Global Orthopedics (2^nd Ed., 2nd ed. 2020) Caring for Musculoskeletal Conditions and Injuries in Austere Settings

Now in a revised and expanded second edition, this unique text discusses the opportunities and challenges to the practice of orthopedic surgery in resource-limited environments around the world. Sensibly divided into thematic sections, part I examines barriers to care,  from the poorly recognized global burden of orthopedic conditions and the less than ideal equipment to the cultural considerations and ethical dilemmas inherent in such situations. General clinical topics are covered in part II, such as non-surgical approaches and anesthesia, while the remaining sections discuss adult and pediatric trauma, presented in an anatomical format for easy reference with a focus on the natural history and the best treatment methods within existing limitations, followed by musculoskeletal infections, non-infectious pediatric conditions, reconstruction, and amputations. Topics new to this edition include the management of non-unions by induced membrane techniques, autologous bone grafting, bone growth and burn charts, the management of neck and back pain, and principles of orthopedic rehabilitation.

Written and edited by experts with years of experience working in austere settings, this second edition of Global Orthopedics is a seamless transition from the original and expands the range of possible management strategies in places desperate for orthopedic care, making it a must for all surgeons and practitioners planning to work in such challenging settings.

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.- Trauma of the Shoulder and Humeral Shaft.- Trauma of the Elbow and Forearm.- Trauma of the Hand and Wrist.- Trauma of the Pelvis and Acetabulum.- Trauma of the Hip and Femoral Shaft.- Trauma of the Knee, Tibia and Fibula.- Trauma of the Ankle and Foot.- Trauma of the Spine and Spinal Cord.- 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.- Rehabilitation.- 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?

Richard A. Gosselin, MD, MPH, MSc, FRCS(C)

University of San Francisco 

Department of Orthopedics

Institute for Global Orthopedics and Traumatology

San Francisco, CA, USA

David A. Spiegel, MD

Children’s Hospital of Philadelphia

Professor of Orthopedic Surgery

University of Pennsylvania School of Medicine

Philadelphia, PA, USA

Michelle Foltz, MD

Columbus, MT, USA