Unfallchirurgie最新文献

Wandel in der Behandlung der Patellafrakturen 髌骨骨折治疗方法的改变

IF 0.8 4区医学

Unfallchirurgie Pub Date : 2022-04-11 DOI: 10.1007/s00113-022-01167-y

M. Berninger, K. Frosch

引用次数: 3

[Self-mutilation as insurance fraud]. [自残是保险欺诈]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044357

K Püschel, E Hildebrand, K Hitzer, S al-Hashimy

引用次数: 5

Treatment of distal femoral fractures in the elderly. Results with the retrograde intramedullary supracondylar nail. 老年人股骨远端骨折的治疗。结果逆行髁上髓内钉。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044354

H M Janzing, F Vaes, G Van Damme, B Stockman, P L Broos

{"title":"Treatment of distal femoral fractures in the elderly. Results with the retrograde intramedullary supracondylar nail.","authors":"H M Janzing, F Vaes, G Van Damme, B Stockman, P L Broos","doi":"10.1007/BF02044354","DOIUrl":"https://doi.org/10.1007/BF02044354","url":null,"abstract":"The drawbacks of plating techniques for the treatment of distal femoral fractures are the need for a large exposure with the possible risk of soft tissue damage, devascularisation of bone fragments and loss of the possible positive effect of the fracture hematoma. Moreover, early weight bearing is not advisable with these implants. To find out whether the retrograde nailing of distal femoral fractures is beneficial we performed this study. Between March 1, 1993 and September 1, 1995, 25 patients with 26 distal femoral fractures were treated in our department with retrograde femoral nailing. According to the ASIF-classification we classified 20 fractures as supracondylar A fractures and 6 fractures as intercondylar C fractures. All fractures were closed and without important soft tissue damage. One patient dies of a not fracture-related cause before fracture healing was achieved. Twenty-five fractures healed. According to our relative Neer-score we counted 18/25 (72%) excellent results (> or = 85 points), 5/25 (20%) good results (> or = 70 points), 1 (4%) fair result (> or = 55 points and 1 (4%) bad result (< 55 points). The retrograde intramedullary nailing makes a biological osteosynthesis of distal femoral fractures possible. Also in our aged patients good functional results could be obtained. Poor hold of the distal interlocking screws and difficult interlocking are the 2 major technical problems encountered with this implant. Early weight bearing is not advisable.","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"24 2","pages":"55-9"},"PeriodicalIF":0.8,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02044354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20527210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 25

[Results of cement-free implanted, Robert Mathys isoelastic acetabular cup]. [结果无骨水泥植入，Robert Mathys等弹性髋臼杯]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044353

L C Olivier, F Neudeck, C Hippel, S Kaiser, K P Schmit-Neuerburg

引用次数: 0

[Attempted suicide--a challenge for the trauma surgeon?]. [自杀未遂——创伤外科医生面临的挑战?]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044356

A Katzer, N M Meenen, G Fröschle, S Raabe, K Püschel, J V Wening

{"title":"[Attempted suicide--a challenge for the trauma surgeon?].","authors":"A Katzer, N M Meenen, G Fröschle, S Raabe, K Püschel, J V Wening","doi":"10.1007/BF02044356","DOIUrl":"https://doi.org/10.1007/BF02044356","url":null,"abstract":"The data from 767 patients after a suicide attempt or suicide were analyzed retrospectively. Skeletal damage was present in 52% of the patients. This was also the highest percentage in the breakdown of the injury patterns, followed by damage of the central nervous system (26.6%). Injuries to parenchymatous organs (20.1%) took third place. Extensive soft tissue injuries were diagnosed in 18.1% and relevant vascular lesions in 16% of suicide cases. At the same time, the high percentage of multiple trauma patients (22.9%) reflects the severity and the extent of injuries suffered in the application of \"violent methods\". Injuries of suicide cases involving violence often resemble those of serious road traffic accidents. In contrast to unselected patients, the injury pattern of suicide cases with multiple trauma is dominated by jumps from a great height and being run over by a train. However, when unusual suicide techniques are used, the surgeon's experience may soon become insufficient. To our knowledge, special traumatology wards provide the best available diagnosis and emergency care for these patients unless they have suffered purely trivial injuries.","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"24 2","pages":"66-74"},"PeriodicalIF":0.8,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02044356","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20527108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[American football injuries in the German Federal League: risk of injuries and pattern of injuries]. [美国足球在德国联邦联赛中的受伤:受伤的风险和受伤的模式]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044355

