Chapman's Orthopaedic Surgery

Orthopaedic surgery.

Ethics in orthopaedic surgery.

©2005 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.87B11. 16936 $2.00 J Bone Joint Surg [Br] 2005;87-B:1449-51. Medicine, law and religion are the three traditional learned professions. With professionalism should come both privilege and responsibility. As surgeons we study to achieve specialised knowledge and supplement this with training and experience. Our patien...

Ximelagatran in orthopaedic surgery.

Ximelagatran represents the first new oral anticoagulant since the introduction of warfarin almost 60 years ago, and has been evaluated for the treatment and prevention of a range of venous and arterial thromboembolic disorders. The MElagatran THRomboprophylaxis in Orthopaedic surgery (METHRO) and EXpanded PRophylaxis Evaluation Surgery Study (EXPRESS) studies have investigated the efficacy and...

Towards Painless Orthopaedic Surgery

Almost one thousand patients underwent either total hip replacement or spinal surgery in which diamorphine 0.5-1.0 mg was injected intrathecally. Approximately one half of the arthroplasty patients and one third of the spinal patients required no other post-operative analgesia. In the remainder, analgesics were not required for 12 hours post-operatively. The benefits of the technique and possib...

Complications in orthopaedic surgery

It’s an old adage that states something to the effect that critical examination of your surgical complications will be more instructive in your development as a surgeon than unconditional admiration of your successes. The development of a complication following a surgical procedure is very troubling for a caring and dedicated surgeon, principally because of the morbidity and additional sufferin...