Clip-type fixators are preferred for femur treatment because of the specific anatomic conditions. Good experience has been obtained from the Magdeburg fixator (an improved configuration of the Wagner fixator). Indication for fixator osteosynthesis on the femur does not differ from the generally valid principles. The approach was found to be suitable also for polytraumatised cases. Complications are controllable, and late results are satisfactory. The rate of osteitis amounted to 3.2 per cent. Problems were recorded from cases of infection, following plate-type osteosynthesis for multifragment fractures, which were even more severe when inspection and plate removal had been delayed. Methods have to be changed in all cases in which fractures have not healed within four to six months. Secondary osteosynthesis in such cases is usually combined with spongiosa reconstitution. A load-relieving fracture box may be sufficient for six months.
Download full-text PDF |
Source |
---|
Oper Orthop Traumatol
April 2015
ORTHEGA-Orthopädie am Englischen Garten , Martiusstrasse 3, 80802, München, Deutschland,
Objective: The main problem of patients with Charcot foot is their inability to off-load. Therefore the risk of internal fixation failure is increased, especially in hindfoot instability (Sanders type IV) with osteonecrosis of the talus. Combination of internal and additional external fixation guarantees the reconstruction and improves surgical outcome.
View Article and Find Full Text PDFZ Orthop Unfall
December 2012
Schlichtungsstelle für Arzthaftpflichtfragen, 30419 Hannover.
Background: Statistics of the Arbitration Office of the North German Medical Boards for extrajudicial claim resolution show that nearly 30 % of all panel proceedings confirm medical malpractice. In proceedings concerning fractures in children the percentage rises to 63 % with significant differences in various fracture localisations.
Methods: Between 2000 and 2011 the Arbitration Office dealt with 272 panel proceedings regarding the fracture treatment in children.
Z Orthop Unfall
August 2011
Centrum für muskuloskeletale Chirurgie, Klinik für Orthopädie und Unfallchirurgie, Charité-Universitätsmedizin Berlin, Charitéplatz 1, Berlin.
Background: Modern locking plates are widely used for the treatment of adult orthopaedic and trauma patients. Sporadic descriptions of their advantages now exist for paediatric trauma patients. Publications concerning their implantation in paediatric orthopaedic and neuroorthopaedic patients are still scarce even though it is well known that the compliance of children and adolescents is limited and that rapid mobilisation is essential for patients with disorders of neurological origin or bone metabolism to avoid developmental setbacks and perioperative fractures.
View Article and Find Full Text PDFLangenbecks Arch Surg
April 2010
Universitätsklinik Ulm, Steinhövelstrasse 9, Ulm, Germany.
Introduction: After the routine use of ether narcosis and surgical antisepsis, the evolution of surgery experienced fascinating and genuinely surgical technique-related advancements. Surgeons from Germany contributed strongly to the upturn of operative treatment in the second half of the nineteenth century.
Discussion: B.
Orthopade
February 2010
BG Unfallklinik, Schnarrenbergstr. 95, 72076, Tübingen, Deutschland.
External fixation is one of the mainstays of surgical fracture treatment. This method of osteosynthesis facilitates local damage control surgery for fractures with extensive soft tissue injury and in polytraumatized patients. In addition, correction of deformities and bone segment transport are possible.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!