Internal Fixation of Small Fractures: Technique Recommended by the Ao-Asif Group

ISBN-13: 9783642726163 / Angielski / Miękka / 2011 / 396 str.

Urs Heim; Karl M. Pfeiffer; K. Oberli

Opis

The second English-language edition of the Small Fragment Set Manual was enthusiastically received and quickly went into a second printing. In preparing a third edition, we found it necessary to revise the text extensively and partly restructure it. The reasons for this are numerous. Experience of recent years has brought technical refinements in the operative treatment of many types of small fracture. Many of these changes stem from the small-fragment-set training programs conducted in Switzerland since 1980, and also from courses and symposia that have been held in other European countries and the United States. These events were occasions for a fruitful ex change of experience with surgeons who were critical of our methods. As a result of this exchange, we perceived a need both to revise our indications and to give greater attention to alternative techniques. We also felt it necessary to respond to criticisms of the first two editions concerning the catalog-like instrument lists and illustrations, and the attention given to fundamental techniques. Many surgeons who work or would like to work with small implants, especially those practicing abroad, are inexperienced in operations on the larger bones. It is imperative that these colleagues be given a basic introduction to the "biomechanical thinking" of the Swiss Association for the Study of Internal Fixation (ASIF)."

Spis treści

I. History and Goals.- General Section.- II. Implants and Instruments.- 1. Screws.- 2. Plates.- 3. Additional Implants.- 4. The Small External Fixator.- 5. Instruments.- 6. Instrument Cases.- 7. Mini Compressed Air Machine.- III. General Techniques for the Internal Fixation of Small Fractures.- 1. Basic Principles.- 2. Interfragmental Compression with Lag Screws.- 3. Tension-Band Wires.- 4. Axial Interfragmental Compression with a Plate.- 5. Neutralization Plates.- 6. Buttress Plates.- 7. Combined Internal Fixation Using Small and Large Implants.- 8. Multiple Fractures.- 9. Operative Technique with Special Plates.- 10. Open Fractures.- 11. Small External Fixator — Technique and Indications.- IV. Preoperative, Operative, and Postoperative Guidelines.- V. Removal of Implants.- VI. Autogenous Bone Grafts.- VII. Reconstructive Surgery.- VIII. Introduction and Overview.- Special Section.- IX. The Shoulder Girdle.- 1. Clavicle.- 2. Scapula.- 3. Proximal Humerus.- 4. Illustrative Clinical X-Rays.- X. The Elbow.- 1. Distal Humerus.- 2. Radial Head.- 3. Olecranon.- 4. Illustrative Clinical X-Rays.- XI. The Shafts of the Radius and Ulna.- XII. The Wrist and Carpus.- 1. Distal Radius.- 2. Distal Ulna.- 3. Scaphoid (Navicular).- 4. Other Carpal Bones.- 5. Arthrodesis of the Wrist.- 6. Illustrative Clinical X-Rays.- XIII. The Hand.- A. Introduction.- B. Injuries of the First Ray.- 1. Fractures of the Base of the First Metacarpal.- 2. Distal Fractures of the First Ray.- 3. Secondary Operations on the First Ray.- 4. Illustrative Case Reports and X-Rays.- C. Injuries of the Second through Fifth Rays.- 1. Approaches.- 2. Fractures of the Second through Fifth Metacarpals.- 3. Articular Fractures.- 4. Fractures of the Phalangeal Shafts.- 5. Secondary Operations on the Second through Fifth Rays.- 6. Fixation Techniques for Complex Injuries and Amputations of the Hand.- 7. Illustrative Case Reports and X-Rays.- XIV. The Knee.- 1. Patella.- 2. Tibia.- 3. Ligament Repairs.- 4. Lateral Avulsion Fractures (Femoral Condyle, Fibular Head).- 5. Osteochondral Fractures.- 6. Secondary Operations.- 7. Illustrative Case Reports and X-Rays.- XV. The Tibial Shaft.- XVI. The Ankle Joint.- A. Distal Intra-Articular Fractures of the Tibia.- 1. Split Fractures without a Cancellous Bone Defect.- 2. Simple Depressed Fracture.- 3. Complex Fractures with a Cancellous Bone Defect.- 4. Secondary Operations.- 5. Illustrative Case Reports and X-Rays.- B. Malleolar Fractures.- 1. Classification and Patient Selection.- 2. Internal Fixations and Ligament Repairs on the Lateral Side.- 3. Internal Fixations on the Medial Side.- 4. Aftertreatment.- 5. Secondary Operations after Malleolar Fractures.- C. Fractures of the Talus.- D. Illustrative Case Reports and X-Rays.- XVII. The Foot.- 1. Calcaneus.- 2. Tarsal Navicular.- 3. Cuneiforms and Cuboid.- 4. Dislocations and Fracture-Dislocations.- 5. Fractures of the Metatarsal Shaft and Neck.- 6. Fractures of the Fifth Metatarsal.- 7. Fractures of the Big Toe.- 8. Secondary Operations on the Forefoot.- 9. Illustrative Case Reports and X-Rays.- XVIII. Special Indications.- 1. Internal Fixations in Children.- 2. Use of the SFS in Rheumatoid Surgery.- 3. Illustrative Case Reports and X-Rays.- References.