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Doody's Review ServiceReviewer: Edward Abraham, MD (University of Illinois at Chicago College of Medicine)
Description: This book advises orthopedists caring for infants, children, and adolescents with orthopedic problems how to avoid complications.
Purpose: The purpose is to help physicians caring for children with common orthopedic problems avoid pitfalls in treating different injuries and disorders by recommending higher standards of care. These most worthwhile objectives are met for the most part.
Audience: The primary audience includes orthopedic surgeons caring for the pediatric age group. Orthopedic residents can benefit immensely from its contents. The authors are highly qualified pediatric and well known orthopedic surgeons. David L. Skaggs, MD, is associate director of the Children's Orthopaedic Center, Children's Hospital Los Angeles, and associate professor of Orthopaedic Surgery, USC Keck School of Medicine, and John M. Flynn MD, associate chief, Division of Orthopaedic Surgery, the Children's Hospital of Philadelphia, and associate professor of Orthopaedic Surgery, University of Pennsylvania. They are supported by several senior advisors who are household names from the pediatric orthopedic community.
Features: The work is divided into five sections: the basics for staying out of trouble, trauma, special maladies and concerns, spine and hip, and lower extremities. The chapters are written in a lighthearted and sometimes entertaining way. Separate consultants or "gurus" are asked to comment or give some pearls or advice on different issues. Their comments are brief and highlighted at the sides of the main body of the text of a given page. Each chapter ends with a section on "staying out of trouble." Short sentences in bullet format are used. The reader should not expect a discussion on all pediatric orthopedic disorders. Rather, most of the book covers the more common problems such as scoliosis, bone tumors, developmental dysplasia of the hip, bow legs, clubfeet, elbow trauma, femur fracture, etc. The references are current. The authors rely mainly on radiographs and, to a lesser extent, clinical photographs and illustrations.
Assessment: I enjoyed reading this book. As one who has spent over 25 years caring for children with pediatric orthopedic problems, I fully see the need and importance of a textbook that focuses on problem prevention. The avoidance of serious complications with permanent disability associated with spine surgery, neglected hip infections, growth plate injuries, etc., in a growing child are most important considerations. I strongly recommend this most useful and refreshing work to all orthopedists caring for children.