Unfallchirurgie最新文献

{"title":"[The impact factor--a reliable sciento-metric parameter?].","authors":"N M Meenen","doi":"10.1007/BF02630217","DOIUrl":"https://doi.org/10.1007/BF02630217","url":null,"abstract":"<p><p>With shortage of research funds and increasing competition for medical posts, performance indicators and control instruments are being looked for in order to be able to allot research funds and make professorial appointments in relation to scientific performance. Incomprehensibly for many, the impact factor has become the decisive scientometric indicator at German universities despite of substantial systematic limitations. The impact factor is derived from the journal citation reports. Its basis of calculation entails the following problems: the editorial board of the private Institute of Scientific Information (ISI) decides on whether a journal is to be classified as a source journal. The citation index of all journals is calculated from their citations alone. Crucial means of influencing the impact factor result from self-citations and citation groups in these source journals. Languages other than English and other than Latin alphabets are appreciably disadvantaged by the citation index, which is why for example despite its international significance the rapid development of the osteosynthesis technique in German speaking countries went unnoticed by British and American orthopedic surgeons and scientists. The articles on postgraduate training necessarily published by clinicians in the respective language of their country are not cited because the addresses of such publications do not engage in research. Clinical disciplines (especially highly specialized disciplines such as trauma and hand surgery) thus attain appreciably lower impact factors for their journals than basic disciplines and interdisciplinary clinical sectors which lead the ranking of journals. The period covered in calculating the impact factor is only 2 years. Very modern and widely disseminated organs of publication with a short information halflife are favored. From the 10 objectively most often cited and most important journals for the scientific society, only 2 are to be found amongst those with the highest impact factor. The impact front-runner from 1995 has a very low absolute number of citations. The impact factor provides limited statistical information on a journal in its special field. Using it for this purpose presupposes knowledge of rules, limitations and constraints. Its uncritical use as a general currency of science is fundamentally unscientific. In addition, this leads to the specialists in the field knowledge of the universities being disregarded in favor of a pseudo-objective parameter determined elsewhere. At all events, correction factors for the impact factor have to be applied in respect to the different disciplines. The faculties should reach agreement on relevant (also on German language) organs of publication. The impact factor is not suitable as an indicator of the research activity and the quality of a researcher or an institution. Besides careful human judgement and other classical methods of decision making, the Science Citation Index can contr","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 4","pages":"128-34; discussion 135-6"},"PeriodicalIF":0.8,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02630217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309926","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}

{"title":"[Psychiatric-psychotherapeutic management of trauma patients].","authors":"S Rossmanith","doi":"10.1007/BF02630220","DOIUrl":"https://doi.org/10.1007/BF02630220","url":null,"abstract":"<p><p>Psychiatric and psychotherapeutic treatment of victims of accidents is based on a concept of comprehensive medical diagnostic and therapy. This integrating approach is aiming at the emotional care for injured people, who already had mental disturbances before the accident or following the trauma. During 11 years as psychiatric and psychotherapeutic consultant at the Accident Hospital Lorenz Böhler in Vienna more than 2000 rounds where done. The necessary interventions during traumatologic treatment of stationary patients are demonstrated in an exemplary way.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 4","pages":"144-52"},"PeriodicalIF":0.8,"publicationDate":"1997-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02630220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20309928","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}

{"title":"[Self-induced injuries--surgical aspects].","authors":"A Katzer,&nbsp;S R Schaaf,&nbsp;J V Wening,&nbsp;H C Möller,&nbsp;K Püschel,&nbsp;K H Jungbluth","doi":"10.1007/BF02628915","DOIUrl":"https://doi.org/10.1007/BF02628915","url":null,"abstract":"<p><p>So far, psychiatric-psychoanalytic theories have been able to explain the phenomenon \"self-injury\" only unsatisfactorily. Moreover, the patients do not turn to a psychiatrist in the first place, but to surgeons, dermatologists, gynecologists or general practitioners. This is therefore an interdisciplinary problem. Since general medical knowledge is relatively unhelpful in diagnosing self-inflicted disease and its treatment, these patients often do not receive adequate psychiatric co-management or further care or indeed often get the chance to delegate the act of self-injury to the physician. In view of the sustained tendency for the disorder to chronify, this frequently results in severe, partly irreversible and sometimes iatrogenically co-induced physical impairments. In the final analysis, it also leads to enormous financial burdens for the agencies which bear the costs.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"105-13"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628915","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111650","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}

