Jul 29, 2018 after sustaining significant tibial and femoral fracture whilst on military service 50 years ago, this gentleman received what was at the time cutting edge orthopaedic fixation and had a kuntscher nail inserted inside his femur to splint and fix the fracture. Kuntscher first reported use of the vshaped nail in 1940 and proposed the nail would act as an internal splint that created an elastic union with the inner medullary cavity. Kuntscher nail k nail,2 kirschner wire, and stainless steel wires were the only implants provided by the hospital. Another 232 words 17 lines of text covering the years 1224, 1451, 1562, 1649, 1769, 1773, 1836, and 1851 are included under the topic early nail history in all our pdf extended history products and printed products wherever possible. The following information was derived from the medical history of the german medical corps, documented by the u. Open reduction and internal fixation with kuntscher nail was planned on same day. Kuntscher was professor at the department of surgery at kiel university hospital in germany. The kuntscher nail is an unlocked nail, and is the only one of its kind now available. Prior to that, treatment of such fractures was limited to traction or plaster, both of which required long periods of.
The locked nails may be used in the unlocked form if so decided by the surgeon. Using the same principle mclaughlin 1947, massie 1958 and bohler 1996 designed side plates attached to the nail. Bohler 1996 was the first to describe the migrating nonunion. Dec 22, 2006 the history of intramedullary nailing for the treatment of long bone fractures and nonunions is long and storied. Nov 02, 2018 nail diameter affects bending rigidity of nail. Developed the kuntscher nail for the treatment of femur fractures.
Kunta kinte heritage festival article about kunta kinte. Bonnaire, 1998 was the first to add a plate to the caudal end of the nail. Formerly a member of the psychic research society of australia, mr. The married life book 3 explores archie andrews life down two pathsif he had married girlnextdoor betty cooper or wealthy socialite. In 1945, the germans understood kuntschers technique when the book was published. In this papyrus, injuries were classified according to their prognosis into three categories. He researched his family history and published it in 1976 in the worldwide bestseller roots. The saga of an american family, a novel based on his familys history, starting with the story of kunta kinte, who was kidnapped in the gambia in 1767 and transported to the province of maryland to be sold as a slave. Current indications for open kuntscher nailing of femoral. Thriftbooks sells millions of used books at the lowest everyday prices. The wellknown book by pauwels 1935 contributed to a better understanding of biomechanical conditions.
Files are available under licenses specified on their description page. Slotted hammermost suitable instrument for extraction even very firm seated nail kuntscher extractor. Kuntscher nail of size 42x10 mm was driven into the proximal fragment in a retrograde manner. Whereas kuntscher initially stated that his marrow nail was suitable for almost every fracture type as well as for other procedures including fixation of. Carl nagel books list of books by author carl nagel. Health, general arm care and treatment injuries arm injuries homeopathy materia medica and therapeutics peripheral nerve diseases peripheral nervous system diseases therapeutics. This method, only recently adapted, is a similar technique to the kuntscher nail but takes the procedure one step further by statically fixing the nail in place with locking screws driven. Im nails have long been used to treat fractures of long bones of the body. Peripheral nerve injuries and repair in the upper extremity. Kuntscher nail k nail,2 kirschner wire, and stainless steel.
Nail polish has always been my gateway drug into makeup world. The german military initially disapproved kuntscher s im nailing technique but introduced it in 1942. First held in 1987, the kunta kinte heritage festival was conceived as an opportunity both to celebrate the contributions of african americans to american culture and to educate younger generations about their history. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. The internet archive offers over 20,000,000 freely downloadable books and texts. Kuntscher published his first book on intramedullary nailing at the end of world war ii. We personally assess every book s quality and offer rare, outofprint treasures. Gerhard kuntscher is credited with the first use of this device in 1939, during world war ii, for soldiers with fractures of the femur. Removing metalwork that has been on or in a bone for some time can be very challenging. My first major project in howmedica europe was the development of the gamma locking nail for proximal femoral fractures. Brittain 1942 as well as kuntscher 1953 and maatz 1950 advocated the vertical position of the nail. The nail is rigid and has a cloverleaf shape in crosssection.
