[Functional treatment of humerus fractures by the Sarmiento method. Results after 3 years' experience].
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Aged↗
Biomedical subjects
A Ekkernkamp
Publications and source records attributed to A Ekkernkamp.
[Influencing factors of the patella alignment in TKR and operative soft tissue management].
UNLABELLED: The patella has a crucial effect on the postoperative result after TKR, as complication statistics demonstrate. What factors influence the patella alignment and through which surgical steps can it be centred? METHOD: Reviewing the findings from publications ranging from 1983 to 2000 and our own operative experience, we tried to establish all factors that could influence patella alignment after TKR. RESULTS: A complex overview is given about the dependency of the patella alignment on the design of the prosthesis, the soft tissue and bone preparation and the implantation technique, together with suggestions for intraoperative management for patella centralisation. CONCLUSION: To avoid any patella pathologies, it is of crucial importance to have comprehensive knowledge and to follow the described surgical steps strictly for patella centralisation, including the extensor mechanism. This is essential to achieve a satisfying functional result after TKR.
Arthroplasty, Replacement, Knee↗
[Retrospective analysis of march fractures in the german armed forces in the years 1998 to 2000].
AIM: The aim of this study was to determine the incidence/frequency of march fractures in the German Armed Forces in the years from 1998 to 2000. In particular, the age, length of service, distribution of the metatarsals and the occurrence of anthropometric risk factors were considered. METHODS: At the Medicostatistical Institute of the German Armed Forces the records of soldiers, 191 cases with 204 fractures, with diagnosed "march fractures" were selected and analyzed. RESULTS: 82% of the affected soldiers were between 19 and 22 years old. More than 50% of the fractures occurred within the first eight weeks of service. In about 64% the 3rd metatarsal was affected, in 25% the 2nd metatarsal and in only 11% of all cases the 4th, 5th, and 1st metatarsals. Soldiers were exempted from duty for an average of 26.5 days. No specific anthropometric risk factors were found to be connected with the occurrence of march fractures. CONCLUSION: March fractures in the German Armed Forces are non-predictable injuries of young and physically fit individuals; youth is not a protective factor. There is an increased risk for march fractures during the first weeks of military service. There appears to be no possibility for a screening.
Adolescent↗
Intraoperative assessment of femoral head vascularity after femoral neck fracture.
OBJECTIVES: To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures. DESIGN: Prospective study. SETTING: All patients were treated at the same hospital. PATIENTS/PARTICIPANTS: Sixty-four patients who presented for internal fixation of a femoral neck fracture were enrolled in the study. INTERVENTION: A 2.0-millimeter drill was used to assess the presence and character of bleeding from the femoral head at open reduction and internal fixation of a femoral neck fracture. MAIN OUTCOME MEASUREMENTS: Patients were evaluated postoperatively by history, examination, and roentgenography for the development of avascular necrosis of the femoral head fragment. A minimum two-year follow-up with radiography was required for entry into the study, with an average follow-up of 3.2 years. RESULTS: None of the fifty-six patients with bleeding from the drill holes in the femoral head fragment developed avascular necrosis. Eight of eight patients with no bleeding after reduction developed avascular necrosis. There were no infections or nonunions. CONCLUSIONS: Intraoperative drilling of the femoral head is a highly sensitive and specific predictor for the development of avascular necrosis after femoral neck fractures.
Adolescent↗
Elastic intramedullary nailing: a minimally invasive concept in the treatment of unstable forearm fractures in children.
The standard treatment in forearm fractures in children is usually conservative. Unstable fractures of the proximal parts of the forearm often show poor results after nonoperative management so that these fractures usually require surgical intervention. We report 30 children (ages, 4-14 years) who were treated by elastic intramedullary nailing. Sixteen patients were treated by intramedullary splinting immediately after their accident; 14 children required intramedullary nailing after failure of conservative treatment and fracture redisplacement. At the time of follow-up 6 months later, functional results were excellent in 24 children, good in five children, and fair in one child. There were no serious complications other than one delayed union. According to these results intramedullary nailing can be recommended for the treatment of unstable fractures of the proximal and middle thirds of the forearm in children.
Adolescent↗