Surgical Exposures in Orthopaedics 4th Edition PDF
Surgical Exposures in Orthopaedics—The Anatomic Approach was first published in 1984, 25 years ago. The standard surgical approach textbooks at the time were out of date and the principle of linking surgical anatomy to surgical approaches using incisive text and wonderfully clear diagrams (then in black and white) was greeted favorably by orthopaedists and trauma surgeons around the world. Throughout its history, this text has remained the number one best seller in its field. It has been translated into five languages and is extensively used around the world on all five continents. On many occasions, while travelling around the world to teach, the authors have been thanked by residents who have reported how the book has helped them, often in difficult and emergency situations when working either alone or poorly supervised. It is also clear that residents particularly value those classical surgical approaches first described by A.K. Henry in his book on extensile approaches. Why, then, produce a fourth edition? Standard textbooks need to change to reflect those changes that occur within their sphere of interest. The difficulty with this is to differentiate between genuine and permanent changes in the practice of orthopaedics.
The young surgeon must be presented with the subject in what can only be described as “the fashion of the time” that occurs in all branches of medicine, especially orthopaedics. In the first edition of the book, great emphasis was given to the concept of subperiosteal dissection. Subperiosteal dissection ensured that the surgical approach did not damage vital structures close to the bone, but the sacrifice was significant devitalization of the bone and its surrounding soft tissues. The preservation of the blood supply to the area to be exposed has been a consistent theme in the past 24 years. The second edition of the book saw abandonment of the concept of subperiosteal dissection and the establishment of epi-periosteal planes for surgical use.