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Biomedical subjects

H Rettig

Publications and source records attributed to H Rettig.

At least 55 records · Page 3Linked to original sources

[Growth disorders of the para-articular end of the femur following surgical treatment of pediatric femoral fractures].

In pediatric traumatology, conservative treatment takes precedence over surgery. Since the skeleton is capable of spontaneous correction even after malpositioning, surgical intervention to treat fractures is only justified within very narrowly defined limits. Where osteosynthesis material is used, not only the vascular supply, but also the development and functionality of growth joints must be taken into account. Medullary nailing, which may certainly be indicated to treat fractured femurs in adults, is generally not indicated in children.

Adolescent↗

[Vascular pedicled iliac bone graft in therapy of femur head necrosis in the adult. Clinical and angiographic results].

23 hip joints with hip head necrosis in 22 patients were provided with a pedicle bone-graft perfused by the art. circumflexa ilium profunda. I two cases it was necessary to remove the bone-graft contralaterally because bone had already been removed from the side with the necrosis at an earlier date. In these cases the arterio-venous bundle of vessels of the autologous heterotope transplant was connected through microanastomosis with the arteria and vena circumflexa femoris lateralis. In addition to the usual clinical follow-up the method of superselective angiography was also applied to make possible direct perfusion control of the implanted bone-graft in the operated patients. In 18 of the 23 pedicle autologous heterotope transplants unimpeded perfusion could be shown. By introducing regional stress angiography in 7 cases it became possible to make further well-founded statements about the physiotherapeutical follow-up treatment. Electronic subtraction provides a more accurate assessment of even the minutest arteries possible.

Adult↗