By Neil E. Green MD, Marc F. Swiontkowski MD
This absolutely revised and up-to-date pediatric spouse to SKELETAL TRAUMA, third variation, offers the main complex suggestions for coping with musculoskeletal accidents in childrens and teens - emphasizing the epidemiology, mechanisms, administration, and demanding situations exact to this inhabitants. the world over well-known authors current assurance of development and improvement, pathology, issues, baby abuse, and virtually each attainable harm from head to foot. This third version contains the newly built means of utilizing versatile intramedullary nails within the administration of fractures to the femur and tibia. a brand new bankruptcy on anesthesia presents a broader standpoint on surgical administration.
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Extra resources for Skeletal Trauma Basic Science, Management and Reconstruction
4 Inspired by these words, Keetley produced a device to hold the femur out to length in cases of oblique fracture. ‘‘A Print Graphic Print Graphic Presentation Presentation FIGURE 1–18. The griffe me´ tallique, or claw, of Malgaigne (1843). FIGURE 1–20. Chassin’s clavicular fixator (1852). Copyright © 2003 Elsevier Science (USA). All rights reserved. CHAPTER 1 • The History of Fracture Treatment 19 Print Graphic FIGURE 1–21. The external fixation device invented by Keetley of the West London Hospital, England— probably the first to be drilled into the substance of the bone.
In 1916 the death rate from gunshot wound of the femur was 80% in the British army. Thereafter it became policy to use the Thomas splint, with fixed traction applied via a clove hitch around the booted foot, before transportation to the hospital. Robert Jones reported in 1925 that this simple change of policy resulted in a reduction of the mortality rate to 20% by 1918. With progressive understanding of bacterial contamination and cross-infection after the pioneering work of Pasteur, Koch, Lister, and Semmelweis; the use of early splintage, as learned by the British forces in World War I; and the application of open-wound FIGURE 1–11.
He was dispatched as head of the medical office at the German Military Surgical Hospital in Kemi, northern Finland.