Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...最新文献

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[Early and late complications of radius fractures in the classical location]. 【经典部位桡骨骨折的早期和晚期并发症】。
J Meine
{"title":"[Early and late complications of radius fractures in the classical location].","authors":"J Meine","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The early and late complications of fractures of the distal end of the radius are evaluated from the records of 853 cases treated in a private surgical practice. Whilst the morbidity of the 123 fractures in children and adolescents is practically negligible, the incidence of complications in the series of 730 fractures in adults amounts to 28%. The complications in adults are analysed and separated into 8 categories: early dislocations, healing in malposition, compressive neuropathies, reflex dystrophy syndromes, persistent pains, rupture of the extensor pollicis longus tendon, stenosing tenosynovitis, and other complications. The most complications, especially those with a permanent invalidity, are associated with an early instability or a malposition.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 1","pages":"25-32"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13644890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Special utilization potentials of the external fixator in severe complex hand injuries]. 外固定架在手部严重复杂损伤中的特殊应用潜力。
G Mark, E Gautier
{"title":"[Special utilization potentials of the external fixator in severe complex hand injuries].","authors":"G Mark,&nbsp;E Gautier","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Complex injuries to the hand may cause considerable problems in the aftertreatment. Two possibilities are described, which may facilitate and optimize the postoperative care of the severely injured hand: 1. In case of an inguinal pedicle flap, the temporary stabilization of the hand against the pelvis by means of external fixation is advocated. 2. After multiple extensor tendon repair, the temporary immobilization of the wrist, leaving the fingers free to move, by means of a small fixateur externe is suggested.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 2","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13653063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Bone morphology following plate osteosynthesis as measured by axial tomography]. [轴向断层扫描测量钢板接骨术后的骨形态]。
J Cordey, S M Perren, P Matter
{"title":"[Bone morphology following plate osteosynthesis as measured by axial tomography].","authors":"J Cordey,&nbsp;S M Perren,&nbsp;P Matter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Previous examinations using computed tomography have shown that no geometrical changes in the cross-section was induced by the plate fixation; bone density was slightly reduced (10% in average) in the entire cross-section and not only next to the plate. A tomographic analysis is presented here about the quality and the amount of bone in the affected leg, compared to the contralateral one.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 3","pages":"141-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13659706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Autologous blood transfusion in surgical interventions]. 自体输血在外科手术中的应用。
W Hackenbruch
{"title":"[Autologous blood transfusion in surgical interventions].","authors":"W Hackenbruch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>By the autologous blood-transfusion we understand the dose of own blood in contrary to strange blood. The advantageous of the method are well-known. But nevertheless the own-transfusion is rarely realized. By the immune infirmity AIDS this method is of pressing importance at the present time. In orthopaedics and the traumatology of the movement mechanism especially selected operations and delayed emergency-operations are qualified for the autologous blood-transfusion. Regarding a ten years positive experience we introduce a simple and safe method which is also commonly used in the regional hospital in Langenthal since summer 1986. It is a combination of a pre-operative own-blood-transfusion and the \"isovolumic\" actual blood-dilution. 158 patients have been analysed which have been treated by this method. The most frequently operation has been the total hip replacement 85% of the analysed persons could be operated without any strange blood and totally 426 times autologous blood donation could be received within 26 months. That safe and simple method can be managed in the hospital by an engaged but moderate display and it is recommended especially for average and small hospitals.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 3","pages":"155-62"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13659707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Comparison of surgical and conservative treatment methods as exemplified in the juvenile femur]. [以青少年股骨为例,手术与保守治疗方法的比较]。
S Hofmann-von Kap-herr
{"title":"[Comparison of surgical and conservative treatment methods as exemplified in the juvenile femur].","authors":"S Hofmann-von Kap-herr","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a series of 329 children treated for fractures of the femur between 1968 and 1982 a comparison was made between the results of mere extension treatment against operative compression plate treatment. The follow-up shows that conservative methods suffer from high rate of axial deviation, particularly antecurvature, while operative treatment has the negative effect of a higher, incidence of persistent leg lengthening and of re-fracture. The advantages of operative management, namely precise positioning of fracture, low damage to soft tissue and - above all - unimpaired motility of the young patient justify its preferred use in the treatment of femur fractures in children - except for long oblique fractures.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 4","pages":"236-42"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13662705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Corrective interventions in malunited fractures of the distal radius]. [桡骨远端骨折不愈合的矫治措施]。
D L Fernandez, W B Geissler
