Global Orthopedics

Richard A. Gosselin, MD, MPH, MSc, FRCS(c), Co-Director, Institute for Global Orthopedics and Traumatology, Department of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA David A. Spiegel, MD, Associate Professor of Orthopedic Surgery, University of Pennsylvania School of Medicine, Honorary Consultant in Orthopedics, Hospital and Rehabilitation Centre for Disabled Children, Benepa, Nepal, Division of Orthopedic Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA Michelle Foltz, MD, Columbus, MT, USA

Part I: Introduction.- A History of Orthopedics in Austere Settings.- Global Burden of Musculoskeletal Conditions.- Emerging Orthopedic Conditions.- Cost-Effectiveness of Orthopedic Surgery in Austere Environments.- Barriers to the Delivery of Orthopedic Care.- Teaching and Educational Resources.- Equipment and Supplies.- Ethics.- Culture Shock and Traditional Healing.- Part II: General Clinical Topics.- Coexisting Medical Conditions.- Tropical Diseases and Orthopedics.- Rickets and Nutritional Considerations.- Non-Surgical Principles of Fracture and Injury Management.- Basic Plastic Surgery for Orthopedic Surgeons.- HIV and Orthopedic Surgery.- Anesthesia for Orthopedic Surgery in Austere Environments.- Part III: Adult Trauma.- Introduction to Trauma in Austere Environments.- Injuries of the Shoulder and Humeral Shaft.- Elbow and Forearm.- Hand and Wrist Trauma in Low-Resource Settings.- Fractures of the Pelvis and Acetabulum.- Injuries to the Hip and Femoral Shaft.- Knee and Tibia.- Ankle and Foot.- Spinal Cord and Spine Trauma.- Part IV: Pediatric Trauma.- General Principles of Pediatric Trauma.- Management of Upper Extremity Fractures.- Management of Lower Extremity Fractures.- Part V: Musculoskeletal Infections.- Introduction to Musculoskeletal Infections.- Neglected Septic Arthritis in Children.- Chronic Osteomyelitis in Children.- Osteomyelitis and Septic Arthritis in Adults.- Tuberculosis.- Part VI: Non-Infectious Pediatric Conditions.- Clubfoot: Etiology, Pathoanatomy, Basic Ponseti Technique and Ponseti in Older Patients.- Algorithm for Neglected Clubfoot.- Limb Deficiencies.- Evaluation and Treatment of Angular Deformities.- Developmental Dysplasia of the Hip.- Injection Injuries and Polio.- Cerebral Palsy and Other Neuromuscular Conditions.- Part VII: Additional Considerations.- Adult Reconstruction.- Bone and Soft Tissue Tumors.- Amputations.- Orthopedics in Conflicts and Natural Disasters.- Appendices.- Appendix 1. Abbreviations.- Appendix 2. Head Trauma and Basic Management of Brain Injury and Elevated Intracranial Pressure.- Appendix 3. Tips, Tricks, and Pearls.- Appendix 4. What Do I Take?