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IM nails have long been used to treat fractures of long bones of the body. Gerhard Küntscher is credited with the first use of this device in 1939, [1] [2] during World War II, for soldiers with fractures of the femur. Prior to that, treatment of such fractures was limited to traction or plaster, both of which required long periods of ...
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [1] especially in the femur and tibial bones, but can also occur genetically at birth.
March fracture is the fracture of the distal third of one of the metatarsal bones occurring because of recurrent stress. It is more common in soldiers, but also occurs in hikers, organists, and other people whose duties entail much standing (such as hospital doctors).
Austin-Moore prosthesis [broken anchor] for fracture of the neck of the femur [13] Baksi's prosthesis for elbow replacement [14] Charnley prosthesis for total hip replacement [15] Condylar blade plate for condylar fractures of the femur [16] Ender's nail for fixing intertrochanteric fracture [17] Grosse-Kempf nail for tibial or femoral shaft ...
Open fractures take longer to heal, and infection will delay union. For tibial fractures union is generally achieved after between 3 and 6 months, [3] though time to union can be rather subjective, [4] and the dynamistion process combined with irregular appointments may interfere with these measures.
In recent years, the military has tried to build what it calls “resiliency” into its young warriors. In one Army program, Comprehensive Soldier Fitness, soldiers at every level get annual training in physical and psychological strengthening. The key to absorbing stress and moral challenges is to “own what you can control, and think before ...
American soldiers had to act that way, Tremillo recognizes, “in order to stay safe.” But the moral compromise, the willful casting aside of his own values, broke something inside him, changing him into someone he hardly recognizes, or admires. For many who experience such moral injury, the shock and pain fade over time.
Some troops leave the battlefield injured. Others return from war with mental wounds. Yet many of the 2 million Iraq and Afghanistan veterans suffer from a condition the Defense Department refuses to acknowledge: Moral injury.