{"title":"[Corrective interventions in malunited fractures of the distal radius].","authors":"D L Fernandez,&nbsp;W B Geissler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current indications and technique of wrist osteotomies for ununited fractures of the distal radius are presented. A three-dimensional correction at the metaphyseal level is technically feasible. This not only restores the normal orientation of the articular surface thus reestablishing normal load distribution but also the radial length up to 10 mm which is a prerequisite to prevent ulno-carpal impingement. Painful limitation of forearm rotation due to degenerative changes in the distal radioulnar joint may be treated with Bowers hemiresection arthroplasty. If the radioulnar index should be greater than 10-12 mm an additional shortening osteotomy of the ulna may become necessary. Every additional operation on the ulna should be based on the radiological comparison of the distal radioulnar joint of the opposite hand.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 1","pages":"34-44"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13644891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Indications for and results of interlocking nailing in lower leg fractures]. 【交锁钉治疗小腿骨折的适应症和结果】。
K Klingler, K Käch, H Eberle
{"title":"[Indications for and results of interlocking nailing in lower leg fractures].","authors":"K Klingler,&nbsp;K Käch,&nbsp;H Eberle","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>At the clinic for Traumatology at the University Hospital of Zürich between 1981-1986 53 tibial fractures in 52 patients have been treated with interlocking nails. The system of Grosse and Kempf was utilized. The fractures were produced by a variety of mechanisms of injury, of which 70% were caused by traffic accidents. Associated injuries to other organ systems were sustained by 44% of the patients, overall there were 13% considered to have multiple trauma. 21% of the fractures were open. 21% required stable fixation, 17% were dynamized. The remaining 79% fractures were treated with dynamic nailings. A bridging callus was observed after an average of 6 weeks, and cortical bridging at 18 weeks following nailing. Complications included local infection around the proximal transversal screws in 2 and osteomyelitis in 1 case.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 2","pages":"116-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13654540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Late results following shaft fractures of the lower extremities in the growth period]. [生长期下肢干性骨折后的后期结果]。
L von Laer, L Kaelin, T Girard
{"title":"[Late results following shaft fractures of the lower extremities in the growth period].","authors":"L von Laer,&nbsp;L Kaelin,&nbsp;T Girard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a retrospective study 275 femoral-shaft fractures and 652 tibial respectively fibular fractures of the growing skeleton were evaluated. A posttraumatic limb length difference was present in 70% after femoral fractures and in 40% following fractures of the lower leg. In the control group of 822 examined persons we found an idiopathic difference of the length of the limb in 25%. Following femoral fractures the limb length difference was in average 10 mm. However following fractures of the tibia and fibula it was 7 mm. There is no evidence that an established difference in length will improve in course of growth. Factors influencing the alteration of length are discussed. It could be shown that there is no primary therapeutic way of influencing the alteration of length and that the so called prophylactic \"shortening\" at time of consolidation cannot prevent future lengthening. Also we could prove that rotational deformities of the femur show a good prognosis regarding spontaneous correction. Deformities of the lower leg however do not show spontaneous correction and ought to be corrected primarily. The incidence and degree of future alteration of length of the lower limb can only be influenced indirectly by early definite stabilisation of the fracture without leaving an axial deformity behind. For stable non-dislocated fractures the plaster of cast treatment is sufficient. However for unstable, dislocated (displaced) fractures which need anaesthesia for primary treatment, the unilateral external fixator is proposed as the method of treatment. Functional follow up examinations to evaluate possible posttraumatic alteration of the length of the lower limb, have to be performed at least for two years after the accident.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 4","pages":"209-15"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13660591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Intra-articular fracture of the distal radius: results following osteosynthesis with a support plate]. [桡骨远端关节内骨折:用支撑钢板接骨后的结果]。
G A Ferguson, A Leutenegger, G Mark, H Breiter, T Rüedi
{"title":"[Intra-articular fracture of the distal radius: results following osteosynthesis with a support plate].","authors":"G A Ferguson,&nbsp;A Leutenegger,&nbsp;G Mark,&nbsp;H Breiter,&nbsp;T Rüedi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of comminuted intra-articular fractures of the distal radius often requires an operative fixation. Beside the recently recommended external fixator, the support plate fixation offers a helpful alternative to treatment. Between 1980 and 1986, 30 wrists in 29 patients with intra-articular fractures of the distal radius were stabilized with a buttress plate an the Kantonsspital Chur, Switzerland. The mean follow-up-time was 15 months. These follow-ups showed that the buttress plate in treatment of complicated intra-articular fractures allows a satisfactory reduction and stabilization with restoration of the articular congruity and the possibility for early active assisted motion. Buttress plate fixation still remains a demanding technique, which in complicated cases, should be reserved for the experienced surgeon.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 1","pages":"14-9"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13644887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Conservative treatment of navicular fractures 1983-1985]. [1983-1985年舟骨骨折的保守治疗]。
A Platz, K Käch
{"title":"[Conservative treatment of navicular fractures 1983-1985].","authors":"A Platz,&nbsp;K Käch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the period of 1983-1985 81 patients in the University Hospital in Zurich with a navicular-fracture have been treated conservatively. In a retrospective analyse the collective will be tested and the results be demonstrated.</p>","PeriodicalId":77819,"journal":{"name":"Zeitschrift fur Unfallchirurgie, Versicherungsmedizin und Berufskrankheiten : offizielles Organ der Schweizerischen Gesellschaft fur Unfallmedizin und Berufskrankheiten = Revue de traumatologie, d'assicurologie et des maladies professio...","volume":"82 1","pages":"66-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13647338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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