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August 1951

Théorie et practique de l'ostéosynthèse.

AMA Am J Dis Child. 1951;82(2):255. doi:10.1001/archpedi.1951.02040040268014

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This well published and profusely illustrated monograph is based on the author's extensive personal experience. Because Danis is convinced that all types of external fixation are harmful, he advocates open reduction for the majority of fractures. His three aims, which include no mention of function, are (1) immediate mobilization, (2) anatomic restoration and (3) "primary" healing without apparent callus (he considers "external callus" as pathological!). This means that surgery is performed even on easily reduced or undisplaced fractures.

The preliminary chapters include an excellent review of the general principles of first aid, preoperative selection and preparation of patients, postoperative care and follow-up. These are followed by a detailed description with illustrations of the anesthesia, the special radiographic technics employed, an ingenious type of molded splint, the fracture table and all the various instruments employed. The most interesting of these is a coaptation splint for producing and maintaining axial compression at

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