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Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Xinning Li, MD, FAAOS, FAOA (editor) and Jonathan F. Dickens, MD, FAAOS, FAOA, COL, MC, USAR (assistant editor), Instructional Course Lectures: Volume75 offers current, clinically relevant information across a broad spectrum of orthopaedic topics. The 57 chapters were written by orthopaedic surgeons and are based on selected Instructional Course Lectures and Symposia presented at the 2025 AAOS Annual Meeting in San Diego, California.

1. Cover - p. Cover 2. Title Page - p. i 3. Copyright - p. iv 4. Acknowledgments - p. v 5. Contributors - p. vi 6. Preface - p. xx 7. Contents - p. xxi 8. Video Abstracts - p. xxvi 9. Section 1: Residents and Fellows - p. xxviii 10. 1 Sage Advice for Residency, Fellowship, and Beyond - p. 3 11. Section 2: Basic Science Research - p. 21 12. 2 Cannabinoids and Orthopaedic Surgery: Current Knowledge and Future Directions - p. 23 13. Section 3: General Orthopaedics - p. 35 14. 3 Orthobiologics in 2025 and Beyond - p. 37 15. 4 Principles of Soft-Tissue Coverage for Orthopaedic Surgeons - p. 49 16. 5 The Management of Orthopaedic Emergencies for the Community Surgeon - p. 61 17. 6 How to Assess Risk in Preoperative Total Joint Arthroplasty Patients - p. 81 18. 7 Limb Reconstruction in a Resource-Limited Environment - p. 93 19. Section 4: Patient Care Nontechnical - p. 107 20. 8 Strategies for Success in the Centers for Medicare & Medicaid Services Patient-Reported Outcome Measures Mandate - p. 109 21. Section 5: Infection - p. 119 22. 9 What is Antibiotic Stewardship in Orthopaedics in 2025? - p. 121 23. Section 6: Sports Medicine and Arthroscopy - p. 133 24. 10 My Arthroscopic Bankart Repair Failed, Now What? Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization - p. 135 25. 11 Optimizing Outcomes in Revision Anterior Cruciate Ligament Reconstruction - p. 145 26. 12 Novel and Alternative Surgical Techniques for Cartilage Disorders of the Knee - p. 157 27. 13 Management of Patellofemoral Instability: Trochleoplasty, Osteotomy, Ligament Reconstruction, Cartilage Restoration, and Resurfacing - p. 171 28. 14 Managing and Avoiding Complications During Patellar Stabilization Surgery - p. 183 29. Section 7: Shoulder and Elbow - p. 193 30. 15 Treatment of Rotator Cuff Tears: Around the World From Partial Thickness to Irreparable - p. 195 31. 16 Treatment Following a First-Time Anterior Shoulder Dislocation: What Does the Evidence Tell Us? - p. 207 32. 17 Shoulder Surgery Disasters: How to Manage Complications and Failures After Arthroscopic and Open Shoulder Surgery - p. 221 33. 18 Periprosthetic Fractures Around Shoulder Arthroplasty: Tips and Tricks for Management of Challenging Injuries - p. 237 34. Section 8: Hand and Wrist - p. 247 35. 19 Evidence-Based Management of Common Hand and Wrist Injuries: Tips, Pearls, and Controversies - p. 249 36. 20 An Evidence-Based Approach to Thumb Carpometacarpal Joint Osteoarthritis - p. 267 37. 21 Is It Just Carpal Tunnel Syndrome? Mimics From Hand to Shoulder and Systemic to Vascular Sources - p. 277 38. 22 Cervical Spine Pathology Versus Upper Extremity Compressive Peripheral Neuropathy: Which Is It? - p. 291 39. 23 Neuropathies of the Shoulder Girdle and Brachium - p. 303 40. Section 9: Adult Reconstruction: Hip and Knee - p. 313 41. 24 What Are Modifiable Risk Factors in Total Joint Arthroplasty? The Evidence - p. 315 42. 25 The Ethics of Optimization: An Evaluation Framework for Arthroplasty Surgeons - p. 327 43. 