Zentralblatt für Chirurgie
-
718 trochanteric fractures, surgically treated with nailing according to Ender, 130 degrees angled blades of AO, 95 degrees condyle blades of AO, valgisation blades of AO and the (DHS) dynamic hip screw of AO were followed up for anatomical reconstruction, early weight-bearing, complications and spectrum of indication. The best surgical method is the DHS-osteosynthesis, easy to perform, weight-bearing at once, low rate of complications and good results by a broad spectrum of indications. Subtrochanteric fractures should be treated with 95 degrees condyle blade and unstable fractures connected with destruction of Adam's bow with valigisation osteotomy and valgisation blade.
-
The ulcer risk of jejunal interposition following gastric resection was analyzed experimentally and clinically. There was a strong correlation between the rate of ulcer and the length of the interposed segment. The longer the segment and the better the reflux preventive effect was the higher was the ulcer risk. By additional vagotomy a partial protective effect could be obtained.
-
If the conditions of the wound are favourable, flexor tendon divisions in zone 2 should be sutured and functionally treated early according to Kleinert's method. Different modifications of the Kirchmayr-suture can be used. ⋯ The flexor tendon repair in the region of the tendon sheath of the fingers is difficult and can therefore only be performed by a skilled hand surgeon. Success depends on the quality of postoperative supervision and physiotherapy practised.