Preliminary Pages

1Step by Step Approach to Fractures

2Step by Step Approach to Fractures

Rahij Anwar MBBS MS (Orth) [India] MSc (Trauma), MRCS [UK] Honorary Fellow of Institute of Accident Surgery Birmingham, UK Registrar, Trauma and Orthopaedics Maidstone Hospital, Maidstone (Kent) United Kingdom

3Published by

Jitendar P Vij

Jaypee Brothers Medical Publishers (P) Ltd

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Step by Step Approach to Fractures

All rights reserved. No part of this publication and photo CD-ROM should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.

First Edition : 2005

9788180615597

Typeset at JPBMP typesetting unit

Printed at Paras Offset

Dedicated to my Uncles

Dr Syed Hasan Iqbal

and

Late Mr Shaheed Uddin Ahmed

5ACKNOWLEDGEMENTS

‘The woods are lovely, dark and deep,

But I have promises to keep,

And miles to go before I sleep,

And miles to go before I sleep.’

—Robert Frost

I am very grateful to the members of the orthopaedic departments at Maidstone and Tunbridge Wells for their enormous support and encouragement during the development of this work. Special thanks are due to Mr KJ Ravikumar for his help and guidance.

I acknowledge the help of Mr SN Anjum for his assistance in the completion of this book.

I am deeply indebted to my friends Dr M Mubashir, Dr S Hasan Harris, Mr Dinesh Govila, Mr M Furqan Shamsi, Dr Shah Alam Khan and all others for their cheerful support.

Thanks to Mr Neil Hallows, deputy editor of the BMA News, for giving me an opportunity to write and for his unfailing encouragement.

I wish to express my gratitude to my orthopaedic teachers (Late Prof AA Khan, Prof SA Sadiq, Prof AA Iraqi, Dr Mohd Zahid, Dr MKA Sherwani and 6Dr M Abbas) at the JN Medical College, Aligarh Muslim University, Aligarh (India).

This work would never have been completed without the untiring efforts of my wife, Huma who graciously accepted the long hours needed for writing.

I also wish to acknowledge the help of Miss Sadia Ghani.

I wish to express sincere appreciation to my mother, brothers (Hilal & Talib) and parents-in-law, Mrs and Mr Kabir-ud-Din for their affection and support.

I am also grateful to Shri JP Vij, Chairman and Managing Director and Mr Tarun Duneja, General Manager (Publishing), Jaypee Brothers Medical Publishers (P) Ltd., for their patience and flexibility.

Last but not the least, I am incredibly thankful to my patients who have taught me so much.

7PREFACE

The aim of this book is to provide a readily accessible reference for the treatment of fractures. Liberal use of illustrations combined with relevant details in the text will help the reader in remembering and understanding the fracture management clearly. After all, a picture is worth a thousand words!

The book is divided into three sections that systematically cover most of the commonly encountered fractures. In each section, there are chapters covering each region of the body. Important and relevant details about each fracture, are covered. I have tried to include at least one illustration for the common methods of operative management of each fracture.

A word of caution! This book is not aimed to provide a comprehensive review of fractures. All students preparing for orthopaedic postgraduate examinations should refer to the common textbooks for more details.

This book is intended to help all orthopaedic trainees, Accident and Emergency doctors, practicing orthopaedic surgeons, general practitioners, nurses and physiotherapists.

I hope that this book will be of use to the readers, and I appreciate all comments and suggestions.

Rahij Anwar

Rahij Anwar completed his initial orthopaedic training at the JN Medical College, AMU, Aligarh (India). In 1998, he moved to the United Kingdom for higher training. Currently, he is working as a Registrar in Orthopaedics at Maidstone Hospital, Maidstone (Kent), UK.

Chapter Notes