26 How to Optimize Outcomes in the Total Joint Arthroplasty Patient With Modifiable Risk Factors - p. 337 44. 27 A Comprehensive Approach to Stiffness in Total Knee Arthroplasty - p. 355 45. 28 Managing the Patella in Revision Knee Surgery - p. 363 46. Section 10: Trauma - p. 373 47. 29 Femoral Neck Fractures: How to Avoid Failures and Manage Problems - p. 375 48. 30 Intertrochanteric Femur Fractures: How to Avoid Pitfalls - p. 387 49. 31 Subtrochanteric Femur Fractures: How to Avoid Pitfalls - p. 403 50. 32 Diaphyseal Femur Fractures: How to Avoid Failures and Manage Problems - p. 421 51. 33 Enhanced Fixation Strategies for Complex Upper and Lower Extremity Fractures - p. 433 52. 34 The Role of Arthroplasty in Acute and Failed Fracture Surgery in the Upper Extremity - p. 443 53. 35 The Role of Arthroplasty in Acute and Failed Fracture Surgery Around the Hip - p. 455 54. 36 The Role of Arthroplasty in Acute and Failed Fracture Surgery Around the Knee - p. 471 55. 37 The Treatment of Periprosthetic Upper Extremity Fractures in 2025: A Comprehensive Evidence-Based Approach - p. 487 56. 38 The Treatment of Periprosthetic Fractures Around the Hip in 2025: A Comprehensive Evidence-Based Approach - p. 495 57. 39 The Treatment of Periprosthetic Fractures Around the Knee in 2025: A Comprehensive Evidence-Based Approach - p. 513 58. Section 11: Pediatrics - p. 527 59. 40 Avoiding Complications and Optimizing Outcomes of Cast Treatment in Pediatric Orthopaedics - p. 529 60. 41 Recent Advances in Pediatric Sports Medicine - p. 547 61. 42 An Update on Meniscus Tears and Lower Limb Alignment in Pediatric Sports Injuries - p. 561 62. 43 Pediatric and Adolescent Clavicle Fractures: To Fix or Not to Fix? - p. 571 63. 44 Proximal Humerus Fractures in Children: To Fix or Not to Fix? - p. 577 64. 45 Pediatric Medial Epicondyle Fractures: To Fix or Not To Fix? - p. 585 65. 46 Lateral Condyle Fractures: Kirschner Wire or Screw Fixation? - p. 595 66. 47 Type II Supracondylar Humerus Fractures: To Fix or Not To Fix? - p. 605 67. 48 The Pulseless Supracondylar Humerus Fracture: To Explore or Not - p. 613 68. 49 Physeal Phalanx Fractures: To Fix or Not To Fix? - p. 625 69. 50 Pediatric Phalangeal Neck Fractures: To Fix or Not to Fix? - p. 639 70. 51 Pediatric Femur Fractures: Flexible Nail, Plate, or Rigid Nail - p. 651 71. 52 Pediatric and Adolescent Tibial Shaft Fractures: Flexible Nail, Rigid Nail, Plate, or External Fixation - p. 661 72. 53 Distal Tibia Salter-Harris Fractures: To Fix or Not to Fix - p. 669 73. Section 12: Foot and Ankle - p. 681 74. 54 Factors Affecting Return to Play in Athletes With Foot and Ankle Injuries - p. 683 75. Section 13: Spine - p. 693 76. 55 Cervical Myelopathy: Where Are We Now? Classification, Surgical Approaches, and Tips and Tricks to Stay Out of Trouble - p. 695 77. 56 Evolving Concepts in Adult Spinal Deformity Surgery - p. 705 78. Section 14: Musculoskeletal Oncology - p. 727 79. 57 Metastatic Bone Disease With Pathologic or Impending Pathologic Fractures: Resolve, Refer, or Collaborate - p. 729 80. Index - p. 743

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Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Xinning Li, MD, FAAOS, FAOA (editor) and Jonathan F. Dickens, MD, FAAOS, FAOA, COL, MC, USAR (assistant editor), Instructional Course Lectures: Volume75 offers current, clinically relevant information across a broad spectrum of orthopaedic topics. The 57 chapters were written by orthopaedic surgeons and are based on selected Instructional Course Lectures and Symposia presented at the 2025 AAOS Annual Meeting in San Diego, California.

