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Biomedical subjects

J Manninger

Publications and source records attributed to J Manninger.

At least 37 records · Page 2Linked to original sources

[The effect of primary nailing on the immediate fate of patients with femoral neck fractures].

Based on their 494 own cases with femoral neck fractures authors investigate the impact on time elapse between the injury and the osteosynthesis upon the outcome of these patients. By comparing two groups with equal severity it was concluded that an operation within 6 hours after the injury is favourable both with regard to the mortality and the systemic or local complications. They provide an explanation for the good results through the analysis of their cases and give a brief review of the literature on this subject as well.

Aged↗

[Reconstruction of metacarpophalangeal and interphalangeal joints with endoprostheses following injuries].

Implants have been used since 1969 by the authors for the replacement of damaged finger joints following trauma. In several cases reconstruction of other damaged tissues in the same finger was also performed. A method is described for replacement of the central slip of the extensor tendon over the PIP joint. Analysis of twenty-one MP and sixty-eight PIP endoprostheses placed in eighty-three patients until 1979 is given. Significant improvement in the range of movement is seen. Preoperative pain was relieved in all cases. There was a need to change occupation in ten percent of patients. Careful analysis of early and late complications calls attention to the proper selection of patients for surgery.

Adolescent↗

[Extensive cavernous lymphangioma of the hand (case report)].

In two cases the authors show that cavernous lymphangioma of the hand can only be treated by radical removal of the tumor and replacement of the overlying skin. In one case the large skin defect caused by tumor removal was replaced by a radial artery forearm flap in one sitting.

Adolescent↗

Avoidance of avascular necrosis of the femoral head, following fractures of the femoral neck, by early reduction and internal fixation.

Clinical, experimental and post-mortem studies suggest that avascular necrosis of the femoral head following fractures of the neck of the femur, is due to compression, torsion, stretching or rupture of the blood vessels by displacement of the fragments. If this is true then urgent reduction and internal fixation are important in the prevention of this complication. This study shows that those cases which were submitted to early reduction and internal fixation had a reduced incidence in severity of avascular necrosis compared with those in whom operation was delayed. Therefore it is proposed that fractures of the femoral neck should be treated by early reduction and internal fixation.

Aged↗

[Internal fixation (with functional stability) of impression fractures of the tibial condyle with a modified plate. I (author's transl)].

A modified plate was constructed, providing a safer and simple way of functionally stable internal fixation in the impression fractures of the tibial condyle. After a brief survey on the previous methods, the purpose of the present modification is described, with the demonstration of the advantages and the technique in several cases. Experiences and results of 9 years with this method will be published in an other article.

Bone Plates↗

[Carpal bone substitution with silicone prosthesis (author's transl)].

The authors reviewed the development of the carpal bone prosthesis implantations. The advantage of the silicone prostheses type Swanson was described opposed to the metal and acrylic prostheses. Silicone rubber prostheses replacing carpal bones were implanted in 56 cases (30 lunatum, 22 scaphoid, 4 trapezium) with success. To keep the well defined indication conditions is underlined by the authors. They created the home conditions of the carpal bone prostheses manufacturing.

Adult↗

[Thumb replacement by finger exchange and osteoplastic method with island flap plastic surgery after injuries].

In a historical overview, the development of the methods of thumb reconstruction were traced from the simple asensory substitution to the osteoplastic reconstruction with abdominal flaps and bone grafts with and without sensory island pedicle flaps and then to the transposition of a finger as a neurovascular island pedicle flap. The importance of providing normal sensibility is emphasized in order to minimize the loss of thumb function. Fifty-five personal cases of thumb reconstruction by various methods are presented from the Central Institute for Traumatology in Budapest. Clinical examples include the osteoplastic technique with a neurovascular island pedicle flap (Fig. 1), the distraction method of Matev (Fig. 2), and the pollicization of an injured finger (Figs. 3 and 4), as well as an intact finger (Fig. 5). The results are functionally and often esthetically good which has already been shown by Hilgenfeldt.

Amputation, Traumatic↗