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The AOjASIF* dynamic hip screw (DRS) has been designed primarily to
stabilize trochanteric fractures of the hip. Selected fractures of
the femoral neck and some subtrochanteric fractures are further
indications for the DRS [40, 46]. The dynam ic condylar screw (DCS)
has been developed for fractures of the distal femur and is now
being tested clinically. The DRS and DCS are carefully coordinated
with the preexisting ASIF standard sets of equipment for internal
fixation of fractures. The concept of a sliding screw for
trochanteric fractures is not new. The first author describing such
an implant was Schumpelick [44]; he gives credit to Pohl [22], who
was primarily a manufacturer working for Gerhardt Kiinscher. Re
described the possibility of impaction at the fracture site with a
sliding device. In the United States Clawson [7, 8] introduced the
hip screw and found it to be extremely beneficial in trochanteric
fractures. At approximately the same time, Massie [31, 32] and Pugh
[39] designed the sliding-type flange nails, which offer similar
intramedullary splinting with the possibility of fracture
impaction. The following chapters describe the concept and design
features of the DRS, as well as the details of the surgical
technique. The application of the DRS for different types of
fractures is illustrated with clinical examples. The results of 268
cases of trochanteric fractures treated with the DRS are presented
and compared with results using the angled blade plate and Ender's
nails. Finally, some laboratory tests are described.
This updated and reorganized Third Edition of this textbook takes a
workbook-style approach that encourages an active approach to
learning statistics. Carefully placed reading questions throughout
each chapter allow students to apply their knowledge right away,
while in-depth activities based on current behavioral science
scenarios, each with problem sets and quiz questions, give students
the opportunity to assess their understanding of concepts while
reading detailed explanations of more complex statistical concepts.
Additional practice problems further solidify student learning.
Most activities are self-correcting, so if a concept is
misunderstood, this misunderstanding is corrected early in the
learning process. After working through each chapter, students are
far more likely to understand the material than when they only read
the material.
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