Learning From Failures in Orthopedic Trauma

Description

Numerous advances in basic research, surgical techniques, practice, and patient care have revolutionized
surgery over the last 60 years and made the field with its many subspecialties more diverse but also more complex.
The surgical profession places high demands on surgeons who must often make the right split-second decisions. This can
easily lead to misjudgments or mistakes.
Learning From Failures in Orthopedic Trauma—Key Points for Success is the first book of its kind to give surgeons the
opportunity to learn from failures without making them themselves.
Based on the Spanish book Errores en la Osteosíntesis by Rafael Orozco Delclós, this publication offers real case
examples that have been collected over the past 25 years. It is an essential and valuable resource as it specifically
examines the reasons and responses to surgical error in real cases from different anatomical regions of the body, thus
helping surgeons avoid the most frequent errors in osteosynthesis.
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Section 1—Introduction to internal fixation
1.1 The evolution of internal fixation over the last 20 years

Section 2—Breaches 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 of absolute and relative stability
2.4 Biology management (including soft-tissue management)

Section 3—Implant-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
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Section 4—Surgical 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
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Section 5—Postoperative management
5.1 General considerations in postoperative management of internal fixation
5.2 Physiotherapy
5.3 Implant removal

Section 6—Patient compliance
6.1 Failures unrelated to the healthcare team but related to patient compliance

Section 7— Failure recognition and timing
7.1 Early recognition of failures

Section 8—The learning circle
8.1 The learning circle: tips and tricks to minimize failures

Section 9—Bizarre failures
9.1 Difficult to classify