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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This is the fourth edition of a comprehensive, three-volume textbook and web product that covers injuries to the musculoskeletal system of adults and children.
Purpose: The main purpose is to make available to orthopedic and trauma surgeons a resource that can be used to appropriately treat skeletally injured patients with proven and current methods.
Audience: Orthopedic and trauma surgeons are the primary audiences, although trainees in these and other areas are also targeted.
Features: The first volume focuses on general principles, general topics, and the spine and pelvis. It thoroughly covers fracture treatment history, skeletal repair processes, biomechanics of fractures, internal fixation principles, multiple trauma, initial care, disaster management, and occupational hazards. General topics include radiation safety, bloodborne pathogens, pharmacologic management, pain care, antibiotic care, anticoagulation, complications, compartment syndrome, soft tissue injury issues, gunshot wounds, pathologic fractures, fragility fractures, osteomyelitis, nonunions, physical impairment, and outcomes research. The spine and pelvis topics include spine orthotics, cervical injuries, and fractures of the entire spine, sacrum, pelvic ring disruptions, and acetabular fractures. The second volume covers the upper and lower extremities. Here, common variety fractures seen in general orthopedic practices are thoroughly covered by highly regarded experts. The typical chapter is includes an introduction and overview of relevant anatomy, classification, patient management, surgical technique, complications, and outcome. References are relevant and thorough. There are abundant color illustrations, but the photographs vary in quality. The four senior editors for the adult volumes are: Bruce B. Browner, MD, MS, University of Connecticut; Jesse B. Jupiter, MD., Harvard Medical School; Alan M. Levine, MD, Lapidus Cancer Institute, Baltimore, Maryland; Peter G. Trafton, MD, Brown University, and Christian Krettek, MD, Hannover Medical School, Germany. These well-known editors are supported by a score of dedicated contributors. The third, and smaller, children's volume is a second edition and it takes a more low-key approach than the two adult volumes. The editors, Neil E. Green, MD, Vanderbilt University, and Marc F. Swiontkowski, MD, University of Minnesota, are seasoned pediatric orthopedic surgeons. The chapters are thorough and well laid out with an emphasis on fracture management. The sections on the authors' preferred treatment are most useful.
Assessment: What a job well done! This monumental work of over 3,700 pages simply has no equal. The closest, and earliest, rival is Rockwood, Green, and Wilkins' Fractures, 7th edition, Bucholz et al. (Lippincott Williams & Wilkins, 2010). This fourth edition includes a DVD with videos and access to a web site (Expert Consult) to better serve contemporary readers. It is safe to say that all the goals of the publisher and editors are met. I highly recommend this publication to all orthopedic surgeons and skeletal traumatologists. Residents and fellows training in this field must read it and all medical science libraries are encouraged to have a copy in their reference section.