Management of difficult fractures of proximal third of femur. Featuring the headlinegrabbing, eisner awardnominated, and soldout wedding of kevin keller, archies most popular character in years, archie. The german military initially disapproved of kuntscher s im nailing technique. Bong mr, koval kj, egol ka 2006 the history of intramedullary. Management of difficult fractures of proximal third of.
Developed the kuntscher nail for the treatment of femur fractures the first intramedullary nailing was performed in 1939 university of hamburgs department of surgery. One of these variations now commonly used is called the russelltaylor nailing. Facebook is showing information to help you better understand the purpose of a page. History of the treatment of hip fractures 411 the beginnings. Kuntscher first performed the process using the nail in november 1939 at the university department of surgery in kiel. After sustaining significant tibial and femoral fracture whilst on military service 50 years ago, this gentleman received what was at the time cutting edge orthopaedic fixation and had a kuntscher nail inserted inside his femur to splint and fix the fracture. An intramedullary rod, also known as an intramedullary nail or interlocking nail or kuntscher nail, is a metal rod forced into the medullary cavity of a bone. The german military initially disapproved kuntschers im nailing technique but introduced it in 1942. The grosse kempf nail was one of the first locked nails available. A case of jamming of a kuntscher nail is presented and a technique of its removal without the use of special instruments is described. Although it was written in 1942, the illustrations for it were destroyed in the air raids on leipzig, so. I seriously believe if this text and kuntschers military book had been. Nagel is widely known for his writings on psychic and metaphysical phenomena.
Nov 10, 2009 gerhard kuntscher 19001972 served in the german army during the second world war. Early nevada doctors university of nevada, reno school of. The first practical use of rods and nails to treat long bone fractures was performed by gerhard kuntscher 19001972 in 1940 while he served in the german army. Gerhard kuntscher 6 december 1900 17 december 197219721217 aged 72 was a. Should the hard questions of philosophy matter to ordinary people. Gerhard kuntscher is credited with the first use of this device in 1939. Although it was written in 1942, the illustrations for it were destroyed in the air raids on leipzig, so the book was not published until 1945.
Those interested in the history of this technique will be able to appreciate just how completely it had been developed by kuntscher in the short period of time between the first im nail implantation in 1939 and the writing of the manuscript. The history of the development of im nailing is fascinating, but due to quirks of history is. Carl nagel is one of the worlds leading authorities on the psychic and occult sciences. It was reported by two surgical consultants that for a time many surgeons attempted the use of this intramedullary nail with poor results, including osteomyelitis and death from shock. Current concepts in intramedullary nailing of femoral shaft. Chinoy is a consultant orthopedic surgeon at hinduja hospital, mahim, mumbai. However, this can sometimes be very difficult if there is no eye in the proximal end of the nail, either due to sawing off the end of the rod during its insertion or due to breakdown of the eye when. The danisweber classification often known just as the weber classification is a method of describing ankle fractures. History accordingly, on 24 september 1985, 9 days after admission to hospital, the lesion was biopsied by open operation using a midlateral thigh incision.
Ive loved doing my nails since high school when the avon lady was my local pusher. The kuntscher y nail was one of the major inspirations for the gamma locking nail. This book was written about and discussed on many nail blogs and i couldnt wait to get it. I dont post near enough since the updates at nagel family history went live. From the earliest recorded examples in 16th century mexico to the current procedures of today, there has been an evolution of design, materials, and basic science principles, which has resulted in a well accepted and successful technique for the past several decades. All the nails were locked distally in an anteroposterior direction figure 1.
