Aktuelle Traumatologie
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Aktuelle Traumatologie · Aug 1991
[Early and intermediate results of conservatively and surgically treated lateral clavicular fractures].
Between 1986 and 1988 67 patients with distal clavicular fracture were treated at the trauma hospital in Innsbruck. Depending on type of fracture conservative treatment (using a spica or other bandages) was performed in those cases without dislocation. ⋯ Plate fixation was necessary in one case of delayed fracture healing. No pseudarthrosis was seen in X-rays, mobility of the shoulder girdle was good and symptoms of pain were rare.
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Emphasis of the article is on the chronic instabilities in the ankle joint and the talocalcaneonavicular joint. The diagnosis of these lesions is demonstrated. An easy to perform technique of x-ray film to prove chronic instability in the talocalcaneonavicular joint is presented. Assessment of luxatio pedis sub talo and of the total dislocation of the talus with its associated lesions is performed with the help of a review of the literature and a description of 12 patients examined by the authors.
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From 1973 to 1986 90 patients with rupture of Achilles' tendon were operated on (4 of these had open ruptures). Different surgical approaches were employed during the period under report. The assessment schemas after Arner/Lindholm and after Trillat formed the basis of both clinical follow-up and a questionnaire operation (participants were 81 patients 10 months to 14 years after the operation). 92.6% good and very good results confirmed the authors' concept of surgical treatment around the 4th or 5th day.
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Aktuelle Traumatologie · Feb 1990
Case Reports[Trans-sphenoid gunshot injury of the head. Anatomic viewpoints].
The transsphenoidal gunshot injury of the head is a subgroup of the temporal gunshot injury, generally with a bad prognosis quoad vitam. Important neural and vascular structures could be damaged by penetration of the missile. In our case the important structures were "missed" exactly and the patient survived without severe neurological deficits. With this case anatomical considerations of the transsphenoidal gunshot injury are made.
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Aktuelle Traumatologie · Feb 1990
[Results of conservatively treated radius fractures at typical sites].
The results of 78 displaced Colles' fractures treated with reduction and below-elbow plaster were investigated. The follow-up varied from 11 to 24 months (phi 14 months). ⋯ Primarily anatomical reduction leads to the best results. Every further reduction leads to a poor result, as well as to a higher number of Sudeck's disease.