THE CLOSED TREATMENT OF COMMON FRACTURES. By John Charnley, B. Sc., M.B., F.R.C.S., Orthopaedic Surgeon, Manchester Royal Infirmary. Second. Buy The Closed Treatment of Common Fractures 4 by John Charnley (ISBN: ) from Amazon’s Book Store. Everyday low prices and free delivery. The Closed Treatment of Common Fractures: Medicine & Health Science Sir John Charnley wrote a consistent text guided by biological, .

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Within a decade he was set to forever transform the practice of hip replacement surgery. His years of service as a military surgeon in the war almost certainly provided him with ammunition for his work.

Some of his line drawings might be accused of oversimplification yet are useful to help understand and treat fractures. A well reduced fracture will often redisplace in a poorly applied cast. A cmomon lecturer in orthopaedics from Manchester published a book titled The Closed Treatment of Common Fractures—a slim volume with a modest aim: John Charnley was a surgeon gifted with a coommon technical mind. However, even in the West, where internal fixation has supplanted non-operative treatment of many of the common fractures that Sir John describes so well, the message is still very pertinent.


Medical Classics: The Closed Treatment of Common Fractures

Author information Copyright and License information Disclaimer. The Closed Treatment of Common Fractures. In many parts of the world today the prohibitive costs of orthopaedic implants mean that non-operative treatment is the only option left fractufes the treating surgeon.

His no-nonsense style of writing is a pleasure to read. He made his arguments confidently, deploying occasional bits of evidence based medicine from his own practice. It was five years after the end of the second world war. It is also instructive to see the respect he had for soft tissue preservation—he was, after all, advocating closed treatment mainly to avoid the unhappy consequences of poor handling of soft tissue. He was also not shy of borrowing from the industrial heritage of his Mancunian upbringing, using the analogy of gear wheels and crank and closev rod.

He then turned the reader’s attention to the proper application of casts.

The Closed Treatment of Common Fractures – John Charnley – Google Books

He brilliantly explained fracture deformity and the soft tissue hinge by clever use of wooden blocks and leather strips. He had an important message for the hapless doctor left unsupervised to treat common fractures concerning why and how fractures displace and how best to reduce and hold them.


The chapters on treatment of particular fractures are full of practical tips. With this publication he attempted to bring the ill defined treatmenh of fracture manipulation into the realms of practical science.

The Closed Treatment of Common Fractures

His was a unique message, he thought, because after the description of detailed theory, larger textbooks had generally neglected to teach this small matter of practical treatment. His interest in the non-operative treatment of fractured neck of femur and charnleey like may be of historical interest, but more than 50 years, four editions, and three reprints later his work is still essential reading for anyone involved in managing fractures.

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