Aguayo GLM

Language: Spanish
References: 21
Page: 170-175
PDF size: 229.16 Kb.

ABSTRACT

The preceding two hundred years have brought numerous achievements for the development of medicine, surgery and our specialty, let me mentioned many of them in chronological order of appearance. Introduction of anesthesia, in 1846 in Boston MA, thanks to this, was possible to perform painless surgical procedures, before its appearance, speed and skill was the rules, the story tells of a London surgeon named Robert Liston (1794-1847), who could perform amputations in less than three minutes, however, the fatality rate from these radical surgeries was higher than 70% in many hospitals. The pioneer of antisepsis, IF Semmelweis in Vienna, required his students, to wash their hands with chlorinated water, thereby reducing maternal and neonatal mortality, from puerperal fever; the causal agent was not yet known. In 1867 with J. Lister in Glasgow, antisepsis, made its arrival, thanks to this and carbolic acid, mortality in surgeries and open fractures was substantially lowered. Pasteur and Koch, later, discovered that the infections had a microbial (bacterial) origin, their disciples and followers identified many of the causative agents. In 1870, in Paris Bérenger Féraud, had coined the term synthesization, that did not progress. In 1886 in Berlin the asepsis, by Bergmann, made its debut. That same year in Hamburg, Hansmann introduces the fixation with metal plates for fractures. Near the end of the century in 1895, radiology was born in Würzburg by W. C. Roentgen. In 1907, in Antwerp Albin Lambotte, coined the term Osteosynthesis. In 1913 stainless steel was developed. In 1916, EW Hey Groves introduced the fixation with endomedullary nails for broken tubular bones. Appears, the first antibiotic, Heatley develops the penicillin in the forties. In 1951 was born the bone elongation, with Ilizarov own apparatus in Kurgan. In 1958 the AO school was born in Biel Switzerland, by ME Müller. In this article we mention some of the achievements made by this AO/ASIF school. The axial tomography appears in Wimbledon in 1971 and in July 1977 in New York, the first full-body resonator was constructed. John Charnley in 1979 publishes his book on low friction arthroplasty, for osteoarthritis of the hip. The current classification of physical lesions was published by Salter y Harris in 1963, and the effective management for congenital clubfoot, with I.V. Ponseti technique, that same year. In 1989 the term developmental dysplasia of the hip by Klisic, was introduced to Orthopaedics, in Belgrade.

REFERENCES

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