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Biomedical subjects

E Morscher

Publications and source records attributed to E Morscher.

At least 109 records · Page 6Linked to original sources
PubMed1979

[Anterior interbody fusion with neurological symptoms of a spondylolisthesis (author's transl)].

28 patients with spondylolisthesis who underwent anterior interbody fusion at the Orthopaedic Department of the University of Basle between 1968 and 1976, have been follow-up. In 90% satisfactory or good clinical results were achieved. In 82% the neurological symptoms - without laminectomy - were markedly improved or eliminated. According to the authors anterior interbody fusion (with reduction and enlargement of the intervetebral space) is indicated even when neurological symptoms are present.

Follow-Up Studies↗
PubMed1978

Osteotomy of the patella in chondromalacia. Preliminary report.

There are many factors involved in the aetiology of chondromalacia of the patella. If possible, the appropriate operative procedure should be chosen for each patient, hence attempting to eliminate the cause of softening of the cartilage. Increased pressure over the lateral facet, with or without reduced pressure over the medial facet of the patella, resulting from lateral positioning or tilting of the patella, the Wiberg/Baumgartl-types III and IV, and the "Hunter's Hat" form are important causes. With reduced pressure, the cartilage is inadequately stressed and consequently receives insufficient nourishment. As the medial facet is particularly thick and has little contact with the femoral condyle, nutritional disturbance is almost a normal occurrence. Longitudinal osteotomy of the patella has been found to improve the contact of the medial surface of the patella with the femoral condylar groove. The analgesic effect of this surgical procedure may derive from the resultant reduction in subchondral interstitial pressure, presuming that the pain in chondromalacia patellae, like that of osteoarthritis, is a manifestation of raised intramedullary pressure. To ensure an improvement in patellar tracking the osteotomy is combined with a lateral capsular release.

Adult↗
PubMed1978

[Subchondral cysts of the iliac acetabulum (author's transl)].

Subchondral solitary bone cysts occur, as well as in numerous other places in the skeletal system, also in the roof of the acetabulum. These cysts differ from typical arthrosis growelcysts in form, position and X-ray appearances. They can be found in hips otherwise normal on X-ray examination (Group I), or in the presence of prearthrosis or arthrosis (Group II). The clinical features and the pathological anatomy of this form of bone cysts are discussed, as well as its aetiology. The pain precipitated by these cysts is very favorably affected by operative filling of the cyst with autologous spongiosa, as shown by follow up of the 19 operations done by the authors. These operations were done on an average 7 years previously. The result was good or satisfactory in 17 out of these 19 cases. The 2 treatment failures were due to wrong indication for operation--the simultaneous arthrosis was already too advanced. The authors prefer for this operation the Watson-Jones approach and recommend, if a large acetabulum-roof-cyst is present, immediate filling of the cyst also if an intertrochanteric osteotomy is done at the same time because of prearthrosis or arthrosis.

Acetabulum↗
PubMed1978

[Operations on vertebral bodies by anterior approach (author's transl)].

The origin of most pathological affections of the spine is situated in the vertebral bodies and the intervertebral disks. There have been established standard manners for the anterior approach to all parts of the spine in the last years which allow us to reach every vertebral body from the front. The authors describe the anterior approach to the different parts of the spine and discuss the indications for interventions on the vertebral bodies separately for the cervical, thoracic and lumbar spine. The experience with their 144 own cases is briefly reported.

Cervical Vertebrae↗
PubMed1977

[Operative therapy of low back pain (author's transl)].

The possibilities of operative therapy of low back pain are summarized. The correlation of the clinical symptoms and the pathological substrate is essential for a specific intervention. This implies risks to the vertebral column because of its complex innervation. Only exact clinical examination and history, the correct interpretation of radiographs and the possible consultation of photographs of function may - together with the psychically favorable attitude of the patient - lead to successful operation.

Back Pain↗
PubMed1977

[Osteotomies of the forearm in the treatment of ulnar dysmelia (author's transl)].

The syndrome and classification of ulnadysmelia--which shows considerable analogy to fibuladysmelia--is described on the basis of two cases. The therapy of the milder form of this deformation which includes our two patients is discussed. Correction osteotomy of the bones of both forearms with excision of the radial head is recommended for inveterate cases. In younger children, a result which is both cosmetically and functionally successful can be achieved by lenghtening osteotomy of the ulna. The operation is to be repeated if necessary.

Adolescent↗
PubMed1977

[Clinic and pathogenesis of Morton's disease (author's transl)].

From experience with 58 own cases the authors found that Morton's metatarsalgia due to a sclerosing neuroma of the plantar digital nerve is very often not recognised for many years. As this painfull affection easily can be cured, the clinical symptoms and histological findings, the diagnostic steps and treatment are described and the etiology discussed. For the excision of the plantar digital neuroma, situated generally between 3rd and 4th metatarsal head, the dorsal web-splitting approach is preferred because of better scars and immediate weigt-bearing. The operation is performed on outdoor patients. There were no complications. The results of 35 operations two or more years back show immediate and complete relief of pain in 31 cases and significant but incomplete relief in 4 cases.

Adult↗
PubMed1977

[Surgical interventions on the vertebral bodies of the thoracic spine (author's transl)].

27 operations on the vertebral bodies of the thoracic spine are reported. Indications for operation included markedly progressive infantile and juvenile scoliosis, correction of severe kyphoses in congenital malformation, fractures, Scheuermann's disease and post-laminectomy as well as tuberculous spondylitis and tumors. The two uppermost thoracic vertebrae can be reached by the method of Southwick and Robinson, the two lowest vertebrae from an extraperitoreal-subdiaphragm approach. Thoracotomy was chosen for the remaining thoracic vertebrae. If the staff and material are available, operations on the thoracic vertebrae can be regarded as relatively safe and, in many cases, are the only possibility for obtaining a satisfactory or good result. In spite of this, strict indications must be observed. Severe complications (death, paraplegia etc.) did not occur in any of the patients.

Adolescent↗