117. Tibial Plateau Fracture - p. 2861 1118. Open Reduction and Fixation of a Lateral Tibial Plateau Fracture - p. 2869 1119. Posteromedial Exposure - p. 2871 1120. Open Reduction and Internal Fixation of Bicondylar Injuries - p. 2872 1121. Circular External Fixation - p. 2872 1122. Patella - p. 2873 1123. Common Approach and Technique for Patellar Fractures - p. 2876 1124. Circumferential Wire Loop Fixation - p. 2876 1125. Tension Band Wiring Fixation - p. 2877 1126. Partial Patellectomy - p. 2879 1127. Partial Patellectomy Using Figure-of-Eight Load-Sharing Wire or Cable - p. 2879 1128. Total Patellectomy - p. 2880 1129. Distal Femur - p. 2880 1130. Fracture Fixation of the Medial Condyle - p. 2884 1131. Fracture Fixation of the Posterior Part of the Medial Condyle - p. 2885 1132. Swashbuckler Approach to the Distal Femur - p. 2886 1133. Submuscular Minimally Invasive Locking Condylar Plate Application - p. 2887 1134. Double Plate Fixation - p. 2888 1135. Shaft of the Femur - p. 2890 1136. Antegrade Femoral Nailing - p. 2895 1137. Retrograde Femoral Nailing - p. 2901 1138. Extraction of an Unbroken Antegrade Femoral Nail - p. 2904 1139. Extraction of a Broken Femoral Antegrade Nail - p. 2904 1140. References - p. 2906 1141. Supplemental References - p. 2908 1142. Chapter 55. Fractures and Dislocations of the Hip - p. 2909 1143. Femoral Neck Fractures - p. 2909 1144. Fixation of Femoral Neck Fracture With Cannulated Screws - p. 2912 1145. Open Reduction and Internal Fixation - p. 2914 1146. Fluoroscopically Guided Capsulotomy of the Hip - p. 2918 1147. Intertrochanteric Femoral Fractures - p. 2924 1148. Screw–Side Plate Fixation of Intertrochanteric Femoral Fractures - p. 2925 1149. Intramedullary Nailing of Intertrochanteric Femoral Fractures - p. 2929 1150. Intramedullary Nailing of Intertrochanteric Femoral Fractures With Integrated Proximal Interlocking Screws (Intertan) - p. 2933 1151. Subtrochanteric Femoral Fractures - p. 2935 1152. Intramedullary Nailing in Reconstruction Mode - p. 2935 1153. Fixation of Subtrochanteric Femoral Fracture With a Proximal Femoral Locking Plate - p. 2938 1154. Fixation of Subtrochanteric Femoral Fracture With a Blade Plate - p. 2940 1155. Hip Dislocations and Femoral Head Fractures - p. 2943 1156. Open Reduction of Posterior Hip Dislocation Through a Posterior Approach - p. 2948 1157. Fractures of the Ipsilateral Femoral Neck and Shaft - p. 2952 1158. References - p. 2954 1159. Supplemental References - p. 2957 1160. Chapter 56. Fractures of the Acetabulum and Pelvis - p. 2958 1161. Acetabular Fractures - p. 2958 1162. Anterior Intra-Pelvic Approach - p. 2973 1163. Fixation of Comminuted Posterior Wall Fracture With or Without a Transverse Component - p. 2988 1164. Anterior Approach for Total Hip Arthroplasty for Fractures Involving Primarily the Anterior Wall and Column - p. 2988 1165. Pelvic Fractures - p. 2991 1166. Gluteal Pillar External Fixation - p. 3008 1167. Supra-Acetabular External Fixation - p. 3008 1168. Anterior Subcutaneous Internal Fixation - p. 3010 1169. Pelvic Clamps - p. 3011 1170. Open Reduction and Internal Fixation of the Pubic Symphysis - p. 3015 1171. Internal Fixation: Posterior Approach and Fixation of Sacral Fractures and Sacroiliac Dislocations (Prone) - p. 3016 1172. Percutaneous Iliosacral Screw Fixation of Sacroiliac Disruptions and Sacral Fractures (Supine) - p. 3017 1173. Anterior Approach and Stabilization of the Sacroiliac Joint - p. 3019 1174. References - p. 3027 1175. Supplemental References - p. 3030 1176. Chapter 57. Fractures of the Shoulder, Arm, and Forearm - p. 3031 1177. Clavicle - p. 3031 1178. Open Reduction and Internal Fixation of Clavicular Fractures - p. 3034 1179. Intramedullary Fixation With a Headed, Distally Threaded Pin (Rockwood Clavicle Pin) - p. 3036 1180. Distal Clavicular Fracture Repair With Coracoclavicular Ligament Reconstruction and Cortical Button Fixation - p. 3039 1181. Fractures Around The Shoulder - p. 3040 1182. Intramedullary Nailing of a Proximal Humeral Fracture - p. 3053 1183. Open Reduction and Internal Fixation of Proximal Humeral Fractures - p. 3054 1184. Anterolateral Acromial Approach for Internal Fixation of Proximal Humeral Fracture - p. 3055 1185. Fractures of the Humeral Shaft - p. 3058 1186. Open Reduction and Internal Fixation of the Humeral Shaft Through a Modified Posterior Approach (Triceps-Reflecting) - p. 3062 1187. Minimally Invasive Plate Osteosynthesis - p. 3064 1188. Antegrade Intramedullary Nailing of Humeral Shaft Fractures - p. 3067 1189. Fractures of the Humeral Shaft With Radial Nerve