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
{"title":"[The treatment of infected pseudarthrosis of the tibia using Umiarov's technic (epiderm-fascio-osteoplasty)].","authors":"R Mora, A Soldini, F Raschellà, F Paparella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infected tibial nonunions, with bone loss and extensive soft tissue damage, often require long multistage treatment. Epidermo-fascial osteoplasty according to Umiarov allows the removal of important bone loss without previous sterilization of purulent foci or coverage of the soft tissues. The results obtained in 5 cases treated by Umiarov technique are very satisfactory and allow to consider this method as a valid alternative to the traditional treatments.</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":"187-90"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13659670","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}
{"title":"External fixation versus traditional treatment for comminuted Colles fractures.","authors":"C Olerud, J Kongsholm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of conservative treatment of comminuted Colles fractures are discouraging. Due to this several different operative techniques have been presented by different authors for treatment of these injuries. Good results have been reported by external fixation, but this has usually been the \"second line of defense\" and has been applied only after conservative treatment has failed. The aim of the present study was to compare primary external fixation and conservative treatment for comminuted Colles fractures of type Frykman VIII. The study was designed as a prospective, controlled study.</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":"99-105"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13653065","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}
{"title":"[Treatment of femoral and lower leg shaft fractures in adolescents].","authors":"M Meuli, U G Stauffer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In adolescents dynamic-compression-plate osteosynthesis is an excellent modality for treating femoral shaft fractures. It provides anatomical stabilisation as well as short hospitalisation and rehabilitation. In contrast, fractures of the tibial shaft are usually treated with casts or by extension. Primary operation is rarely necessary, for example in cases of an impaired neurovascular system. In third degree open fractures we usually recommend external fixation. In our department clinical and radiological late-term controls are performed over a period of at least two years for tibial and four years for femoral shaft 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":"227-35"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13660593","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}
{"title":"[Concomitant carpal injuries in radius fractures. Nature and incidence, analysis of the last 10 years].","authors":"R Stober, G Wohlgensinger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Carpal involvement was detected in 47 cases amongst 2828 radius fractures in the last ten years at the St. Gallen Cantonal Hospital. A radiological correlate of this carpal involvement was found retrospectively in 18 cases. The number is likely to be very much higher with increased attention to this injury! The significance of exact diagnosis is underscored by the observation that the concomitant carpal lesion predominates in the further course and determines the fate of the wrist a long time after the radius fracture has healed up.</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":"63-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13647337","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}
{"title":"[Utilization of helicopters for the prevention of secondary cerebral lesions in severe craniocerebral injuries].","authors":"M Genoni, M Bogen, M Fritz, R Malacrida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The prehospital emergency treatment of craniocerebral trauma tries to avoid secondary cerebral lesions by controlling respiration and circulation. The therapy consists of heavy sedation with Midazolam, analgesia with morphine, artificial hyperventilation, PaO2 over 12 kPa and average arterial pressure above 80 mmHg. Our series of 46 patients recovered between 1982-1988 had a hospital mortality of 23%. 46% of the patients were polytraumatized. A normal neurologic state 6 months from the accident was registered in 86.4%. For 13.6% it was slightly pathological and no vigilant coma state was reported. The most effective rehabilitation method at the site of the accident has to secure the cerebral oxygen supply and reduce potential increase in intracranial pressure for avoid secondary cerebral lesions.</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":"163-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13659708","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}
{"title":"[Plate osteosynthesis in femoral shaft fractures].","authors":"E H Kuner, W Schlickewei, U Grossmann","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 1979 and 1988, 119 children with 123 femur shaft fractures were treated in the Department of Traumatology of the university-hospital of Freiburg. Traffic accidents were the reason in half of the cases. 19 children had multiple trauma and serious cranio-cervical traumata. In the case of 14 further children, additional limb fractures could be diagnosed, four of which were contralateral femur shaft fractures. More than half of the children with femur shaft fractures were treated by internal fixation. Only internal fixation by plate was employed. 32 children were operated upon at the day of the accident (49%). Children with solitary injuries could be treated as outpatients after 13 days. The implanted material could be removed after an average of 8.4 months. At the moment a reexamination of 31 operated cases (altogether 65 children with 69 fractures are operated) is performed. 30 children have excellent (18 patients) or good (12 patients) results. The healing process was complicated by delayed healing of the fracture (1 patient), plate fracture after 2 months (1 patient) and subcutaneous haematoma (2 patients). Osteitis did not occur.</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":"243-51"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13662706","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}
{"title":"[Differentiated treatment of fractures of the distal radius].","authors":"F Povacz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The question of our study was, if in the case of such a numerous fracture as the distal radius fracture, a different individual treatment would be possible and if the results could be thereby improved. Both can be replied by yes. Of the 200 fractures 157 cases in the plaster cast on the forearm or in the plaster cast on the upper arm in the restored position are healed in bone. Forty three times only the conservative routine treatment has not been enough, that means for about 2 patients a week. These ones need an individual adjusted treatment, care and control, a consumption which can absolutely be required. By distinctive operative treatment it was managed to reduce the number of the secondary deviations of the whole collective to 16%. That mainly was for the benefit of the age group 20-59 years, by the patients over 60 years an operation, indicated by the fracture, is not always possible regarding the above-mentioned reasons. In such a case it is useful to discuss with the patient the problems and the result which can be expected for preventing disappointments.</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":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13644889","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}
{"title":"[Corrective osteotomy of the distal forearm].","authors":"M Lehner, G Sennwald","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After fractures of the distal forearm the final degree of malunion correlates well with the amount of discomfort and limitation of ROM. With this study we like to demonstrate that corrective osteotomies will improve the overall results. We analyzed retrospectively 94 cases. Corrective osteotomy of the distal radius as well as shortening of the ulna ended in more than 70% of the cases in good and very good results. We conclude there is no age limitation for performing corrective osteotomies of the distal forearm despite the published results in the world literature.</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":"45-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13644892","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}
{"title":"[Recent peri-lunate dislocations of the wrist].","authors":"P Vichard, A Zeil, Y Tropet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors analyse a series of 50 fresh dislocations of the carpal-lunate. 35 of these patients were reviewed clinically and radiologically: the radial peri-lunar dislocation is more often encountered than described in the literature. Lunate necrosis and collapse is rare and there is no relationship between secondary necrosis of the lunate and primary dislocation. The clinical results, with a mean time follow-up of 5 years and 6 months are good, but radiological abnormalities such as arthrosis and instability are seen without clinical complications. The authors present their management of dislocation of the carpal lunate but it seems that early diagnosis and treatment of these dislocations is essential for good results.</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":"106-11"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13654538","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}
{"title":"[High-speed motion picture analysis of bone fractures].","authors":"R Moor, S Tepic, S M Perren","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Torsional fractures of plastic and cadaver tibiae were investigated using high speed cinematography. The bones were fractured while immersed in water. With greater than 9000 frames/sec the fracture was displayed in about 5 frames showing the progression of the fracture lines. The immersion in water made a strong implosion visible which may result in considerable tissue damage in vivo.</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":"128-32"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13654544","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}