Zentralblatt für Chirurgie
-
Posttraumatic foot deformities requiring correction result from overlooked or inadequately treated injuries and, on the other hand, from protracted courses because of avascular necrosis, non-union or infection after primary surgery. To achieve a maximum benefit, corrective surgery has to be carried out early before arthritic involvement of adjacent joint becomes evident. As salvage procedures, arthrodeses should be restricted to the affected joints. ⋯ Malunions of the metatarsals and toes are corrected in cases of symptomatic malalignment. This paper reviews corrective procedures for posttraumatic deformities at the different foot regions. A therapy-based classification for mal-unions of the talus and calcaneus is proposed.
-
Aim of the study was to evaluate typical complications in osteosynthesis of inter- and subtrochanteric femur fractures with intramedullary nailing systems. In the literature screw perforation of the femoral head into the acetabulum, postoperative fracture of the femur shaft, intraoperative shaft fracture, problems in placing of distal locking screws and deep infections are mostly described. ⋯ In an analysis of internationally published data on 2 241 GAN and 365 GLN the cut-out rate was 2.3 %/0.5 %, postoperative shaft fracture 2.2 %/1.4 %, intraoperative shaft fracture 1.2 %/0.3 % and deep infection 1.2 %/2.2 %. GLN shows lower complication rates with regard to femoral head perforation and late shaft fracture than GAN.
-
Case Reports
[Triangular vertebropelvine stabilisation of unstable posterior pelvic ring fractures].
It is the objective of this investigation to describe the early results (2 years outcome) after triangular vertebropelvine stabilisation (TVPS) of unstable fractures of the posterior pelvic ring. ⋯ The following advantages of the TVPS could be demonstrated: anatomical reduction and stable retention of instable pelvic fractures, full weight bearing from the first day after surgery, and only slight restriction of the quality of life two years after operation