Aktuelle Traumatologie
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Aktuelle Traumatologie · Apr 1986
Case Reports[Vascular and capsule-band reconstruction following knee joint dislocation].
This is a report about bilateral dislocations of the knee joints in one patient with arterial and venous stop because of endothelial lesions and thrombosis of the popliteal vessels on both sides. After reconstruction of circulation by means of vena saphena, the disrupted knee ligaments were also sutured. Large ventral exposure of the knee joint is recommended for both reconstruction of vessels and ligaments.
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Aktuelle Traumatologie · Aug 1985
Case Reports[Bilateral shoulder dislocation fractures, femoral neck and vertebral fractures: a remarkable combination of injuries during an epileptic seizure].
Fracture complications of convulsions are reported occasionally, e.g.: mono- or bilateral posterior shoulder luxations and luxation fractures, central dislocations of the hip as well as fractures of the femoral neck or compression fractures of vertebrae. A case is reported where the patient sustained four such lesions simultaneously. ⋯ The simultaneous presence of four such lesions following one convulsion has never before been reported and appears to be very uncommon. The frequency and problems of post-epileptic fractures are discussed and the operative treatment of the lesions briefly described.
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Compound pelvic fractures can be mastered only by means of an active surgical procedure. If the shock cannot be controlled by conservative treatment, early angiography followed by embolisation should be done. ⋯ Septic complications can be prevented by a liberal indication of derivative colostomy with irrigation of the rectal segment by copious amounts of saline solution, by suprapubic urinary drainage and meticulous "debridement" of soft tissue. The procedure is presented in detail.
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Aktuelle Traumatologie · Oct 1984
[Combined thoraco-abdominal injuries. Diagnosis, therapy, treatment results].
81 patients with combined thoraco-abdominal lesions had at the same time craniocerebral lesions (54 cases) and (in 70 cases) injuries of the locomotor system. These 64 men and 17 women had an average age of 44.8 years. ⋯ Only 8.6% of the patients could be treated conservatively. 42 patients died (51.9%), two-thirds of these from direct organ lesion and one-third from an indirect organ lesion. The most frequent cause of death was craniocerebral trauma, ranking before thoracic and abdominal trauma.
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Aktuelle Traumatologie · Jun 1984
Case Reports[Appropriate management of penetrating thoracic stab injuries].
Knife-stab chest injuries require immediate adequate treatment according to an established pattern. Depending on the clinical findings, the requisite management is performed: Intubation, central vain catheter, tube drainage according to Bülau, thoracotomy. Stabbing weapons should be removed not before admission to a thoracic surgical clinic ready for immediate operation. One of our cases shows that schematic procedure enables adequate "minimal therapy" in spite of dramatic circumstances.