PRACTICAL
ORTHOPEDICS
PRACTICAL
ORTHOPEDICS
SECOND EDITION
Subhash Kakkad
MS (Orth)
Medical Lecturer
Health and Family Welfare Training Center
City Center
Gwalior, Madhya Pradesh, India
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Practical Orthopedics
2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any
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This book has been published in good faith that the material provided by author is original. Every effort is made to ensure
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First Edition:
Second Edition:
2005
2011
ISBN 978-93-80704-85-2
To
my beloved father
Late Shri Bholaram Kakkad
and uncles (Late)
Shri Dhannaram
Shri Jethanand
Shri Deewanchand
Subhash Kakkad
Practical Orthopedics
x
This book includes theory and practical aspects in precised way to serve as a complete handbook.
If detailed aspect has to be covered, I refer the reader to read their regular course books.
I would like to avail this opportunity to express my gratitude to my respected Prof B Das, Retd
Prof and Head of the Department of Orthopedics, GR Medical College, Gwalior (MP) and Dr GC
Patani, Principal of HFWTC, Gwalior. Both are constant source of inspiration to me, to express my
views in this book.
My wife Smt Jyoti Kakkad who in spite of heavy teaching load and family burden, has not only
contributed but also helped in editing of this book. My 17-year-old son Ankur has also helped me
a lot, in computerizing this book.
My sincere thanks to Mr Thamban of SIHMC, Gwalior and Mr Akeel Ahmad who have taken
pains in editing and computerizing this book systematically.
I greatly appreciate the constant support and encourgement given to me by the faculty members
and staff of HFWTC City Center, Gwalior and members of Gwalior Orthopaedic Society, Gwalior.
In the last I would like to thank readers and hope they give me feedback for improvement by
their valuable suggestions which would guide me in future.
Subhash Kakkad
Contents
1. Heart-Lung Resuscitation ...........................................................................................................
2. Shock ...............................................................................................................................................
Practical Orthopedics
xii
21. Minor Procedures ......................................................................................................................... 141
22. Bone Screws ................................................................................................................................... 157
23. Bone Plates ..................................................................................................................................... 168
24. Medullary Nailing ........................................................................................................................ 176
25. The DHS/DCS System ................................................................................................................. 201
26. The Angled Blade Plate System ................................................................................................ 210
27. Fracture of Lower Humerus ........................................................................................................ 214
28. Fracture of Pelvis .......................................................................................................................... 220
29. Fracture of Acetabulum ............................................................................................................... 227
30. External Fixation ........................................................................................................................... 240
31. Hand Bones Fracture Frame ....................................................................................................... 248
32. Therapies ........................................................................................................................................ 261
33. Posture, Gait and Exercises ......................................................................................................... 272
34. Guidelines for Evaluation of Permanent Physical Impairment ......................................... 323
Index ................................................................................................................................................. 359