微创接骨技术课案.ppt

Study principles rather than methods. A mind that grasps principles will devise its own methods. 适应症 正确使用 微创接骨技术 Thank you for attention ! * The so-called ?femur room“ in B?hler‘s military hospital in Bozen during World War I * Extract from: Maurice E. Müller. A personal tribute by Joseph Schatzker. AO Dialogue, issue 4, December 2006 “In May of 1950, he (M.E.M.) paid a visit to Robert Danis in Belgium. This would prove to be the most important visit of his life. In Belgium Maurice saw absolute stability achieved with compression, he saw the healing of bone without radiologically evident callus, and above all he saw the benefit of immediate mobilization which led to full functional recovery. What Maurice saw made a huge impression. Many surgeons had come to visit Danis but returned empty handed, blind to all what they had seen. Maurice immediately grasped the full significance of these radically new concepts. The visit to Danis laid the foundation for his future principles of osteosynthesis.” Extract from interview with Maurice Müller for Ma?trise Orthopédique (): M.E.M. During my first period at the Balgrist in 1945 I wrote a thesis on the 25-year outcome of patients with Legg-Calvé-Perthes disease. In Holland I published my first major article in a German orthopaedics journal, concerning the indications for Smith-Petersen cups and Judet prostheses. During that same period I spent a few days with Professor Danis in Brussels, who taught me the principles of stable fixation and painless active mobilisation, starting immediately after the operation. At Fribourg Hospital I was able to demonstrate the advantages of bone fixation followed by good physiotherapy. M.O. You were at that time convinced that fracture sites should be subjected to compression? M.E.M. The compression was to obtain a completely stable construct. Compression of the fracture site was the only technique which gave us a sufficiently firm result. The aim was to allow active mobilisation o