The publication of this Cast Manual is very timely. Technological
advances made in the past two decades have resulted in increased
popularization of open reduction and internal fixation in the treat
ment of long bone fractures. Due primarily to incorrect application
of those techniques, it has become increasingly apparent that its
routine and casual use can result in complications - oftentimes of
catastrophic nature. Students and practitioners of orthopedics must
keep uppermost in their minds that osteogenesis takes place
spontaneously through an orderly and physiological process.
Surgical intervention and the intro duction of a foreign body at
the fracture site alters that process. Though the fracture heals,
it does so not because of the mechanical device but in spite of it.
Therefore, internal fixation must be reserved only for those
instances when its practical advantages heavily out weigh its
biological disadvantages. The success of nonsurgical treatment of
fractures is also predicated on the clear understanding of fracture
healing and the proper application of stabilizing techniques. This
cast manual emphasizes the importance of proper application of
various casts and discusses very well those details which are
important for the success of nonsurgical treatment of fractures.
Dr. F. FREULER, Dr. U. WIEDMER, and D. BIANCHINI'S Cast Manual must
be read carefully by students of orthopedics and used as a
reference book for those who should keep abreast of new concepts
and techniques of closed management of fractures. Summer 1979
AUGUSTO SARMIENTO, M. D."
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