Cerebral palsy: The preschool years. Diagnosis, treatment and planning

Cerebral palsy: The preschool years. Diagnosis, treatment and planning

BOOK REVIEWS Cerebral school Palsy: Years. Treatment First edition, field, Illinois, Thomas. and The PreDiagnosis, Planning. 125 pp. Spring1967...

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BOOK REVIEWS

Cerebral school

Palsy: Years.

Treatment First edition, field, Illinois, Thomas.

and

The PreDiagnosis,

Planning.

125 pp. Spring1967. Charles C

Practice Nailing.

of Intramedullary By Gerhard Kiintscher. First edition, 374 pp. Springfield, 1967. Charles C

Thomas.

Vol.

116, November

1968

T

brief, well written monograph deals with the cerebral palsy “syndrome” efficiently, and orthopedists and other surgeons involved in the management of these unfortunate patients will certainly profit by reading it. Unfortunately surgical therapy is dealt with very superficially and much more information on the controversial “central” or neurophysiologic approach to the spastic child, popular with physiatrists and physical therapists, is stressed. There is also a rather complete discussion of total home and drug management. The classification of cases and discussion of high risk of problems of pregnancy are of particular interest to obstetricians and pediatricians interested in the prevention of cerebral palsy. A voluminous appendix includes the classification and coding system forms used by the American ilcademy for Cerebral Palsy. ;In adequate bibliography through 1966 and a good index are provided. H. William Clatworthy, Jr. HIS

As

noted in the forward, “Kiintscher is to intramedullary nailing of the long bones as Smith-Petersen was to nailing fractures of the neck of the femur.” This book is described as being a comprehensive work in intramedullary fixation. The first two chapters discuss theoretic fundamentals and principles of bone surgery. The dangers, indications, and technics of intramedullary nailing occupy the next three chapters and the remainder of the book is taken up with technics of intramedullary nailings. The book has been translated by Dr. Herman H. Rinne and further “colloquialized” by Dr. Bruce M. Wilson. There is no doubt that any surgeon who regularly uses intramedullary fixation should read this book. Whether or not he chooses to adopt the expensive armamentarium which has been developed by Kiintscher or wishes to use only selected procedures, it should prove to be most valuable. In particular, the technic of closed nailing is one not to be attempted by the physician who only operates occasionally. There is no doubt of the value of Dr. Kiintscher’s contribution to the treatment of the fractures of the long bones. However, too uncritical adoption of all the technics described is not recommended unless one is willing to take the time to develop the expertise which is required for their successful execution. Paul H. Curtiss, Jr.

803