decision-making-in-orthopaedic-trauma-1st-editionEditor: Meir T. Marmor, MD
Publisher: Thieme – 172 pages, with 39 illustrations
Book Review by: Nano Khilnani

This book fills a great need for easily-accessible, available, and usable information by orthopedic surgeons on a large variety and number of procedures. Such information is not readily found in medical literature today.

The editor of this volume Dr. Meir Marmor writes: “Surgeons, physicians, nurses, therapists and medical staff who treat musculoskeletal injuries need to have a common language and understanding of the critical decisions and management options for the various injuries. However, this information is not easy to come by.”

“The information age in medicine has flooded the medical community with data on the effectiveness of medical treatments. At the same time, the demand for evidence-based medicine has increased the quality and sophistication of medical research, making the interpretation of medical research a task for the experts.”

“Existing websites and textbooks are not always approachable to the non-expert orthopedic trauma surgeon and often lack the simplicity to become useful for a large audience. In some instances, the caregiver treating orthopedic injury only wants to ask an expert in the field, ‘what would you do in these kinds of injuries?’ That is where this book comes in

Nineteen specialist experts including the editor, in specific kinds of orthopedic trauma, authored the 80 chapters of this extensive volume on trauma in orthopedics. We name the chapter titles below to provide you an overview of what you will find in it.

The contributors are all affiliated with the Orthopedic Trauma Institute at UCSF, and the Zuckerberg San Francisco General Hospital and Trauma Center in San Francisco, California.

  1. Compartment Syndrome (CS)
  2. Open Fracture Management
  3. Ballistic Injuries
  4. Vascular Injuries
  5. Traumatic Nerve Injury
  6. Mangled Extremity
  7. Polytrauma Patient
  8. Acute Pain Management
  9. Chronic Pain Management
  10. Venous Thromboembolism (VTE) Prevention
  11. VTE Prevention for Patients on Anticoagulation
  12. Embolic Disease Management
  13. Heteropathic Ossification (HO)
  14. Regional Anesthesia in Orthopedic Surgery
  15. Traumatic Anterior Shoulder Instability
  16. Acromioclavicular Separation
  17. Sternoclavicular Dislocation (SCD)
  18. Clavicle Fractures
  19. Scapulothoracic Dislocation (STD)
  20. Scapula Fractures
  21. Proximal Humerus Fractures
  22. Humeral Shaft Fractures
  23. Distal Humerus Fractures
  24. Elbow Dislocation / Terrible Triad Injury
  25. Radial Head Fractures
  26. Capitellum Fractures
  27. Olecranon Fractures
  28. Forearm Fractures
  29. Distal Radius Fractures
  30. Scaphold Fractures
  31. Perilunate Dislocation
  32. Extensor Tendon Lacerations
  33. Flexor Tendon Injuries
  34. Finger Replantation
  35. Finger Fractures
  36. Metacarpal Fractures
  37. Metacarpholangeal (MCP) Dislocations
  38. Phalanx Dislocations
  39. Femoral Shaft Fractures
  40. Distal Femur Fractures
  41. Traumatic Knee Dislocation
  42. Patella Fractures
  43. Tibial Plateau Fractures
  44. Tibial Shaft Fractures
  45. Tibial Plafond (Pilon) Fractures
  46. Ankle Fractures
  47. Talus Fractures
  48. Calcaneus Fractures
  49. Lisfranc Fractures
  50. Navicular Fractures
  51. Metatarsal (MT) Fractures
  52. Toe Fractures
  53. Pelvic Ring Fractures
  54. Acetabulum Fractures
  55. Hip Dislocations
  56. Femoral Head Fractures
  57. Femoral Introchanteric Fractures
  58. Femoral Neck Fractures
  59. Femoral Subtrochanteric Fractures
  60. Spinal Cord Injury (SCI)
  61. Adult C-Spine Clearance After Blunt Trauma
  62. Occipitocervical Dislocations (OCD)
  63. Atlas (C1) Fractures and Traverse Ligament Injuries
  64. C2 Odontoid (dens) Fractures
  65. C2 Traumatic Spondylothesis
  66. C#-C7 Facet Dislocations
  67. C3-C7 Lateral Mass Fractures
  68. Geriatric Vertebral Compression Fracture (VCF)
  69. Thoracolumbar Injuries
  70. Bisphosphonate Femur Fractures
  71. Pathological (Neoplastic) Fractures
  72. Periprosthetic Fracture THA: Acetabulum
  73. Periprosthetic Fracture around THA: Femur
  74. Periprosthetic Fracture around TKA: Femur
  75. Periprosthetic Fracture around TKA: Tibia
  76. Periprosthetic Fracture around Total Shoulder Arthroplasty (TSA)
  77. Fracture Delayed and Nonunion
  78. Acute Surgical Infection
  79. Post-Operative Chronic Infection
  80. Bone Defects

In each chapter, a visual schematic diagram is provided that contains boxes of different shapes and colors. By glancing at this graphic, the reader is able to understand the condition and injuries, and make a series of decisions on the available options and the proper courses of action for each case.

Dr. Marmor cautions that the chapters “are not a substitute for detailed comprehensive protocols of management of the various musculoskeletal conditions listed in the book.” Instead, the visual and textual information provided in the chapters are a sort of distillation to enable the surgeon to make the critical decisions necessary to handle each case.

This is an authoritative and extensive volume on orthopedic trauma with experts as contributors, and the unique mode of presentation of information sets it apart from others and makes if highly useful and effective.



Meir T. Marmor, MD is with the Orthopedic Trauma Institute, the University of California San Francisco (UCSF), and the Zuckerberg San Francisco General Hospital and Trauma Center in San Francisco, California.