Complications in Knee and Shoulder Surgery Management and Treatment
Any surgical intervention has potential risks and complications. Some complications are avoidable and some are not. Arthrofibrosis or stiffness may take place in the best of hands, and infection may surface postoperatively even in the most sterile operati
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Robert J. Meislin • Jeffrey Halbrecht Editors
Complications in Knee and Shoulder Surgery Management and Treatment Options for the Sports Medicine Orthopedist
Editors Robert J. Meislin, MD Orthopedic Surgery NYU Hospital for Joint Diseases New York, NY USA
Jeffrey Halbrecht, MD The Institute for Arthroscopy and Sports Medicine San Fancisco, CA USA
ISBN: 978-1-84882-202-3 e-ISBN: 978-1-84882-203-0 DOI: 10.1007/978-1-84882-203-0 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Control Number: 2009926046 © Springer-Verlag London Limited 2009 Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means, with the prior permission in writing of the publishers, or in the case of reprographic reproduction in accordance with the terms of licenses issued by the Copyright Licensing Agency. Enquiries concerning reproduction outside those terms should be sent to the publishers. The use of registered names, trademarks, etc., in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
“Learn from the mistakes of others—you can never live long enough to make them all yourself.” – John Luther In dedication to our mentors, Victor Frankel, MD, and Joseph Zuckerman, MD— orthopedic surgeons who taught us about leadership, hard work, and dedication to detail ... and most importantly—how to stay out of trouble! In appreciation, – Robert J. Meislin, MD Jeff Halbrecht, MD
Preface
“To Err is Human…” Alexander Pope
Any surgical intervention has potential risks and complications. This book is designed as a reference tool and a roadmap for the sports medicine orthopedist to minimize the complications in knee and shoulder surgery. Some complications are avoidable; some are not. By understanding the functional anatomy at risk, proper surgical setup, proper equipment, and proper patient selection, a preventative approach to complications can be instituted. The authors of these chapters represent leaders in orthopedic sports medicine and have provided novel methods for dealing with intraoperative complications and situations that can occur in the midst of a “routine” arthroscopic reconstruction. In discussing these issues, we hope to raise the surgeon’s awareness of potential complications and to provide wisdom and advice to properly avoid and treat these problems should they arise. How one de
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