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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book deals with the application of computer assisted techniques in caring for patients with musculoskeletal conditions.
Purpose: The purpose is to review early advances of computer use in orthopedic surgery. These are important objectives which are met in most cases. Both editors, one a biotechnical engineer and one an orthopedic surgeon, are internationally known for their work in this field. Most of the contributors are from Europe.
Audience: This book is written mainly for engineers and orthopedic surgeons involved in computer assisted orthopedic surgery (CAOS). Also, applied science students such as biomedical engineers can use this work as a resource.
Features: The materials are from a series of papers presented during a recent CAOS symposia held at The University of Bern in Switzerland. The book consists of five parts. Part I deals with basic concepts and applications; Part II covers the spine and pedicle screw placement; Part III is a discussion of applications for hip replacement and pelvic osteotomies; in Part IV, total knee arthroplasty and anterior cruciate ligaments are covered; and Part V covers relevant topics such as stereotactic integrated contouring of orthopedic implants.
Assessment: This is the first in-depth, state-of-the-art work on computer-assisted applications in orthopedics. The computer's role is to ultimately improve the quality of patient care and minimize complications associated with conventional techniques. At present, most of the techniques are very expensive and difficult to master. The need for skilled technical support adds additional cost to the third party payor who, in the present financial climate, is interested in spending only the basics. There is one omission in this work — the Taylor spatial frame fixator. This computer assisted device is used to correct long bone deformities and fractures in three planes. A lap top computer is all that is needed to use the fixator. We have been using it for at least two years with great satisfaction. It is clear that this book is a work in progress. At this point, its use is recommended to engineers and engineering students pursuing biomedical research and clinical applications. Staff from selected orthopedic centers may find it most helpful in making decisions about using the various devices. University libraries and bookstores are advised to stock this pioneering work.