Palsy - p. 3067 1190. Open Reduction and Internal Fixation of the Distal Humerus With Olecranon Osteotomy - p. 3075 1191. Fractures, Dislocations, and Fracture-Dislocations of the Elbow - p. 3077 1192. Open Reduction and Internal Fixation of Radial Head Fracture - p. 3081 1193. Stabilization of “Terrible Triad” Elbow Fracture-Dislocation - p. 3084 1194. Internal Joint Stabilization for Elbow Instability - p. 3088 1195. Open Reduction and Internal Fixation of Olecranon Fracture - p. 3093 1196. Fractures of the Shafts of the Radius and Ulna - p. 3097 1197. Open Reduction and Internal Fixation of Both-Bone Forearm Fractures - p. 3097 1198. Fractures of the Distal Radius - p. 3099 1199. Closed Reduction and Percutaneous Pinning of Distal Radial Fracture - p. 3103 1200. External Fixation of Fracture of the Distal Radius - p. 3105 1201. Volar Plate Fixation of Fracture of the Distal Radius - p. 3108 1202. Distraction Plate Fixation - p. 3111 1203. References - p. 3118 1204. Supplemental References - p. 3126 1205. Chapter 58. Malunited Fractures - p. 3127 1206. Foot - p. 3128 1207. Correction of Metatarsal Angulation - p. 3129 1208. Correction of Tarsal Malunion - p. 3129 1209. Posterior Subtalar Arthrodesis - p. 3131 1210. Distraction Arthrodesis - p. 3132 1211. Resection of Lateral Prominence of Calcaneus - p. 3133 1212. Correction of Calcaneal Malunion Through Extensile Lateral Approach - p. 3134 1213. Correction of Valgus Malunion of Extraarticular Calcaneal Fracture - p. 3136 1214. Ankle - p. 3137 1215. Osteotomy for Bimalleolar Fracture - p. 3138 1216. Correction of Diastasis of the Tibia And Fibula - p. 3139 1217. Supramalleolar Osteotomy - p. 3139 1218. Tibia - p. 3140 1219. Oblique Tibial Osteotomy - p. 3142 1220. Clamshell Osteotomy - p. 3145 1221. Subcondylar Osteotomy and Wedge Graft for Malunion of Lateral Condyle - p. 3149 1222. Osteotomy and Internal Fixation of the Lateral Condyle - p. 3149 1223. Patella - p. 3150 1224. Femur and Hip - p. 3150 1225. Open Reduction and Internal Fixation - p. 3150 1226. Osteotomy for Femoral Malunion - p. 3152 1227. Osteotomy for Femoral Malunion in Children - p. 3155 1228. Correction of Cervicotrochanteric Malunion - p. 3157 1229. Acetabulum - p. 3158 1230. Pelvis - p. 3158 1231. Scapula - p. 3159 1232. Osteotomy and Reorientation of Scapular Neck - p. 3160 1233. Clavicle - p. 3161 1234. Osteotomy and Plate Fixation - p. 3161 1235. Osteotomy and Elastic Intramedullary Nailing of Midshaft Clavicular Fracture - p. 3164 1236. Humerus - p. 3165 1237. Closing Wedge Valgus Osteotomy for Varus Malunion of Proximal Humerus - p. 3168 1238. Correction of Proximal Third Humeral Malunion - p. 3169 1239. Forearm - p. 3169 1240. Correction of Radial Neck Malunion - p. 3170 1241. Osteotomy and Fixation of Monteggia Fracture Malunion - p. 3170 1242. Resection of Proximal Part of Radial Shaft - p. 3172 1243. Osteotomy and Plating for Forearm Malunion - p. 3173 1244. Correction of Forearm Malunion with Distal Radioulnar Joint Instability - p. 3174 1245. Drill Osteoclasis - p. 3174 1246. Distal Radius - p. 3175 1247. Opening Wedge Metaphyseal Osteotomy with Bone Grafting and Internal Fixation with Plate and Screws - p. 3179 1248. Volar Osteotomy - p. 3180 1249. Intramedullary Fixation - p. 3182 1250. External Fixation - p. 3183 1251. Osteotomy for Intraarticular Malunion - p. 3184 1252. Radiolunate Arthrodesis - p. 3185 1253. Ulnar Shortening Osteotomy - p. 3186 1254. Resection of the Distal Ulna - p. 3187 1255. Carpus - p. 3189 1256. Hand - p. 3189 1257. References - p. 3189 1258. Supplemental References - p. 3191 1259. Chapter 59. Delayed Union and Nonunion of Fractures - p. 3192 1260. Definitions - p. 3192 1261. Etiology and Pathophysiology - p. 3194 1262. General Treatment of Nonunions - p. 3195 1263. Decortication - p. 3199 1264. Fibular Autograft (Nonvascularized) - p. 3200 1265. Intramedullary Fibular Strut Allograft (Humerus) - p. 3200 1266. Factors Complicating Nonunion - p. 3206 1267. Nonunion of Specific Bones - p. 3208 1268. Resection of the Distal Fragment of the Medial Malleolus - p. 3210 1269. Sliding Graft - p. 3210 1270. Bone Graft of Medial Malleolar Nonunion - p. 3211 1271. Posterolateral Bone Grafting - p. 3212 1272. Anterior Central Bone Grafting - p. 3212 1273. Percutaneous Bone Marrow Injection - p. 3213 1274. Tibial Exchange Nailing - p. 3214 1275. Plate Fixation and Bone Grafting of the Clavicle - p. 3222 1276. References - p. 3224 1277. Supplemental References - p. 3227 1278. Chapter 60. Acute Dislocations - p. 3228 1279. Chapter 61. Old Unreduced Dislocations - p. 3246 