It is with pleasure that we offer these introductory remarks for the Manual of Internal Fixation in the Horse, a book describing a further application of AO or ASIF techniques. The letters A-O stand for the Arbeitsgemeinschaft fUr Osteosynthesefragen and have been trans lated into the Association for the Study of Internal Fixation. The organization is truly a "study group", created in Switzerland, that met for the first time in 1958. The major goal was to establish a task of fracture treatment by force committed to the improvement osteosynthesis. The group's motivation arose out of the then prevailing unsound or inconsistently successful attempts at fracture treatment. According to statistics obtained from the Swiss National Health Insurance Program at the time, the so-called conservative treatment of fractures had resulted in a high rate of persistent morbidity. The problems encoun tered included: irreparable damage due to long-term immobilization; delayed union or pseudoarthrosis; malalignment; and, inadequate reduction of intraarticular fractures with resultant osteoarthritis. Accurate, stable osteosynthesis seemed the only practical way to address those various shortcomings. However, many of the osteosyn theses performed at that time had led to new problems, since most were not stable and, in some cases, actually worked to prevent healing.
Sprache
Verlagsort
Verlagsgruppe
Zielgruppe
Illustrationen
Gewicht
ISBN-13
978-3-540-10096-6 (9783540100966)
DOI
10.1007/978-3-642-81469-3
Schweitzer Klassifikation
I.- 1. Basic Principles of Fracture Treatment.- 1.1 Accurate Reduction of the Fracture Fragments.- 1.2 Stable Internal Fixation.- 1.3 Soft-Tissue Problems.- 1.4 Early Return to Full Function.- 2. General Techniques and Biomechanics of Internal Fixation.- 2.1 Screw Fixation.- 2.1.1 Drilling Holes in Bone.- 2.1.2 Types of Screws.- a) Cancellous Screws.- b) Cortical Screws.- 2.1.3 Position of the Screws.- 2.2 Plate Fixation.- 2.2.1 Types of Plates.- a) Round Hole Plate.- b) Dynamic Compression Plate.- 2.2.2 Mechanics of Plate Fixation.- 2.3 Cerclage.- 3. Preoperative, Operative, and Postoperative Considerations.- 3.1 Preoperative Considerations.- 3.1.1 Protection and Transport of the Injured Patient.- 3.1.2 Preparation of the Patient for Surgery.- 3.1.3 Anesthesia.- 3.1.4 Positioning of the Patient.- 3.2 Operative Considerations.- 3.2.1 Aseptic Technique.- 3.2.2 Instrumentation.- 3.3 Postoperative Considerations.- 3.3.1 Drainage.- 3.3.2 External Fixation.- 3.3.3 Medication.- 3.3.4 Exercise.- II.- 4. Fractures Amenable to Treatment by Lag Screw Fixation.- 4.1 Carpal Fractures.- 4.2 Metacarpal Fractures.- 4.2.1 Stress Fractures ("Saucer" or "Tongue" Fractures).- 4.2.2 Condylar Fractures.- a) Displaced.- b) Non-displaced.- 4.3 Sesamoid Fractures.- 4.4 First Phalangeal Fractures.- 4.5 Third Phalangeal Fractures.- 5. Plate Fixation.- 5.1 Olecranon Fractures.- 5.2 Arthrodeses.- 5.2.1 Proximal Interphalangeal Joint Arthrodesis.- 5.2.2 Metacarpophalangeal Joint Arthrodesis.- 5.3 Comminuted Fractures of the First Phalanx.- 6. Growth Plate Retardation.- 6.1 Distal Radius.- 6.2 Distal Metacarpus and Metatarsus.- 7. Bone Grafting.- General References.
