Gerhard Küntscher
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Gerhard Küntscher (6 December 1900 – ) was a German
surgeon In medicine, a surgeon is a medical doctor who performs surgery. Even though there are different traditions in different times and places, a modern surgeon is a licensed physician and received the same medical training as physicians before spec ...
who inaugurated the intramedullary nailing of long bone
fracture Fracture is the appearance of a crack or complete separation of an object or material into two or more pieces under the action of stress (mechanics), stress. The fracture of a solid usually occurs due to the development of certain displacemen ...
s.


Biography

Küntscher was born in
Zwickau Zwickau (; ) is the fourth-largest city of Saxony, Germany, after Leipzig, Dresden and Chemnitz, with around 88,000 inhabitants,. The West Saxon city is situated in the valley of the Zwickau Mulde (German: ''Zwickauer Mulde''; progression: ), ...
,
Germany Germany, officially the Federal Republic of Germany, is a country in Central Europe. It lies between the Baltic Sea and the North Sea to the north and the Alps to the south. Its sixteen States of Germany, constituent states have a total popu ...
. Küntscher invented what is known as the Küntscher nail, an internal fixation device used to maintain the position of the fracture fragments during healing. The nail is rigid and has a
clover Clovers, also called trefoils, are plants of the genus ''Trifolium'' (), consisting of about 300 species of flowering plants in the legume family Fabaceae originating in Europe. The genus has a cosmopolitan distribution with the highest diversit ...
leaf shape in cross-section. Küntscher first performed the process using the nail in November 1939 at the University Department of Surgery in Kiel. He first presented 12 cases of intramedullary fixation with rods at a surgical meeting in Berlin 03/18/40 and was met with general disapproval for using surgery for fractures The German military initially disapproved of Kuntscher's IM nailing technique but introduced it in 1942. While in the Finnish Lapland from 1942 to 1944, Küntscher taught Finnish surgeons to do intramedullary nailings, which earned him recognition and respect in the orthopedic community. The war also prevented the knowledge of Küntscher's use of the IM nail to exit Germany. The German military had the upper hand in treating soldiers with the IM nail and having them return to fighting status in just a few weeks. Worldwide knowledge was not established until the prisoners of war (POW's) returned to their home countries carrying Küntscher's legacy in the form of steel nails in their legs. Returned POW's included airmen who had parachuted and broken femurs on landing. Künstscher had been reassigned to a Luftwaffe hospital outside of Berlin and Luftwaffe POW's were treated there. All previous treatment of femur fractures required 6 weeks of bed rest and Allied doctors debriefing the returnees were astonished that they were up and walking in days after surgery. A. W. Fischer, head of Küntscher's department, said in 1944 about his invention: "This practical treatment of fractures using a nail, the Küntscher procedure, is, in my eyes, the greatest revolution in the treatment of bone fractures since the invention of nail extension by Klapp, and this revolution will conquer the world."Ludwig Schroeder. Zum 100. Geburtstag von Professor Dr. Gerhard Küntscher. Schleswig-Holsteinisches Ärzteblatt 1/2001, 51-53 (in German)


See also

*
Intramedullary rod An intramedullary rod, also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat ...


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1900 births 1972 deaths People from Zwickau German orthopedic surgeons 20th-century German inventors 20th-century German surgeons {{Germany-med-bio-stub