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Books, Journals, New Media
May 13, 1998

OrthopedicsSkeletal Trauma: Fractures, Dislocations, Ligamentous Injuries, vols 1 & 2

Author Affiliations

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media


Not Available

JAMA. 1998;279(18):1495-1496. doi:10.1001/jama.279.18.1495-JBK0513-4-1

In this second edition, produced 6 years after the first, the editors of this two-volume set have extensively covered the "day to day needs of orthopaedic surgeons treating trauma." They have retained many authors from the United States and abroad and added others. Despite the extensive list of contributors, the editors again have managed to organize the text so that multiple styles cause no disruption in the near seamless flow from one section to another.

The editors recognize the current "health care transformation" in the United States, where managed care and financial implications frequently determine that patients receive their care locally. Even rather severe trauma may not result in referral to a "trauma center." Such a policy probably fails to advance the care of complex problems, and the American public may discover this and demand a different system. In the interim, the authors rightly acknowledge the situation and concentrate on practical, problem-oriented, algorithm-based care, which should be of immediate value to surgeons caring for patients with skeletal trauma. A chapter on outcomes serves as a review of an increasingly important component of patient care. The authors describe current forms of treatment, such as reamed vs unreamed intramedullary nails, management of intra-articular and pararticular fractures by percutaneous and external fixation, and the appropriate management of tibial plafond injuries.

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