Page 93 (image) |
Previous | 98 of 551 | Next |
|
|
small (250x250 max)
medium (500x500 max)
Large
Extra Large
large ( > 500x500)
Full Resolution
|
Loading content ...
February, 1945 KIRSCHNER WIRE—COBB 93 Fig. 1. (A) Fracture-dislocation of the shoulder. (B) Open reduction of the dislocation and fracture, and fixation by three Kirschner wires passed obliquely through the fracture line. Fig. 2. (A and B) Comminuted fracture about the ankle joint. (C and D) Satisfactory reduction and fixation with four wires. a nail, a screw, a metal plate, a Parham band, a bone graft, a wire suture, or very occasionally a chromic gut or kangaroo tendon suture. As Dr. Paul Magnuson(1) said, "One point to be kept in mind constantly is that every fracture differs from every other fracture that one has ever seen." The material used for fixation must depend upon the judgment of the surgeon. It should not be irritating to the bone or the surrounding tissue ; its application should entail as little disturbance to the periosteum as possible; it should be as small as is compatible with firm fixation, so that a minimum amount of for- 1. Magnuson, Paul B.: Simplicity in Fracture Treatment, Bull. Am. Coll. Surgeons 28:135-137 (June) 1943. eign material is left in the wound; and its removal should be simple. In a number of cases requiring open reduction we have fixed the fracture satisfactorily by passing one or more Kirschner wires diagonally from one fragment into the other, obliquely traversing the fracture line. This method utilizes the crossed-nail locking principle well known to carpenters, holds the fracture firmly in place, results in a minimum of disturbance to the periosteum, and leaves but a small amount of foreign material in the wound. The distal end of the wire should penetrate the cortex of the second fragment of bone. There is no need
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-2001] |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Description
Fixed Title * | Page 93 (image) |
Document Title | North Carolina Medical Journal [1940-2001] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1945 |
Identifier | NCHH-17-006-0105 |
Form General | Periodicals |
Page Type | all; all images; x-ray; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | northcarolinamed61945medi_0105.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 6 |
Issue Number | 2 |
Page Number | 93 |
Health Discipline | Medicine |
Full Text | February, 1945 KIRSCHNER WIRE—COBB 93 Fig. 1. (A) Fracture-dislocation of the shoulder. (B) Open reduction of the dislocation and fracture, and fixation by three Kirschner wires passed obliquely through the fracture line. Fig. 2. (A and B) Comminuted fracture about the ankle joint. (C and D) Satisfactory reduction and fixation with four wires. a nail, a screw, a metal plate, a Parham band, a bone graft, a wire suture, or very occasionally a chromic gut or kangaroo tendon suture. As Dr. Paul Magnuson(1) said, "One point to be kept in mind constantly is that every fracture differs from every other fracture that one has ever seen." The material used for fixation must depend upon the judgment of the surgeon. It should not be irritating to the bone or the surrounding tissue ; its application should entail as little disturbance to the periosteum as possible; it should be as small as is compatible with firm fixation, so that a minimum amount of for- 1. Magnuson, Paul B.: Simplicity in Fracture Treatment, Bull. Am. Coll. Surgeons 28:135-137 (June) 1943. eign material is left in the wound; and its removal should be simple. In a number of cases requiring open reduction we have fixed the fracture satisfactorily by passing one or more Kirschner wires diagonally from one fragment into the other, obliquely traversing the fracture line. This method utilizes the crossed-nail locking principle well known to carpenters, holds the fracture firmly in place, results in a minimum of disturbance to the periosteum, and leaves but a small amount of foreign material in the wound. The distal end of the wire should penetrate the cortex of the second fragment of bone. There is no need |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-006.pdf |
Document Sort | all; nchh-17 |
Article Title | A Simple Method Of Fracture Fixation With The Kirschner Wire |
Article Author | Donnell B. Cobb |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-006 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Tags
Comments
Post a Comment for Page 93 (image)