Apley & Solomon's System of orthopedics

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Orthopedics in a changing world Since Alan Appley published the first edition
The world has changed so much Orthopedic practice. Fashionable in 1959
Replacement was rare and featured a high failure rate and knees No replacement and arthroscopy, fracture They were mainly treated by traction. The latest version of this book is Expected effects of the HIV / AIDS epidemic. Or Outbreak is mainly suppressed, Effective treatment that leads to normal life expectancy For those affected. But in untreated people do so Presence of secondary infections such as tuberculosis It is high and the prognosis is still poor. it is fun It is encouraging to note that the national joint Record in England, Wales and Malawi Joint records have shown that a hip replacement is a Effective treatment for patients with multiple diseases That includes AIDS without increasing the risk Early mortality rate after surgery compared to patients who do not have AIDS. Many remedies during the life of this book Invented, widely used, found Ineffective or suboptimal and then It has lost a lot of its popularity.
 Examples include arthroscopic debridement for osteoarthritis of the knee, Metal-to-metal hip replacement
Distal ulnar arthroplasty. It is important to We continue to question the effectiveness of existing systems and new treatments. In a world where global needs are increasing Orthopedic surgery must prove its effectiveness and profitable. Since 1959, the world population has been exceeded It has doubled to over 7 billion people and is aging significantly. Life expectancy at birth is now 80 years Europe and 74 years in Asia. It's not fixed yet Inequality: For example, Japan has a life expectancy 83 at birth compared to 57 in the South
Africa - But these differences are getting smaller. It is expected By 2050, 4% of the world's population (but 16% of Japan's population will be over 80 years old
Age. Between 2010 and 2050 In most cases, the population over the age of 65 will double countries, and is expected to be 5% 11% in South Africa, 5% to 13% in India and 17% 36% in Spain. Orthopedics continues to be a relevant discipline
They are constantly tackling the burden of major illnesses in the world. But the nature of care has changed Much less load on the chronic musculoskeletal system
Increasing prevalence of infections and joint pain today Mainly an alternative to the regressive state.
 World Health Organization estimates 10% 18% of men and women are over 60 years old Osteoarthritis is a symptom of the entire knee and the entire knee Pelvic replacement is currently the second and third most common
Selective surgical procedure performed in Developed country. For example with England Wales, population is about Waist and knees of 55 million, 170,000 or more An annual exchange will take place. to deliver Arthroplasty is very different with 226 knee replacements Per 100,000 people per year In the USA compared to loneliness 3 per 100,000 people in neighboring Mexico.
  Increasingly, the results of common procedures, Such as arthroplasty and fixation of femoral neck fractures, Controlled by the National Register A wide range of countries and health care institutions. this one It is encouraging to see even such low-income countries Malawi has created an implant registration that: Provide clinically important data if outbreaks Infectious diseases are declining in low-income countries And more people live and more health resources Will be dedicated to the treatment of long-term disorders The elderly, such as osteoarthritis. Accidents and disasters continue to play a significant role Care load More than 1.25 million people died
Every year around the world due to traffic accidents. Most of these occur in Asia. millions You get more serious injuries. Road Traffic Injuries Accidents are the third leading cause of illness among adult men. Orthopedic treatment is the most important. The importance of effective and fast returns The patient should be as close to the injury site as possible. By maintaining status, you let them participate fully In the community.

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