Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
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Explosion and gunshot injuries represent a challenging problem with regard to preserve optimal hand function. These wounds exhibit a spectrum of complexity and mostly include extensive soft tissue trauma complicated by burns, foreign bodies, fractures and concomitant trauma. ⋯ The experience in treatment of 38 cases of blast and gunshot injuries of the hand are reported. The results are discussed in relation to literature, complication, indication and technique.
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Spinal column trauma with a fracture of the breast and lumbar spine is with 2-3% relatively uncommon in the pediatric patient population (from birth-16 years). In a review of 22 patients (7-15 years old) treated between 1978-1988 the individual management of treatment is reported. The goal of our study was to describe the absolute indications for the operative treatment and the difference between conservative and operative procedure depending on the age of the patient. The follow-up study after an average of 7 years and 8 months demonstrated an improvement of the neurological status (neurological status of Frankel) of 8 patients and a spontaneous correction of kyphotic angle from 21 degrees after treatment to 3 degrees. ⋯ The treatment must be individual and depends on the age of the patient.
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In a retrospective study we reviewed 262 horse riding related injuries in children younger than 16 which were treated between 1975 and 1989 at the Section of Traumatology in the Department of Surgery, University Hospital Homburg/Saar. In 155 of these accidents, detailed information was gained via a questionnaire. The typical patient profile was that of young female equestrians with little experience and little weekly riding practice, without practicing falling-exercises and warming up often using different horses. ⋯ Ponyriders had less severe injuries than riders of large horses. One fatal accident happened in handling a horse, in these situations preventive measures are often disregard. Active (better education, warming up, falling practice) an passive (head protection!) safety measurements are recommended for prevention of injuries in young riders in particular.