[Unusual extension and localization of osteochondrosis dissecans on the patella].
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Biomedical subjects
Publications and source records attributed to H Contzen.
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The article reports on initial experience in accident surgery performed in an operation theater equipped with an ASID sterile filter partition screen. This filter screen is representative of, and corresponds to, the room-within-room solution with laminar airflow in horizontal direction. The advantages of this sterile filter partition in the performance of the broad spectrum of accident surgery operations are explained. During the first twelve months since we started using this screen, no postoperative infection was observed, whereas the infection rate in primarily aseptic surgery performed in the conventional operation theaters of the type normally used to date, amounted to 0.36% during the same period.
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In cases of open fractures, careful reconstruction of the soft tissue and stable internal fixation are generally regarded as the best means of preventing infection. With this in mind, some of the author's own cases of open fractures of the upper and lower leg-stabilized either with conventional intramedullary nails or with interlocking nails-are demonstrated. The infection rate in the especially vulnerable open fracture of the tibia was 7.89 percent.
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