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Biomedical subjects

E Morscher

Publications and source records attributed to E Morscher.

At least 127 records · Page 7Linked to original sources
PubMed1977

[The improvement of pulmonary function after scoliosis treatment via Harrington's method (author's transl)].

53 spine fusions using Harrington's method were performed in adolescents (average age 14 years) between 1966 and 1972. Follow-up examination at early intervals showed that the values for pulmonary function, particularly the vital capacity, are lower one year after operation but then definitely increase in the following years. The percentual increase is not statistically significant. The evaluation must take into account, however, that the normal values for pulmonary function in these patients increase markedly because they become 4--5 cm taller on operation. Spine fusions using Harrington's method not only prevent deterioration of pulmonary function but also lead to its improvement. Further evaluations should be carried out to discover to what degree scoliotic patients are trainable without increasing the danger of pulmonary vascular obstruction.

Adolescent↗
PubMed1977

[Cartilage joint transplantation (author's transl)].

The present day knowledge and the practical use of cartilage joint transplantation in the knee joint are reviewed. Apart from the refixation of cartilage-bone and pure cartilage fragments, autologous transplantation has not fulfilled the expectation anticipated from animal experiments. Apart from the question of the source of the graft, the final results depends primarily on the problems of the functional adjustment of the grafted cartilage in its new position and its nutrition. Homologous cartilagenous grafting can give extraordinarily good clinical results but they are not equal to those of a truely successful graft. In spite of this, future research in cartilage joint transplantation will be concentrated on homologous grafting.

Adult↗
PubMed1976

[Treatment and prognosis in vertebral fractures in children and adolescents].

Twenty-six children and adolescents with a total of 65 vertebral fractures are reported. Sixteen patients could be followed up an average of 3 1/4 years after the accident. The questions of growth disturbance after vertebral body fractures and adequate treatment are chiefly considered. -Most of the fractures occurred in the midthoracic spine. As a rule they were serial fractures. -Fractures of the vertebral body with sagittal wedge deformity alone have a better prognosis than those with concomitant sagittal and frontal wedge deformities. Whereas those in the first group correct themselves partially or completely during subsequent growth, improvement in the wedge deformity was only observed in about one-third of the patients in the second group. When the end-plates were fractured, there was no correction and there was a lack in vertebral growth. Severe destruction of the cartilagenous plates and intervertebral discs led to a fusion of the corresponding segment. Increase in wedge deformity was observed twice. -Slight axial deviations of the intervertebral discs following vertebral body fractures are compensated for during growth in most cases. In comminuted fractures, the axial deviation persists but can be compensated for by the adjacent segments of the spine. In instable fractures, it can increase in spite of treatment in a Milwaukee corset. -No difference was found between the children treated with a hyperextension plaster corset and those treated functionally. On the basis of the results, the fracture types which should be treated functionally and those for which a plaster cast is recommended are indicated.

Adolescent↗
PubMed1975

[Primary osteoma of the patella: a case report (author's transl)].

1. The literature concerning tumours of the patella is briefly reviewed. 2. A case of primary osteoma of the patella is reported. 3. Though a malignant tumour was excluded by roentgenology, age of the patient and localisation, a firm diagnosis could not be made before excision and histological examination of the enucleated tumour. 4. Some considerations concerning the origin of osteomas from the pathological point of view have been made.

Bone Neoplasms↗
PubMed1975

[Two-stage reposition and fixation of spondyloptosis with Harrington instrumentation and anterior intercorporal spondylodesis (author's transl)].

On the basis of 3 cases of true spondyloptosis, a two-step operation for repositioning and stabilisation using Harrington's instrumentation with anterior intercorporeal spine fusion is recommended. The first operation involves repositioning with the help of Harrington's rod through a dorsal approach. Approximately 2 weeks later, the distraction is increased by tightening the rod again. Reposition is then completed through an anterior transabdominal approach and an intercorporeal lumbar sacral fusion performed.

Adolescent↗
PubMed1975

[Contribution to the technique of acetabular implantation in total hip arthroplasty (author's transl)].

An operative technique for total hip arthroplasty is described which does not require a guiding instrument to obtain the necessary angles for the acetabular part. Instead, the acetabular rim serves as a guide. The result was examined in 159 cases on the basis of a standard X-ray of the entire pelvis from which the angular relations of the acetabulum could be read or calculated. The values found corresponded to the normal anatomical distribution. The technique is simple and safe. The influence of the angular relationships on the danger of a prosthetic luxation on the one hand and on mobility on the other hand is discussed.

Acetabulum↗
PubMed1975

[The cartilage-damage after fracture of the patella].

At least 16 cases of posttraumatic chondromalacia of the patella out of a total of 79 patients operated between 1968 and 1971 were diagnosed on the basis of a questionnaire and follow-up examination. The clinical findings and delineation of this complaint from femoro-patellar osteoarthritis are discussed. The diagnosis was confirmed by arthroscopy in 2 patients. The significance of cartilagenous damage due to direct contusion is pointed out. The mechanisms which result in a degradation of the cartilagenous layer in the weeks following the accident are mentioned. The therapeutic consequences for the treatment of fractures of the patella are as follows: One must aim at exact bony reduction. Macroscopically damaged parts of the cartilage should be removed. Indication to partial patellectomy should be on a broad basis. A long term treatment with salicylic acid or Chloroquin-both of which are said to prevent enzymatic degradation of cartilage-should be considered.

Adolescent↗