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Manual of Orthopaedics

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The sixth edition of the Manual of Orthopaedics continues the recent trend of altering the content and the format to be of greater use to a wider audience of students and practicing physicians. This is the second edition which uses this title, which was changed from the Manual of Acute Orthopaedic Therapeutics with the fifth edition. The title change reflected a new direction for the manual. The introduction will conclude with a list of new features in the sixth edition. It is worthwhile to review the history of this useful тАЬspiral notebookтАЭ to place the continuing changes within the context of history.

The Manual of Acute Orthopaedic Therapeutics was the creation of Dr. Larry Iversen who worked out its basic framework and conceptualization with his orthopaedic mentor, Dr. D. Kay Clawson. Dr. Iversen was at the time a senior resident working closely with Dr. Clawson, who was the first professor and Chairman of the Department of Orthopaedic Surgery at the University of Washington. The orthopaedic services at the University Hospital and King County Hospital (later renamed Harborview Medical Center) were active and focused mainly around the management of injured patients. Drs. Clawson and Iversen saw the need for a manual that would improve teaching and patient care in these institutions. These were days when the management of long bone fractures was in transition from traction and casting to operative techniques, and the University of Washington Orthopaedic department was at the forefront with wonderful, dedicated, and creative clinicians like Drs. Robert Smith and Sigvard Hansen. Care was primarily delivered by junior house staff, interns, and students, and they needed information readily at hand. Therefore, the manual provided the тАЬhow-to'sтАЭ for traction, casting, and pre- and postoperative care while explaining the rationale for treatment decisions and providing an excellent reference list for later review and in-depth study. This manual was a labor of love for Drs. Iversen and Clawson; the two would often work on the manuscripts for three straight weeks seated around the dining room table in Dr. Clawson's home. Little Brown publishers liked the concept of the book and added it to its growing list of subspecialty spiral manuals; the book enjoyed broad acceptance.
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