By Prof. Dr. med. Maurice E. Müller, Prof. Dr. med. Martin Allgöwer, Prof. Dr. med. Robert Schneider, Prof. Dr. med. Hans Willenegger (auth.)
The first a part of this handbook bargains with the experimental and clinical foundation and the rules of the AOjASIF approach to good inner fixation. It bargains with the functionality and major use of the various AO implants, using the several AO tools, and with the necessities of the operative strategy and of postoperative care. It additionally discusses the dealing with of an important postoperative problems. the second one half offers at size with the AO concepts for the operative remedy of the most typical closed fractures within the grownup. This has been prepared in anatomical series. The dialogue of the closed fractures is via a discus sion of open fractures within the grownup, then via fractures in kids and at last by means of pathological fractures. The 3rd half provides, in a condensed type, the appliance of strong inner fixation to reconstructive bone surgical procedure. 1 common concerns 1 goals and primary ideas of the AO procedure the executive target of Fracture therapy is the total restoration of the Injured Limb In each fracture there's a mix of wear to either the tender tissues and to bone. instantly after the fracture and through the section of fix, we see convinced neighborhood circulatory disturbances, yes manifestations of neighborhood irritation, in addition to discomfort and reflex splinting. those 3 components, that's, circulatory disturbances, irritation and ache, whilst mixed with the defunctioning of bone, joints and muscle, lead to the so-called jl'acture disease.
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Extra resources for Manual of Internal Fixation: Techniques Recommended by the AO Group
The green ring indicates a compression of 50 kp and the red ring a compression of 120 kp. In order to achieve distraction simply turn over the hook. c Drill guide for the tension devices. Fig. 32 Use of the tension device. 2-mm drill hole I cm from the fracture. Measure the depth. Tap the thread and reduce the fracture. Screw the plate down with a pre-selected cortical screw. Hold the reduction with a self-centring bone-holding clamp. 2-mm hole, which will be used to fIx the tension device to bone.
0-mm cancellous screws used for fixation of the avulsed anterior syndesmotic ligament from the tibia with its tubercle of bone, the tubercle of Chaput. 0-mm cancellous screw used for fixation of epiphyseal fracture of the distal tibia (type B2, see Fig. 273). f Malleolar screws used for fixation of an oblique fracture of the medial malleolus. , Note that the screw ~raverses the bone obliquely in two planes and its tip protrudes through the cortex (see Fig. 246 b). h A malleolal screw used for fixation of the vertical component of a Y supracondylar fracture of the distal humerus.
The fracture is elevated and the defect bone grafted. Thereafter the fracture is buttressed with a T-buttress plate. This plate is not placed under tension but under compression. 1 Round Hole Plates For 15 years, lag screws, the round hole plates, and the tension device were the most important implants of the AO used to secure rigid internal fixation with compression. Then we introduced the spherical screw head and the self-compressing plate (DCP). In 1977 we modified the screw holes in the small round hole plate.
Manual of Internal Fixation: Techniques Recommended by the AO Group by Prof. Dr. med. Maurice E. Müller, Prof. Dr. med. Martin Allgöwer, Prof. Dr. med. Robert Schneider, Prof. Dr. med. Hans Willenegger (auth.)