Master Techniques in Orthopaedic Surgery: Soft Tissue Surgery, 1st Ed.
By Steven L. Moran and William P. Cooney, III. Pp. 508. Lippincott Williams & Wilkins, Philadelphia, Pa., 2009. Price: $229.2008
The management of soft-tissue defects and injuries encompasses a variety of fields, including plastic and reconstructive surgery, orthopedic surgery, and trauma surgery, to name but a few. Because of this, a general understanding of the treatment protocols and strategies is essential for any physician caring for patients in these circumstances. The first edition of Master Techniques in Orthopaedic Surgery: Soft Tissue Surgery, by Steven L. Moran and William P. Cooney, provides a well-written and comprehensive overview and discussion of those topics, which are critical to the understanding of soft-tissue injuries and reconstruction. The format and detail prove invaluable to both the trained surgeon and the individual with less experience who is attempting to supplement his or her knowledge base. The text begins appropriately with a review of wound biology and initial patient evaluation and management. It then proceeds to discuss soft-tissue reconstruction based on the various anatomical sites, including the upper extremity, lower extremity, and trunk; specific attention is also given to the hand and foot in subsequent chapters. The authors do a fine job of discussing simple reconstruction in the form of wound care devices, skin grafting, and local flap designs, as well as more complicated procedures requiring pedicle flaps, free tissue transfer, and replantation. Each chapter is replete with accompanying diagrams and pictures that provide clear and concise correlation with the text. Such diagrams may prove invaluable for the surgeon-in-training looking to prepare for board examinations or as a quick reference for the operating room. There is a strong emphasis on clinical applications, and the text utilizes precise descriptions of the procedures along with important “pearls” for the neophyte and experienced surgeon alike.
The chapters are designed in similar format, beginning with preoperative evaluation, including indications and contraindications. Next the authors outline operative techniques, including patient positioning, flap designs, equipment selection, and useful anatomic highlights. Each chapter concludes with immediate postoperative care and management of complications. Remarkably, the text addresses a broad variety of topics related to soft-tissue surgery, yet it remains user-friendly and easy to comprehend. An additional feature of the publication is the online interactive Web site, which includes both the text and a downloadable image bank.
One area of the text lacking in detail involves extended postoperative care and rehabilitation. It seems that the publication would benefit from a chapter or a section in each chapter devoted to therapy, rehabilitation, and long-term functional recovery. Certainly, this topic needs to be addressed by any physician caring for patients with complicated soft-tissue injuries.
For the plastic surgeon, orthopedic surgeon, and, for that matter, any physician dealing with soft-tissue surgery, this textbook will serve as a thorough source of reference and a valuable addition to the library. The authors succeed in providing an informative and well-coordinated publication that will only help facilitate the physician's ability to appropriately evaluate and treat his or her patients. This textbook accomplishes what few similar publications can, given the broad breadth of topics required in a comprehensive review of soft-tissue reconstruction.
Ronald E. Hoxworth, M.D.
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