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Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Frederick M. Azar, MD, FAAOS (editor) and Grant E. Garrigues, MD, FAAOS (assistant editor), Orthopaedic Knowledge Update® 15 brings you a comprehensive synthesis of the latest clinical thinking and best practices across all orthopaedic specialty areas. OKU® 15 covers developments of the past 3 years with revisions and updates based on new evidence, outcomes, and innovations in the recent literature, including annotated references. Keep pace with the rapidly evolving body of orthopaedic knowledge and clinical practice with OKU®’s objective, balanced coverage. Backed by clinical research, informed by practical experience, and rigorously edited by thought leaders across the orthopaedic specialties, OKU®15 is your most up-to-date resource to guide your delivery of high-quality orthopaedic patient care today.

1. Cover image - p. i 2. Title page - p. iii 3. Copyright - p. iv 4. Acknowledgments - p. v 5. Contributors - p. vii 6. Preface - p. xix 7. Contents - p. xxi 8. Section 1. General Topics - p. 1 9. Chapter 1. Orthopaedic Research - p. 3 10. Chapter 2. Biostatistics - p. 13 11. Chapter 3. Orthopaedic Patient Safety: Core Competencies and Communication Skills - p. 19 12. Chapter 4. Regulation of Orthopaedic Products - p. 35 13. Chapter 5. Healthcare Policy - p. 43 14. Chapter 6. Coagulation and Blood Management - p. 51 15. Chapter 7. Musculoskeletal Biomechanics and Biomaterials - p. 67 16. Chapter 8. Musculoskeletal Imaging Principles - p. 81 17. Chapter 9. Perioperative Patient Optimization - p. 97 18. Chapter 10. New Technology in Orthopaedic Surgery: Robotics, Navigation, Augmented Reality, and Virtual Reality - p. 119 19. Chapter 11. New Technology in Orthopaedic Surgery: Artificial Intelligence and Machine Learning - p. 129 20. Chapter 12. Remote Patient Monitoring in Orthopaedic Surgery - p. 145 21. Section 2. Translational Science and Emerging Technologies - p. 153 22. Chapter 13. Structure and Biology of Normal and Diseased Bone - p. 155 23. Chapter 14. Biomaterials and Implants: Regenerative Engineering Approaches for Orthopaedics - p. 175 24. Chapter 15. Musculoskeletal Mechanics and Kinesiology - p. 183 25. Chapter 16. Normal and Abnormal Fracture Healing - p. 199 26. Chapter 17. Articular Cartilage Biology, Osteoarthritis, Biologics, and Stem Cell Therapy - p. 209 27. Chapter 18. Muscle and Nerve Disorders - p. 223 28. Chapter 19. Orthopaedic Infections and Microbiology - p. 237 29. Chapter 20. Application of Three-Dimensional Printing to Orthopaedic Surgery - p. 247 30. Chapter 21. Inflammation and Immunology in Osteoarthritis - p. 255 31. Section 3. Trauma - p. 269 32. Chapter 22. Polytrauma Care - p. 271 33. Chapter 23. Management of Open Fractures - p. 285 34. Chapter 24. Upper Extremity Trauma - p. 295 35. Chapter 25. Lower Extremity Trauma - p. 311 36. Chapter 26. Pelvic Trauma - p. 327 37. Section 4. Shoulder - p. 345 38. Chapter 27. Shoulder Anatomy and Biomechanics, Clinical Evaluation, and Imaging - p. 347 39. Chapter 28. Rotator Cuff Disease, Calcific Tendinitis, and Adhesive Capsulitis - p. 357 40. Chapter 29. Shoulder Injuries in the Throwing Athlete and Glenohumeral Instability - p. 373 41. Chapter 30. Shoulder Arthritis and Arthroplasty - p. 387 42. Section 5. Elbow - p. 409 43. Chapter 31. Anatomy, Biomechanics, Physical Examination, and Imaging of the Elbow - p. 411 44. Chapter 32. Elbow Degenerative Conditions and Nerve Disorders - p. 425 45. Chapter 33. Elbow Tendinopathy, Throwing Injuries, and Ligament Reconstruction - p. 443 46. Chapter 34. Elbow Arthroscopy and Chondral Lesions - p. 461 47. Section 6. Hand and Wrist - p. 475 48. Chapter 35. Anatomy, Clinical Examination, and Imaging of the Hand and Wrist - p. 477 49. Chapter 36. Bone and Soft-Tissue Infections and Vascular Conditions of the Hand and Wrist - p. 483 50. Chapter 37. Hand and Wrist Arthritis - p. 491 51. Chapter 38. Nerve Conditions of the Hand and Wrist - p. 499 52. Chapter 39. Ligament Injuries of the Hand and Wrist - p. 511 53. Chapter 