BOOK
those
devoted
to osteotripsy
surgery.
Chambers’s
English
Dictionary
defines
tripsis
as “pulverisation
; shampooing;
massaging”.
This is done by a power-driven
burr introduced
through
a small stab wound.
Hammer
toes and hallux
valgus
are treated
by this method
of subcutaneous
surgery.
One
paper
describes
the techniques
of osteotripsy
surgery,
and two
its complications.
This book
is interesting
in that it describes
a technique
for
operating
on
orthopaedic
bone
that
surgeons.
them
will
favour
Most
ofus
prefer
But
this
must
one
type
be
cannot
of blind
to see what
unfamiliar
imagine
to
that
subcutaneous
we are doing.-F.
most
many
of
surgery.
Brian
THOMAS.
265
REVIEWS
trated
and tersely
described.
Several
useful bibliography
record techniques
that
over the past twenty years, such as the
1961),
the immediate
post-amputation
(Burgess
et al. 1967), the patellar
tendon
miento
1967), the cast brace (Mooney
scoliosis
plaster
technique
Doctor and the Athlete.
By Isao HIRATA.
Jun., M.D.,
Director,
Student
Health
Service,
University
of South
Carolina.
Second
edition.
15-5 x 23 cm.
Pp. vii + 328,
with some figures and 12 tables.
Index
1974. Philadelphia
and
Toronto:
Blackwell
Scientific
The first edition
second
edition
new
growing
J. B. Lippincott
number
Company.
Publications.
ofthis
book
is described
ofdoctors
Price
#{163}8.
was published
as a practical
in 1968. This
guide for the
with
of athletes.
concerned
the care
The author
was “the doctor
on the field”
Yale University
and is a man with a love
athletic
Oxford:
for some years
for all varieties
endeavour.
The fist
discusses
tions and
part
of the book
occupies
eighty-three
physical
condition,
diet and habits,
the pathology
of injury
and principles
pages
and
playing
condiof treatment.
The second
part, consisting
of 181 pages, discusses
all types
of specific injuries and disabilities
in fifteen separate
chapters.
Few changes have been made since the first edition,
except
to note the increasing
drug problems
in athletes
and to include
a new statistical
study of the injuries
associated
with varsity
football
at Yale, where the author
was team physician
for
eighteen
years.
Though
the author
states that his aim is to view the entire
subject
from the point of view of the doctor
on the field,
nevertheless
the reviewerfound
it rather basic, containing
many
unsupported
opinions
and being more of a general
glossary
for coaches,
trainers
and organisers
of athletic
programmes.
The style is verbose
and the material
somewhat
elementary;
for
example
blisters
interested
injuries
required
years at
On
there
sections
on
bursal
lacerations
(p.
120),
122) and furuncles
(p. 123).
One is, however,
to learn of a more conservative
approach
to knee
and that only four cases of major ligamentous
damage
immediate
surgical
repair
in a period
of eighteen
Yale.
the whole I doubt
if surgeons
particularly
interested
will
H. C.
(1971).
clarity
should
true.
But
it is equally
true
that
“hyperextension
face
downwards
between
the
technique,
sagged
into
in a jacket
hastily
applied
two
maximal
under
tables
of the
lordosis,
and
emergency
is shown
ready
method;
away
backwards
is shown
having
with a lumbar
for
a jacket
a second
patient
of the
there
will never
disturbing.
to be applied
is shown
Just
be known.
A small
by the
Watson-
in silhouette
arched
over Goldthwait
irons ; and a third
patient
a long body spica applied
on a Hawley
table,
lordosis
and hips slightly
extended.
The first
two would certainly
One technique
is that
held
conditions.
how many died who should have survived
For this reason
pages 104 and 105 are
Jones
Watson-Jones
was
be at risk of this iatrogenic
from the past that always
Delbet
cast,
so valuable
for
the
complication.
merits a place
protection
of a
weakened
shaft of tibia.
The basis of the cast is of course a
long narrow
plaster
slab which should
be closely applied
as
an elongated
U under the pad of the heel, over both malleoli
and almost
up to the knee.
The cast shown here, however,
is padded
too
freely
and
also
leaves
most
ofthe
foot
completely
uncovered,
inviting oedema.
