Archives of orthopaedic and trauma surgery
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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.
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Arch Orthop Trauma Surg · Jan 1981
Case ReportsDiaphyseal fractures of both bones of the lower leg with associated injury of the ankle mortise.
Fractures of both bones of the lower leg may be accompanied by a disruption of the mortise with a shortening of the fibula. This combination was observed in four cases reported in this paper. ⋯ Any shortening of the fibula should be corrected surgically, preferable at the time of injury. Malunion should be treated by corrective osteotomy.