40. Tendon Injuries and Tendinopathies of the Hand and Wrist - p. 529 54. Chapter 41. Hand and Wrist Injuries, Fractures, and Reconstruction—Changing Fixation Paradigms - p. 543 55. Chapter 42. Microsurgery and Replantation - p. 559 56. Section 7. Hip and Femur - p. 569 57. Chapter 43. Anatomy and Biomechanics, Evaluation, Clinical Examination, and Imaging of the Hip - p. 571 58. Chapter 44. Hip Preservation - p. 585 59. Chapter 45. Muscular, Neurovascular, and Soft-Tissue Conditions of the Hip - p. 593 60. Chapter 46. End-Stage Hip Degeneration and Hip Reconstruction - p. 601 61. Section 8. Knee - p. 611 62. Chapter 47. Ligament Injuries of the Knee - p. 613 63. Chapter 48. Knee Articular Cartilage Defects and Cartilage Restoration - p. 635 64. Chapter 49. Meniscal Pathology, Repair, and Transplant - p. 645 65. Chapter 50. Knee Arthritis and Reconstruction - p. 655 66. Chapter 51. Patellofemoral Instability - p. 665 67. Chapter 52. Malalignment and Osteotomies of the Knee - p. 677 68. Section 9. Foot and Ankle - p. 691 69. Chapter 53. Foot and Ankle Anatomy and Biomechanics - p. 693 70. Chapter 54. Degenerative Conditions and Osteonecrosis of the Foot and Ankle - p. 705 71. Chapter 55. The Diabetic Foot - p. 715 72. Chapter 56. Foot and Ankle Reconstruction - p. 723 73. Section 10. Spine - p. 741 74. Chapter 57. Spine Anatomy - p. 743 75. Chapter 58. Spinal Evaluation - p. 761 76. Chapter 59. Cervical Degenerative Diseases - p. 769 77. Chapter 60. Thoracolumbar Degenerative Disease - p. 785 78. Chapter 61. Thoracolumbar Minimally Invasive Surgical Techniques - p. 795 79. Chapter 62. Spinal Column Infections - p. 803 80. Chapter 63. Current Concepts in Primary Benign, Primary Malignant, and Metastatic Tumors of the Spine - p. 817 81. Chapter 64. Spine Trauma - p. 835 82. Chapter 65. Adult Spinal Deformity - p. 847 83. Section 11. Pediatrics - p. 859 84. Chapter 66. Pediatric Shoulder, Upper Arm, and Elbow Trauma - p. 861 85. Chapter 67. Pediatric Forearm, Wrist, and Hand Trauma - p. 877 86. Chapter 68. Congenital Disorders of the Upper Limb - p. 889 87. Chapter 69. Pediatric Pelvis, Hip, and Femur Trauma - p. 907 88. Chapter 70. Pediatric Knee, Lower Extremity, and Ankle Fractures - p. 923 89. Chapter 71. Pediatric Hip Disorders - p. 941 90. Chapter 72. Pediatric Lower Extremity and Foot Disorders - p. 961 91. Chapter 73. Pediatric Athletic Injuries - p. 981 92. Chapter 74. Pediatric Spine Disorders and Trauma - p. 999 93. Chapter 75. Skeletal Dysplasias, Connective Tissue Disorders, and Other Genetic Conditions - p. 1013 94. Chapter 76. Pediatric Neuromuscular Disorders - p. 1031 95. Chapter 77. Pediatric Musculoskeletal Infection, Inflammatory Conditions, and Nonaccidental Trauma - p. 1043 96. Section 12. Oncology and Pathology - p. 1059 97. Chapter 78. Evaluation and Management of Musculoskeletal Tumors - p. 1061 98. Chapter 79. Benign Bone Tumors and Tumorlike Conditions of Bone - p. 1071 99. Chapter 80. Sarcomas of Bone - p. 1087 100. Chapter 81. Metastatic Tumors of Bone - p. 1105 101. Chapter 82. Benign Soft-Tissue Tumors and Masses - p. 1123 102. Chapter 83. Soft-Tissue Sarcomas - p. 1133 103. Index - p. 1149

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Developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS) and edited by Frederick M. Azar, MD, FAAOS (editor) and Grant E. Garrigues, MD, FAAOS (assistant editor), Orthopaedic Knowledge Update® 15 brings you a comprehensive synthesis of the latest clinical thinking and best practices across all orthopaedic specialty areas. OKU® 15 covers developments of the past 3 years with revisions and updates based on new evidence, outcomes, and innovations in the recent literature, including annotated references. Keep pace with the rapidly evolving body of orthopaedic knowledge and clinical practice with OKU®’s objective, balanced coverage. Backed by clinical research, informed by practical experience, and rigorously edited by thought leaders across the orthopaedic specialties, OKU®15 is your most up-to-date resource to guide your delivery of high-quality orthopaedic patient care today.

