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Biomedical subjects

S Weller

Publications and source records attributed to S Weller.

At least 163 records · Page 9Linked to original sources

[Valgus osteotomy in treatment of osteoarthrosis of hip (author's transl)].

The article reports on Bombelli's theory on the genesis of arthrosis of the hip. Clinical experience has shown that valgus and extension osteotomy is indicated in dysplasia arthrosis, in cystic changes and formation of osteophytes. Although the good clinical results cannot be accepted as a proof of the biomechanical deliberations, they do extend the range of indications pointing to surgery of the diseased hip joint performed for the purpose of preserving the femoral head.

Bone Plates↗

[Injury of the patella (author's transl)].

Fractures of the patella account for about 1% of all fractures. They result from the impact of direct or indirect forces. Various fracture types are distinguished. Treatment of simple transverse or oblique fractures consists of anatomic reduction, with special attention to perfect reconstruction of the retro-patellar gliding surface. Tension banding is used for fixation to achieve functional stability. Comminuted fractures in the pole region may require partial resection along with careful reconstruction of the extensor mechanism. In cases of complete communition of the patella, early patellectomy is recommended and gives better results than late patellectomy.

Acute Disease↗

[Periarticular ossification following replacement of the hip-joint. Clinical and radiologic examination of 697 hip-joints (author's transl)].

Systematic examination of 733 cases of replacement of the hip-joint, operated on with an identical technique and method of post-operative treatment. Frequency and severity of periarticular ossification, their relationship to pre-operative arthrosis and their effect on joint function are described. Development and localization of periarticular ossification, their higher incidence after tearing off of the trochanter, removal of osteophytes and occurrence of hematomata hint at surgical trauma as one of the causes. Preliminary operations on the proximal end of femur did not influence ectopic ossification. Ossification of grade I did not interfere with function, grades II and III limited movement in varying degrees.

Follow-Up Studies↗

[Conservative management of juvenile fractures (author's transl)].

The preliminary conservative management of juvenile fractures by closed reduction must be performed with due regard for the pressure of epiphyseal plates, the more rapid bone healing and the increased stimulation of growth. Malunited fractures are realigned by the normal process of bone remodeling, and results are better in young children. The management of shaft. metaphyseal and joint fractures by closed reduction is outlined. Late sequelae such as a diminished range of motion of the affected limb are rare, so that intensive physical therapy is not required.

Age Factors↗