1280. Part XVI. Peripheral Nerve Injuries of the Upper and Lower Extremities - p. 3270.e2 1281. Chapter 62. Peripheral Nerve Injuries - p. 3272 1282. Anatomy of the Spinal Nerves - p. 3272 1283. Internal Topography of Peripheral Nerves - p. 3275 1284. Neuronal Degeneration and Regeneration - p. 3275 1285. Classification of Nerve Injuries - p. 3276 1286. Effects of Peripheral Nerve Injuries - p. 3278 1287. Etiology of Peripheral Nerve Injuries - p. 3282 1288. Clinical Diagnosis of Nerve Injuries - p. 3282 1289. General Considerations of Treatment of Nerve Injuries - p. 3285 1290. Factors That Influence Regeneration After Neurorrhaphy - p. 3286 1291. General Considerations for Surgery - p. 3287 1292. Technique of Nerve Repair - p. 3288 1293. Epineurial Neurorrhaphy - p. 3292 1294. Perineurial (Fascicular) Neurorrhaphy - p. 3292 1295. Interfascicular Nerve Grafting - p. 3293 1296. Cervical Plexus - p. 3294 1297. Nerve Transfers - p. 3295 1298. Transfer of the Ulnar Nerve Fascicles to Nerve of the Biceps Muscle - p. 3295 1299. Double Fascicular Transfer From Ulnar and Median Nerves to Nerve of the Brachialis Branches - p. 3296 1300. Neurotization of the Suprascapular Nerve With the Spinal Accessory Nerve - p. 3297 1301. Neurotization of the Axillary Nerve With Radial Nerve - p. 3298 1302. Upper Extremity Nerve Injuries - p. 3300 1303. Posterior Approach for Division of the Transverse Scapular Ligament - p. 3300 1304. Approach to the Axillary Nerve - p. 3301 1305. Approach to the Musculocutaneous Nerve - p. 3302 1306. Approach to the Radial Nerve - p. 3303 1307. Approach to the Ulnar Nerve - p. 3306 1308. Nerve Transfer for Ulnar Nerve Reconstruction - p. 3308 1309. Approach to the Median Nerve - p. 3309 1310. Lumbar Plexus - p. 3311 1311. Approach to the Femoral Nerve - p. 3312 1312. Sacral Plexus - p. 3313 1313. Approach to the Sciatic Nerve - p. 3314 1314. Approach to the Common, Superficial, and Deep Peroneal Nerves - p. 3316 1315. Approach to the Tibial Nerve Deep to the Soleus Muscle - p. 3318 1316. References - p. 3319 1317. Supplemental References - p. 3322 1318. Part XVII. Microsurgery - p. 3321.e6 1319. Chapter 63. Microsurgery - p. 3324 1320. Microvascular Anastomosis (End-to-End) - p. 3325 1321. Microvascular End-to-Side Anastomosis - p. 3326 1322. Microvascular Vein Grafting - p. 3327 1323. Replantation - p. 3328 1324. Preparation for Replantation - p. 3334 1325. Vessel Repair in Replantation - p. 3337 1326. Nerve Repair for Replantation - p. 3338 1327. Reoperation - p. 3340 1328. Revascularization - p. 3341 1329. Pocket Technique For Microvascular Anastomosis - p. 3341 1330. Single-Stage Tissue Transfer (Free Flaps) - p. 3341 1331. Dissection for Free Groin Flap - p. 3347 1332. Dissection for Anterolateral Thigh Flap - p. 3349 1333. Dissection for Scapular and Parascapular Flap - p. 3350 1334. Dissection for Lateral Arm Flap - p. 3351 1335. Muscle and Musculocutaneous Free Flaps - p. 3352 1336. Dissection for Latissimus Dorsi Transfer - p. 3354 1337. Dissection for Serratus Anterior Flap - p. 3356 1338. Dissection for Tensor Fasciae Latae Muscle Flap - p. 3357 1339. Dissection for Gracilis Muscle Transfer - p. 3359 1340. Dissection for Rectus Abdominis Transfer - p. 3360 1341. Functioning Neuromuscular Transfers - p. 3360 1342. Transfer of Functioning Muscle - p. 3361 1343. Free Vascularized Bone Transplant - p. 3363 1344. Posterior Approach for Harvesting Fibular Graft - p. 3365 1345. Lateral Approach for Harvesting Fibular Graft - p. 3365 1346. Distal Tibiofibular Fusion to Prevent Progressive Valgus Deformity - p. 3368 1347. Free Iliac Crest Bone Graft - p. 3369 1348. Harvesting of Medial Femoral Condyle Corticoperiosteal Free Flap - p. 3369 1349. Medial Femoral Condyle Corticoperiosteal Free Flap for Scaphoid Arthroplasty - p. 3370 1350. Composite Free Tissue Transfers From the Foot - p. 3372 1351. Dorsalis Pedis Free Tissue Transfer - p. 3374 1352. Neurovascular Free Flap Transfer First Web Space - p. 3377 1353. Great Toe Wraparound Flap Transfer - p. 3378 1354. Thumb and Finger Reconstruction - p. 3380 1355. Single-Stage Great Toe Transfer - p. 3382 1356. Trimmed-Toe Transfer - p. 3384 1357. Second or Third Toe Transplantation - p. 3386 1358. Vascularized Free Flaps Containing Joints and Epiphyses - p. 3389 1359. References - p. 3389 1360. Supplemental References - p. 3391 1361. Part XVIII. The Hand - p. 3390.e6 1362. Chapter 64. Basic Surgical Technique and Postoperative Care - p. 3392 1363. Chapter 65. Acute Hand Injuries - p. 3417 1364. Chapter 66. Flexor and Extensor Tendon Injuries - p. 3442 1365. Flexor Tendons - p. 3442 1366. Modified Kessler-Tajima Suture - p. 3446 1367. Flexor Tendon Repair Using Six-Strand Repair (Adelaide Technique) - p. 3448 1368. Four- or Six-Strand Repair - p. 3449 1369. Multiple Looped Suture Tendon Repair - p. 3449 1370. Six-Strand Double-Loop Suture Repair - p. 3449 1371. Eight-Strand Repair - p. 3450 1372. End-to-Side Repair - p. 3451 1373. Roll Stitch - p. 3452 1374. Pull-Out Technique for Tendon Attachment - p. 3452 1375. Repair in Zones I and II - p. 3458 1376. Repair in Zones III, IV, and V - p. 3461 1377. Profundus Advancement - p. 3467 1378. Reconstruction of Finger Flexors: Single-Stage Tendon Graft - p. 3468 1379. Reconstruction of Flexor Tendon Pulleys - p. 3473 1380. Stage 1: Excision of Tendon and Scar and Reconstruction of Flexor Pulley - p. 3475 1381. Stage 2: Rod Removal and Tendon Graft Insertion - p. 3477 1382. Flexor Tendon Graft - p. 3478 1383. Two-Stage Flexor Tendon Graft for Flexor Pollicis Longus - p. 3478 1384. Transfer of Ring Finger Flexor Sublimis to Flexor Pollicis Longus - p. 3480 1385. Flexor Tenolysis After Repair and Grafting - p. 3480 1386. Freeing of Adherent Tendon - p. 3480 1387. Tenodesis - p. 3481 1388. Extensor Tendons - p. 3481 1389. Chronic Mallet Finger (Secondary Repair) - p. 3483 1390. Chronic Mallet Finger (Secondary Repair) - p. 3485 1391. Tendon Transfer for Correction of old Mallet Finger Deformity - p. 3486 1392. Tendon Graft for Correction of old Mallet Finger Deformity - p. 3486 1393. Repair of Central Slip of The Extensor Expansion Causing Boutonniere Deformity - p. 3487 1394. Reconstruction of the Extensor Mechanism for Chronic Boutonniere Deformity - p. 3488 1395. Repair of Traumatic Dislocation of the Extensor Tendon - p. 3491 1396. References - p. 3493 1397. Supplemental References - p. 3496 1398. Chapter 67. Fractures, Dislocations, and Ligamentous Injuries of The Hand and Wrist - p. 3497 1399. Chapter 68. Nerve Injuries at the Level of the Hand and Wrist - p. 3560 1400. Chapter 69. Wrist Disorders - p. 3577 1401. Anatomy - p. 3577 1402. Diagnosis of Wrist Conditions - p. 3581 1403. Arthroscopy of the Wrist - p. 3582 1404. Patient Positioning for Wrist Arthroscopy - p. 3585 1405. Radiocarpal Examination - p. 3586 1406. Midcarpal Examination - p. 3587 1407. Distal Radioulnar Examination - p. 3588 1408. Fractures and Dislocations of the Carpal Bones, Including Kienböck Disease - p. 3588 1409. Open Reduction and Internal Fixation OF Acute Displaced Fractures of the Scaphoid—Volar Approach with ILIAC Crest Bone Grafting - p. 3591 1410. Open Reduction and Internal Fixation of Acute Displaced Fractures of the Scaphoid—Dorsal Approach - p. 3592 1411. Open Reduction and Internal Fixation of Acute Displaced Fractures of the Scaphoid—Volar Approach with Distal Radial Autograft - p. 3593 1412. Percutaneous Fixation of Scaphoid Fractures - p. 3594 1413. Excision of the Proximal Fragment - p. 3598 1414. Proximal Row Carpectomy - p. 3600 1415. Arthroscopic Proximal Row Carpectomy - p. 3601 1416. Grafting Operations - p. 3604 1417. Grafting Operations - p. 3606 1418. Grafting Operations - p. 3606 1419. Pronator-Based Graft - p. 3608 1420. Vascularized BONE Grafts— - p. 3609 1421. Vascularized Bone Grafts— - p. 3609 1422. Excision Or Reduction and Fixation of the Hook of the Hamate - p. 3614 1423. Capitate Shortening With Capitate-Hamate Fusion - p. 3617 1424. Radial Decompression for Treatment of Kienböck Disease - p. 3620 1425. Radial Shortening - p. 3621 1426. Distal Radioulnar and Ulnocarpal Joint Injuries - p. 3622 1427. Arthroscopic Debridement of Triangular Fibrocartilage Tears - p. 3625 1428. Arthroscopic Repair of Class 1B Triangular Fibrocartilage Complex Tears from the Ulna - p. 3626 1429. Open Repair of Class 1B Injury - p. 3626 1430. Open Repair of Class 1c Injury - p. 3627 1431. Arthroscopic Repair of Class 1D Injury - p. 3627 1432. Open Repair of Class 1D Injuries - p. 3630 1433. Anatomic Reconstruction of the Distal Radioulnar Ligaments - p. 3632 1434. Reconstruction of the Dorsal Ligament of the Triangular Fibrocartilage Complex - p. 3634 1435. Ulnar Shortening Osteotomy - p. 3636 1436. Limited Ulnar Head Excision: Hemiresection Interposition Arthroplasty - p. 3637 1437. “Matched” Distal Ulnar Resection - p. 3639 1438. “Wafer” Distal Ulnar Resection - p. 3639 1439. Combined Arthroscopic “Wafer” Distal Ulnar Resection and Triangular Fibrocartilage Complex Debridement - p. 3640 1440. Distal Radioulnar Arthrodesis With Distal Ulnar Pseudarthrosis (Baldwin; Sauvé-Kapandji; Lauenstein) - p. 3641 1441. Tenodesis of the Extensor Carpi Ulnaris and