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During the past 30 years, the Study Group for the Problems of Osteosyn thesis (AO) has made decisive contributions to the development of osteo synthesis as a surgical method. Through close cooperation among special ists in the fields of orthopedic and general surgery, basis research, metallurgy, and technical engineering, with consistently thorough follow up, it was possible to establish a solid scientific background for osteosyn thesis and to standardize this operative method, not only for the more ob vious applications in fracture treatment, but also in selective orthopedics where hardly any problems relating to bone, such as those with osteoto mies can be solved without surgical stabilization. Besides the objective aim, the AO was additionally stimulated by a spirit of open-minded friendship; each member of the group was recruited according to his pro fessional background and position, his skills, and his talent for improvisa tion. Against this backdrop without even mentioning the schooling program well known throughout the world I should like to add some personal and general comments. This book is written for clinicians, instructing them how to perform osteo synthesis with special reference to plating in all its varieties and in strict accordance with the biomechanical and biological aspects and facts. From this point of view, the chapter on preoperative planning merits par ticular emphasis. Not only is it conductive to optimal surgery, it will also contribute to self-education and may found a school.
E-Book Content
Planning and Reduction Technique in Fracture Surgery
J.Mast R.Jakob R.Ganz
Planning and Reduction Technique in Fracture Surgery Foreword by H. Willenegger
With 130 Figures in 782 Separate Illustrations
~ Springer
Jeffrey Mast, MD, Associate Clinical Professor Department of Orthopedic Surgery Wayne State University, Hutzel Hospital 4707 St. Antoine Blvd., Detroit, MI 48201, USA Roland Jakob, MD Department of Orthopedic Surgery University of Berne, Inselspital CH-3010 Berne, Switzerland Reinhold Ganz, MD, Professor Director, Department of Orthopedic Surgery University of Berne, Inselspital CH-3010 Berne, Switzerland
Illustrations by Jan Piet Imken Illustrator, Laboratory for Experimental Surgery CH-7270 Davos Platz, Switzerland
ISBN-13: 978-3-642-64784-0 DOl: 10.1007/978-3-642-61306-7
e-ISBN-13: 978-3-642-61306-7
Library of Congress Cataloging-in-Publication Data Mast, J. (Jeffrey) 1940- Planning and reduction technique in fracture surgery / J.Mast, R.Jakob, R.Ganz. Bibliography: p. Includes index. 1. Fractures-Surgery. I. Jakob, Roland. II. Ganz, R. III. Title. [DNLM: 1. Fractures-surgery. WE 175 M423p) RD101.M365 1989 61T.15-dc19 DNLM/DLC 88-24958 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. © Springer-Verlag Berlin: Heidelberg 1989 Softcover reprint of the hardcover 1st edition 1989
Printed on acid-free paper
"I get by with a little help from my friends" "The Beatles" (by John Lennon and Paul McCartney, 1967)
VII
Foreword