History and portraits in fracture treatment

A. Lešić, B. Karovic, B. Krivokapic, M. Bumbasirevic
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Abstract

During the human history there were many attempts to treat fractures and injuries of extremities. Since Mathijsen and his plaster cast there was many attempts to make immobilization at the fracture site, to protect obtained reduction. Hugh Owen Thomas invent traction which greatly decrease mortality in the patients with femoral fractures during the war. External fixation was used from the time of Malgaigne, Lambote, Parkhill in 19th century, and Anderson, Hofmann, Ilizarov in 20th century. This kind of fracture fixation still has place and role in the treatment of open, compound fractures, and in the patients with multiple fractures. Along with invention of antisepsis, antibiotics, X-rays, ant metallurgy, the internal fixation become widely used, from the Lane,s plate at the beginning of 20th century to the biogredable materials and new designed internal devices. Special problem of hip fracture treatment was solved by fixation dated from Hey Groves, Smith Petersen, while intramedullary fixation of long bones was introduced by Kuntscher. Clinical and biomechanical investigation during the 1950 and 1960 was established by members of AO group. [Projekat Ministarstva nauke Republike Srbije, br. 175095 i br. 450005]
骨折治疗的历史和概况
在人类历史上,有许多治疗四肢骨折和损伤的尝试。自Mathijsen和他的石膏石膏以来,有许多尝试在骨折部位固定,以保护已获得的复位。休·欧文·托马斯发明了牵引装置,大大降低了战争期间股骨骨折患者的死亡率。自19世纪Malgaigne, Lambote, Parkhill和20世纪Anderson, Hofmann, Ilizarov时代开始使用外固定架。这种骨折固定在开放性骨折、复合性骨折及多发骨折的治疗中仍有一定的地位和作用。随着防腐、抗生素、x射线、蚂蚁冶金术的发明,内固定得到了广泛的应用,从20世纪初的莱茵钢板到生物可降解材料和新设计的内固定装置。髋部骨折治疗的特殊问题由Hey Groves, Smith Petersen固定术解决,而长骨髓内固定术则由Kuntscher引入。1950年和1960年的临床和生物力学研究是由AO组成员建立的。[南斯拉夫]塞族共和国部长项目;[175095 .]450005]
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