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Biomedical subjects

K G Freund

Publications and source records attributed to K G Freund.

16 recordsLinked to original sources
PubMed1991

[Surgical treatment of forearm fractures].

A retrospective investigation was undertaken on 62 patients with 103 fractures. Of these, 61 fractures were treated with Rush pin, ten with plate osteosynthesis and three with cerclage. Fifty-three patients were followed up. This revealed that 50% of the patients achieved excellent or satisfactory results. 39% did not have satisfactory results while six patients (9.7%) developed pseudoarthrosis and thus unacceptable results. The healing percentage was 92.3 and the infection rate 3.1. These results are considerably better than previously reported series of forearm fractures treated with medullary osteosynthesis and they are comparable with the results of plate osteosynthesis. Rush pin osteosynthesis appears to be as good as plate osteosynthesis but this should be illustrated by means of a controlled investigation.

Adolescent↗
PubMed1991

Polyurethane film (Opsite) vs. impregnated gauze (Jelonet) in the treatment of outpatient burns: a prospective, randomized study.

As it has been shown that re-epithelialization of partial skin thickness wounds can be accelerated if the wound is kept moist, a prospective, randomized clinical study compared the water vapour-semipermeable polyurethane film, Opsite, with the conventional impregnated gauze dressing, Jelonet, in the treatment of outpatient partial skin thickness burns. Fifty-five patients were included: 30 were treated with the polyurethane film and 25 with the conventional dressing. The patients were followed at regular intervals until healing had occurred and were seen 3 months later for evaluation of residual scars and pigmentation. The burns treated with polyurethane films healed with a median of 10 days, while the conventionally treated burns healed with a median of 7 days (P greater than 0.05). Residual scars were noted in 21 per cent of the patients treated with polyurethane films and in 8 per cent treated conventionally (P greater than 0.05). Prophylactic methods should be publicly stressed since one-quarter of the patients were children of 3 years or less who were scalded by split hot liquids. Furthermore the patients' wounds were only briefly cooled before attending medical care. With small burns we advise that cooling should be prolonged until the pain fades then professional assistance should be sought.

Adolescent↗
PubMed1991

Injuries in high-skilled and low-skilled soccer: a prospective study.

Fifty-five male soccer players organized in three teams, one high and two lower ranking, were followed prospectively during 1 year to register the rate, type and severity of injuries in highly skilled and low-skilled players. The injury rate of the low-skilled players was significantly higher than that of the better players. The reason for this is that low-skilled players play in more competitions. and this is where injuries tend to occur. When we stratified on game/practice, the low-skilled players' excess risk disappeared and no difference was found in the severity of injuries. Different ways of collecting data in epidemiological studies of soccer are discussed and it is concluded that the most precise and accurate collection of data can only be obtained by direct supervision and examination of soccer players in the field.

Adult↗
PubMed1989

[Evacuation of patients from the North Sea].

In 1986 and 1987 the department of orthopaedic surgery at the Central Hospital of Esbjerg dealt with 135 medical problems by radio-telephone contacts to persons at sea. Of these, 28% needed a chartered helicopter. This eguals one third of all chartered helicopter evacuations from Danish waters. 77% of the evacuations were from fishing boats and the rest from offshore structures or other kinds of ships. The mechanism of trauma and the diagnosis agreed with the findings in an earlier Danish publication.

Accidents, Occupational↗
PubMed1989

Haematogenous osteomyelitis of the first metatarsal sesamoid. A case report and review of the literature.

A rare case of haematogenous osteomyelitis of the sesamoid of the first metatarsophalangeal-joint visualized by a CT-scan have been presented. The characteristics of this disease have been stressed. When the diagnosis had been considered treatment should be surgical drainage with debridement of all infected tissues. Previous authors recommend antibiotic treatment, but it was not given to this patient. There was total cure after three months.

Child↗
PubMed1989

Isolated dislocation of the tarsal navicular.

An unusual case of isolated dorsal dislocation of the tarsal navicular bone due to hyperextension of the foot is presented. The treatment was closed reduction with percutaneous fixation with a Kirschner wire and immobilization for 8 weeks. The end result was satisfactory. To prevent redislocation leading to arthritis, the Kirschner wire should be left in place for at least 6 months.

Adult↗
PubMed1988

Complicated fractures of the neck of the talus.

Seven patients with a complicated fracture of the neck of the talus were followed up by a clinical and radiographic investigation. One had an excellent result and four had good results. Four developed avascular necrosis of the body of the talus and the treatment of this serious complication is discussed.

Accidents, Traffic↗
PubMedDate not supplied

Isolated fractures of the cuboid bone: two case reports with review of the literature.

Two rare cases of isolated fractures of the cuboid bone caused by indirect trauma are presented, in order to review the present literature. Hitherto, nine cases have been published. A possible mechanism of indirect trauma leading to isolated fracture of the cuboid bone is described. Fracture of the cuboid bone in both cases, results in development of arthritis around the cuboid. The management applied was immediate immobilization for 6 weeks followed by, respectively, an arthrodesis and an arthroplastic operation. Follow-up evaluation revealed unsatisfactory results in both cases.

Adult↗
PubMedDate not supplied

Subtalar dislocations: a review of the literature.

Subtalar dislocations are rare and represent approximately 1% to 2% of all dislocations. This article reviews the literature concerning treatment, complications and late complications with prognosis. Lateral dislocations often lead to poor results due to the frequency of open injuries and associated fractures. This may result in arthritis requiring subtalar arthrodesis.

Casts, Surgical↗