1. Cover - p. Cover 2. Title Page - p. i 3. Copyright - p. iv 4. Acknowledgments - p. v 5. Contributors - p. vi 6. Preface - p. xx 7. Contents - p. xxi 8. Video Abstracts - p. xxvi 9. Section 1: Residents and Fellows - p. xxviii 10. 1 Sage Advice for Residency, Fellowship, and Beyond - p. 3 11. Section 2: Basic Science Research - p. 21 12. 2 Cannabinoids and Orthopaedic Surgery: Current Knowledge and Future Directions - p. 23 13. Section 3: General Orthopaedics - p. 35 14. 3 Orthobiologics in 2025 and Beyond - p. 37 15. 4 Principles of Soft-Tissue Coverage for Orthopaedic Surgeons - p. 49 16. 5 The Management of Orthopaedic Emergencies for the Community Surgeon - p. 61 17. 6 How to Assess Risk in Preoperative Total Joint Arthroplasty Patients - p. 81 18. 7 Limb Reconstruction in a Resource-Limited Environment - p. 93 19. Section 4: Patient Care Nontechnical - p. 107 20. 8 Strategies for Success in the Centers for Medicare & Medicaid Services Patient-Reported Outcome Measures Mandate - p. 109 21. Section 5: Infection - p. 119 22. 9 What is Antibiotic Stewardship in Orthopaedics in 2025? - p. 121 23. Section 6: Sports Medicine and Arthroscopy - p. 133 24. 10 My Arthroscopic Bankart Repair Failed, Now What? Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization - p. 135 25. 11 Optimizing Outcomes in Revision Anterior Cruciate Ligament Reconstruction - p. 145 26. 12 Novel and Alternative Surgical Techniques for Cartilage Disorders of the Knee - p. 157 27. 13 Management of Patellofemoral Instability: Trochleoplasty, Osteotomy, Ligament Reconstruction, Cartilage Restoration, and Resurfacing - p. 171 28. 14 Managing and Avoiding Complications During Patellar Stabilization Surgery - p. 183 29. Section 7: Shoulder and Elbow - p. 193 30. 15 Treatment of Rotator Cuff Tears: Around the World From Partial Thickness to Irreparable - p. 195 31. 16 Treatment Following a First-Time Anterior Shoulder Dislocation: What Does the Evidence Tell Us? - p. 207 32. 17 Shoulder Surgery Disasters: How to Manage Complications and Failures After Arthroscopic and Open Shoulder Surgery - p. 221 33. 18 Periprosthetic Fractures Around Shoulder Arthroplasty: Tips and Tricks for Management of Challenging Injuries - p. 237 34. Section 8: Hand and Wrist - p. 247 35. 19 Evidence-Based Management of Common Hand and Wrist Injuries: Tips, Pearls, and Controversies - p. 249 36. 20 An Evidence-Based Approach to Thumb Carpometacarpal Joint Osteoarthritis - p. 267 37. 21 Is It Just Carpal Tunnel Syndrome? Mimics From Hand to Shoulder and Systemic to Vascular Sources - p. 277 38. 22 Cervical Spine Pathology Versus Upper Extremity Compressive Peripheral Neuropathy: Which Is It? - p. 291 39. 23 Neuropathies of the Shoulder Girdle and Brachium - p. 303 40. Section 9: Adult Reconstruction: Hip and Knee - p. 313 41. 24 What Are Modifiable Risk Factors in Total Joint Arthroplasty? The Evidence - p. 315 42. 25 The Ethics of Optimization: An Evaluation Framework for Arthroplasty Surgeons - p. 327 43. 26 How to Optimize Outcomes in the Total Joint Arthroplasty Patient With Modifiable Risk Factors - p. 337 44. 