Global Orthopedics

Caring for Musculoskeletal Conditions and Injuries in Austere Settings

  • Richard A. Gosselin
  • David A. Spiegel
  • Michelle Foltz

Table of contents

  1. Front Matter
    Pages i-xxii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Michelle Foltz, Geoffrey Walker, James C. Cobey
      Pages 3-7
    3. Manjul Joshipura, Charles Mock, Richard A. Gosselin
      Pages 9-11
    4. Richard A. Gosselin, El Hadji Ibrahima Diop
      Pages 13-17
    5. David A. Spiegel, Stephen W. Bickler
      Pages 23-26
    6. Michelle Foltz
      Pages 27-30
    7. Richard C. Fisher, Dominic Awariyah Adondaa
      Pages 31-36
    8. Michael Krosin
      Pages 37-40
    9. Michelle Foltz, Geoffrey Walker
      Pages 41-47
  3. General Clinical Topics

    1. Front Matter
      Pages 49-49
    2. Michelle Foltz, Richard A. Gosselin
      Pages 51-55
    3. Richard A. Gosselin, Stephen W. Bickler, Ali A. Ahmed Al-Iedan
      Pages 57-66
    4. J. Norgrove Penny, Coleen S. Sabatini
      Pages 67-72
    5. Richard C. Fisher, Richard A. Gosselin, Michelle Foltz
      Pages 73-99
    6. Nadine B. Semer
      Pages 101-116
    7. William James Harrison
      Pages 117-119
    8. Ercan Türeci, Aybike Onur Gonen, Ahmet Temizyürek
      Pages 121-129
  4. Adult Trauma

    1. Front Matter
      Pages 131-131
    2. Michelle Foltz, Nadine B. Semer, Richard A. Gosselin, Geoffrey Walker
      Pages 133-149
    3. Richard C. Fisher, Sonam Dorji
      Pages 151-163
    4. Robert P. Hoffman, Sonam Dorji
      Pages 165-178
    5. Michelle Foltz, Robert Derkash
      Pages 179-191
    6. Richard A. Gosselin, Anand Sobhraj Devnani
      Pages 193-202
    7. Richard A. Gosselin, Faruque Quasem, Lewis Greer Zirkle
      Pages 203-218
    8. Richard A. Gosselin, David O. Oloruntoba
      Pages 219-235
    9. R. Richard Coughlin, Raphael Kumah-Ametepey
      Pages 237-250
    10. Dheera Ananthakrishnan, Gilbert E. Cauilan
      Pages 251-260
  5. Pediatric Trauma

    1. Front Matter
      Pages 261-261
    2. David A. Spiegel, Bibek Banskota
      Pages 263-270
    3. David A. Spiegel, Bibek Banskota
      Pages 271-292
    4. David A. Spiegel, Bibek Banskota
      Pages 293-308
  6. Musculoskeletal Infections

    1. Front Matter
      Pages 309-309
    2. Jacques L. D’Astous, William James Harrison
      Pages 311-319
    3. David A. Spiegel, Ashok Kumar Banskota, Bibek Banskota
      Pages 321-332
    4. J. Norgrove Penny, David A. Spiegel
      Pages 333-350
    5. William James Harrison, John L. Esterhai Jr
      Pages 351-360
    6. Z. Deniz Olgun, Muharrem Yazici, David A. Spiegel, Syed Muhammad Awais, Binod Bijukachhe
      Pages 361-380
  7. Non-infectious Pediatric Conditions

    1. Front Matter
      Pages 381-381
    2. Alaric Aroojis, Shafique Pirani, Bibek Banskota, Ashok Kumar Banskota, David A. Spiegel
      Pages 383-396
    3. J. Norgrove Penny, David A. Spiegel
      Pages 397-406
    4. Anna D. Vergun, Hugh G. Watts
      Pages 407-416
    5. Sanjeev Sabharwal, Richard M. Schwend, David A. Spiegel
      Pages 417-428
    6. Richard M. Schwend
      Pages 429-435
    7. J. Norgrove Penny, Coleen S. Sabatini, John Ekure, David A. Spiegel, Hugh G. Watts
      Pages 437-453
    8. Bibek Banskota, Michelle Foltz, Richard A. Gosselin, David A. Spiegel
      Pages 455-460
  8. Additional Considerations

    1. Front Matter
      Pages 461-461
    2. Richard A. Gosselin, Harry E. Jergesen, Daniel-John Lavaly
      Pages 463-506
    3. Nyengo Mkandawire, John Dormans
      Pages 507-517

About this book


Now in a revised and expanded second edition, this unique text discusses the opportunities and challenges to the practice of orthopedic surgery in resource-limited environments around the world. Sensibly divided into thematic sections, part I examines barriers to care,  from the poorly recognized global burden of orthopedic conditions and the less than ideal equipment to the cultural considerations and ethical dilemmas inherent in such situations. General clinical topics are covered in part II, such as non-surgical approaches and anesthesia, while the remaining sections discuss adult and pediatric trauma, presented in an anatomical format for easy reference with a focus on the natural history and the best treatment methods within existing limitations, followed by musculoskeletal infections, non-infectious pediatric conditions, reconstruction, and amputations. Topics new to this edition include the management of non-unions by induced membrane techniques, autologous bone grafting, bone growth and burn charts, the management of neck and back pain, and principles of orthopedic rehabilitation.

Written and edited by experts with years of experience working in austere settings, this second edition of Global Orthopedics is a seamless transition from the original and expands the range of possible management strategies in places desperate for orthopedic care, making it a must for all surgeons and practitioners planning to work in such challenging settings.


Amputation Austere setting Barrier to care Bone deformity Dislocation Fracture Global orthopedics Globalization Musculoskeletal condition Musculoskeletal infection Orthopedic trauma Pediatric trauma Reconstruction Resource-poor setting Tropical disease

Editors and affiliations

  • Richard A. Gosselin
    • 1
  • David A. Spiegel
    • 2
  • Michelle Foltz
    • 3
  1. 1.San Francisco General Hospital Institute for Global Orthopedics and TraumatologySan FranciscoUSA
  2. 2.Division of Orthopedic Surgery Children’s Hospital of PhiladelphiaUniversity of Pennsylvania School of MedicinePhiladelphiaUSA
  3. 3.ColumbusUSA

Bibliographic information

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