Publications by authors named "Schlegel K"

The significance of the integumentary profile.

Am J Orthod Dentofacial Orthop

November 1987

Profile analysis was performed on 180 Thai female subjects with ages ranging from 16 to 21 years. Seventy were of Chinese origin. The determination of the profile analysis mean values was based on the methods of Schwarz, Subtelny, Ricketts, Burstone, and Schwartz.

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The acquired narrow lumbar canal with compression of epidural cavity and nerve root canals is caused by degenerative bony changes and disc herniation. Clinical and radiological findings are described, especially those in myelography and computerized tomography. Complaints, resistant to conservative treatment, with neurological deficits accompanied by sciatica or intermittent claudication requires a surgical intervention even in old patients.

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The introduction and routine usage of nucleolysis in treatment of lumbar disc disease has led to recognition of the importance of discography. In addition to confirmation and documentation of needle placement, discography is useful for diagnosis and exclusion of contraindications to nucleolysis such as escape of enzyme to nerve sheath or vascular system. Gross leakage of radiopaque material indicates probable communication to nervous structures.

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Thirty-nine cancer patients (Ca) and 37 age-and sex-matched healthy controls (Co) evaluated 11 commercially available enteral supplements using a modified wine-tasting scale. The cancer patients were 19 males with lung cancer and 20 females with breast cancer, and their controls consisted of 17 males and 20 females, respectively. Mean evaluation scores for the individual supplements revealed no significant differences (NS) between lung cancer patients and controls.

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Of the 110 Sundanese girls and boys we examined anthropometrically 99% were hyper- or brachycephalic, in 75.5% of the population this was combined with hyper-eury- or euryprosopy. From a dentist's standpoint, the following findings were noted: Primary crowding in 85%, deep-bite in 55%, bi-alveolary protrusion in 22% and canine-like upper lateral incisors in 20% of the cases examined.

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[Rehabilitation].

Langenbecks Arch Chir

March 1987

When serious injuries of the soft tissue and bone of the distal crus are not totally cured, orthesis and walking-sticks may bring relief in rehabilitation. Defects after recovery seldom need to be treated by orthesis or orthopaedic shoes. In most cases orthopedic additives to normal shoes can compensate malposition of the bone or lost function of the joint.

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A biomechanic analysis of the lower lumbar segments leads to the recommendation that during posterior lumbar interbody fusion it is desirable to preserve the dorsal structures, particularly of the facet joints. The area of the interbody graft should cover an area as large as possible in order to attain the benefit of the compression forces through the tension of the anterior longitudinal ligament. Preservation of the midline structures or application of a tension clamp to add dorsal tension aids bony fusion.

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The effects of an additional six-weeks training program were investigated ergometrically and in practice in 10 paraplegics. In order to develop stamina, strength and coordinative abilities, the load components were varied by increasing training frequency, expanding load range and increasing stimuli density. It was possible to show a significant increase in the general physical capacity.

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The various forms of congenital abnormality of the femur usually require combined conservative and operative procedures over a long period of time. Operative treatment depends essentially on the morphological findings. The literature is discussed.

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The various forms of congenital femoral defect are discussed according to the classification by Blauth, basing on own observations made by the authors. Choice of therapy is mainly determined by the morphological findings, preference being given to long-time conservative therapy for the controlled promotion of growth. The article comments on the indication and performance of supplementary operative intervention.

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In Dwyer's spinal column correction a titanium cable is stretched from vertebra to vertebra by a special clamp and secured to each vertebra with screws and clips. It is suggested to replace the titanium wire with wire consisting of the memory alloy NiTi. This will permit the prestretched wire to be tensioned by heating it to 60 deg C after it has been fixed at its ends in the vertebrae.

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