Der Unfallchirurg
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Clavicle fractures are the most common break injuries in humans second to radius fractures. They often occur alone, mostly after falling directly onto the shoulder and less often onto the stretched out arm. They are also not uncommon in connection with high speed trauma or multiple injuries. ⋯ Because the clavicle is necessary for precise, powerful and variable use of the arm, an exact morphological repositioning is extremely important. Approximately 90% of all clavicle fractures heal with good results after conservative treatment. However, in particular situations there are absolute (obligatory surgery due to vessel damage) or relative operation indications.
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Review Comparative Study
[Osteitis. Infections of the locomotive system].
Infections of the locomotive system appear in many different forms such as acute inflammation of joints or bone following injury or surgical or chronic processes, often lasting for years. They demand an exact treatment plan not only to remove necrotic tissue but also for reconstruction of defects. A special problem is infection following alloplastic reconstruction of joints or spine. Multiple surgical procedures are required to hinder reinfection, restore function, and assure acceptable patient quality of life.
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Calcaneal fractures (CF) are uncommon injuries in childhood; most data concerning CF originate from studies of adult trauma. In a retrospective analysis, we evaluated CF in children treated in our department over the last 5 years. In addition, we reviewed the current literature concerning the mechanism of injury, diagnostics, and complications after conservative and operative treatment. ⋯ Treatment strategies and recommendations are still inconsistent. In extraarticular and nondislocated fractures, conservative treatment does not seem problematic. But in intraarticular fractures with dislocation of the joint, operative treatment with anatomic reduction is advised in order to avoid long-term consequences.
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After a fracture of the distal radius, especially with malunion, many patients complain of a decreased range of forearm rotation and pain on the ulnar side of the wrist. The purpose of this article is to describe the therapeutic options available in such cases. Decision making as to whether there is an indication for corrective surgery or not is based on the patient's symptoms and the clinical findings, whereas the decision as to which surgery to perform must take into account the radiological findings. If possible, reconstruction of the anatomy using a distal radius osteotomy should be carried out.