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"This book has been written step wise by enumerating various aspects of the importance of clinical examination derived by laying one’s hands on the affected part. By a thorough clinical examination, it can help an individual to arrive at a tentative differential diagnosis of the condition and hence help in investigating the same by numerous tests which are relevant to the given condition. The manner in which a given case is handled in this way is far more important than the diagnosis of the condition and this feature comes with practicing the same many times. It is a must for anyone embarking in life on Orthopedics as a career."

"PendahuluanInfeksi adalah salah satu komplikasi pada patah tulang terbuka. Pada patah tulang terbuka dengan fragmen bebas besar yang terkontaminasi diperlukan sterilisasi untuk direimplantasikan. Iradiasi gelombang mikro sudah terbukti dapat mensterilkan fragmen tulang setelah terpajan selama 7 menit. Sampai saat ini belum ada penelitan yang menilai apakah tulang yang sudah steril tersebut dapat mengalami inkorporasi pada tulang yang sehat. Penelitian ini bertujuan mengevaluasi dampak dari iradiasi gelombang mikro terhadap kemampuan inkorporasi fragmen bebas yang direimplantasikan kembali pada tulang sehat.MetodeStudi eksperimental dengan 16 tikus galur Wistar, terbagi secara acak dalam dua kelompok, dan diamati pada minggu ke-2 dan minggu ke-4.Kontrol adalah kelompok tikus yang dilakukan osteotomi segmental pada shaft femur dan fragmen tersebut diimplantasikan kembali.Pada kelompok perlakuan, fragmen femur tersebut diinokulasi kuman, dan diiradiasi dengan gelombang mikro selama 7 menit dahulu sebelum direimplantasikan. Pada minggu ke 2 dan ke 4 dilakukan pemeriksaan histopatologi secara histomorfometri serta pemeriksaan radiologis dengan Radiologic Union Scale of Tibial Fracture (RUST). Pemeriksaan histomorfometri akan menilai parameter penyembuhan tulang yaitu: total fibrosa, total area kartilago, dan area woven bone.Hasil dan DiskusiEvaluasi histomorfometri menunjukkan adanya perbedaan bermakna pada pembentukan kartilago(p=0,010), dan tulang woven di minggu ke 2(p=0,004) namun tidak terdapat perbedaan bermakna pada pembentukan fibrosa,kartilago, dan tulang woven pada minggu ke 4. Hal ini menunjukkan bahwa telah terjadi proses penyembuhan pada fragmen tulang yang terpajan iradiasi gelombang mikro. Evaluasi radiologis tidak menunjukkan perbedaan bermakna diminggu ke 2 maupun minggu ke 4 (RUST SCORE 8).SimpulanFragmen tulang yang dipajan iradiasi gelombang mikro selama 7 menit dapat mengalami inkorporasi meskipun terjadi perlambatan dalam prosesnya.

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IntroductionInfection is one of the most common complication in open fracture. Contaminated large free bone fragment need to be sterilized before reimplantation,in order to avoid infection.Domestic microwave irradiation for 7 minutes has been proven to sterilize a contaminated free bone fragment. However,there is no previous studies investigating the effect of 7-minutes microwave irradiation to the large bone fragment on the incorporation into the normal bone. This study aims to investigate the effect of domestic microwave irradiation to the large bone fragment's incorporation with the intact bone.MethodsAn experimental study using16 wistar rats, randomly divided into two groups and observed in second and 4th weeks. Control was a group done segmental osteotomized femoral shaft and the bone fragment reimplanted back to the intact bone. In the experimental group, the bone fragment was innoculate with microorganism and given microwave irradiation for 7- minutes before reimplanted. Fracture healing process was evaluated by Radiologic Union Scale of Tibial Fracture (RUST) score and histomorphometric analysis in the second week and fouth week. Histomorphometric paramater to be assesed was the total fibrous area, total cartilage area and woven bone area.Result and DiscussionHistomorphometric analysis showed significant difference in cartilage formation(p=0.010), and woven bone(p=0.004) in 2nd weeks. There is no difference in fibrous, cartilage and woven bone formation, which showed evidence of fracture healing in fracture fragment even after microwave radiation. In addition, radiologic evaluation showed no significant difference in second weeks and fourth weeks (Rust Score 8) between the two groups.ConclusionIrradiated bone fragment by domestic microwave for 7 minutes may incorporate to intact bone with slower progession of fracture healing."

"Written by leading orthopedic surgeons, this superbly illustrated pocket guide helps you expertly diagnose, classify, and, most importantly, manage every type of fracture and ligamentous injury commonly seen in clinical practice"

"Reoperative hand surgery is a major contribution to the literature, offering a wide range of reoperative options for challenging problems that face the reconstructive hand surgeon after failed primary surgery. Concise and discussing all of the more common issues that hand surgeons often face in performing revision surgery, this invaluable title is unique in that it looks specifically at the problem of what to do when the original index procedure did not go as planned. Topics covered include the hand, wrist, forearm and elbow, and several sections of the book discuss some of the psychological and social factors that also go into the decision process to reoperate or not. The chapters are tightly focused so that the important aspects to consider for reoperation can be quickly reviewed. There is also a component that discusses how to avoid other pitfalls and to minimize as well as manage any complications that may occur with reoperative procedures. Importantly, the book is replete with original art work to help describe and demonstrate how to perform many reoperative procedures. The artwork is simple and straightforward but yet detailed enough to convey the important steps and aspects for the surgical intervention it is outlining. Developed by renowned experts in the hand surgery field, Reoperative hand surgery is an indispensable, state-of-the-art reference, offering the busy hand and upper extremity surgeon easily accessible information relating to the evaluation, diagnosis, and possible surgical interventions for the diagnoses discussed. "

"Summary: Apley and Solomon's Concise System of Orthopaedics and Trauma is firmly established as the leading introductory textbook of orthopaedic practice and the principles of fracture management. Praised in previous editions for its systematic approach, balanced content and easy-to-read style, the fourth edition has been brought fully up to date with more than 800 illustrations, many new to this edition, providing an invaluable pictorial account of this highly visual subject. Key features of the Fourth Edition: Reflects the changing pattern of musculoskeletal disease around the world Focuses on actua"