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Air Instrument Surgery, Volume 2: Orthopedics has been compiled to aid in the se lection and use of air instruments in orthopedic surgical techniques. In each instance it attempts to demonstrate the classic approach, leaving it to the individual surgeon to develop further his expertise and ingenuity with air-driven instruments. Possible applications and adaptations are as unlimited as the surgeon's skill and imagination. Detailed illustrations and text treat the use of each air instrument in various proce dures, but the surgical application is given only for that portion of each procedure in which manual operation can be advantageously replaced by the use of air instru ments. This book, therefore, does not depict complete surgical procedures, nor does it include all the procedures in orthopedic surgery for which air instruments are now employed. Use of air-driven instruments does not imply any change in basic surgical techniques. It does enhance the surgeon's dexterity, increase his speed and, in some situations, makes a surgical approach possible for the first time. A technical guide has been needed since air instruments were introduced. Air In strument Surgery, Volume 2: Orthopedics is the second publication to fill that need. Its function is to clarify problems and difficulties and to suggest solutions by means of air instrument surgery. It is also intended to remove any apprehension about the use of air instruments. To ensure this, the technical procedures are supplemented with detailed instructions for assembling, using and maintaining the instruments.
The original AO/ASIF Instrumentation manual presented a concise and complete description of the AO instruments. Thoughtfully developed by Fridolin Sequin and Rigmor Tex hammar, the manual discussed in a clear fashion the purpose and care of the various AO instruments that are handled by the operating room staff. One important feature of the first edition was a detailed checklist of the instruments required for the more common operative procedures for treating fractures. Fridolin Sequin was well-suited to author the first edition: his 15 years of experience as a technical engineer for the AO gave him in-depth knowledge of AO instruments, and he drew on the clinical knowledge of Rigmor Texhammar, a consultant and di rector of the AO courses for nurses. Its original feature of com bining a column of text with a column of illustrations meant the manual quickly became accepted as a standard. By 1981, trans lations could be found in English, French, Spanish, and Italian. Not surprisingly, the manual was very popular.
During their 20 years of activity members of the Associa tion for the Study of Internal Fixation (AO - ASIF) have made authoritative contributions to the development of internal and external fixation. The close collaboration of surgeons, basic researchers, metallurgists, engineers and the establishment of clinical documentation has made it possible to achieve a solid scientific basis for internal fixa tion. Clear definitions for the standardization of different types of osteosynthesis were possible: interfragmentary compression, splintage and buttressing as well as combina tions of these three techniques. At the same time a scienti fic and workmanlike instrumentation was developed. The idea was to keep diversification within limits but, however, to assemble a comprehensive collection of implants and in struments to answer all the problems presented by the com plexity of bone operations. Osteosynthesis is a difficult and demanding operative method. Its. claims on the surgeon and the theatre staff are high. Therefore plans have existed for a long time to supplement the "Manual of Internal Fixation" with a de tailed description of the AO Instrumentation, its use and maintenance. Our collaborator FRIDOLIN SEQUIN, graduate engineer, has accomplished this task with expert knowledge. He has organized over many years courses for theatre nurses and has been able from the resulting experience to provide helpful suggestions. When RIGMOR TEXHAMMAR R. N. joined AO-International four years ago, it was natural to include her as a co-author.
Sole reference in the field of orthopedic surgery