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Titlebook: Manual of INTERNAL FIXATION; Techniques Recommend Maurice E. Müller,Martin Allgöwer,Hans Willenegger Book 19913rd edition Springer-Verlag B

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楼主: 使无罪
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Acetabulum,Displaced fractures of the acetabulum usually lead to disabling post-traumatic arthritis if the joint is not accurately reduced by open reduction and internal fixation (ORIF). For the fracture surgeon, acetabular fractures pose some of the most difficult technical problems. These difficulties include:
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The Spine,The fundamental aim of fracture treatment in the limbs and the spine is the same: the restoration of normal anatomy and painfree function by anatomic reduction, optimal stabilization, atraumatic operative technique and early mobilization. A specific goal is the return of as much function as possible of the injured neural elements.
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Fractures in Children,The treatment of fractures in children is fundamentally different from that in adults, since only a few fractures require operative intervention (Fig. 18.1).
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Basic Aspects of Internal Fixation,we see local circulatory disturbances and manifestations of local inflammation, as well as pain and reflex immobilization. These three factors, circulatory disturbance, inflammation, and pain, a result of dysfunction of joints and muscles, lead to the so-called fracture disease (Lucas-Championniere 1907).
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Preoperative Planning and Principles of Reduction, of planning are twofold; first, to determine the “desired end result” with a tracing, preoperatively, of the X-rays at the completion of the procedure, and second, to develop the “ surgical tactic” which defines the operative steps and their order.
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