Transfer of the Pronator Quadratus - p. 3643 1442. Combination Tenodesis of the Flexor Carpi Ulnaris and the Extensor Carpi Ulnaris - p. 3644 1443. Interposition for Failed Ulna Resection - p. 3646 1444. Arthrodesis of the Wrist - p. 3647 1445. Compression Plate Technique - p. 3648 1446. Arthrodesis of the Wrist - p. 3648 1447. Carpal Ligament Injuries and Instability Patterns - p. 3649 1448. Ligament Repair - p. 3653 1449. Ligament Reconstruction - p. 3654 1450. Ligament Reconstruction - p. 3657 1451. Ligament Reconstruction - p. 3658 1452. Dorsal Capsulodesis - p. 3659 1453. Scaphotrapezial-Trapezoid Fusion - p. 3660 1454. Scaphocapitate Arthrodesis - p. 3662 1455. Scaphocapitolunate Arthrodesis - p. 3662 1456. Lunotriquetral Arthrodesis - p. 3662 1457. Osteoarthritis of the Wrist - p. 3663 1458. References - p. 3665 1459. Supplemental References - p. 3669 1460. Chapter 70. Special Hand Disorders - p. 3670 1461. Chapter 71. Paralytic Hand - p. 3688 1462. Chapter 72. Cerebral Palsy of the Hand - p. 3731 1463. Chapter 73. Arthritic Hand - p. 3756 1464. Rheumatoid Arthritis - p. 3756 1465. Osteoarthritis - p. 3758 1466. Systemic Lupus Erythematosus - p. 3759 1467. Psoriatic Arthritis - p. 3759 1468. Reiter Syndrome - p. 3759 1469. Gout - p. 3759 1470. Scleroderma (Progressive Systemic Sclerosis) - p. 3761 1471. Nonoperative Treatment of Synovitis and Tenosynovitis - p. 3761 1472. Rheumatoid Nodules - p. 3761 1473. Staging of Operations - p. 3762 1474. Finger Deformities Caused by Rheumatoid Arthritis - p. 3762 1475. Correction of Proximal Interphalangeal Joint Hyperextension Deformity - p. 3766 1476. Lateral Band Mobilization and Skin Release - p. 3766 1477. Correction of Mild Boutonniere Deformity by Extensor Tenotomy - p. 3768 1478. Correction of Moderate Boutonniere Deformity - p. 3768 1479. Correction of Severe Boutonniere Deformity - p. 3768 1480. Proximal Interphalangeal Joint Volar Plate Interposition Arthroplasty - p. 3769 1481. Proximal Interphalangeal Joint Arthroplasty Through a Dorsal Approach - p. 3770 1482. Proximal Interphalangeal Joint Arthroplasty Through an Anterior (VOLAR) Approach - p. 3770 1483. Extensor Tendon Realignment and Intrinsic Rebalancing - p. 3773 1484. Metacarpophalangeal Joint Arthroplasty - p. 3774 1485. Metacarpal Joint Surface Arthroplasty - p. 3776 1486. Synovectomy - p. 3779 1487. Flexor Tendon Sheath Synovectomy - p. 3780 1488. Metacarpophalangeal Joint Arthrodesis - p. 3782 1489. Proximal Interphalangeal Joint Arthrodesis - p. 3782 1490. Deformities of the Thumb - p. 3783 1491. Thumb Interphalangeal Joint Synovectomy - p. 3785 1492. Thumb Metacarpophalangeal Joint Synovectomy - p. 3785 1493. Thumb Trapeziometacarpal Joint Synovectomy - p. 3785 1494. Interphalangeal Soft-Tissue Reconstruction - p. 3785 1495. Metacarpophalangeal Synovectomy with Extensor Tendon Reconstruction - p. 3786 1496. Thumb Metacarpophalangeal Joint Reconstruction for Rheumatoid Arthritis - p. 3786 1497. Metacarpophalangeal Arthroplasty - p. 3787 1498. Trapeziometacarpal Ligament Reconstruction - p. 3789 1499. Distraction Arthroplasty - p. 3792 1500. Tendon Interposition Arthroplasty with Ligament Reconstruction - p. 3793 1501. Arthroscopic Thumb Carpometacarpal Arthroplasty - p. 3796 1502. Interphalangeal Arthrodesis of the Thumb - p. 3801 1503. Metacarpophalangeal Arthrodesis of the Thumb - p. 3801 1504. Tension Band Arthrodesis of the Thumb Metacarpophalangeal Joint - p. 3801 1505. Thumb Metacarpophalangeal Joint Arthrodesis with Intramedullary Screw Fixation - p. 3803 1506. Trapeziometacarpal Arthrodesis - p. 3803 1507. Trapeziometacarpal Arthrodesis - p. 3805 1508. Thumb Carpometacarpal Arthrodesis with Kirschner Wire or Blade-Plate Fixation - p. 3805 1509. Rheumatoid Deformities of the Wrist - p. 3807 1510. Dorsal Synovectomy - p. 3807 1511. Volar Synovectomy - p. 3808 1512. Arthrodesis of the Wrist - p. 3812 1513. References - p. 3816 1514. Supplemental References - p. 3818 1515. Chapter 74. Compartment Syndromes and Volkmann Contracture - p. 3819 1516. Chapter 75. Dupuytren Contracture - p. 3832 1517. Chapter 76. Stenosing Tenosynovitis of the Wrist and Hand - p. 3850 1518. Chapter 77. Compressive Neuropathies of the Hand, Forearm, and Elbow - p. 3857 1519. Chapter 78. Tumors and Tumorous Conditions of the Hand - p. 3885 1520. Chapter 79. Hand Infections - p. 3920 1521. Chapter 80. Congenital Anomalies of the Hand - p. 3941 1522. Principles of Management - p. 3941 1523. Incidence and Classification - p. 3941 1524. Embryology - p. 3942 1525. Malformations Upper Extremity - p. 3944 1526. Metacarpal Lengthening - p. 3946 1527. Centralization of the Hand Using Transverse Ulnar Incisions - p. 3952 1528. Centralization of the Hand With Removal of the Distal Radial Anlage - p. 3953 1529. Centralization of the Hand and Tendon Transfers - p. 3957 1530. Centralization With Transfer of the Flexor Carpi Ulnaris - p. 3957 1531. Centralization of the Hand - p. 3957 1532. Triceps Transfer to Restore Elbow Flexion - p. 3958 1533. Rotational Osteotomy of the First Metacarpal - p. 3960 1534. Excision of an Ulnar Anlage - p. 3961 1535. Creation of a One-Bone Forearm - p. 3961 1536. Resection of a Dyschondrosteosis Lesion - p. 3963 1537. Closing Wedge Osteotomy Combined With Darrach Excision of the Distal Ulnar Head - p. 3964 1538. Dome Osteotomy and Excision of Vickers Ligament - p. 3964 1539. Malformations of Hand Plate - p. 3965 1540. Metacarpal Lengthening - p. 3966 1541. Lengthening With Distraction Stage I - p. 3968 1542. Lengthening With Distraction Stage II - p. 3968 1543. Callotasis Metacarpal Lengthening - p. 3968 1544. Toe-Phalanx Transplantation - p. 3968 1545. Toe-Phalanx Transplantation - p. 3968 1546. Simple Z-Plasty of the Thumb Web - p. 3970 1547. Four-Flap Z-Plasty - p. 3970 1548. Web Deepening With a Sliding Flap - p. 3972 1549. Opponensplasty - p. 3972 1550. Ring Sublimis Opponensplasty - p. 3973 1551. Ring Sublimis Opponensplasty With Ulnar Collateral Ligament Reconstruction - p. 3975 1552. Abductor Digiti Quinti Opponensplasty - p. 3975 1553. Rerouting of the Flexor Pollicis Longus - p. 3977 1554. Recession of the Index Finger - p. 3978 1555. Riordan Pollicization - p. 3979 1556. Buck-Gramcko Pollicization - p. 3979 1557. Foucher Pollicization - p. 3981 1558. Correction of Types I And II Bifid Thumbs - p. 3986 1559. Correction of Types III Through VI Bifid Thumbs - p. 3986 1560. Reduction Osteotomy - p. 3988 1561. Excision of the Proximal Ulna - p. 3990 1562. Reconstruction of the Hand and Wrist - p. 3991 1563. Excision of Extra Digit - p. 3992 1564. Malformations Unspecified - p. 3993 1565. Open Finger Syndactyly Release - p. 3996 1566. Syndactyly Release With Dorsal Flap - p. 3997 1567. Syndactyly Release With Matching Volar and Dorsal Proximally Based V-Shaped Flaps - p. 3997 1568. Tendon Release - p. 4001 1569. Transfer of the Flexor Superficialis Tendon to the Extensor Apparatus - p. 4001 1570. Group 2 Clasped Thumb Deformity - p. 4002 1571. Group 3 Clasped Thumb Deformity - p. 4003 1572. Reverse Wedge Osteotomy - p. 4005 1573. Opening Wedge Osteotomy of the Terminal Phalanx - p. 4006 1574. Cleft Closure - p. 4013 1575. Simple Closure of Type I and II Cleft Hands - p. 4013 1576. Combined Cleft Closure and Release of Thumb Adduction Contracture - p. 4017 1577. Cleft Closure and Release of Thumb Adduction Contracture - p. 4017 1578. Palmar Cleft Closure - p. 4017 1579. Deepening of Web and Metacarpal Osteotomy - p. 4017 1580. Tendon Transfer for Type II Deformities - p. 4017 1581. Reconstruction of the Hand in Apert Syndrome - p. 4018 1582. Deformations - p. 4020 1583. Multiple Z-Plasty Release of a Congenital Ring - p. 4021 1584. Release of a Congenital Trigger Thumb - p. 4023 1585. Release of a Trigger Finger - p. 4023 1586. Dysplasias - p. 4023 1587. Debulking - p. 4026 1588. Epiphysiodesis - p. 4026 1589. Digital Shortening - p. 4026 1590. Thumb Shortening - p. 4026 1591. References - p. 4026 1592. Supplemental References - p. 4028 1593. Part XIX. The Foot and Ankle - p. 4028.e6 1594. Chapter 81. Surgical Techniques - p. 4030 1595. Chapter 82. Disorders of the Hallux - p. 4041 1596. Hallux Valgus (Bunion) - p. 4041 1597. Modified Mcbride Bunionectomy - p. 4049 1598. Distal Chevron Metatarsal Osteotomy - p. 4062 1599. Modified Chevron Distal Metatarsal Osteotomy - p. 4064 1600. Johnson Modified Chevron Osteotomy - p. 4070 1601. Increased Displacement, Distal Chevron Osteotomy - p. 4071 1602. Chevron-Akin Double Osteotomy - p. 4072 1603. Chevron Bunionectomy - p. 4073 1604. Minimally Invasive Chevron-Akin Osteotomy - p. 4075 1605. Proximal Crescentic Osteotomy With A Distal Soft-Tissue Procedure - p. 4078 1606. Scarf Osteotomy - p. 4083 1607. Ludloff Osteotomy - p. 4087 1608. Proximal Opening Wedge Osteotomy and Distal Chevron Osteotomy - p. 4088 1609. Medial Cuneiform Osteotomy - p. 4089 1610. Akin Procedure - p. 4091 1611. Arthrodesis of the First Metatarsophalangeal Joint With Small Plate Fixation - p. 4095 1612. Arthrodesis of the First Metatarsophalangeal Joint With Low-Profile Contoured Dorsal Plate and Compression Screw Fixation - p. 4096 1613. Truncated Cone Arthrodesis of the First Metatarsophalangeal Joint - p. 4098 1614. Arthrodesis of the First Metatarsocuneiform Articulation (Lapidus Procedure) - p. 4098 1615. Arthrodesis of the First Metatarsocuneiform Articulation (Lapidus Procedure) with Plate Fixation - p. 4101 1616. Double First Metatarsal Osteotomies - p. 4107 1617. Modified Peterson Procedure - p. 4108 1618. First Cuneiform Osteotomy - p. 4110 1619. First Web Space Dissection, Lateral Release, and Repeat Capsular Imbrication (Hallux Valgus Angle Less than 30 Degrees and First-Second Intermetatarsal Angle Less than 15 Degrees) - p. 4113 1620. Correcting Distal Metatarsal Osteotomy - p. 4117 1621. Correction of Malunion of the Chevron Osteotomy - p. 4118 1622. Distraction Osteogenesis for Metatarsal Shortening - p. 4120 1623. Correction of Uniplanar (Static) Hallux Varus Deformity - p. 4123 1624. Distal Metatarsal Osteotomy, Medial Capsular Release Without Tendon Transfer - p. 4124 1625. Transfer of Extensor Hallucis Longus with Arthrodesis of the Interphalangeal Joint of the Hallux - p. 4125 1626. Extensor Hallucis Brevis Tenodesis - p. 4128 1627. Hallux Rigidus - p. 4132 1628. Cheilectomy - p. 4136 1629. Distal Oblique Osteotomy for Hallux Rigidus - p. 4137 1630. “V” Resection of the First Metatarsophalangeal Joint (Valenti Procedure) - p. 4138 1631. Excision of the Sesamoid - p. 4141 1632. Fibular Sesamoidectomy: Plantar Approach - p. 4144 1633. Arthritis of the Interphalangeal Joint - p. 4146 1634. References - p. 4150 1635. Supplemental References - p. 4153 1636. Chapter 83. Disorders of Tendons and Fascia and Adolescent and Adult Pes Planus - p. 4154 1637. Disorders of the Posterior Tibial Tendon - p. 4154 1638. Synovectomy with Repair of Incomplete Tears - p. 4161 1639. Transfer of Flexor Digitorum Longus or Flexor Hallucis Longus to Tarsal Navicular - p. 4164 1640. Repair of Spring Ligament - p. 4165 1641. Reconstruction of the Spring Ligament Using the Peroneus Longus - p. 4166 1642. Anterior Calcaneal Osteotomy (Lateral Column Lengthening) - p. 4168 1643. Step-Cut Calcaneal Lengthening Osteotomy (Z Osteotomy) - p. 4169 1644. Medial Calcaneal Displacement Osteotomy - p. 4169 1645. Opening Wedge Medial Cuneiform (Cotton) Osteotomy - p. 4171 1646. Isolated Medial Column Arthrodesis - p. 4175 1647. Minimally Invasive Deltoid Ligament Reconstruction - p. 4176 1648. Lateral Column Lengthening and Excision of Accessory Navicular - p. 4180 1649. Accessory Navicular Fusion - p. 4181 1650. Calcaneonavicular Bar Resection - p. 4184 1651. Resection of a Middle Facet Tarsal Coalition - p. 4187 1652. Disorders of the Achilles Tendon - p. 4187 1653. Calcaneal Osteotomy for Haglund Deformity - p. 4191 1654. Debridement of the Tendon for Insertional Achilles Tendon Disease - p. 4191 1655. Flexor Hallucis Longus Transfer for Chronic Noninsertional Achilles Tendinosis - p. 4193 1656. Disorders of the Anterior Tibial Tendon - p. 4195 1657. Synovectomy of the Anterior Tibial Tendon - p. 4196 1658. Debridement and Repair of the Distal Anterior Tibial Tendon - p. 4196 1659. Repair of Complete Rupture of the Anterior Tibial Tendon - p. 4198 1660. Minimally Invasive Tendon Reconstruction with Semitendinosus Autograft - p. 4199 1661. Disorders of the Peroneal Tendons - p. 4200 1662. Synovectomy of the Peroneal Tendons - p. 4203 1663. Fibular Groove Deepening and Repair of the Superior Retinaculum - p. 4205 1664. Repair of Rupture of the Peroneal Tendons - p. 4207 1665. Peroneal Tendon Repair-Reconstruction - p. 4209 1666. Debridement of the Peroneus Longus Tendon, Removal of OS Peroneum, and Tenodesis of Peroneus Longus Tendon to Peroneus Brevis Tendon - p. 4211 1667. Injuries of the Flexor Tendons - p. 4211 1668. Release of the Fibroosseous Tunnel - p. 4213 1669. Repair of Flexor Hallucis Tear - p. 4214 1670. Painful Heel - p. 4216 1671. Plantar Fascia and Nerve Release - p. 4218 1672. Two-Portal Endoscopic Plantar Fascia Release - p. 4219 1673. Single-Portal Endoscopic Plantar Fascia Release - p. 4220 1674. References - p. 4222 1675. Supplemental References - p. 4226 1676. Chapter 84. Lesser Toe Abnormalities - p. 4227 1677. Metatarsophalangeal Joint Instability - p. 4227 1678. Primary Plantar Plate Repair Through a Dorsal Approach - p. 4232 1679. Primary Plantar Plate Repair Through a Dorsal Approach - p. 4232 1680. Percutaneous Distal Lesser Toe Osteotomy for Grade 0-I Metatarsophalangeal Joint Instability - p. 4233 1681. Axial Plane Deformity of the Metatarsophalangeal Joint - p. 4234 1682. Modified Weil Osteotomy - p. 4235 1683. Correction of Multiplanar Deformity of the Second Toe With Metatarsophalangeal Release and Extensor