Transosseous Osteosynthesis : Theoretical and Clinical Aspects of the Regeneration and Growth of Tissue

This volume deals with the transosseous external fixation techniques that I have been developing over the course of the past 40 years. During this time, our research in medicine, biology and engineering has led to the evolution of more than 800 unique, highly effective methods of treatment that extend beyond the realm of traumatology and orthopedics. The book features a comprehensive theoretical and clinical description of the biologic laws governing the depen­ dence of the shape-forming processes of bones and joints upon the adequacy of blood supply, as well as a delineation of the effect of tension-stress upon the genesis and growth of tissues. I have in­ cluded our latest data on tissue growth and regeneration during transosseous osteosyntheses. The book summarizes the biomechanical principles of applica­ tion of my apparatus; clinical cases selected from more than 25000 patients illustrate the management of some of the most complex disorders of the locomotor system. New solutions to many therapeutic problems are described. In particular, severe limb trauma with large defects of bone, vessels, nerves and skin can be managed without resort to transplantation. Radical debridement surgery can be followed by a one-step restora­ tion of the missing tissue, thus decreasing the likelihood of a serious wound infection or an amputation. Front Matter....Pages I-VIII Front Matter....Pages 1-1 The Historical Background of Transosseous Osteosynthesis....Pages 3-62 The Apparatus: Components and Biomechanical Principles of Application....Pages 63-136 The Tension-Stress Effect on the Genesis and Growth of Tissues....Pages 137-255 The Influence of Blood Supply and Loading Upon the Shape-Forming Processes in Bones and Joints....Pages 257-277 Osteogenesis and Hematopoiesis....Pages 279-283 Front Matter....Pages 285-285 Lengthening of Upper and Lower Limb Segments....Pages 287-328 Correction of Deformities of Long Tubular Bones with Simultaneous Limb Lengthening....Pages 329-368 The Treatment of Fractures....Pages 369-452 Pseudarthroses and Defects of Long Tubular Bones....Pages 453-494 The Treatment of Pseudarthroses Complicated by Osteomyelitis and the Elimination of Purulent Cavities....Pages 495-543 Front Matter....Pages 545-545 Nonoperative Correction of Foot Deformities....Pages 547-581 Operative Correction of Foot Deformities....Pages 583-634 Front Matter....Pages 635-635 Treatment of Diseases and Injuries of the Hand....Pages 637-668 Front Matter....Pages 669-670 Fractures of the Femoral Neck....Pages 671-685 Pseudarthrosis of the Femoral Neck....Pages 687-699 Hip Dislocations....Pages 701-726 Coxa Vara....Pages 727-750 Coxarthrosis....Pages 751-762 Coxa Vara with Congenital Pseudarthrosis....Pages 763-771 Defects of the Proximal Femur....Pages 773-795 Back Matter....Pages 797-802