Archives of orthopaedic and trauma surgery
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The occurrence, relation to a particular type of fracture of the pelvis and the possible mechanism of early urinary complications were studied in 186 consecutive patients with fracture of the pelvis. Eighty-eight patients (47.3%) showed early urinary complications. These complications were minor in 73 patients (83.0%; 32.9% of all pelvic features) and major in 15 (17.0%; 8.1% of all pelvic fractures). ⋯ The common pelvic fracture encountered in these patients was the Type III and the individual pelvic fracture was that of both pubic rami on one or both sides; fractures of the acetabulum and posterior segment of the pelvis were next in frequency. On the other hand, fractures of a single ischial ramus or wing of the ilium were not commonly encountered. Fractures with intact pelvic ring were associated with only 9.1% of these complications; all were minor.
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The authors examined 34 tendons under the electron microscope, excised within 48 h after rupture of the tendons. The tendons did not exhibit any signs of inflammation or lipomatosis, but fine-structurally marked hypoxic alterations in the tenocytes could be seen. The degenerative (hypoxic tendinopathy appears in three phases, and the hypoxic lesions of the tendon occur at multiple foci or diffusely, and the various phases can exist simultaneously.
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Arch Orthop Trauma Surg · Jan 1982
Case ReportsLuxatio erecta of the hip. A case report and review of the literature.
Luxatio erecta of the hip is an exceptional injury. This is the report of one such case in a 10-year-old boy, and a review of 7 other cases collected from the literature. ⋯ Reduction is to be achieved by cephalad traction, though internal rotation may have to be added in certain cases. Post-reduction treatment, as well as the incidence of complications, are not different from those concerning the other topographic varieties of traumatic hip dislocation.
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Arch Orthop Trauma Surg · Jan 1981
The gastrocnemius myocutaneous flap (GMF): an alternative method to repair severe lesions of the leg.
A short review of the various methods of closing skin defects associated with severe injuries of the leg raised the question for using a myocutaneous flaps and particularly a gastrocnemius flaps. The surgical technique is described and the versatility of the flap is demonstrated with several examples and discussed showing how both the medial and the lateral gastrocnemius flap, can be used as a pedicle as well as a free flap, ipsi- and contralaterally.