{"title":"[Treatment and rehabilitation of post-traumatic tetraplegia in advanced age. A report of experiences].","authors":"A Badke,&nbsp;H Bilow","doi":"10.1007/BF02628914","DOIUrl":"https://doi.org/10.1007/BF02628914","url":null,"abstract":"<p><p>We report about the results of the treatment of patients older than 70 years with posttraumatic tetraplegia. In 7 out of 11 patients treatment in a specialised department lasting for many months makes it possible to live a subjective satisfactory life at home in spite of being severely handicapped. The goals and limits of rehabilitation of patients with posttraumatic tetraplegia cannot only be derived from the age but from the individual capability of the injured patient.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"100-4"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20267671","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}

{"title":"[Traumatically-induced compartment syndrome of the tibia. Ultrasound diagnosis for qualitative assessment of late sequelae for musculature after dermatofasciotomy].","authors":"K Küllmer,&nbsp;L Olivier,&nbsp;P Eysel,&nbsp;J D Rompe,&nbsp;K P Schmit-Neuerburg","doi":"10.1007/BF02628912","DOIUrl":"https://doi.org/10.1007/BF02628912","url":null,"abstract":"<p><p>To determine the significance of sonography in evaluating long-term damage of muscle surgically treated for compartment syndrome 27 patients of the Department for Trauma Surgery, University Clinic Essen, Germany, were examined on their anterior lower limb after an average of 98 (43 to 154) months after trauma. They had had a fasciotomy for imminent (n = 15) or manifest (n = 12) compartment syndrome. Comparing the healthy side a qualitative grading (0 to 3) of the changes could be introduced reflecting the extent of the increase in echogenicity and the loss of the typical muscle texture. Gray scale histograms confirmed the qualitative grading. Patients with manifest compartment syndrome showed severe changes (grade 2 and 3). In imminent compartment syndrome 2 patients with grade 2 and 13 patients with grade 0 or 1 were found. The sonographical changes can be explained by the known pathomorphological changes after compartment syndrome (denervation, scarification). Sonography is useful in the evaluation of soft tissue after compartment syndrome. The results underline the demands of early fasciotomy in imminent compartment syndrome for prevention of damage of muscle and nerve.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"87-91"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9107088","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}

{"title":"[Joint surface replacement of the lateral tibial plateau using patella transplantation].","authors":"J Windolf,&nbsp;P Konold,&nbsp;A Pannike","doi":"10.1007/BF02628916","DOIUrl":"https://doi.org/10.1007/BF02628916","url":null,"abstract":"<p><p>A case of surgical reconstruction of the lateral tibial plateau after impression fracture (Type 41-B3.1) of an 47-year-old female is presented. Joint reconstruction was performed by using a free patellar graft. The 16-year follow-up shows a very good functional outcome without subjective complaints. This case underlines that performing patellar autografting for surgical reconstruction of severe injury of the tibial plateau seems to be a promising alternative especially considering young patients in spite of avoiding total knee replacement.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"114-20"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628916","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111652","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}

