Aktuelle Traumatologie
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Aktuelle Traumatologie · Jun 1993
Review[Traumatology of the finger nail. Systematic aspects--therapeutic concepts--review of the literature].
The anatomy of the fingernail and its significance for tactile diagnosis is shown. Injuries are described and arranged in a system. On the base of this system guidelines are worked out to create a uniform therapy as far as possible. Immediate action is the best way to treat finger nail injuries.
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Aktuelle Traumatologie · Jun 1993
[Change in treatment procedure after primary external fixator osteosynthesis in polytrauma patients].
In polytrauma patients stabilisation of fractures is of minor importance compared with life-saving surgical interventions concerning the body cavities. Because of persisting instability especially of long bones with disadvantageous effects on the state of shock and the respiratory system (fat embolism, ARDS) early stabilisation of fractures should be achieved. In our experience the majority of cases allows external fixation of long bone fractures simultaneously with or following the life-saving operations. ⋯ An early change of the stabilisation method should be performed as soon as possible if tolerated by the general and soft tissue conditions. Follow-up of 54 patients with 76 fractures stabilised primarily by external fixator demonstrates our experiences with planning and realisation of the change of stabilisation method. The functional and radiological results after an average of 28 months are pointed out.
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Aktuelle Traumatologie · Jun 1993
[Dislocation fractures of the upper ankle joint. Classification--treatment--results].
Between 1959 and 1989 a total of 1,387 ankle fractures were analysed under different aspects. For several reasons the authors prefer the classification by Lauge-Hansen schematized by Maatz. ⋯ Early complications and late results are presented via smaller groups of patients. Evidently SE fractures have the worst prognosis independent of the success of the operation.
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Injuries of the subclavian artery are rare; still rarer are aneurysms of the subclavian artery due to blunt or penetrating trauma. Diagnosis can be performed by careful clinical investigation. ⋯ This will be of value for planning the surgical approach, which varies with the anatomical site of the injury and the kind of accompanying damage. Subclavian aneurysms should be treated surgically, because embolic or thrombotic complications may threaten the extremity and the brain.
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Aktuelle Traumatologie · Feb 1993
[Plate osteosynthesis of the diaphyseal humerus shaft. Indications--risks--results].
Fractures of the shaft of the humerus can be treated conservatively with very good results. In certain situations operative treatment is mandatory. Between 1984 and 1989 25 diaphyseal upper arm fractures were treated operatively, mostly via plate osteosynthesis. ⋯ In 24 cases very good and good functional results were achieved. Nevertheless two transitory paresis of the radial nerve due to the operation are mentioned. Possibilities and limits of the conservative and operative treatment of upper arm fractures are discussed.