Aktuelle Traumatologie
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Aktuelle Traumatologie · Jun 1993
Review[Traumatology of the finger nail. Systematic aspects--therapeutic concepts--review of the literature].
The anatomy of the fingernail and its significance for tactile diagnosis is shown. Injuries are described and arranged in a system. On the base of this system guidelines are worked out to create a uniform therapy as far as possible. Immediate action is the best way to treat finger nail injuries.
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Aktuelle Traumatologie · Jun 1993
[Change in treatment procedure after primary external fixator osteosynthesis in polytrauma patients].
In polytrauma patients stabilisation of fractures is of minor importance compared with life-saving surgical interventions concerning the body cavities. Because of persisting instability especially of long bones with disadvantageous effects on the state of shock and the respiratory system (fat embolism, ARDS) early stabilisation of fractures should be achieved. In our experience the majority of cases allows external fixation of long bone fractures simultaneously with or following the life-saving operations. ⋯ An early change of the stabilisation method should be performed as soon as possible if tolerated by the general and soft tissue conditions. Follow-up of 54 patients with 76 fractures stabilised primarily by external fixator demonstrates our experiences with planning and realisation of the change of stabilisation method. The functional and radiological results after an average of 28 months are pointed out.
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Aktuelle Traumatologie · Jun 1993
[Dislocation fractures of the upper ankle joint. Classification--treatment--results].
Between 1959 and 1989 a total of 1,387 ankle fractures were analysed under different aspects. For several reasons the authors prefer the classification by Lauge-Hansen schematized by Maatz. ⋯ Early complications and late results are presented via smaller groups of patients. Evidently SE fractures have the worst prognosis independent of the success of the operation.
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Aktuelle Traumatologie · Jun 1993
Case Reports["Extent of damage, previous damage, previous condition, previous disability"--definition of concepts for the legal expert].
Several examples are discussed to explain the most important legal definitions of social and private accident insurance. The importance of disciplined and lucid language in expert opinions is emphasised. Typical cases are described.