Undrilled humeral nailing by Jochen Blum ISBN 9783540670957
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Undrilled humeral nailing by Jochen Blum ISBN 9783540670957

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Undrilled humerus nailing by Jochen Blum

After the influence of undrilled nailing for the femur and tibia, it seemed logical and consistent to apply this biologically and pathophysiologically advantageous principle to the humeral shaft as well. The principle of nailing was not unknown in the humerus shaft until now, but did not find the widespread approval that can now be observed in the femur and tibia. 1m On the contrary - both the indication for surgery and the choice of surgical procedure are still the subject of lively and controversial discussion today. The demand for biological osteosynthesis, especially for surgical approaches that are far removed from fractures and techniques that spare soft tissue, makes the various intramedullary procedures for the humeral shaft more attractive in terms of attractiveness. On the other hand, the criticism of their stability, especially rotational stability, should not be trivialized, especially in comparison to plate osteosynthesis. The development of a new intramedullary nail system for the humeral shaft fracture, the undrilled humeral nail (UHN), with static locking options, promises to address this criticism. The purpose of this study is to answer the questions that arise, especially for the clinician, regarding the stiffness of the intramedullary nail system in the bone, i. e. its stabilizing potential in the case of a humeral shaft fracture. In addition to the core biomechanical studies, initial results in the handling of this new intramedullary nail system and the complications of the first insertions of the nail in everyday surgery are presented. A critical discussion should in particular work out the range of indications of the nail from the point of view of clinical and biomechanical experience and its illumination in the context of current scientific literature. This manuscript corresponds fundamentally to the habilitation thesis of the first author, which was submitted to the Medical Faculty of the Johannes Gutenberg University Mainz in 1998.

Book details

ISBN 13 9783540670957
ISBN 10 3540670955
Author Jochen Blum
Series Hefte Zur Zeitschrift Der Unfallchirurg Ser
Condition New
Binding Type Paperback
Publisher Springer
Year published 2000-06-15
Number of pages 120
Cover note Book picture is for illustrative purposes only, actual binding, cover or edition may vary.

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