Der Unfallchirurg
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For failure of an implant after a Magerl-Gallie stabilization procedure and detection of pseudarthrosis with instability of segments C1 and C2, operative revision and restabilization are necessary in the majority of cases. The following case report summarizes a revision strategy using a modified Goel-Harms procedure to restabilize a persisting C1-C2 instability after a failed Magerl-Gallie fusion procedure. This was necessary because of breakage of both transarticular C1-C2 screws with incompletely consolidated atlanto-axial fusion and persisting C1-C2 instability.
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Knee dislocations are rare and often associated with damage to the surrounding structures. We present a case where a soldier sustained a complex knee dislocation during routine training. This trauma was associated with a compartment syndrome, occlusion of the popliteal artery, lesion of the peroneal nerve and multiple lesions of ligaments and tendons of the knee.
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This paper gives recommendations for treatment of thoracolumbar and lumbar spine injuries. The recommendations are based on the experience of the involved spine surgeons, who are part of a study group of the "Deutsche Gesellschaft für Unfallchirurgie" and a review of the current literature. ⋯ Deviations from the individual sagittal profile are described by using the monosegmental or bisegmental end plate angle. The recommendations are developed for acute traumatic fractures in patients without severe osteoporotic disease.