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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.
List of contents
A. General Remarks on Cast Technique and Traction Devices.- I. Padding.- II. Plaster.- III. Traction.- IV. Abbreviations.- B. The Shoulder Girdle and Upper Extremity in Adults.- I. Immobilization of the Injured Shoulder.- II. Immobilization of the Injured Upper Arm.- III. Immobilization of the Injured Elbow.- IV. Immobilization of the Injured Forearm.- V. Immobilization of the Injured Hand.- C. The Pelvis and Lower Extremity in Adults.- I. Immobilization of the Injured Pelvis.- II. Immobilization of the Injured Hip.- III. Immobilization of the Injured Knee.- IV. Immobilization of the Injured Lower Leg.- V. Immobilization of the Injured Ankle Joint.- VI. Immobilization of the Injured Foot.- D. The Vertebral Column in Adults.- I. Immobilization of the Injured Cervical Vertebral Column.- II. Immobilization of the Injured Thoracic or Lumbar Spine.- E. Special Features of Fractures in Children.- I. Injuries to the Epiphyseal Plate.- II. Fracture Healing.- III. Indications for Surgery.- IV. General Anesthesia or Local Anesthesia?.- F. The Shoulder Girdle and Upper Extremity in Children.- I. Immobilization of the Injured Shoulder.- II. Immobilization of the Injured Upper Arm.- III. Immobilization of the Injured Elbow.- IV. Immobilization of the Injured Forearm.- V. Immobilization of the Injured Hand.- G. The Pelvis and Lower Extremity in Children.- I. Immobilization of the Injured Pelvis and Hip Joint.- II. Immobilization of the Injured Thigh.- III. Immobilization of the Injured Knee Joint.- IV. Immobilization of the Injured Lower Leg.- V. Immobilization of the Injured Ankle Joint.- VI. Immobilization of the Injured Foot.- H. The Vertebral Column in Children.- Immobilization of the Injured Spine.
