[The spine].

G Muhr; U Bötel

doi:10.1007/bf01823180

Home/Archive/PubMed

PubMed · 6503507

[The spine].

G Muhr·U Bötel

View original source ↗Export metadata ↓

Abstract

Spinal injuries must be divided into stable and unstable lesions. Stable fractures are treated functionally, in unstable cases a decision must be made whether conventional treatment will be satisfactory. Severe kyphosis or chronic instability must be avoided. Open reduction and spinal fusion are recommended very early, if conventional therapy is not successful. Surgical risks are minimized by technical standards.

Explore related subjects

Fractures, Open Humans Joint Dislocations Postoperative Complications Prognosis Spinal Injuries Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

G Muhr, U Bötel. 1984. [The spine].. https://doi.org/10.1007/bf01823180

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

Temporary intentional leg shortening and deformation to facilitate wound closure using the Ilizarov/Taylor spatial frame.

Infected tibial nonunions with bone loss pose an extremely challenging problem for the orthopaedic surgeon. A comprehensive approach that addresses the infection, bone quality, and overlying soft-tissue integrity must be considered for a successful outcome. Acute shortening with an Ilizarov frame has been shown to be helpful in the treatment of open tibia fractures with simultaneous bone and soft-tissue loss. Cases in which the soft-tissue defect considerably exceeds bone loss may require an Ilizarov frame along with a concomitant soft-tissue procedure; however, there are a number of potential difficulties with vascularized pedicle flaps and free tissue flaps, including anastomotic complications, partial flap necrosis, and flap failure. The technique described in this report involves acute shortening and temporary bony deformation with the Ilizarov apparatus to facilitate wound closure and does not require a concomitant soft-tissue reconstructive procedure. Once the wound is healed, osseous deformity and length are gradually corrected by distraction osteogenesis with the Ilizarov/Taylor Spatial frame.

Fractures, Open↗

PubMed2006

Vastus medialis muscle flap and hemi V-Y skin flap for knee extensor and soft tissue reconstruction.

Simultaneous reconstruction of extensor mechanism and skin defect of the knee joint is a difficult problem. We present a case of a 55-year-old man with loss of patella and 9 x 6 cm skin defect after total patellectomy for infected open patellar fracture. Vastus medialis muscle flap and hemi V-Y skin flap were elevated. Vastus medialis muscle flap was advanced and sutured to the remaining patellar tendon. Hemi V-Y skin flap covered the skin defect. The wound healed uneventfully. After a follow-up period of 30 months, active range of motion of the knee joint is 0-120 degrees, and extension strength of the knee joint is [4] in a manual muscle test. He can stand on his right leg without any assistance. The combination of vastus medialis flap and hemi V-Y skin flap is a valuable option in knee reconstruction after total patellectomy.

Fractures, Open↗

PubMed2006

The management of open fractures.

This is a review of Medline and PubMed articles on open fractures published in the English literature between 1945 and April 2005. The emphasis of most published articles has been placed on definitive treatment of these injuries at sophisticated referral hospitals. The prehospital emphasis has been on rapid evacuation and referral to ensure that definitive treatment can be initiated as quickly as possible. Little has been discussed about the management of these injuries in remote settings where evacuation may consume considerably more time. Contemporary recommendations for management of these injuries are reviewed.

Fractures, Open↗