By Jeffrey Mast MD, Roland Jakob MD, Reinhold Ganz MD (auth.)

During the previous 30 years, the learn workforce for the issues of Osteosyn­ thesis (AO) has made decisive contributions to the improvement of osteo­ synthesis as a surgical strategy. via shut cooperation between designated­ ists within the fields of orthopedic and normal surgical procedure, foundation study, metallurgy, and technical engineering, with regularly thorough persist with­ up, it used to be attainable to set up an effective clinical historical past for osteosyn­ thesis and to standardize this operative procedure, not just for the extra ob­ vious functions in fracture remedy, but additionally in selective orthopedics the place not often any difficulties when it comes to bone, akin to people with osteoto­ mies could be solved with out surgical stabilization. along with the target objective, the AO used to be also influenced through a spirit of open-minded friendship; each one member of the crowd used to be recruited in line with his professional­ fessional heritage and place, his abilities, and his expertise for improvisa­ tion. by contrast backdrop with out even declaring the tuition application popular during the international I may still wish to upload a few own and basic reviews. This publication is written for clinicians, teaching them the right way to practice osteo­ synthesis with targeted connection with plating in all its forms and in strict accordance with the biomechanical and organic facets and evidence. From this viewpoint, the bankruptcy on preoperative making plans benefits par­ ticular emphasis. not just is it conductive to optimum surgical procedure, it is going to additionally give a contribution to self-education and should came across a school.

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The projection of the deformity on the AP view is drawn with a 10° angulation displacement medialward. Likewise, in the mediolateral axis at 5 cm from the intersection of the coordinates a 20° deformity is drawn with its displacement anteriorly. Where the hypotenuses cross the coordinat~s, a rightangled projection is constructed running anterior from the AP view and medial from the lateral view. From the point at which these two projections intersect, a line is drawn to the intersection of the coordinates.

0 Final X-ray after metal removal at 134 weeks. Traces of previous internal fixation are still evident. This patient had a subsequent trauma with a tension fracture of the lateral femoral cortex. This problem was treated by closed nailing 29 30 Fig. 7. a, b AP and oblique views of a closed comminuted femoral shaft fracture associated with a tibial plateau fracture. The femoral shaft fracture extends down into the intercondylar notch with displacement of the lateral condyle. c, d Tracing of the fracture in the frontal and sagittal planes.

12) and fixed by one or two screws to the distal fragment. When distraction is complete, the Verbrugge clamp is tightened and the laminar spreader is removed. A no. 0 or no. 3, pages 61,62 Fig. 4, page 63 Fig. 5, page 64 Fig. 6, pages 65, 66 Fig. 7, page 67 Fig. 8, page 68 Fig. 9, page 69 Fig. 12, page 72 52 placed such that its broad plate - holding end embraces the screwhead and the pointed end is placed in the distal hole of the plate. By closing the clamp the fractures can be coapted. The compression is then achieved by the usual method by means of the DC holes or by eccentric loading of a one-half or one-third tubular plate.

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