Borrow a book books on internet archive are offered in many formats, including daisy. Rotating the bent end of nail as a lever arm to its sideways loosens the nail. Gerhard kuntscher born 1900 in zwickau1972 was a german surgeon who inaugurated the intramedullar nailing of bone fractures, a process that was first performed in 1939 at the university of hamburgs department of surgery. Apr 10, 2011 successful intramedullary nailing results in a short hospital stay, a rapid return of motion in all joints, prompt return to walking, and a relatively short total disability time. The married life book 3 by paul kupperberg, fernando. An intramedullary rod, also known as an intramedullary nail im nail or interlocking nail or kuntscher nail without proximal or distal fixation, is a metal rod forced into the medullary cavity of a bone. The first ones to adopt were kuntscher and his detensing nail, as well as. The kuntscher nail was also used by german surgeons to treat allied pows who had suffered fractures. The history of lengthening nails is closely related to the developments of distraction osteogenesis do and the progress in intramedullary nailing in. Crownsville, maryland the annual kunta kinte heritage festival is a twoday event that marks the arrival of kunta kinte, an african ancestor of acclaimed novelist alex haley, on the annapolis, maryland, docks on september 29, 1767.
Modified kuntscher nailsd nails of size 8 was used in 18 cases, size 9 in 90 cases, and size 10 in 34 and size 11 in six cases. This article was sourced from creative commons attributionsharealike license. Two surgeons were found who had been using the kuntscher nail in the treatment of certain fractures of the long bones. For a solid circular nail, the bending rigidity is proportional to the third power of nail diameter torsional rigidity is proportional to the fourth power of diameter. Early nevada doctors university of nevada, reno school. Current concepts in im nailing of femoral shaft fractures. One of the latest updates details the disappearance of louis ward wheelock jr. The rich and intriguing history of the imn continues and foreshadows a future of. Successful intramedullary nailing results in a short hospital stay, a rapid return of motion in all joints, prompt return to walking, and a relatively short total disability time.
Worldtraveler and lifelong student of the occult sciences, he began writing at the age of twentysix. World heritage encyclopedia content is assembled from numerous content providers, open access publishing, and in compliance with the fair access to science and technology research act fastr, wikimedia foundation, inc. The kuntscher nail referred to in the above passage is of course the method of fusing fractured bones now used quite routinely. Current concepts in intramedullary nailing of femoral. Aug 04, 2014 knowledge, i have always been seduced by this word. All structured data from the file and property namespaces is available under the creative commons cc0 license. Looking for online definition of kuntscher cloverleaf nail in the medical dictionary. Kuntscher invented what is known as the kuntscher nail, an internal fixation device used to maintain the position of the fracture fragments during.
Army medical department, office of medical history 1945. In this downtoearth, nonhistorical guide, thomas nagel, the distinguished author of mortal questions and the view from nowhere, brings philosophical problems to life, revealing in vivid, accessible prose why they have continued to fascinate and baffle thinkers across the centuries. The rod who flied from germany inside the legs of america article pdf available in emergency medicine 0203 december 20 with 1,082 reads how we measure reads. The inspiring story of gerhard kuntscher gerhard kuntscher 19001972. Search the history of over 424 billion web pages on the internet. Brittain 1942 as well as kuntscher 1953 and maatz 1950 advocated.
Kuntschers first nailing procedure in a human was in 1939. In that respect german surgical practice was ahead of the american. A brief history of medullary nailing, new mexico perspective. The marrow nailing method is an important and historic document. Dynamic osteosynthesis by modified kuntscher nail for the. See actions taken by the people who manage and post content. Download citation history of intramedullary nailing the first surgeon to begin to think about and. Removal of a kuntscher nail is usually a simple procedure. Kuntscher nailing advent, variations of the technique have been developed. This book is of great significance for final year mbbs and postgraduate students of general surgery, orthopedics and anesthesia from the point of view of their examination preparation, as it provides basic knowledge of the questions routinely asked in practical table viva examination. Large diameter with same crosssection are both stiffer and stronger than smaller ones. Fascinating history of how nail polish came about and the variations of shapes, styles, colors, and finishes. Fracture was exposed through a posterolateral incision and the proximal fragment was reamed with a 10 mm sized reamer once. At the same time, because of increasing local discomfort, the pathological fracture was internally fixed using a kuntscher nail with additional partridge band support fig.
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