Numerousadvances in basic research, surgical techniques, practice, and patient carehave revolutionized surgery over the last 60 years and made the field with itsmany subspecialties more diverse but also more complex.
The surgical profession places high demands on surgeons who must often make theright split-second decisions. This can easily lead to misjudgmentsor mistakes.
Learning From Failures in OrthopedicTraumaKey Points for Success is the first book of its kind togive surgeons the opportunity to learn from failures without making themthemselves.
Based on the Spanish book Errores en la Osteosíntesis by Rafael Orozco Delclós,this publication offers real case examples that have been collected over thepast 25 years. It is an essential and valuable resource as it specificallyexamines the reasons and responses to surgical error in real cases fromdifferent anatomical regions of the body, thus helping surgeons avoid the mostfrequent errors in osteosynthesis.
The collection of more than 70 cases will help surgeons recognize andavoid common failures, start reflecting in action, present failures as positivelearning opportunities, and bring that knowledge into their daily practice.
The book is divided into 9 sections that analyze different types of failures. Keyfeatures are:
Analysis offailures to help surgeons avoid making mistakes that lead to those errors
More than20 detailed and illustrative case-based chapters that analyze failures andoffer tips to successfully prevent those mistakes
More than1,100 x-rays, clinical images, and illustrations
Section1Introduction to internal fixation
1.1 The evolution of internal fixation over the last 20 years
Section 2Breaches of AO principles
2.1 General considerations on violation of AO principles
2.2 Osteosynthesis in unreduced fractures
2.3 Principles of stability, selection of implants, and the combination ofabsolute and relative stability
2.4 Biology management (including soft-tissue management)
Section 3Implant-related issues
3.1 Implant selection issues
3.2 Type of implant related to biomechanical principles
3.3 Implant size, prebending, molding,and shape adapted to the fractured bone
3.4 Anatomical implants: ready-to-wear versus custom-fit
3.5 Designs and techniques of intramedullary nailing
3.6 Failures due to guided targeting and implant assembly
Section 4Surgical team
4.1 Determining factors for failures relating to the surgical team
4.2 Insufficient preparatory planning, including alternatives
4.3 Lack of anatomical knowledge
4.4 Insufficient asepsis protocols
4.5 Proficiency and experience
4.6 Accumulation of failures
Section 5Postoperative management
5.1 General considerations in postoperative management of internal fixation
5.3 Implant removal
Section 6Patient compliance
6.1 Failures unrelated to the healthcare team but related to patient compliance
Section 7Failure recognition and timing
7.1 Early recognition of failures
Section 8The learning circle
8.1 The learning circle: tips and tricks to minimize failures
Section 9Bizarre failures
9.1 Difficult to classify
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