L'OSTÉO-SYNTHÈSE MÉTALLIQUE DANS LES FRACTURES DIAPHYSAIRES: étude expérimentale et anatomo-pathologique, applications pratiques à la chirurgie humaine - Robert Frantz
Cunéo, Bernard (pref.)
- L'OSTÉO-SYNTHÈSE MÉTALLIQUE
DANS LES FRACTURES DIAPHYSAIRES:
étude expérimentale et anatomo-pathologique,
applications pratiques à la chirurgie humaine,
Paris: Masson et Cie, 1929.
190, (42) p.: il. ; 26 cm - Brochado.
Pequena mancha no topo superior da capa frontal e dobra na parte inferior da mesma; parte final da obra contém um catálogo de outras obras do editor com 42 páginas não numeradas; miolo muito limpo.
This is a record of experiments on dogs to ascertain the effect of various metallic contrivances used in the operative treatment of fractures. They are concerned mainly with the form of the apparatus rather than with the nature of the metal. Eleven dogs were operated upon ; in four the bone was not fractured, but a screw, a Lambotte plate and screws, CunCo’s staple and wire, and a Hallopeau plate fixed by Parham’s bands were used respectively. The histological results are described in considerable detail and show that the compact bone in the region of the metal undergoes rarefaction, and that if the medulla is reached a marked fibrous reaction occurs round the metal.
In the other seven dogs the bone was broken and then fixed in various ways. Three of these cases did not heal satisfactorily, so that only four dogs with six fractures were available for study, there being two fractures treated with Cun6o’s staple and wire, Hallopeau’s plate with Parham’s bands, and Contremoulin‘s perforated aluminium-bronze sleeve respectively.
The deductions drawn are that the fragments should be securely fixed and that the apparatus should spread its force over a considerable area of bone so that the pressure should not be too great at any one point, and that for this purpose the Contremoulin sleeve is best adapted.
The first point has already been decided by much experience in the treatment of fractures in man, and the evidence in these experiments is insufficient to show that any one of the methods here used is the best. With regard to the second point, the Contremoulin sleeve undoubtedly secures a wide area of application, and does not, unless too tightly applied, damage the underlying bone and medulla, but it
does limit the formation of the external callus opposite the fracture. - British Journal of Surgery, 1930.
Bom exemplar.
Invulgar.
1ª edição
€25.00
Iva e portes incluídos.