ArtiFacts: Bernhard Heine’s Osteotome
KeywordsOrthopaedic Device Artificial Limb Natural Talent Standard Capital Orthopaedic Institution
When Bernhard Heine (1800–1846) was just 10-years-old, his parents sent him to his uncle’s workshop in Würzburg, Germany to begin an apprenticeship as an orthopaedic technician. He was in good hands. His uncle, Johann G. Heine, is widely considered the founder of orthopaedics in Germany [3, 4, 9], having opened the Caroline Institute (Karolinen-Institut, named after the Bavarian Queen Caroline), the first orthopaedic institution in Germany, in 1816. Johann’s renowned workshop in Würzburg manufactured artificial limbs, wheelchairs, and other orthopaedic devices.
Like his uncle Johann, Bernhard Heine had a natural talent for crafting orthopaedic devices, but lacked a formal medical education. Instead, Bernhard Heine attended anatomical lectures and surgical demonstrations. At the age of 20, he traveled the world to further his medical education . Upon his return, Heine practiced medicine and surgery, specializing in orthopaedic surgery. He designed and built many of his own instruments and appliances, but none as important or widely renowned as the chain osteotome, which he developed in 1830.
Still, the invention brought great fame to Heine. In 1835, he was awarded the prestigious Monthyon Prize by the Académie Française. He then spent 6 months in Russia demonstrating the instrument as a guest of the Czar .
Osteotomes were manufactured in Germany by Bernard Heine and in France by Charriere et Fils. George Tiemann and Co. of New York, eager to demonstrate that they were a world-class producer of surgical instruments, manufactured this chain osteotome in the United States with a tortoise shell handle and gold plated parts . It was displayed at the 1872 Exposition universelle de Lyon to demonstrate virtuosity in surgical instrument fabrication, and was awarded both the silver and bronze medal, which they proudly included on the title page of subsequent catalogs. The instrument was donated to the Army Medical Museum after the exposition, only to be borrowed for the 1876 Centennial Exposition [1, 2]. Tiemann subsequently marketed the osteotome for USD 300 in the 1872 catalog compared with USD 5 for a standard capital saw or USD 191 for a Buck’s general operating set .
Perhaps the importance of the chain osteotome was more symbolic than practical; it demonstrated that orthopaedic surgery was not only a medical specialty, but one that merited prestige.
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