Brevis Reconstruction - p. 4236 1684. Flexor-to-Extensor Transfer - p. 4238 1685. Extensor Digitorum Brevis Transfer for Crossover Toe Deformity - p. 4240 1686. Closing Wedge Osteotomy of the Proximal Phalanx for Correction of Axial Deformity - p. 4241 1687. Hammer Toe and Claw Toe - p. 4241 1688. Correction of Moderate Hammer Toe or Claw Toe Deformity - p. 4244 1689. Correction of Severe Deformity - p. 4246 1690. Metatarsophalangeal Joint Arthroplasty - p. 4248 1691. Shortening Metatarsal (Weil) Osteotomy - p. 4249 1692. Mallet Toe - p. 4251 1693. Resection Dermodesis - p. 4253 1694. Terminal Syme Procedure - p. 4254 1695. Combined Hammer Toe and Mallet Toe Deformity With Associated Double Corns - p. 4255 1696. Complications and Revision Surgery of Hammer Toe Deformities - p. 4255 1697. Proximal Interphalangeal Joint Arthrodesis With an Absorbable Intramedullary Pin - p. 4255 1698. Corns (Helomata and Clavi) - p. 4256 1699. Hard Corn Treatment - p. 4257 1700. Partial Syndactylization for Intractable Interdigital Corn - p. 4259 1701. Arthroplasty of the Metatarsophalangeal Joint - p. 4260 1702. Dorsal Closing Wedge Osteotomy of the Metatarsals for Intractable Plantar Keratosis - p. 4261 1703. Bunionette (Tailor’s Bunion) - p. 4261 1704. Partial Resection of the Lateral Condyle of the Fifth Metatarsal Head - p. 4264 1705. Resection of the Fifth Metatarsal Head for Bunionette Deformity - p. 4266 1706. Subcapital Oblique Osteotomy for Bunionette Deformity - p. 4267 1707. Transverse Medial Slide Osteotomy for Bunionette Deformity - p. 4268 1708. Oblique Diaphyseal Osteotomy of the Fifth Metatarsal for Severe Splay Foot or Metatarsus Quintus Valgus - p. 4268 1709. Chevron Osteotomy of the Fifth Metatarsal for Bunionette Deformity - p. 4269 1710. Minimally Invasive Kramer Osteotomy for Bunionette Deformity - p. 4271 1711. Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy for Fifth Toe Bunionette Correction - p. 4272 1712. Freiberg Infraction - p. 4272 1713. Dorsal Closing Wedge Osteotomy For Freiberg Disease - p. 4273 1714. Joint Debridement and Metatarsal Head Remodeling for Freiberg Disease - p. 4274 1715. Brachymetatarsia - p. 4274 1716. Distraction Osteogenesis for Lengthening of the Metatarsal in Brachymetatarsia - p. 4276 1717. One-Stage Metatarsal Interposition Lengthening With Autologous Fibular Graft With Locking Plate Fixation - p. 4277 1718. Metatarsal Lengthening by Circular External Fixation - p. 4277 1719. References - p. 4281 1720. Supplemental References - p. 4283 1721. Chapter 85. Arthritis of the Foot - p. 4284 1722. Chapter 86. Diabetic Foot - p. 4314 1723. Chapter 87. Neurogenic Disorders - p. 4345 1724. Chapter 88. Disorders of Nails - p. 4382 1725. Chapter 89. Fractures and Dislocations of the Foot - p. 4407 1726. Fractures of the Calcaneus - p. 4407 1727. Open Reduction of Calcaneal Fracture - p. 4411 1728. Subtalar Arthrodesis - p. 4413 1729. Open Reduction of Calcaneal Fracture: Sinus Tarsi Approach With or Without Medial Approach - p. 4417 1730. Axial Fixation of Calcaneal Fracture - p. 4420 1731. Percutaneous Reduction and Fixation of Calcaneal Fracture - p. 4421 1732. Lateral Decompression of a Malunited Calcaneal Fracture - p. 4426 1733. Subtalar Distraction Bone Block Arthrodesis - p. 4429 1734. Fractures of the Talus - p. 4430 1735. Open Reduction of the Talar Neck - p. 4438 1736. Onlay Graft Technique Through a Posterior Approach - p. 4443 1737. Tibiocalcaneal Arthrodesis - p. 4445 1738. Tibiotalar Arthrodesis - p. 4447 1739. Open Reduction and Internal Fixation of Fractures of the Lateral Process of the Talus - p. 4448 1740. Subtalar Dislocations - p. 4450 1741. Open Reduction of Subtalar Dislocation - p. 4453 1742. Midfoot Fractures and Dislocations - p. 4455 1743. Open Reduction and Internal Fixation of Tarsometatarsal (Lisfranc) Fractures - p. 4467 1744. Metatarsals - p. 4468 1745. Internal Fixation With an Intramedullary Screw - p. 4474 1746. Open Reduction and Plating of Lesser Metatarsal Stress Fracture - p. 4475 1747. Phalangeal Dislocations - p. 4477 1748. Open Reduction of Dislocation of the Interphalangeal Joints of the Hallux - p. 4477 1749. Open Reduction of First Metatarsophalangeal Joint Dislocation Using a Midline Medial Approach - p. 4480 1750. Plantar Plate Repair (Anderson) - p. 4481 1751. Phalangeal Fractures - p. 4483 1752. Sesamoid Fractures - p. 4483 1753. Sesamoidectomy - p. 4484 1754. Bone Grafting of Sesamoid Nonunion - p. 4484 1755. References - p. 4485 1756. Supplemental References - p. 4488 1757. Chapter 90. Sports Injuries of the Ankle - p. 4495 1758. Index - p. I-1