[Fibulotalar ligament replacement using the plantaris tendon].
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Biomedical subjects
Publications and source records attributed to F Magerl.
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Not only fractures of joints and shafts may benefit from internal fixation, but also certain fractures of the spine. Stable spine fractures still are suitable for closed treatment. Instable fractures, however especially those with neurological disorders, can be much improved in their results by adequate surgery, by open reduction, rigid fixation and decompression of the medullary canal in case of paraplegia. As simple as closed treatment of the stable fractures is, as difficult is surgery of instable fractures. For all the different types of instable fractures and different types of compression syndromes, individual surgical approaches, decompression and fixation techniques are to be familiar to the surgeon. The basics of such individualized treatment of fractures of the spine are described as it has become standard base on an experience with 750 fractures of the spine, 90 of them having had surgery.
After a short introduction dealing with the orthopaedic problems of Paget's disease, six patients are reported with pathological fractures due to this disease, which is rare in The Netherlands. Rigid fixation with osteosynthesis is the treatment of choice. In cases in which substantial bowing of the bone exists, a corrective osteotomy is advisable.
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