[A protest and two proposals].
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Biomedical subjects
Publications and source records attributed to J Blicher.
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We interviewed 92 patients with nonoperatively treated tibial-shaft fractures with minimum of soft-tissue injury 20-39 years after the injury. Seventeen fractures had healed with an angular deformity exceeding 10 degrees. Seven patients with and 15 without symptoms, but with angular deformity exceeding 10 degrees, were examined clinically and radiographically. None of these 22 patients had arthrosis of the ankle. We concluded that angular deformity within 15 degrees will not lead to restricted motion, pain, or arthrosis of the ankle.
Four radiologists evaluated the internal and external atrophy of 94 patients into four grades. The CT scans were evaluated three times without measuring procedures in order to determine the inter- and intraobserver variation. In the third evaluation referential scans were used. A considerable inter- and intraobserver variation was experienced. When using referential scans, both inter- and intraobserver variation was reduced to two consecutive grades. In cases where the estimation of atrophy is of specific importance the visual procedure is not reliable.
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