A W Baltzer, P D Ghadamgahi

{"title":"[American football injuries in the German Federal League: risk of injuries and pattern of injuries].","authors":"A W Baltzer, P D Ghadamgahi","doi":"10.1007/BF02044355","DOIUrl":"https://doi.org/10.1007/BF02044355","url":null,"abstract":"This prospective study investigated the incidence of injuries in German Bundesliga football based on an evaluation of 2 American football teams in the season and pre-season 1995 to 1997. Certified team physicians and team physiotherapists were the initial medical professionals providing on-site diagnosis, injury documentation and first treatment of all injuries. An injury was defined as minor injury (group I) causing a missing of practice or game up to 1 week, as severe injury (group II) causing a missing of practice or game for more than 1 week or hospitalisation and as fatal injury (group III) if the incident lead to treatment in an intensive care unit or remaining neurological or orthopaedical disability or death. Data were collected so that it was possible to calculate the risk of injury per time of exposition per athlete. The function of the athlete, influences of the weather and the mechanisms of the injuries were registered. Overall 713 injuries were documented. The rate of injury was calculated as 15.7 per 1000 hours of practice and game per athlete. Severe injuries with a loss of practice participation of more than 1 week were found in 94 cases. Fatal injuries were not seen in the period of the study. The knee was found to be the most common site of injury, the ankle ranked second. Our study showed that the risk of injury in American football in German Bundesliga is comparable with soccer or handball.","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"24 2","pages":"60-5"},"PeriodicalIF":0.8,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02044355","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20527107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

[Bilateral pertrochanteric spontaneous fracture in chronic alcoholism and liver cirrhosis. A case report]. 慢性酒精中毒和肝硬化并发双侧股骨粗隆自发性骨折。[病例报告]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-04-01 DOI: 10.1007/BF02044358

A Schuh, M Hausel

引用次数: 2

[Fractures of the lower cervical spine. Surgical methods and long-term outcome]. 下颈椎骨折。手术方法及远期疗效]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-02-01

F S Zeilinger, U Meier, R Klötzer

引用次数: 0

[Occasional alcohol drinkers and chronic alcoholics. Comparison of two patient groups from the viewpoint of accident surgery]. 偶尔饮酒者和长期酗酒者。从意外手术角度看两组患者的比较[j]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-02-01

T Ring, R W Sattler

{"title":"[Occasional alcohol drinkers and chronic alcoholics. Comparison of two patient groups from the viewpoint of accident surgery].","authors":"T Ring, R W Sattler","doi":"","DOIUrl":"","url":null,"abstract":"Patients who suffer an accident after alcohol consumption can be differentiated into 2 groups: patients which drink alcohol occasionally and chronic alcoholics. We examined prospectively in-patients treated after suffering a trauma in an alcoholised state. The diagnosis acute alcohol intoxication was made by a breath-alcohol-analysis, the diagnosis chronic alcoholism by a shortened MAST-test. In the average chronic alcoholics were 12 years older than acute intoxicated. Family background of chronic alcoholics was more often disrupted and social status lower than in acute alcoholics. For the acute alcoholics a car crash, for the chronic alcoholics a fall was the main trauma cause. In over 50% both patient groups suffered a minor head injury. Chronic alcoholics had a twice as long hospital stay (16.1 +/- 3.2 vs. 8.5 +/- 1.1 days), needed more specialist consultations (84% vs. 60%) and developed more complications (40% vs 16%) than the acute alcohol intoxicated. The ISS (Injury Severity Score) was the same for both patient groups (6.7 +/- 0.7 vs. 7.1 +/- 0.8) and had no prognostic value for the group of the chronic alcoholics. On the basis of the present findings it is advisable to check the diagnosis alcohol intoxication and to look whether chronic alcoholism is present whenever a drunken patient is admitted.","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"24 1","pages":"32-7"},"PeriodicalIF":0.8,"publicationDate":"1998-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20464488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Fracture of the odontoid process in primary myelopathy. Report of a case]. 原发性脊髓病的齿状突骨折。病例报告]。

IF 0.8 4区医学

Unfallchirurgie Pub Date : 1998-02-01

P Mewe, E van Frank, J C Ward

引用次数: 0