CHAU2104  This is a large 10" x 8" hand signed autographed headed paper letter from Gerhard Kuntscher (6 December 1900 17 December 1972 (aged 72) who was a German surgeon who inaugurated the intramedullary nailing of long bone fractures.  He has personally autographed the souvenir in bold green felt ink- please note the lower image is just from the album housing the autograph and not part of the listing - I have scanned it with the headed paper autograph for reference in case the German translates to something useful for the purchaser - It is folded twice where originally posted (which is how I will send) but in very good (and mostly otherwise great) condition.

Kntscher invented what is known as the Kntscher nail, an internal fixation device used to maintain the position of the fracture fragments during healing. The nail is rigid and has a cloverleaf shape in cross-section. Kntscher 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, Kntscher taught Finnish surgeons to do intramedullary nailings, which earned him recognition and respect in the orthopedic community. The war also prevented the knowledge of Kntscher'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 Kntscher's legacy in the form of steel nails in their legs.

Returned POW's included airmen who had parachuted and broken femurs on landing. Knstscher 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 Kntscher's department, said in 1944 about his invention: "This practical treatment of fractures using a nail, the Kntscher 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