1. Cover image - p. i 2. Title page - p. iii 3. Copyright - p. iv 4. Acknowledgments - p. v 5. Contributors - p. vii 6. Preface - p. xix 7. Contents - p. xxi 8. Section 1. General Topics - p. 1 9. Chapter 1. Orthopaedic Research - p. 3 10. Chapter 2. Biostatistics - p. 13 11. Chapter 3. Orthopaedic Patient Safety: Core Competencies and Communication Skills - p. 19 12. Chapter 4. Regulation of Orthopaedic Products - p. 35 13. Chapter 5. Healthcare Policy - p. 43 14. Chapter 6. Coagulation and Blood Management - p. 51 15. Chapter 7. Musculoskeletal Biomechanics and Biomaterials - p. 67 16. Chapter 8. Musculoskeletal Imaging Principles - p. 81 17. Chapter 9. Perioperative Patient Optimization - p. 97 18. Chapter 10. New Technology in Orthopaedic Surgery: Robotics, Navigation, Augmented Reality, and Virtual Reality - p. 119 19. Chapter 11. New Technology in Orthopaedic Surgery: Artificial Intelligence and Machine Learning - p. 129 20. Chapter 12. Remote Patient Monitoring in Orthopaedic Surgery - p. 145 21. Section 2. Translational Science and Emerging Technologies - p. 153 22. Chapter 13. Structure and Biology of Normal and Diseased Bone - p. 155 23. Chapter 14. Biomaterials and Implants: Regenerative Engineering Approaches for Orthopaedics - p. 175 24. Chapter 15. Musculoskeletal Mechanics and Kinesiology - p. 183 25. Chapter 16. Normal and Abnormal Fracture Healing - p. 199 26. Chapter 17. Articular Cartilage Biology, Osteoarthritis, Biologics, and Stem Cell Therapy - p. 209 27. Chapter 18. Muscle and Nerve Disorders - p. 223 28. Chapter 19. Orthopaedic Infections and Microbiology - p. 237 29. Chapter 20. Application of Three-Dimensional Printing to Orthopaedic Surgery - p. 247 30. Chapter 21. Inflammation and Immunology in Osteoarthritis - p. 255 31. Section 3. Trauma - p. 269 32. Chapter 22. Polytrauma Care - p. 271 33. Chapter 23. Management of Open Fractures - p. 285 34. Chapter 24. Upper Extremity Trauma - p. 295 35. Chapter 25. Lower Extremity Trauma - p. 311 36. Chapter 26. Pelvic Trauma - p. 327 37. Section 4. Shoulder - p. 345 38. Chapter 27. Shoulder Anatomy and Biomechanics, Clinical Evaluation, and Imaging - p. 347 39. Chapter 28. Rotator Cuff Disease, Calcific Tendinitis, and Adhesive Capsulitis - p. 357 40. Chapter 29. Shoulder Injuries in the Throwing Athlete and Glenohumeral Instability - p. 373 41. Chapter 30. Shoulder Arthritis and Arthroplasty - p. 387 42. Section 5. Elbow - p. 409 43. Chapter 31. Anatomy, Biomechanics, Physical Examination, and Imaging of the Elbow - p. 411 44. Chapter 32. Elbow Degenerative Conditions and Nerve Disorders - p. 425 45. Chapter 33. Elbow Tendinopathy, Throwing Injuries, and Ligament Reconstruction - p. 443 46. Chapter 34. Elbow Arthroscopy and Chondral Lesions - p. 461 47. Section 6. Hand and Wrist - p. 475 48. Chapter 35. Anatomy, Clinical Examination, and Imaging of the Hand and Wrist - p. 477 49. Chapter 36. Bone and Soft-Tissue Infections and Vascular Conditions of the Hand and Wrist - p. 483 50. Chapter 37. Hand and Wrist Arthritis - p. 491 51. Chapter 38. Nerve Conditions of the Hand and Wrist - p. 499 52. Chapter 39. Ligament Injuries of the Hand and Wrist - p. 511 53. Chapter 40. Tendon Injuries