[Long-term results of corrective metatarsal surgery from a subjective point of view].
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Biomedical subjects
Publications and source records attributed to N Gschwend.
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Several surgical approaches to the elbow joint have been described. The disadvantage of all is an insufficient view of a single incision to the anterior and posterior as well as the ulnar aspect of the joint. They require therefore an additional incision or the resection of the radial head with a detachment of the radial collateral ligament. Our single incision allows for an extensive view to the anterior and posterior aspect of the elbow joint without resection of the radial head and the sacrificing of the radial collateral ligaments. It makes in most instances an additional ulnar incision unnecessary. This incision has mainly been tested for subtotal elbow synovectomy in rheumatoid arthritis, for the mobilization of posttraumatic stiff elbows and the removal of loose bodies as in chondromatosis.
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The GSB knee joint is briefly described. Its main features are that it is a non-constrained hinge joint with a polycentric axis of rotation and the load is transmitted over a large area of condylar support. Two hundred and twenty-four patients operated upon in the preceeding 6 years have been reviewed and analysed by an independent observer and the reuslts are presented. Complications that have been encountered are discussed.
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Tenosynovitis is much more frequent in RA than supposed. A comparative statistic of joint- and tenosynovectomy of the Clinic Wilhelm Schulthess is presented. It also proves the importance of flexor tendon involvement. From the patient's point of view the result is good in more than 95% 6 years in average after synovectomy. Recurrent synovitis is very rare in the extensor tendon. It may occur in the extensor carpi ulnaris. In the flexor compartement the symptoms disappear also in most instance. The reasons are discussed and figures given of our statistic.
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