Zentralblatt für Chirurgie
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The concept of AO condylarplate has enabled successful surgical stabilisation for severe condylar and supracondylar fractures in 58% of our patients. We analyzed 113 fractures between 1968 to 1987. Comminuted zones were fixed by special methods. ⋯ There were clear indications for cancellous bone grafts in 52.6%, for revascularisizing segmental fragments, for supporting medial cortical zones and defect areas. The analysis demonstrated the effectiveness of several operative variants in 80.8%. The results are likely to support current recommendations to the use of special stabilizing methods for difficult situations.
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Standardised documentation in accident surgery is to provide detailed information on surgical practice at the ward concerned, data for comparison with other hospitals, statistical documentation from which to find answers to topical questions, and material for counselling and assistance to partners. It is also intended to help in more effective economic planning. An account is given in this paper of the effectiveness of various therapeutic procedures, with reference being made to 13 years of data acquisition, using form sheet documentation of bone fractures. Reference is also made to postoperative infections, image documentation, and on some therapeutic techniques.
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Thoracic trauma was treated in 159 hospitalised patients within a five-year period, with polytrauma being recorded from 40 per cent of the patients. Application of thorax suction drainage proved to be the most effective first treatment for 50 per cent of all cases. Emergency thoracotomy was necessary in 7.6 per cent. The lethality rate recorded from these cases of thorax injury amounted to twelve per cent.
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Biography Historical Article
[Carl Thiem. Prominent surgeon and founder of the Cottbus Hospital].