Buhl C A
Medizin- und Pharmaziehistorische Sammlung der CAU zu Kiel, Brunswiker Str. 2, 24105, Kiel, Deutschland.
Unfallchirurg. 2019 Feb;122(2):127-133. doi: 10.1007/s00113-018-0598-0.
Nearly 80 years ago in the autumn of 1939 Gerhard Küntscher successfully stabilized a patient with the first intramedullary nailing surgery. As a result, the research interest in osteosynthesis significantly increased.
Many important studies referencing Küntscher and his invention have been published over the last decades focusing particularly on the alleged individual performance of the surgeon. The present study highlights the close collaboration between Küntscher and the engineer Ernst Pohl, which developed an enormous creative energy and power. At the same time the intramedullary nail itself is at the center of attention. Despite a harsh critique especially in the first years of its existence this idea quickly spread around the world of trauma surgery. This article gives a retrospective view of which factors promoted its spread and which were barriers.
In this study articles on medical history were taken into consideration as well as the medical specialist literature. In addition personal letters, memoirs and other individual written sources from relevant players were consulted to allow for a change of perspective. The latter were fundamental for this study.
The study showed the eminent impact that the close cooperation between Küntscher and Pohl had on the success of the intramedullary nail. The synergy of Küntscher's medical expertise and Pohl's ingenuity found solutions for problems other people could not solve. World War II interrupted this close interaction but at the same time helped to disseminate the technique globally which in turn contributed to the advancement of the idea.
近80年前，1939年秋，格哈德·昆scher成功地通过首例髓内钉手术稳定了一名患者的病情。结果，对骨固定术的研究兴趣显著增加。
在过去几十年里，发表了许多引用昆scher及其发明的重要研究，尤其关注外科医生所谓的个人表现。本研究强调了昆scher与工程师恩斯特·波尔之间的密切合作，这种合作产生了巨大的创造力和能量。同时，髓内钉本身也成为关注的焦点。尽管在其存在的最初几年受到了严厉批评，但这个想法很快在创伤外科领域传播开来。本文回顾了哪些因素促进了其传播，哪些是障碍。
本研究考虑了医学史相关文章以及医学专业文献。此外，还查阅了相关人员的私人信件、回忆录和其他个人书面资料，以便转换视角。后者对本研究至关重要。
该研究表明，昆scher和波尔之间的密切合作对髓内钉的成功产生了显著影响。昆scher的医学专业知识与波尔的创造力相结合，找到了其他人无法解决的问题的解决方案。第二次世界大战中断了这种密切互动，但同时也有助于该技术在全球范围内传播，这反过来又推动了这一理念的发展。
