Unfallchirurgie
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In this retrospective study about 101 patients, two groups of patients are compared in order to find out the most significant factors affecting survival after an acute, posttraumatic subdural hematoma (ASDH) of patients older than 60 years. Solitary ASDH in people older than 60 years showed an advantage in terms of survival. Additional traumas to the brain, chest or the blood circulatory system doubled the lethality rate of people older than 60 years. ⋯ A prognostic advantage on the contrary could be observed by patients older than 60 years whose ASDH was caused by a ruptured bridging vein. Most of the ASDH in older people occurred after falling down steps. Some patients fell according to an epileptic attack of an intracerebral bleeding after an anticoagulation therapy.
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In malignant pathological fractures, surgery is an essential part of the whole oncologic conception. In most cases it is combined with adjuvant therapies. ⋯ A very important point is the wish of the patient. With our low complication rates, we have been able to facilitate the hard fates of many patients even if they had only short survival times.