The last chapter deals with approaches for external pin fixation in long bones through “safe zones” which is helpful for the students and surgeons while applying external fixators. Another shortcoming of the book is, that the authors have only explained the exposures of the part and have failed to highlight special points on the closure and repair of divided structures. Though these plane diagrams are very illustrative they fail to provide depth to the dissections, colour plates could have been added to make it more realistic. Every step has been explained by linear and shaded drawings, there are in all 864 diagrams. The description of regional approach ends with surgical anatomy of the part. At the end of each approach, how to enlarge the incision, often the dilemma of a young surgeon has been discussed either by employing local measures like detaching the muscles or repositioning of retractors or by extensile approaches. The possible dangers of dissection during the approach to the nerves, vessels, muscles and tendons have been explained and how to avoid them. The authors of this book have tried to explain every approach in a very methodical way by describing the indication, position of the patient, land marks, incision, superficial and deep dissection. Though this book does not describe all the approaches in an extremity, the commonly used incisions have been well described.
This book has thirteen chapters, each dealing with particular part of the body. The surgical exposure of the part in orthopaedic surgery is next important to the procedure itself and sound anatomical knowledge forms the basis for the right approaches.
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