The necessary
support
can easily
be provided
by applying
elastic adhesive
bandage
over stockinette down to the toes.
A few mistakes
in spelling catch the eye-Stile
for Stille,
Comper
for Compere,
and Goldwaithe
for Goldthwait-but
these are minor blemishes
in a useful addition
to the technical
reading
sake
of an
orthopaedic
of comparison
and
team,
useful
particularly
argument.-K.
for
the
I. NISSEN.
learn
much
that
is new
from
this
contribution.
BOOKS
Orthopaedic
OF
Surgery.
Orthopaedic
ORTHOPAEDIC
By Edward
Cast Techniques.
Orthopaedic
pital
Book
(Medical
and
By E. E. BLECK,
Rehabilitation
at Stanford,
Palo
Services,
Alto,
California;
M.D.,
Children’s
Nellie
Chief,
Hos-
Medical
Books)
Ltd.
Medical
Publishers,
Price
Inc.
and
of the various
and on the use of the term “cast”
by Dr Bleck in the new preface.
57-B,
basic
techniques
No. 2, MAY
are
reappear,
1975
gracefully
again
acknowledged
beautifully
procedures
in his own practice.
a very readable
mine
Disorders
M.D.,
Lloyd-Luke
which
as a reference
source for
surgeons,
gives an account
the author
It is fully illustrated
of information.
has found
by clear
most useful
diagrams
and
is
cal
of the Knee.
By Arthur J. HELFET,
B.Sc.(Cape
Town),
M.Ch.Orth.(Liverpool),
F.R.C.S.(Eng.),
F.A.C.S., CliniProfessor,
Department
of Orthopaedic
Surgery,
Albert
Einstein
illus-
College
of Medicine,
New
York.
With
twelve
guest
authors.
26x85
cm. Pp. xiii-335,
with 250 figures, 105 in
colour,
and some tables.
Index.
1974.
Philadelphia
and
Toronto:
J. B. Lippincott
Company.
Oxford:
Blackwell
Scientific
The first edition of this practical
manual
appeared
in 1956
and was reviewed
in this Journal
by Mr Jackson
Burrows,
whose comments
on the rather
free use of felt for padding
The
London:
#{163}1215.
DucK-
Nancy
HUNTER,
Plaster
and Operating
Room
Technicians,
North
Carolina
Orthopaedic
Hospital,
Gastonia,
North
Carolina.
Second
edition.
25-5 x 17-5
cm.
Pp. 160, with 423 figures
and 2 tables.
Index.
1974.
Chicago
: Year
Book
Medical
Publishers
Inc.
London:
Lloyd-Luke
(Medical
Books)
Ltd. Price #{163}5-SO.
WORTH
M.D.,
Chief of
Clinic and Hospital
of
of Operative
Surgery.
Index.
1974. Chicago:
COMPERE,
Center
El Monte, California.
A Handbook
215 x 15 cm. Pp. 323, with 90 plates.
Year
Surgery,
INTEREST
L.
RATLIFF.
Atlas ofPlaster
12
The
can be the absolute
end of everything”,
from obstruction
of
the duodenum
and acute gastric
dilatation.
This was sadly
true during the bombing
of London,
when many a victim with
a simple compression
fracture
of the lumbar
spine was slung
This fascinating
handbook,
designed
interns,
residents
and young orthopaedic
VOL.
a
(p.
in trauma
-A.
are
and
the originators.
Some of the pre-1956
techniques,
however,
could well
afford
to be discarded,
particularly
those in which a body
jacket
is applied
in hyperextension.
On page 27 we are told
that in plaster technique
the old saying “position
is everything”
boy
at
of
chapters
have been developed
localizer
cast (Risser
plaster
prosthesis
bearing
cast (Saret al. 1970) and the
please
is particularly
The
ofCotrel
new
Publications.
Price
#{163}1750.
Professor
Helfet’s
original
monograph
on The Management
of
Internal
Derangements
of the Knee was published
in I 963.
There
are some surgeons
who will not agree with all the observations,
but
the scope
number
aspects
interest
of the book has now been widened by the inclusion of a
of excellent
chapters
written
by authorities
on various
of disorders
of the knee. Readers will find a great deal to
them
in the present
edition.