and Tendinopathies of the Hand and Wrist - p. 529 54. Chapter 41. Hand and Wrist Injuries, Fractures, and Reconstruction—Changing Fixation Paradigms - p. 543 55. Chapter 42. Microsurgery and Replantation - p. 559 56. Section 7. Hip and Femur - p. 569 57. Chapter 43. Anatomy and Biomechanics, Evaluation, Clinical Examination, and Imaging of the Hip - p. 571 58. Chapter 44. Hip Preservation - p. 585 59. Chapter 45. Muscular, Neurovascular, and Soft-Tissue Conditions of the Hip - p. 593 60. Chapter 46. End-Stage Hip Degeneration and Hip Reconstruction - p. 601 61. Section 8. Knee - p. 611 62. Chapter 47. Ligament Injuries of the Knee - p. 613 63. Chapter 48. Knee Articular Cartilage Defects and Cartilage Restoration - p. 635 64. Chapter 49. Meniscal Pathology, Repair, and Transplant - p. 645 65. Chapter 50. Knee Arthritis and Reconstruction - p. 655 66. Chapter 51. Patellofemoral Instability - p. 665 67. Chapter 52. Malalignment and Osteotomies of the Knee - p. 677 68. Section 9. Foot and Ankle - p. 691 69. Chapter 53. Foot and Ankle Anatomy and Biomechanics - p. 693 70. Chapter 54. Degenerative Conditions and Osteonecrosis of the Foot and Ankle - p. 705 71. Chapter 55. The Diabetic Foot - p. 715 72. Chapter 56. Foot and Ankle Reconstruction - p. 723 73. Section 10. Spine - p. 741 74. Chapter 57. Spine Anatomy - p. 743 75. Chapter 58. Spinal Evaluation - p. 761 76. Chapter 59. Cervical Degenerative Diseases - p. 769 77. Chapter 60. Thoracolumbar Degenerative Disease - p. 785 78. Chapter 61. Thoracolumbar Minimally Invasive Surgical Techniques - p. 795 79. Chapter 62. Spinal Column Infections - p. 803 80. Chapter 63. Current Concepts in Primary Benign, Primary Malignant, and Metastatic Tumors of the Spine - p. 817 81. Chapter 64. Spine Trauma - p. 835 82. Chapter 65. Adult Spinal Deformity - p. 847 83. Section 11. Pediatrics - p. 859 84. Chapter 66. Pediatric Shoulder, Upper Arm, and Elbow Trauma - p. 861 85. Chapter 67. Pediatric Forearm, Wrist, and Hand Trauma - p. 877 86. Chapter 68. Congenital Disorders of the Upper Limb - p. 889 87. Chapter 69. Pediatric Pelvis, Hip, and Femur Trauma - p. 907 88. Chapter 70. Pediatric Knee, Lower Extremity, and Ankle Fractures - p. 923 89. Chapter 71. Pediatric Hip Disorders - p. 941 90. Chapter 72. Pediatric Lower Extremity and Foot Disorders - p. 961 91. Chapter 73. Pediatric Athletic Injuries - p. 981 92. Chapter 74. Pediatric Spine Disorders and Trauma - p. 999 93. Chapter 75. Skeletal Dysplasias, Connective Tissue Disorders, and Other Genetic Conditions - p. 1013 94. Chapter 76. Pediatric Neuromuscular Disorders - p. 1031 95. Chapter 77. Pediatric Musculoskeletal Infection, Inflammatory Conditions, and Nonaccidental Trauma - p. 1043 96. Section 12. Oncology and Pathology - p. 1059 97. Chapter 78. Evaluation and Management of Musculoskeletal Tumors - p. 1061 98. Chapter 79. Benign Bone Tumors and Tumorlike Conditions of Bone - p. 1071 99. Chapter 80. Sarcomas of Bone - p. 1087 100. Chapter 81. Metastatic Tumors of Bone - p. 1105 101. Chapter 82. Benign Soft-Tissue Tumors and Masses - p. 1123 102. Chapter 83. Soft-Tissue Sarcomas - p. 1133 103. Index - p. 1149

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