John Ebnezar MMBS, D'Ortho, DNB (Ortho), MNAMS (Ortho), DAc, DMT
Consulting Orthopaedic and Spine Surgeon and Holistic Orthopaedic Expert
Bengaluru (Karnataka)
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Step by Step Fracture Treatment
© 2008, John Ebnezar
All rights reserved. No part of this publication 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: 2008
9788184482546
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset
to
My mother (Late) Sampath Kumari
who taught me that life is more than self and
there is more joy in giving and
sharing than taking
My wife Dr Parimala, my lovely children
Rakesh and Priyanka
who are an epitome of love, sacrifice,
encouragement and inspiration
All my teachers
who made me what I am today
&
All my students past and present
5Preface
Orthopedic related injuries are on an unprecedented high, thanks to the rapid urbanization and modernization. Newer and sophisticated techniques of treatment in the field of orthopedics are being reported with alarming frequency. The newer generation of orthopedic surgeons are being exposed to a galaxy of newer orthopedic surgical techniques like never before. Most of these newer innovations do not stand the test of time and sink into oblivion faster than their origin. Though good, not all newer techniques are justifiable. Old and conservative treatment methods still hold good in majority of the cases and needs to be preserved and improved upon.
Unfortunately the present scenario of aggressive surgical training has usurped the training required for conventional orthopedic procedures. A young orthopedic surgeon now knows how to do a knee replacement surgery but is at loss when confronted with the innocuous and simple technique of closed reduction of say a Colles fracture. There are plenty of books available in the market that offer training in newer orthopedic surgical techniques but no books are available or ever written highlighting the basic orthopedic procedures. Moreover newer techniques require modern infrastructure and training that are accessible to only a fortunate few. Majority of the orthopedic surgeons work under economical and infrastructural constraints and majority of our patients are poor who cannot afford these techniques.
To bridge this yawning gap I am bringing out a book that teaches you the basic techniques of orthopedic treatment for majority of orthopedic injuries. I always 6believe that training is as much essential for simple techniques as it is required for advanced techniques. Hence this book. I am sure PG students, young orthopedic surgeons and even senior orthopedic surgeons will find this book informative. It is particularly useful to those unsung heroes who work in remote areas with minimum infrastructure. They can use this book as a ready recokner. All the problems described in this book are basic orthopedic problems and can be managed with minimum staff, materials and infrastructure. I hope you will find this book useful and enjoyable. Criticisms are welcome for the future improvements.
John Ebnezar
7Acknowledgements
This book is the result of a team work involving the staff of my hospital. I would like to thank Dr Yogita, my junior assistant, Ravi, our senior OT staff, Kala, and Yogesh without whose help and cooperation it would have been virtually impossible for me to bring out this book.
I thank my wife Dr Parimala, my children Rakesh and Priyanka for their support and encouragement. I also thank Shri Jitendar P Vij, Chairman and Managing Director and the entire team of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi for their full-fledged support and cooperation. They have done an excellent job and their effort is there for all to see.
I thank all my patients and also God for his kindness and grace which has kept me alive and kicking and has made me what I am today.
I thank Dr HKT Raza, The Indian Orthopedic Association's President and all IOA members for allowing me to release the book during the inaugural function of Indian Orthopedic Association's National Conference at Kolkata.