27 A Comprehensive Approach to Stiffness in Total Knee Arthroplasty - p. 355 45. 28 Managing the Patella in Revision Knee Surgery - p. 363 46. Section 10: Trauma - p. 373 47. 29 Femoral Neck Fractures: How to Avoid Failures and Manage Problems - p. 375 48. 30 Intertrochanteric Femur Fractures: How to Avoid Pitfalls - p. 387 49. 31 Subtrochanteric Femur Fractures: How to Avoid Pitfalls - p. 403 50. 32 Diaphyseal Femur Fractures: How to Avoid Failures and Manage Problems - p. 421 51. 33 Enhanced Fixation Strategies for Complex Upper and Lower Extremity Fractures - p. 433 52. 34 The Role of Arthroplasty in Acute and Failed Fracture Surgery in the Upper Extremity - p. 443 53. 35 The Role of Arthroplasty in Acute and Failed Fracture Surgery Around the Hip - p. 455 54. 36 The Role of Arthroplasty in Acute and Failed Fracture Surgery Around the Knee - p. 471 55. 37 The Treatment of Periprosthetic Upper Extremity Fractures in 2025: A Comprehensive Evidence-Based Approach - p. 487 56. 38 The Treatment of Periprosthetic Fractures Around the Hip in 2025: A Comprehensive Evidence-Based Approach - p. 495 57. 39 The Treatment of Periprosthetic Fractures Around the Knee in 2025: A Comprehensive Evidence-Based Approach - p. 513 58. Section 11: Pediatrics - p. 527 59. 40 Avoiding Complications and Optimizing Outcomes of Cast Treatment in Pediatric Orthopaedics - p. 529 60. 41 Recent Advances in Pediatric Sports Medicine - p. 547 61. 42 An Update on Meniscus Tears and Lower Limb Alignment in Pediatric Sports Injuries - p. 561 62. 43 Pediatric and Adolescent Clavicle Fractures: To Fix or Not to Fix? - p. 571 63. 44 Proximal Humerus Fractures in Children: To Fix or Not to Fix? - p. 577 64. 45 Pediatric Medial Epicondyle Fractures: To Fix or Not To Fix? - p. 585 65. 46 Lateral Condyle Fractures: Kirschner Wire or Screw Fixation? - p. 595 66. 47 Type II Supracondylar Humerus Fractures: To Fix or Not To Fix? - p. 605 67. 48 The Pulseless Supracondylar Humerus Fracture: To Explore or Not - p. 613 68. 49 Physeal Phalanx Fractures: To Fix or Not To Fix? - p. 625 69. 50 Pediatric Phalangeal Neck Fractures: To Fix or Not to Fix? - p. 639 70. 51 Pediatric Femur Fractures: Flexible Nail, Plate, or Rigid Nail - p. 651 71. 52 Pediatric and Adolescent Tibial Shaft Fractures: Flexible Nail, Rigid Nail, Plate, or External Fixation - p. 661 72. 53 Distal Tibia Salter-Harris Fractures: To Fix or Not to Fix - p. 669 73. Section 12: Foot and Ankle - p. 681 74. 54 Factors Affecting Return to Play in Athletes With Foot and Ankle Injuries - p. 683 75. Section 13: Spine - p. 693 76. 55 Cervical Myelopathy: Where Are We Now? Classification, Surgical Approaches, and Tips and Tricks to Stay Out of Trouble - p. 695 77. 56 Evolving Concepts in Adult Spinal Deformity Surgery - p. 705 78. Section 14: Musculoskeletal Oncology - p. 727 79. 57 Metastatic Bone Disease With Pathologic or Impending Pathologic Fractures: Resolve, Refer, or Collaborate - p. 729 80. Index - p. 743

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