Introduction to Evidence-Based Orthopaedics
Practising surgeons may be unable to keep up with current practice – what seems up to date today can be redundant tomorrow. In paediatric orthopaedics, and the setting of a busy clinical practice, it is challenging to find time to retrieve the best availa
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Paediatric Orthopaedics
An Evidence-Based Approach to Clinical Questions
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Paediatric Orthopaedics
Sattar Alshryda • James S. Huntley Paul A. Banaszkiewicz Editors
Paediatric Orthopaedics An Evidence-Based Approach to Clinical Questions
Editors Sattar Alshryda Royal Manchester Children’s Hospital Manchester United Kingdom
Paul A. Banaszkiewicz Queen Elizabeth Hospital Gateshead United Kingdom
James S. Huntley Sidra Medical and Research Center Doha Qatar
ISBN 978-3-319-41140-8 ISBN 978-3-319-41142-2 DOI 10.1007/978-3-319-41142-2
(eBook)
Library of Congress Control Number: 2016957161 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland
To every child and parent including mine: Daniel, Hannah, Jasmine, Ania, Maria and Jaber. Sattar Alshryda For my parents, for their steadfast support. James S. Huntley To my parents for their support and encouragement. Paul Banaszkiewicz
Foreword
Surgeons have always wanted to do the best for their patients. However, determining what is best for the patient is not always clear leading to many treatments options for most orthopaedic conditions. Moreover, because Paediatric Orthopaedics is one of the most varied of the Orthopaedic disciplines due to the many rare conditions with myriad presentations often afflicting the entire child, deciding with the child and parents among the many treatment options is particularly complex. Treatment options need to provide on average better health outcomes than alternative or no treatment. Each treatment option comes with a range of benefits and risks, dependant on the child, setting, skill and experience of the surgeon. To make these complex decisions surgeons and families need the best evidence. While there are many factors that enter into critical appraisal of research studies and decidi
