By H. Barrack. Saint Cloud State University.
On returning to civilian life discount imuran 50mg mastercard, he became chief surgeon at Shriners Hospital for Crippled Chil- dren in Chicago; he retained that post until 1965 generic imuran 50 mg on line, after which he remained a consultant until his death. He succeeded Beveridge Moore, about whom he often spoke and whom he greatly admired. Sofield truly enjoyed caring for the children at Shriners and was well known for his Harold Augustus SOFIELD technique of multiple osteotomies and intramedullary fixation (the shish-kebab opera- 1900–1987 tion) for osteogenesis imperfecta. His attitude of Harold Augustus Sofield was born in Jersey City, open-mindedness, relaxation, good humor, and New Jersey, on March 27, 1900. His favorite salu- northern New Jersey, where he attended a two- tation to his young patients, “Hi there, Skeezix,” room elementary school that held eight grades. This was coordinated in New York City and then Northwestern Univer- with Shriners and with West Suburban Hospital sity Medical School in Chicago. He interned at and was designated as the Hines–Shriners San Francisco City and County Hospital from program, of which Dr. Sofield was chief until 1928 to 1929, after which he returned to Chicago 1965. Sofield spent a good deal of time at Shriners institutions, which now compose the Sofield Hospital for Crippled Children in Chicago, where Orthopedic Association. He was on the contributed more than 40 papers to the medical staff at St. Luke’s Hospital, Chicago, from 1934 literature and wrote a chapter in Christopher’s to 1942, and at West Suburban Hospital, Oak Textbook of Surgery on the treatment of fractures. Sofield pioneered the operative fixation of Northwestern University Medical School, where fractures of the hip by performing the first nailing he attained the rank of professor. Harold Sofield received many honors and held His method of percutaneous nailing using multi- many offices (which are too numerous to list ple pins became widespread and well recognized. These was chairman of the Department of Orthopedic nails had a screwdriver-type point and were Surgery at West Suburban Hospital from 1930 to inserted percutaneously under fluoroscopic 1975, secretary of the American Board of Ortho- 312 Who’s Who in Orthopedics pedic Surgery for 8 years and president of that organization from 1955 to 1956, twice president of the Chicago Orthopedic Society, secretary of the American Orthopedic Association for the 1957 and 1958 meetings, president of the American Academy of Orthopedic Surgeons from 1959 to 1960, president of the Chicago Medical Society from 1964 to 1965 and trustee from 1971 to 1976, and a delegate to the Illinois State Medical Society and the American Medical Asso- ciation House of Delegates. In 1980, he received the Chicago Medical Society Public Service Award and in 1981, the Sheen Award, consisting of a plaque and $15,000, from the American Medical Association. He was a founder of the Orthopedic Research and Education Foundation in 1956 and served as its first secretary–treasurer.
All this was achieved and would have looked forward to done with a staff of two consultants purchase 50 mg imuran with mastercard, two senior retirement 5 or 6 years down the line order imuran 50mg free shipping, for RJF, as registrars and a registrar, with two other senior he was often known, was approaching 60. Two registrars on rotation to Southampton and New factors were to be the spark; one was emotional, York and one other registrar on rotation to the the other professional. It was orthopedics, indeed I doubt if there was a single certainly an exciting time to learn orthopedics. If he originality and creativity, was to last a very long went abroad it was to see some distinguished col- time. Joint Replacement Instrumentation, known league and if he stayed at home, he would sit and by its initials JRI, grew out of necessity, his think. However, he required a soulmate who was mother-in-law declaring that, while her son-in- equally dedicated. He found such a person in his law could be arrested for importing contraband, third wife, Eileen. It was a partnership that at her age she had no wish to join him and that achieved great things together: the formation of “In future, neither I nor my skirt will be employed the joint replacement instrumentation (JRI) to cover illegally imported Müller replacements. Thomas’ was as follows: Jim Lovegrove, RJF’s loyal theater assistant, would announce: “The stores are getting low. If they had been appre- hended, the resulting court case would have been legally interesting, for St. Thomas’ never paid for the implants, which were therefore charitable gifts from RJF himself. Joint Replacement Instrumentation gradually metamorphosed from an import company to man- ufacturing.
What are the contributory factors resulting in failure of a multifilament cerclage system? Tension There is always controversy as to whether tension in a cerclage system should be measured order imuran 50mg otc. Personally buy 50 mg imuran with visa, I believe that measuring tension is of no value if the strength of the bone is unknown. The cerclage system could even cut into the bone while attempting to reach a certain level of tension. I would rather rely on my own feeling in judging the amount of tension required—rather like putting a screw into bone when one can sense that if you tighten it any more it will strip the bone. The ideal level of initial tension is therefore dependent on the strength of the bone and on tensioning to below the level at which the cable will cut through it. The other important consideration is that there is a definite tendency to overten- sion cables. Cable is strong and the tensioners are powerful instruments, and thus it is very easy for the surgeon to overtension a cerclage construct. It is also important to realize that a high initial tension will leave less reserve strength in the cable. Figure 3 illustrates a load-deflection curve of a cerclage construct with an arbitrary level of pretension. The reserve strength of this construct is the difference between The Dall–Miles Cable System 243 Fig. Load-deflection curve of a cerclage construct with an arbitrary level of pretension Fig.
