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The first part of this manual deals with the experimental and
scientific basis and the principles of the AOjASIF method of stable
internal fixation. It deals with the function and main use of the
different AO implants, the use of the different AO instruments, and
with the essentials of the operative technique and of postoperative
care. It also discusses the handling of the most important
postoperative complications. The second part deals at length with
the AO recommendations for the operative treatment of the most
common closed fractures in the adult. This has been organized in
anatomical sequence. The discussion of the closed fractures is
followed by a discus sion of open fractures in the adult, then by
fractures in children and finally by pathological fractures. The
third part presents, in a condensed fashion, the application of
stable internal fixation to reconstructive bone surgery. 1 GENERAL
CONSIDERATIONS 1 Aims and Fundamental Principles of the AO Method
The Chief Aim of Fracture Treatment is the Full Recovery of the
Injured Limb In every fracture there is a combination of damage to
both the soft tissues and to bone. Immediately after the fracture
and during the phase of repair, we see certain local circulatory
disturbances, certain manifestations of local inflammation, as well
as pain and reflex splinting. These three factors, that is,
circulatory disturbances, inflammation and pain, when combined with
the defunctioning of bone, joints and muscle, result in the
so-called jl'acture disease.
1m allgemeinen Teil dieses Manuals sollen experimentelle und
wissenschaftliche Grund lagen und Prinzipien der stabilen
Osteosynthese nach der AO-Methode, Funktion und Hauptindikation der
verschiedenen AO-Implantate, Handhabung des Standardin
strumentariums der AO sowie einige wesentliche Gesichtspunkte der
Operationstechnik und der Nachbehandlung dargestellt werden. Auch
die Behandlung der wichtigsten postoperativen Komplikationen wird
besprochen. 1m spe:: iellen Teil werden die von der AO befolgten
Richtlinien fur die operative Behandlung der haufigsten
geschlossenen Frakturen beim Erwachsenen nach anatomi schen
Regionen eingehend erortert. Es folgen dann die Behandlung der
offenen Fraktu ren beim Erwachsenen, der Frakturen bei Kindern und
beim alten Menschen sowie der pathologischen Frakturen. In einem
drittel1 Teil wird die Anwendung der stabilen Osteosynthese bei
Wiederher stellungseingriffen am Knochen zusammenfassend
dargestellt. R T IL LL MI 1 Ziele, Grundlagen und Prinzipien der
AO-Technik Hauptziel jeglicher Knochenbruchbehandlung ist die
Wiederherstellung der vol/en Funk tion der verletzten Extremitat.
Jede Fraktur stellt eine Kombination von Weichteil-und
Knochenschaden dar. Sofort nach der Fraktur und im Laufe der
Reparationsvorgange treten lokale Zirkulationssto rungen,
entziindliche Erscheinungen und Schmerz mit reflektorischer
Immobilisierung auf. Diese drei Faktoren fiihren in Verbindung mit
dem Ausfall funktioneller Beanspru chung von Knochen, Gelenken und
Muskeln zur sog. Frakturkrankheit, d.h. chroni scher Odembildung,
Atrophie der Weichteile, Knochenabbau (Osteoporose) und Ge
lenksteifen. Jede Behandlung einer Fraktur muS deshalb sowohl den
Bruch an sich als auch die damit in Verbindung stehenden lokalen
Reaktionen des Organismus beriicksichtigen."
Chicago's 1933 world's fair set a new direction for international
expositions. Earlier fairs had exhibited technological advances,
but Chicago's fair organizers used the very idea of progress to
buoy national optimism during the Depression's darkest years.
Orchestrated by business leaders and engineers, almost all former
military men, the fair reflected a business-military-engineering
model that envisioned a promising future through science and
technology's application to everyday life. Fair organizers,
together with corporate leaders, believed that progress rides on
the tide of technological innovation and consumerism. But not all
those who struggled for a voice at Chicago's 1933 exposition had
abandoned the traditional notions of progress that entailed social
justice and equality, recognition of ethnic and gender-related
accomplishments, and personal freedom and expression. The stark
pronouncement of the fair's motto, "Science Finds, Industry
Applies, Man Conforms," was challenged by iconoclasts such as Sally
Rand, whose provocative fan dance became a persistent symbol of the
fair, as well as a handful of others, including African Americans,
ethnic populations and foreign nationals, groups of working women,
and even well-heeled socialites. They all met obstacles but
ultimately introduced personal, social definitions of "progress"
and thereby influenced the ways the fair took shape. In this
engaging social and cultural history, Cheryl R. Ganz examines
Chicago's second world's fair through the lenses of technology,
ethnicity, and gender. The book also features eighty-six
photographs--nearly half of which are full color--of key locations,
exhibits, and people, as well as authentic ticket stubs, postcards,
pamphlets, posters, and other items. From fan dancers to fan belts,
The 1933 Chicago World's Fair: A Century of Progress offers the
compelling, untold stories of fair planners and participants who
showcased education, industry, and entertainment to sell optimism
during the depths of the Great Depression.
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