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Biomedical subjects

S Sánta

Publications and source records attributed to S Sánta.

17 recordsLinked to original sources
PubMed1993

[A point system for the comparative evaluation of the treatment of acromioclavicular dislocations].

Authors treated 165 patients for fresh acromioclavicular dislocation. In the period examined four different operative procedures were used for the transitory fixation of the joint. The results of treatment are assessed with a point system worked out by them. Their method makes the establishment of collective statistics, based on uniform points of view and extended to more institutions possible. By this an objective comparison on the effectiveness of the single conservative and operative methods of treatment will be practicable.

Acromioclavicular Joint↗
PubMed1992

[Stabilization of the injured acromioclavicular joint using a new type of fixation plate].

The opinions in the question of transitory fixation of the joint during the treatment of the acromioclavicular articulation are rather different. The complications of the widely used methods--break of the implant, its tear from the bone, the wandering and the disturbances of wound healing--are well known. To decrease the number of complications authors have developed a new type of hooked plate. The plate is fitted to the anterior surface of the acromial end of the clavicle and its hook is fixed from below in the bore hole of the acromion. To choose the optimal place of the bore hole a drill guide was prepared. The operative method is described and the advantages of the method are summarized. The "Debrecen-plate" was used during 2 years in 39 injuries. 35 patients were controlled 6-24 months after the operation. Based on the results of the treatment a wider use of the method is suggested.

Acromioclavicular Joint↗
PubMed1992

[Experience with the management of scapula fractures].

Authors have treated 37 fractures of the scapula during 3 years. The questions of the aetiology, classification, diagnosis and therapy of this injury are reviewed. It is stated that the majority of the scapula fractures heal on conservative therapy; in consequence the functional treatment has a leading role. The fractures of the articular surfaces with step formation, the fractures of the scapular neck process dislocated in a high degree, or unstable fractures of the scapular neck combined with the comminutive fractures of the operative therapy are assessed. Attention is called to the most frequent operative complications and to the possibility of their prevention.

Bone Nails↗
PubMed1992

[Experience with the Bristow procedure].

Authors assess the results of 17 Bristow's operations performed in the therapy recurrent anterior dislocation of the shoulder. The literature of the subject is reviewed, the technical details of the operations are described and the possibilities of complications are pointed out. On the basis of literary data and their own favourable experiences the wider use of this method is suggested.

Female↗
PubMed1992

[Acromioclavicular dislocation associated with fracture of the coracoid process].

The joining of the acromioclavicular dislocation and the fracture of the coracoid process is rather rare. The number of cases described in the world literature is under 20, in this country no such case was described yet. Author reports on a case treated with operation, that healed with good result. The viewpoints of the diagnosis and treatment of this injury are reviewed. The results of the conservative and operative treatment are hitherto equally favourable. Author thinks the operative treatment of injuries with complete dislocation reasonable.

Accidents, Occupational↗
PubMed1991

[The use of Debrecen plates in the management of acromioclavicular dislocation].

Since surgical treatment of the ruptured acromio-clavicular ligaments is still requiring an improvement, a new implant, the Debrecen-plate, was devised. Its application necessitates only a small exposure, soft tissue covers the plate favourably and spares the joint surface from immediate damage. The authors describe the surgical procedure and report on the outcome of 39 Tossy II and III injuries treated in this way.

Acromioclavicular Joint↗
PubMed1991

[First experiences in Hungary with the use of the Wolter plate in acromioclavicular dislocations].

Authors describe an operative procedure, new in this country, for the treatment of acromioclavicular dislocation. In 18 young sportsmen and physical workers, in cases of injury, the joint was fixed with Wolter's crooked plate until the healing of the capsule and ligament sutures. The plate does not damage the joint surfaces, no postoperative external immobilization is necessary and so early functional treatment will be possible. The patients were reexamined 24 months after the operation. No break or loosening of the implant was observed. In spite of the fact that the subcutaneous dehiscence of the wounds on shorter sections healed without complications further investigations are thought necessary for its prevention. In 17 patients complete function of the shoulder was reached. All patients continue their original jobs or sport activity. On the basis of the convincing good results authors suggest the use of Wolter's plate.

Accidents, Occupational↗
PubMed1991

[Stabilization of the injured acromioclavicular joint].

Authors review the functional anatomy of the sternoclavicular joint and the pathophysiological changes in injuries of the capsule and ligaments. The advantages and complications of the operative methods used for temporary stabilization of this joint are examined. It is stated that methods, the most generally used in the past decade were not suitable to solve the question of stabilization optimally. New possibilities are promised by the hinge and hooked plates, a therapy ensuring movement and loading stability, however little experience was yet gained with their use.

Acromioclavicular Joint↗
PubMed1990

[Injury of the rotator cuff. II. Diagnostic and therapeutic problems].

Authors examined the clinical problems of the rotator cuff injuries. The possibilities of the early diagnosis are reviewed and the significance of the detailed physical examination and of the shoulder arthrography stressed. The indication of the conservative and operative treatment is defined and also the optimal time of the reconstructive operation. In massive tears, in young age, the early diagnosis and the necessity of the urgent operations is stressed whereas in degenerative alterations, before the operative therapy of the cuff defects, in every case complex physiotherapeutic treatment is suggested. It is underlined that the operative results are improved by the good exposure, the possibly simple and reliable closure of the defect with a synchronous widening of the space under the shoulder vault. Because of the great variety of the injuries an individually chosen functional aftertreatment of many months is thought necessary.

Acromioclavicular Joint↗
PubMed1989

[Experience with the surgical management of rupture of the capsule and ligament of the acromioclavicular joint].

Evaluating the surgical results obtained with 74 cases of acromioclavicular dislocation the authors review the problems of diagnostics and surgical treatment of the injury. It is pointed out that the restoration of the functional anatomical condition--and simultaneously the reduction of the number of posttraumatic complaints--may be ensured only with operation in cases of severity grade II and III. However the results of the operative techniques applied in a rather wide range at present do not come up to expectation. The disturbances of healing are due in the majority of the cases to the use of implants unsuitable from biomechanical point of view. The application of appropriately solid acromioclavicular plates means significant progress in this field. The time and way of restoration of the injured capsule and ligament system influences decisively the results. Sutures of the ligament applied within 24 hours after the injury heal well. If the ligaments show strong splitting up or the operation is performed delayed plastic reinforcement or completion is justified in each case owing to the partial resorption. From the viewpoint of the surgical technique the use of the softpart flaps formed from the environment appear to be the most favourable.

Accidents↗
PubMed1989

[Use of a periosteal flap in the surgical management of rupture of the acromioclavicular joint capsule and ligament. Preliminary report].

Authors use in the treatment of acromioclavicular joint dislocations to increase the safety of the ligament sutures a periosteal flap, gained from the clavicle. The use of the periosteal flap to increase the strength of the acromioclavicular ligament sutures is described. In case of fixing the joint with a tension band the suspension of the cerclage on a screw for an easier removal is suggested.

Acromioclavicular Joint↗