Small Fragment Set Manual

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Small Fragment Set Manual

Author: U. Heim
language: en
Publisher: Springer Science & Business Media
Release Date: 2012-12-06
The rapid development in the surgical treatment of fractures during the past 9 years has necessitated considerable modifications to the first edition of this book. Numerous new implants and instruments are presented in this, the second edition. In 4.0-, 3.5- and 2.7-mm screws the hexagonal socket has definitively superseded the Phillips head, while mini-implants have been modified and a 1.5-mm screw introduced. A number of new plates and implants have been introduced and have long since proved their value. At the same time new techniques, described here, have been developed and applied. The tension-band wire is included, despite the fact that it does not consist of specific AO implants, and use of the Kirschner wire is also illustrated and emphasized whenever the authors consider that this simple method is still the best available. Alterations in the organization of the book have been necessary: the shoulder, the forearm and the knee are treated in separate chapters, and other sections have been extended. With regard to clinical-radiological examples, new typical situations are described and documented. The case studies from the first edition have been recontrolled in all instances in which it was feasible to do so. In this way many valuable late results, 9-12 years after internal fixation, were obtained. We found that almost all joints had remained stable after healing of an articular fracture; so-called late arthrosis is rare in the peripheral skeleton.
Special Techniques in Internal Fixation

Author: C. F. Brunner
language: en
Publisher: Springer Science & Business Media
Release Date: 2013-03-14
and refinement that exists within the necessarily strict rules of the internal fixation method. In this way we seek to contribute to as weIl as to stimulate the search for rational solutions to surgical problems. It is assumed throughout that the reader is fa miliar with the technical fundamentals of internal fixation, and so these details are omitted. Instead, special indications and technical refinements are presented on the basis of case examples. Because an endless variety of situations can arise in orthopedic surgery (a circumstance that is attracting more and more surgeons to the field), we have taken ca re that our examples can readily be applied to novel situations. We now credit, in alphabetic order, those who contributed most to the techniques presented: R. BLATTER, A. BOITZY, C. BRUNNER, O. CECH, A. DEBRUNNER, F. MAGERL, G. SEGMÜLLER, G. STÜHMER, and B.G. WEBER. We thus express thanks to those colleagues in our clinic who agreed to having their ideas published. But we are also grateful to our illustrators, H. and K. SCHUMACHER, our photographer, M. SCHAFFNER, and our chief secretary, U. OETLIKER, who contributed so much to the preparation of the manuscript. Finally, we thank Springer-Verlag for their patience with us and especiaUy for their efficient work in bringing the book to press. St. GaU, Fall 1981 CH.F. BRUNNER B.G. WEBER Contents Lag Screws ............. .
Internal Fixation of Small Fractures

Author: Urs Heim
language: en
Publisher: Springer Science & Business Media
Release Date: 2012-12-06
The second English-language edition of the Small Fragment Set Manual was enthusiastically received and quickly went into a second printing. In preparing a third edition, we found it necessary to revise the text extensively and partly restructure it. The reasons for this are numerous. Experience of recent years has brought technical refinements in the operative treatment of many types of small fracture. Many of these changes stem from the small-fragment-set training programs conducted in Switzerland since 1980, and also from courses and symposia that have been held in other European countries and the United States. These events were occasions for a fruitful ex change of experience with surgeons who were critical of our methods. As a result of this exchange, we perceived a need both to revise our indications and to give greater attention to alternative techniques. We also felt it necessary to respond to criticisms of the first two editions concerning the catalog-like instrument lists and illustrations, and the attention given to fundamental techniques. Many surgeons who work or would like to work with small implants, especially those practicing abroad, are inexperienced in operations on the larger bones. It is imperative that these colleagues be given a basic introduction to the "biomechanical thinking" of the Swiss Association for the Study of Internal Fixation (ASIF).