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Joint Replacement Arthroplasty (4th centennial edition)

Edited by Bernard F. Morrey, Kai-Nan An and John W. Sperling pp. 376 Philadelphia: Wolters Kluwer, 2011 ISBN 978-1-60831-467-6

The experience of the Mayo Clinic in joint replacement is unrivalled, and this book represents the fourth edition focusing on the shoulder and elbow. It is published to coincide with the 100th anniversary of the Department of Orthopaedic Surgery and the implantation of the 100 000th joint replacement at the Mayo - a remarkable achievement. As a consequence, the book reflects the Mayo philosophy in this field. The book is divided into three parts - the first section reviews general principles and concepts of materials, biomechanics, perioperative considerations, anaesthesia, databases and outcome studies. These issues are common to arthroplasty of other joints and presumably that is why the content of the first section is only available online via a code contained on the inside cover.

The sections on elbow and shoulder respectively are organised into the history, anatomy, and relevant biomechanics of joint replacement, followed by specific indications and diagnostic entities. The elbow section spans about 200 pages, more than the shoulder section, which no doubt mirrors the senior author's clinical experience. It covers linked, unlinked, and convertible implants as well as advances in hemiarthroplasty, radial head and capitellar resurfacing. For the contemporary shoulder and elbow surgeon, for whom the minority of clinical practice is in the elbow, this represents the state-of-the art in elbow replacement and would be especially valuable when a patient presents with an uncommon indication (e.g. tumours, blood dyscrasias, synostosis) or a particular complication (e.g. triceps insufficiency, nerve injury, infection).

The section on shoulder arthroplasty has the same scope but again very much from the Mayo perspective. The chapters are strong on the traditional indications for joint replacement (osteoarthritis, rheumatoid, osteonecrosis, sequelae of fracture) but rather lighter on reverse shoulder arthroplasty and alternatives to joint replacement. However, the chapters on assessment of the painful arthroplasty and rehabilitation are especially useful and not often contained in other works on this subject. The diagrams, coloured intraoperative photographs and radiographs are all of good quality and relevant. In contrast to other textbooks of a reference nature, the concise text and practical emphasis of this book mean that it would be well-used in any operating theatre.

A. Wallace

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