Dynamic Osteosynthesis by Rh Gahr (ISBN-13: 9783540589747)
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Dynamic Osteosynthesis by Rh Gahr (ISBN-13: 9783540589747)

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Dynamic Osteosynthesis by Rh Gahr

Professor Gerhard Kuntscher appeared before the German Society for Surgery in 1940 and presented his results of intramedullary nailing for the treatment of fractures to the general public for the first time. The overwhelming rejection of intramedullary nailing before the scientific forum was compensated for by its success during the war years, and the eloquent criticism of the epochal surgical technique was transformed into an unexpected worldwide recognition of the method. In the post-war years, the osteosynthesis technique of fractures was shaped by the dogma of rigid stable osteosynthesis. The Kuntscher technique was once again pushed into the background. The old argument against intramedullary nailing, the destruction of the intramedullary blood supply, was discussed by KΓΌntscher's opponents just as fiercely as the danger of X-rays during fluoroscopy. However, the pendulum of osteosynthesis technology returned to Kuntscher's biological operation. The clinical results showed high failure rates for rigid osteosynthesis and bone loss under the plate, but biological callus with the nail. Under this impression, intramedullary nailing was technically perfected. New techniques - developed by KΓ€smann, as well as by Klemm and Schellman, as well as by Grosse and Kempf - opened up treatment indications that were not accessible to the classic Kuntscher nail and led to a renaissance of intramedullary nailing and to the revival of the idea of natural dynamic bone fracture healing. The International Association for Dynamic Osteosynthesis (ALO. D.) recognized Kuntscher's core ideas earlier than others, expanded them further, and developed osteosynthesis processes in the sense of Kuntscher for long long bones.

Book details

ISBN 13 9783540589747
ISBN 10 3540589740
Author Rh Gahr
Condition New
Binding Type Paperback
Publisher Springer
Year published 1995-07-12
Number of pages 289
Cover note Book picture is for illustrative purposes only, actual binding, cover or edition may vary.

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