This edition contains changes in most sections to reflect the continuous expansion of the use of internal fixation in the treatment of fractures. To give further assistance in the general assessment of fractures, the text includes the AO classification of long bone fractures, Tile's classification of pelvic fractures, Gustilo's classification of open fractures, trauma scoring, the use of the Mangled Extremity Severity Score, and the Glasgow Coma scale. New material is included on a variety of subjects, ranging from gunshot wounds to injuries associated with child abuse.