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Biomedical subjects

S Hofmann von Kap-herr

Publications and source records attributed to S Hofmann von Kap-herr.

8 recordsLinked to original sources
PubMed1995

[New aspects in the treatment of complete and isolated diaphyseal fracture of the forearm in childhood].

From 1984 to 1992 153 children were treated at the pediatric surgical department of the University of Mainz, of whom 19 had fractures of the radius, 9 of the ulna and 125 had a combination of both in the diaphysis of the forearm. Factors like patient's age, type of fracture and therapeutic methods were analyzed. One hundred and forty-one children were treated conservatively, 12 by operation. One hundred and one of these patients were healthy, when discharged (about 8 weeks after accident). Follow-up was possible in 69 cases. We found that occasional a remaining dislocation angle does not impair function: in 65 cases the result was "good" and "very good", but only "moderate" in 4 cases. These 4 children had been treated conservatively by reposition and plaster cast; 2 of these 4 children showed bone reconstruction without dislocation. Twenty-two of the 56 X-ray follow-up's showed persisting dislocation. To prevent functional problems (2 of our cases) it is essential to obtain a very exact reposition of diaphyseal forearm fractures. Therefore we would recommend a more generous indication for operation, preferably using elastic-stable Nancy pins.

Adolescent↗
PubMed1992

[Surgical indications of funnel chest].

Pathological findings in ECG represent indications for operation only if they are accompanied by subjective complaints and psychogenic problems. The extent of the abnormality usually does not correlate with the patient's complaints. Disappearance of such complaints after surgery does not be considered as a sign of successful surgery. Even a deep funnel chest is not necessarily an indication for operation if the patient has no complaints and can manage the situation. A flat funnel chest should not be operated on. The operation can be performed in patients between 4 and 24 years of age. If severe associated anomalies require operation as well, the choice is not for correction of the funnel chest first.

Child↗
PubMed1989

[Improving continence by reoperation].

Between 1969 and 1988, 191 children underwent operations for anorectal anomalies in the Pediatric Surgical Department of Mainz University Hospital. Ninety-six had deep and 84 had intermediate or high malformations; the type was unknown in 11. Of these patients 53 had impaired continence and 8 still have a protective colostoma. 37 of the remaining 45 children had check-ups and reoperations (5 were deep types). After reoperation there was full continence in 14 patients, partial continence in 11, persisting incontinence in 11 and one case could not be assessed. Our results recommend reoperation using modern surgical methods of patients with continence.

Anus, Imperforate↗
PubMed1985

[Late results following femoral shaft fractures in childhood].

The results of 102 children with fractures of the femur shaft treated by osteosynthesis with dynamic compression plates (DCP) in comparison to 87 children which underwent a conservative treatment by extension are presented. Of 329 patients in a 15-years period, 238 children had a follow-up examination with evaluable data and 49 patients were excluded because of a different therapy such as plaster traction, cast, osteosynthesis with screws or nails etc. The children were divided into two groups: series I from 1968 to 1977 and series II from 1978 to 1982. 19.6% of the patients had a residual difference of more than 1 cm in the length of the legs. Operated children were twice as often afflicted as the conservative group. The amount of difference in the length depended on the duration of instability and increased when several repositions were required in the conservative group, or when an operation was carried out secondary to inadequate traction therapy. Axial deviation was found to be much more common in the extended group (16.1%) than in the operated group, in which only 4% axial deviations persisted in series II when DC-plates were used exclusively. Predominant in the conservative group was a persisting antecurvation in 13 of 14 children. Residual rotation malalignment of significant degree was found only in the group treated by extension, while the operated group averosed at minor torsion deformities. Children with closed epiphysis on the date of examination, who had a persisting rotation failure, had been treated nearly exclusively by extension (50% versus 15%).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1984

[Femoral neck fractures in childhood].

Twenty-eight fractures of the neck of the femur occurred in children between 1963 and 1982 were treated and followed up at the Pediatric Surgical Hospital of the University of Mainz. Three children had transepiphyseal fractures (type I), eight children transcervical fractures (typ II), six children cervicobasal fractures (typ III), and eleven children pertrochanteric fractures (typ IV). Surgical intervention was performed in fifteen children, and thirteen children were submitted to conservative treatment. The results were evaluated according to a new system considering troubles, mobility, and X-ray findings. The evaluation showed good results in twenty children, bad results in two children, and satisfactory results in one child. Five children could not be evaluated. Complications necessitating an osteotomy with change of the bone position were only seen after conservative treatment. The therapeutic procedure applied in order to prevent the most severe complication, i.e. the aseptic necrosis of the femoral head, is pointed out.

Adolescent↗