{"title":"[Fractures after total knee joint endoprosthesis. Results of treatment with various stabilizing methods].","authors":"C Hopf,&nbsp;T Hopf,&nbsp;J D Rompe","doi":"10.1007/BF02628913","DOIUrl":"https://doi.org/10.1007/BF02628913","url":null,"abstract":"<p><p>In 20 patients with a fracture of femur or tibia 5.2 years after arthroplasty of knee the results of the operative treatment are presented. The results show that especially bone damaging diseases as rheumatoid arthritis, osteoporosis and the loosening of the endoprosthesis are favorable for the fracture during the follow-up. The conclusion of the investigation shows that in younger patients the external fixation by plates and screws is the preferential treatment, in elderly people or comminuted fracture an internal fixation, also in combination with an additional osteosynthesis, allows a fast mobilization. The number of observed complications is higher than in primary knee arthroplasty, the full weight bearing 1st delayed. The rate of further operations and unsatisfactory results is also higher being affected by the high mean age of the operated patients (73.4 years). The possible use of a total femur implant must be discussed critically because only an individual production can avoid further damage of the parts of the joint that were not concerned by the fracture.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"92-9"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628913","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20267673","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}

{"title":"[Monitoring intracranial pressure in patients with severe craniocerebral trauma].","authors":"O Trentz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 3","pages":"85-6"},"PeriodicalIF":0.8,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20267672","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}

{"title":"[Rotator cuff rupture. Vascular supply and collagen fiber processes as pathogenetic factors].","authors":"A Katzer,&nbsp;J V Wening,&nbsp;H U Becker-Männich,&nbsp;D E Lorke,&nbsp;K H Jungbluth","doi":"10.1007/BF02628150","DOIUrl":"https://doi.org/10.1007/BF02628150","url":null,"abstract":"<p><p>Light and polarization microscopic appraisal of the pathways of fibers and blood vessels in the region of the rotator cuff shows branches of the suprascapular artery. These initially radiate into the insertion tendon parallel to the muscle fibers. They do not continue there, i.e. the vessel branches have blind endings, or they branch and anastomose with each other. Outliers of the transverse branch of the anterior circumflex artery of the humerus come from lateral (from the direction of the deltoid muscle). They pass from the bony insertion of the supraspinatus tendon into the tendon plate, but only run together with the fibers for a short distance. Consequently, a zone low in vessels or free of vessels can be constantly demonstrated under a magnifying glass in the course of the supraspinatus and to a small extent also of the infraspinatus in the fetus or neonate as well as in the adult in the region of the zone of interweaving of the tendinous muscle outlier with the capsule at length magnification. In the genesis of rotator cuff rupture, the presence of hypovascularity must be considered to be a predisposing factor which is present from birth onwards. It affects the clinical course during the process of aging as the point of least resistance in consequence of arteriosclerosis, collagen degeneration physiological wear and tear friction at the lower surface of the acromion and inflammatory swellings of the subacromial bursa.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 2","pages":"52-9"},"PeriodicalIF":0.8,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20159766","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}

{"title":"[Hydroxyapatite ceramics in clinical application. Histological findings in 23 patients].","authors":"A Liebendörfer,&nbsp;S Tröster","doi":"10.1007/BF02628151","DOIUrl":"https://doi.org/10.1007/BF02628151","url":null,"abstract":"<p><p>Based on the histological findings of 23 patients who had received implants of the bovine hydroxyapatite ceramic Endobon for a period of up to 16 months, the biocompatibility, nature and extent of osseointegration as well as the resorption and degradation behaviour of the ceramic were investigated. The investigation material consisted mainly of small fragments that had been retrieved during revision operations that were indicated for other reasons. The results confirm the good tolerability and suitability that have been systematically investigated in experimental studies and described for hydroxyapatite ceramic as bone substitute in a vital cancellous bone bed that is not exposed to excessive strain (due to its brittle character). The importance of fulfilling certain requirements in order to achieve a successful result, such as stable implantation in a well vascularized, infection-free bone bed also with a minimization of the contact with local connective tissue has been further substantiated. Good success has been achieved by simultaneous loading with autogenous bone marrow as is practised by many ceramic users. In some cases a widening of intergrain boundaries as well as partial dissociation of superficial hydroxyapatite crystallites were observed in the implant surface.</p>","PeriodicalId":29789,"journal":{"name":"Unfallchirurgie","volume":"23 2","pages":"60-8"},"PeriodicalIF":0.8,"publicationDate":"1997-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/BF02628151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20157712","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}