[Thromboembolic complications and their prevention in total hip replacement (author's transl)].
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Biomedical subjects
Publications and source records attributed to H Tscherne.
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During the last three years 3639 emergencies were dealt with using the rescue helicopter "Christoph 4" in Hannover. Of these, 89.3% were primary flights to the scene of the accident to give qualified first aid by a medical team. The average distance to the scene of the accident was 20.8 km with an average flight time of 8.5 min. 2688 patients were treated by the helicopter crew. 89.8% of the patients had injuries of a severity of NACA (National Commitee for Aeronautics) 3 and more. Intubation and artificial respiration was carried out on 293 occasions. Shock treatment with blood substitute was given in 1593 cases. 30 resuscitations at the scene of the accident were successful.
The results of a multicenter study comprising 210 operated distal femoral fractures are reported and conclusions for the technique of internal fixation are outlined: After discussion of some details in osteosynthesis of easy supracondylar and condylar fractures, the stabilization of comminuted supracondylar fractures is described. The special steps in reconstruction of comminuted condyles are reported exactly, and the use of the condyle buttress plate is recommended.
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We analized 71 car head-on collisions with 100 persons involved wearing seat belts. All 31 passengers with faulty belt function (group II) suffered injuries, 7 of them fatal. 69 passengers with correct belt function were only slightly injured if at all (group I). The majority of the injuries in group I are those of the chest and lower extremities, in group II, however, of the head and lower extremities. The "absolute degree of trauma" revealed the maximal extent of trauma for group II in the region of head, chest and pelvis/abdomen. Increased deformation of the vehicle results in an increase of severe injuries especially in passengers of group II.
First experiences in allo-arthroplastics of the knee with 82 Guepar- and 28 sledge protheses are reported. The primary indication was painful osteoarthritis. The most important complication was the recurrent dislocation of the patella with following osteoarthritis, secondary vascular and infected tissue lesions.
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