Tanna’s Interlocking Nailing DD Tanna, Sushrut Babhulkar
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1TANNA'S INTERLOCKING NAILING2 3TANNA’S INTERLOCKING NAILING
FOURTH EDITION
Editors DD Tanna MS (Ortho) Honorary Consultant Jaslok Hospital Bhatia Hospital Saifee Hospital Mumbai, Maharashtra, India Consultant Orthopedic Surgeon Bay View Clinic Mumbai, Maharashtra, India Sushrut Babhulkar MS (Ortho) MCh [(Ortho) Liverpool, UK] Chief, Center for Joint Reconstruction Surgery Sushrut Institute of Medical Sciences Research Center and Postgraduate Institute of Orthopedics Nagpur, Maharashtra, India
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Tanna's Interlocking Nailing
First Edition: 2000
Second Edition: 2004
Third Edition: 2010
Fourth Edition: 2016
9789352500604
Printed at
5Dedicated to
Dr KV Chaubal, a retired Professor of Orthopedics
Topiwala National Medical College and BYL Nair Charitable Hospital
Mumbai, Maharashtra, India
I have worked with Dr Chaubal, as a Resident, as a Lecturer, as an Assistant Honorary and finally as his colleague at the BYL Nair Charitable Hospital. I continued to associate with him at the Bhatia Hospital, Mumbai, Maharashtra, India. Now he has retired from orthopedics recently, and spends his time at home and family.
This book is dedicated
to
him not for the post he held in our institution
It is the tribute to a person who has the most remarkable approach to teaching. According to him, learning is not just gathering informations and storing it. He made tireless efforts to teach all his students to think independently. He inspired and encouraged all of us to rise to our highest potential. He broke the old tradition that the master should be obeyed blindly. He strongly believes that learning is not at the feet of master, but by arguing and discussing with him. In this way, the master and the disciple both learn. This is the most important lesson to be learnt today, not only in orthopedics, but also in every field of life.
It is the matter of great privilege and honor for me to have been associated with Dr Chaubal during my entire career in orthopedics.
I never tired of interacting with him even now after all these years. Now he has retired from orthopedic practice. I feel the vacuum in my interactions, as now I meet him very infrequently.
— DD Tanna
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7CONTRIBUTORS
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9PREFACE TO THE FOURTH EDITION
In this edition, looking at the future of this book I have changed the name of the book as Tanna's Interlocking Nailing. Young Dr Sushrut Babhulkar has been added as the 2nd editor. A few trauma surgeons have been invited to contribute in the book in some chapters to introduce the variety of opinions. At the end of the most chapters, we have put our comments. We hope the book will be useful to all trauma surgeons. New case studies have been introduced.
The ownership of the book now has been voluntarily given to ‘Trauma Society of India’. We are very thankful to all new contributors.
DD Tanna
Sushrut Babhulkar
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11PREFACE TO THE FIRST EDITION
The interlocking nails have now become an established method of internal fixation. The introduction of better nail designs, innovations in the interlocking techniques and the availability of image intensifiers have contributed a great deal to the evolution and widespread applications of this technique.
As is said truly that from difficulties arise the zeal to evolve and from the zeal arises the discovery. My experience with the interlocking nails has been a decade long story of experiments with this art.
I remember those early years of nineties, when interlocking nails had almost become a norm in the Western world. I used to hear about them in every meeting and conference I attended abroad. However, its application was not possible in India due to lack of availability of the interlocking nails and the image intensifiers. I began to use interlocking nails somewhere in around 1992. The first interlocking nail I used was made by my carpenter. He made two holes proximally and distally in an ordinary K-nail used in femur. Later on, I started using custom-made nails manufactured especially for me by a company. I used to ask them to make two nails of identical size and with identical placement of holes. We used to carry out the procedure with radiographs, as the image intensifier had not become available at that time. The success with these experiments inspired me to develop the concept of interlocking nails without the use of image intensifier. With the help of the instrument company, I developed a nail, which has some standardization and can be used by every surgeon. Today, with increasing experience, the accuracy of interlocking with radiographs is 100%.
I have been organizing the workshops on interlocking nails since 1994 all over India, so that more and more surgeons can practice this art within their limited set-up. However, it is not possible to reach out to a wider audience merely by conferences and workshops. This book is an effort to reach out to every possible surgeon, who wants to learn this art. This book is the crux of all that I have been talking about and practicing since so many years. It is not the review of literature. I have emphasized what I strongly believe in and what I practice, in interlocking nailing.
In this book, I have tried to cover all the aspects related to interlocking nailing. I have covered each and every step of the nailing and the interlocking procedure. I have discussed about the different techniques of interlocking. The possible difficulties that one may come across and the practical solutions are also discussed. I have also discussed at length about my method of interlocking. In the last chapter, I have covered the recent developments like Recon nail, Polarus nail, Gamma nail. There is a brief mention of the various other applications of the interlocking nails also.
I hope the reader will find this book a very helpful guide and get answers of many unanswered questions.
DD Tanna
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