Biomedical subjects

P Kaps

Publications and source records attributed to P Kaps.

4 recordsLinked to original sources

PubMed1985

[Talus injuries].

Due to function and anatomy the talus plays a special part among the tarsal bones. The extended joint surfaces cause a high rate of arthrosis in fractures, the difficult blood supply leads very often to a disturbance of the supply of the talus in the case of vulneration. Fractures are divided in central and peripheral forms which could be caused either by simple or compound fracture mechanism. The computed tomography offers precious informations in the diagnosis of talus vulnerations. Besides the conservative therapy of peripheral fractures there is the operative treatment of central fracture forms. Infection, arthrosis and necrosis of the talus are to be mentioned especially as postoperative complications.

Follow-Up Studies↗

PubMed1983

New target device for ligament grafts in the knee joint.

New instruments for cruciate ligament grafts through a rectilinear drill hole are presented. They are applicable in order to simplify the procedure performed under X-ray view or arthroscopy in the open joint as well as in the close joint. The precise fixation of the grafts at the anatomical ligament end points is the essential advantage of this method.

Arthroscopes↗

PubMedDate not supplied

[Effect of risk factors and therapy on intermediate-term hip deformity in Perthes disease].

UNLABELLED: The prognostication of risk factors for the outcome of LCPD was examined. The radiographic results of conservative treatment with Thomas splint and operative treatment with intertrochanteric derotational varus osteotomy (DVO) were compared using the Index of Deformity (D). METHOD: Radiographs of 153 patients with unilateral LCPD were evaluated retrospectively 1.5-3 years and 3-7 years after diagnosis using the Index of Deformity and Index of Direction. We investigated the radiographic changes in relation to acetabular or metaphyseal reaction, Waldenström classification or limited range of motion at diagnosis and in dependence of therapy. RESULTS: There was a significant better acetabulum-head-index of deformity after DVO. Children with metaphyseal or acetabular reaction had bigger deformities. Patients with metaphyseal reaction had smaller deformities after DVO compared with conservative treatment. Free range of motion (ROM) was prerequisite for good results after DVO. Waldenström classification at diagnosis did not have any influence on morphologic changes after 3-7 years. CONCLUSION: DVO leads to a better containment than conservative treatment with Thomas splint, metaphyseal reaction should be an indication for operative treatment. Prerequisite for DVO is a free ROM. Because Waldenström class at diagnosis does not influence the outcome, free ROM before starting the treatment is more important than an immediate start of therapy.

Adolescent↗

PubMedDate not supplied

[A 5-year study of arterial occlusive disease].

The difference of the frequency of occurrence of risk factors has been tested by the method of the comparison of bound pairs of the group of 46 patients with arterial occlusive disease (AOD) - group A, and of the group of 54 subjects without AOD - group B. The patients with AOD included more diabetics, smokers, physically inactive persons and those suffering from hyperlipemia (P less than 0.05). The difference of number of adipose and hypertonic persons belonging to those two groups has not been statistically significant. The results of the measures to change risk profile of the group A have been observed. On the completion of the period of five years (1982-1987), increased weight has been normalized with 26.5% of the persons with AOD, normal blood pressure has been attained with 43.5% of patients, normolipemia with 8.7% and blood sugar has been checked once or twice a year for all patients. After that period of five years only 13% of the patients with AOD, have been smoking. During the mentioned period, only one patient with AOD has his leg amputated. Between 1982 and 1987, 21 persons died in the group A, respectively 45.7% of the subjects, while in the same period, 14 persons died in the group B, respectively 25.9% of them. The difference of the mortality between groups A and B has been statistically significant (P less than 0.05).

Arterial Occlusive Diseases↗