Biomedical subjects

G Schippinger

Publications and source records attributed to G Schippinger.

24 records · Page 2Linked to original sources

PubMed1993

MR findings and treatment of four patients with cervical spinal cord injuries.

We report the value of magnetic resonance imaging (MRI) in the assessment of cervical spine injuries with neurological deficit and the implications such information might have in the management of acute spinal cord injuries. Four cases are presented that were neurologically classified according to the 5-step Frankel scale. Three patients presented with an intramedullary hemorrhage. One of these patients showed additional mild compression of the spinal cord due to a retropulsed bony fragment, and one an epidural hematoma without any evidence of spinal cord compression. The fourth patient had compression of the spinal cord secondary to bony fragments from a burst fracture. We carried out two decompressions of the spinal cord by removing the disc and bony fragments. In addition, we performed two interbody fusions. In one patient we applied a halo vest, and in one case surgical intervention was not necessary after MRI assessment.

Cervical Vertebrae↗

PubMed1992

Complications after an unusual procedure in the treatment of a cervical spine burst fracture. A case report.

A 21-year-old man sustained a burst fracture of the 7th cervical vertebral body complicated by a complete loss of sensory and motor functions. He was treated with a pedicled greater omentum flap interposed between the cervical and thoracic spine in a Latin American country. The purpose of this paper is to point out the atypical way of the initial mismanagement. By applying basic principles of fracture management, open reduction and internal fixation was performed resulting in spinal stability which should enhance any chance of recovery of the patient.

Bone Transplantation↗

PubMed1992

[Management of femoral neck fractures with the spongiosa screw and the dynamic hip screw].

Between 1983 and 1987 419 patients with femoral neck fractures were operated on at the University Clinics of Graz. In 120 patients we could preserve the head of the femur doing an internal fixation with cancellous bone screws or DHS. 68 of them we personally could control with a mean follow up of 45.2 months. The most important complications were the necrosis of the head which were observed in 19.1% of our patients and the non union which occurred in 5.8% but not all these patients required reoperation.

Adolescent↗

PubMed1992

[Management of femoral neck fracture in advanced age using femur head endoprosthesis].

Between 1984 and 1989, 419 patients with subcapital fracture were treated, 170 with a head conserving method, 57 with a total endoprosthesis (THR), and 242 with a hemiprosthesis. In the last group the average age was 80.1 (range 55-98) years. At follow up an average of 2.5 years after surgery 63.3% had died. Most of the remaining patients were asymptomatic and their walking ability in the first few years was good. Complications included head protrusion, followed in declining order of frequency by loosening and ectopic calcifications. We conclude that for elderly patients this technique is a suitable alternative to THR or the femoral-head-conserving method, which had higher complication rates.

Aged↗

PubMed1990

Fractures of the humerus.

Early active mobilization of sporting injuries is usually necessary for good functional results. Stable fixation, especially in severe joint fractures, should therefore be achieved. Indications according to the different fracture types using the AO-Classification and the fixation techniques, are described for proximal, shaft and distal humeral fractures.

Athletic Injuries↗

PubMedDate not supplied

Failure of clinical methods in assessing graft integrity after anterior cruciate ligament reconstruction: an arthroscopic evaluation.

We reviewed the findings of 24 patients who underwent knee arthroscopy following a bone-patellar tendon-bone autograft anterior cruciate ligament (ACL) reconstruction. Preoperative symptoms included pain, swelling, catching, and/or locking. Only one patient presented with subjective instability. The subjective and objective clinical findings as well as KT-1000 examination were compared with the arthroscopic findings. Thirteen of the 24 patients had an insufficient ACL graft by arthroscopic examination. In only 5 of these patients did the physical examination and/or KT-1000 results reliably detect an insufficient ACL graft. The remaining 8 patients had a stable knee by subjective and objective clinical criteria as well as strict KT-1000 criteria. No significant degenerative changes or lack of motion was present in this group. Also, 7 of the 8 patients had an excellent or good Orthopädische Arbeitsgruppe Knie (OAK) score and maintained a high level of function. In the two patients who underwent preoperative magnetic resonance imaging the lack of an intact graft was confirmed. A subset of patients appear to have stable knees despite the lack of a functioning ACL graft. Therefore, standard clinical and KT-1000 criteria for ACL deficient knees have limitations in detecting graft integrity after ACL reconstruction. Arthroscopy or magnetic resonance imaging may be needed when graft integrity is in question.

Adult↗