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Robert B Duthie, George Bentley MERCER’S Orthopaedic Surgery 1996 Arnold London, 1996 0-340-551631 Edited by Arnold, London, 1996. Cost Rs 2600/-
This is the much awaited 9th edition after a gap of 13 years of the book, well known to post-graduates in orthopaedics. The outstanding feature of the book is that it comprehensively reviews the basic concepts of orthopaedics and provides the consensus of opinion on various current topics. This has been accomplished in a single volume consisting of 1366 pages. The original format of the book has been retained with all the 19 chapters update.
The anatomy and physiology of musculoskeletal system has been dealt with extensively. The newer methods of bulk allografting also find a brief description. Likewise, the latest concepts in fracture healing and osteoporosis have been elucidated in detail.
Recent concepts like leukergy, bacterial persistence and drug resistance have been covered well in hematogenous osteomyelitis. Though tuberculosis of hip and knee has been covered at length, yet the stages of the disease have not been included; this is a lacuna because the treatment depends primarily upon the stage of the disease. The timing of THR in tuberculosis of hip has not been clarified.
In the chapter of Congenital malformations the developmental dysplasia of hip, the principles of various osteotomies have been described well. In CTEV Kawashima and Uhthoff (1990) classification has been included. However, congenital pseudarthrosis of tibia finds only a brief description without classification and treatment by the Ilizarov Technique, the currently accepted method of treatment.
In the chapter of Arthritis and Rheumatic diseases the topics of neuropathic joints, haemophilia, the HIV infections are described well. The chapter of Amputations and Prosthetics has been written very well and includes mention of recent concepts like endoskeletal prosthesis, multiaxial joints and energy storing foot and shin devices. However, the chapter of Physical Therapy Rehabilitation and Orthotics could have been covered more extensively in view of its clinical applications today.
The book is much better reading than the currently popular Turek’s Orthopaedics and is strongly recommended not only for the library, but also as a personal copy for the orthopaedic surgeon in making.