Books
community zone
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A group of surgeons from among the AOSR editors and authors has come together and created a concept to remove these barriers and to expand AOSR so that its value to LMIC surgeons is greatly increased. As described in the chart above, four thrusts are intended to achieve this. In 2008 the malleolar module was translated into Chinese and Spanish as a test; so far with encouraging results.
and complications that hitherto have not been considered in AOSR. Included will also be discussions of how to treat infection, the management of complications such as compartment syndrome, and the challenges of severe soft-tissue compromise. This pilot module is scheduled to be launched in December 2009 and will be expanded throughout 2010 until the requirements from all four thrusts have been fulfilled.
Currently much of AOSR’s underlying technology is being revised with the goal of making pages load faster and removing other technological obstacles.
Should this pilot prove a success, the long-term plan will be to enhance all of AOSR with contents relevant to LMICs. In summary, the following are the strategical goals of the EHS project:
We are now preparing a revised version of the tibial shaft module which will incorporate—next to the existing content—additional descriptions of surgical procedures aimed at surgeons practicing in typical LMIC “second medical world” environments: rich enough to provide operative fracture care, but with limitations in available equipment
Strategic goals
The Emerging Health Systems (EHS) project
• To introduce AO principles into previously unreached circles. • To improve surgeon education and thereby patient care. • To enlarge the AO community by adding the LMIC demography.
AO Book Review Osteotomies Around the Knee Indications—Planning—Surgical Techniques Using Plate Fixators Editors: Phillip Lobenhoffer, Ronald J van Heerwaarden, Alex E Staubli, Roland P. Jakob Co-editors: Mellany Galla, Jens Agneskirchner
James F Kellam Editor-in-Chief james.kellam@ aofoundation.org
This book is a welcome addition to knee surgery literature, providing an extensive overview of the use of osteotomy to treat osteoarthritis and knee deformity. Total knee arthroplasty is, nowadays, the surgeon’s first treatment choice so it is good to highlight another biological option. The authors are skilled orthopedic surgeons with extensive experience using osteotomies and, particularly, internal fixation techniques which have made this technique more applicable and guaranteed better results.
The book covers all aspects of osteotomy, from a historical review of the osteotomies about the knee to a discussion of the physiological axes of the limb outlining normal, abnormal and measurement techniques. A chapter on clinical and radiological evaluations is followed by an overview on indications for osteotomy, while basic principles and planning algorithms for osteotomies, in particularly that of the high tibial osteotomy both closing and opening wedge types and the use of locking and conventional plate fixation, are also covered. There are sections on the mechanics and basic science of osteotomy and how one assesses bone healing. The role of supracondylar osteotomies of the femur and the use of double osteotomies and rotational osteotomies with various deformities are also presented. Acknowledging that the osteotomy may need revision the authors have included a helpful chapter on the role of total knee arthroplasty after osteotomy. 2 | 09