[Therapeutic splitting in gallstones].
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Cholangiopancreatography, Endoscopic Retrograde↗
Biomedical subjects
W O Ruland
Publications and source records attributed to W O Ruland.
Is there a place for external fixation in humeral shaft fractures?
There is a good indication for unilateral axial dynamic external fixation in fractures of the humeral shaft when the fracture appears in the distal third or in cases of bilateral fractures. A non-union or a posttraumatic paralysis of the radial nerve may be indications for external fixation as well as fractures associated with multiple injuries. Further indications include osteitis, infected non-union and comminuted fracture. There is maximum protection of the soft tissue with this method of treatment. External fixation combines the advantages of conservative and operative treatment by influencing callus formation by dynamizing, distraction or compression. Minimizing soft tissue damage facilitates the decision for early exploration of the radial nerve in cases of palsy. A safer positioning technique of the distal screws of the fixator is described.
Adult↗
[Pertrochanteric femoral fracture in elderly patients--injury pattern and management with gamma nailing].
A group of 128 elderly patients (> 75 years) suffering from peritrochanteric fractures of the femur were treated by the gamma nailing procedure. Results were 81% very good to good and 7% fair. The lethality rate was 8% for the first 4 months. No cases of deep infection, no fractures of the femur following nailing, and no problems with the lag screw were noticed.
Aged↗
[Injuries of the bifurcate ligament].
The bifurcate ligament is a central stabilizer of the carpus. It is the one of the structures concerned in chain of fibular injuries in supination traumas. Damage to the bifurcate ligament is often missed in clinical and radiological diagnosis. Hints are given on the mechanism of injury, staging and graded treatment of this ligamentous injury.
Carpal Bones↗
[Comment on H. Habernek, L. Schmid: Modified approach to anterior acromioplasty].
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Acromion↗
[Soft tissue swelling in sports traumatology. Comparative study of the effectiveness of 2 ointments].
An open randomized study design was used to compare the soft-tissue swelling in patients with fibular capsule injuries under therapy with Chomelanum (preparation A), Lasonil (preparation B) and ointment base of Chomelanum (preparation C). 90 patients were selected for participation in the study, and the results of 85 patients were available for evaluation. Concerning the initial condition there was no significant difference between the three therapy groups of the study. Assessment criteria were the difference of circumference in plane of ankle joint (injured/uninjured side) and the difference of soft-tissue above lateral malleoulus in sonography. The study showed that preparation A had a significantly larger influence on soft tissue detumescence than preparation B- and B larger than C. In observation period all patients of group B and C still showed soft tissue swelling. Between third and fourth day of treatment half of patients in group A did not need any treatment because of complete detumescence. In all assessment criteria significant differences in favor of preparation A were observed.
Ankle Injuries↗