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Biomedical subjects

K Franke

Publications and source records attributed to K Franke.

At least 55 records · Page 3Linked to original sources
PubMed1989

[Capsule-ligament lesions of the knee joint. Early diagnosis, primary therapy, results].

Roughly ten per cent of the capacity of casualty surgery are absorbed by injuries of the knee joint which also account for 30 per cent of all sports injuries. Emergency arthroscopy should be indicated for any case of post-traumatic articular effusion. Primary treatment should be rendered within two or three days from the accident. This should be immediately followed by rehabilitation to preserve muscular strength.

Follow-Up Studies↗
PubMed1989

[Psychological management of heart patients and their relatives in the pre- and postoperative phases: experiences from a 2 year model trial].

The psychological and neurological disorders as well as psychosocial problems experienced by cardiac patients and their relatives while waiting for coronary artery bypass surgery are outlined, as well as their intrapsychic situation following the operation. With a view to providing long-term psychological support and care of cardiac bypass patients and their relatives, a care model has been developed which emphasizes the following: (1) initial contact and individual counselling immediately following establishment of the indication for surgery (2) client-centered groups to prepare for the operation, involving both the patients and their partners (3) client-centered (therapy)/relaxation groups for postoperative patients. This model trial is described, covering its development, structure, and contents in some detail. An evaluation is given, as is an explanatory case presentation. The results obtained from 48 cardiac bypass patients in a follow-up study of their views concerning the psychological care provided, are presented in a summary account. Concluding, the authors outline future emphases for practical work and research.

Adaptation, Psychological↗
PubMed1985

Secondary reconstruction of the anterior cruciate ligament (ACL) in competitive athletes.

A follow-up study of 325 patients with surgical repair of ligamentous lesions from 1971 to 1977 demonstrated 88% good results in a group treated by one operation. Only 66% of patients who had had two or more operations had good results. High-performance athletes may regain a reasonably good level of function if knee joint instability is limited to anterior cruciate ligament instability. Superimposed injury causing rotatory instability significantly reduces the incidence of good recovery of function even if repaired by the best known surgical procedures. Function sufficient for noncontact, nonviolent sports is often possible. A poor prognosis for long-term joint function is attributable to chondromalacia and accompanying proliferative synovitis. The earlier a ligamentous lesion is repaired, the better the prognosis.

Athletic Injuries↗
PubMed1984

[Indications for osteosynthesis of metatarsal fractures].

Fractures of metatarsal bones range from 4 to 5% of all fractures and to less than 1% of all injuries occurring. The usual treatment is non-operative by plaster cast. In case of special physical performance (profession, sports) the indication for operative treatment can be extended. This should be taken into consideration in dislocated multiple fractures as well as in single ones of the first and fifth metatarsal bone.

Adolescent↗
PubMed1983

[Epidemiology of accidents in East Germany].

Like in other industrialised countries injuries have, also in the GDR (17.1 Mill. inhabitants), considerable social consequences. This can be illustrated as follows: a daily number of 9800 in-patients or 30% of the surgical bed-capacity in hospitals;--an annual loss of 21.3 million working days which corresponds to 57 500 workingmen;--an annual loss of the produced national income amounting to 1200 million mark;--about 9000 trauma fatalities per year.

Abdominal Injuries↗
PubMed1982

[Ligamentous lesions of the knee joint (author's transl)].

In a 10 years period (1971 to 1980) 648 patients underwent 811 operations because of ligamentous lesions of the knee joint. 63.3% of them occurred due to sports activities. 41.2% of these patients were 15 to 30 years of age. The most satisfying functional results can be obtained by a primary suture of the injured ligaments within the first 3 days after the accident. In this way, a subsequent arthrosis may be prevented. Due to the fact that only 5.0% of our patients could be operated on until the third day after the injury, but 31.0% within 3 months, 70.7% of them already suffered from chondromalacia when the operation of the lesion was performed. In this case the plastic repair has to take into account the damage to the cartilage which happened meanwhile. The most predominant instability of the knee joint is situated anteromedially.

Fracture Fixation, Internal↗
PubMed1981

[Arthroscopy (author's transl)].

Survey of medical problems of knee joint arthroscopy, its advantages and indications. Arthroscopy is important as a specialized medical procedure in those patients suffering from knee joint traumata or complaints due to overload. The procedure has a low morbidity. It's great objectiveness concerning diagnosis of knee joint lesions and results of therapy is remarkable.

Endoscopy↗
PubMed1981

[Epidemiology of thoracic injuries (author's transl)].

UNLABELLED: The following details on thoracic traumata can be given as a survey: Occurrence: 6 to 10% of all injuries treated in hospitals (male: female - 3:1); about 8% open injuries (in Harlem N.Y: 86%); 80% occur as a polytrauma, 90% are combined with fractures. Mortality: 6 to 15% of all thoracic traumata and 20 to 30% of severe ones. ETIOLOGY: 60 to 70% traffic accidents, 15 to 20% during work, 15 to 20% at home, 2% sports accidents. Consecutive injuries of thoracic traumata are: Haemato - and/or Pneumothorax 35%, Lung contusion 20%, Heart concussion/contusion 15%, Rupture of diaphragm 4%, Aortic disruption 2%, Bronchus rupture 1%.

Germany, East↗