Download Intramedullary Nailing: A Comprehensive Guide by Pol M. Rommens, Martin H. Hessmann PDF

By Pol M. Rommens, Martin H. Hessmann

This booklet contributes to the enhancement of primary and useful wisdom within the therapy of fractures, therapeutic disturbances and bone problems with intramedullary nailing. It promotes this organic and mechanical striking approach for applicable symptoms and ameliorate the traditional of take care of these sufferers, who can take advantage of intramedullary nailing. Orthopedic trauma surgeons from world wide, who paintings within the such a lot diverse conditions and with the main varied technical and logistical gear, will locate this e-book to be an important source and advisor for his or her day-by-day perform with intramedullary nailing.

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1918–1919;6:203–47. 10. Schöne G. Zur Behandlung von Vorderarmfrakturen mit Bolzung. Münch Med Wschr. 1913;60:2327–8. 11. Burghard FF. A system of operative surgery. London: Oxford University Press; 1914. 12. Lilienthal H. Fracture of the femur: open operation with introduction of intramedullary splint. Ann Surg. 1911;53:541–2. 13. Müller-Meernach O. Die Bolzung der Brüche der langen Röhrenknochen. Zentralbl Chir. 1933;29:1718–23. 14. Küntscher G. The marrow nailing method. Schönkirchen: Stryker Trauma GmbH; 1947.

This bending has been modified by the AO in the late 80s -“AO bending”- by distalization of the bending point in order first to lengthen the cortical contact of the nail along the upper anterior cortex of the tibia and second to facilitate nail insertion into the cavity. Some rigid tibial nails have minor distal anterior bending, again in order to let the nail better glide into the cavity. For the humerus, there are two different rigid nail designs available: the straight and the bent ones. Lateral bending in the upper portion intends to allow an entry point located between the articular surface of the humeral head and the rotator cuff insertion.

Interlocking solves the secondary problem of loss of length and of torsional displacement in unstable fracture types. Enforcement of the interlocking construct by an increased number, angular stability and three-dimensional arrangement of the locking screws widens the indication of intramedullary nailing to meta-diaphyseal and even simple intraarticular fractures. The application of an artificial (non-cortical) point of support to the short fragment of a meta-diaphyseal fracture solves the problem of closed reduction by means of the nail itself.

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