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At least 487 records · Page 27Linked to original sources
PubMedDate not supplied

[The use of free flaps for upper and lower extremities (author's transl)].

Reconstructive procedure of the upper and the lower limbs by free flaps are presented. The most frequently used donor sites are analysed in order to make a choice according to their characteristics and their reliability. Attention is drawn to the fact that these new procedures bringing cutaneous, muscular, osseous or composite tissues are especially interesting in reconstruction of the distal half of the limbs but will not systematically replace the classical reconstructive surgery procedures. The donor sites are summarized in a recapitulatory table.

Adult↗
PubMedDate not supplied

Medicine and ballet.

Explore the source record for details and available documents.

Dancing↗
PubMed1981

[Our experience with the cross-leg surgical flap].

Despite more recent operation methods the cross-leg flap technique is still of importance in covering defects at the lower leg and foot. Considering all contra-indications and certain technical particularities while operating with this method good results can be achieved.

Adolescent↗
PubMed1995

Knee injuries in young athletes.

The differential diagnosis of children's knee injuries includes not only the typical adult injuries to bone, ligament, and cartilage, but also growth plate injuries. Bony contours are not as well defined in children due to incomplete ossification, and the practitioner must look for certain types of injuries based on the history and the physical findings because radiographic signs may be difficult or impossible to see.

Adolescent↗
PubMed1995

Lower leg, foot, and ankle injuries in young athletes.

Most injuries to the young athlete do have a benign natural course--complete resolution of the difficulty without sequelae. In order to develop a contemporary program of management of the more serious disorders in this active population, the practitioner must be certain to carefully analyze the injury and initiate a rapid course of action. A fracture of the tibia must be reduced, held aligned, and then rehabilitated. A compartment syndrome commonly demands early fasciotomy; the young athlete and his or her parents warrant a sensitive understanding from physicians to quell the anxiety that is paramount to all of these disorders.

Adolescent↗
PubMed1995

Management of difficult wounds with Biobrane.

Nine patients with open wounds are reviewed. All wounds were debrided prior to application of Biobrane. Silver sulfadiazine was applied twice daily. All healed uneventfully after closure. Biobrane is recommended for treatment of difficult and large open wounds; its use reduces evaporative loss and bacterial proliferation, enabling development of a healthy wound base suitable for grafting or delayed closure. This approach can prevent the necessity for flap repair and reduce pain during wound dressing. Wounds such as lower extremity ulcers are often resistant to therapy. Repeated debridements may result in further desiccation without progression of wound healing. Biobrane-treated wounds develop a healthy granulating base which can be grafted or closed.

Adult↗
PubMed1993

[Proximal fibulo-tibial dislocation and ischemia associated with a leg fracture. Apropos of 2 cases].

Proximal fibulotibial dislocation may remain escape detection in leg injuries. Posterior dislocations are unusual and are associated with shortening of the limb due to the tibial fracture. Two cases of such dislocation are reported, associated with lower limb ischemia due to an injury of the arterial popliteal trifurcation. An anatomical model indicates the mechanism of this lesion. Such an unusual association has not be found elsewhere in literature.

Adolescent↗
PubMed1993

[Fatal myocardial lesion in systemic lupus erythematosus].

The authors present the case of a 47-year old female patient. She suffered from a moderate activity SLE for two years. The outcome of SLE was changed by an ulcer because of leg injury, which was repeatedly infected. Severe polyarthritis, leucopenia, thrombocytopenia, clinical signs of vasculitis and in the last two months fever, high ESR, and pericarditis appeared. The angina pectoris, the cardiac decompensation, the electrocardiogram, the echocardiogram was suspect to diffuse myocardial lesion. Cardiac decompensation caused the death of the patient. Besides the activation of her autoimmune disease, infection was suspect in the patient taken immunosuppressive and steroid drugs, though it could not be verified. Autopsy verified besides the recent necrosis of heart without reaction, and multifocal myocardial abscess, which appeared possible in the terminal phase.

Abscess↗
PubMed1996

[The Ilizarov external fixator and method. Treatment of congenital and acquired deformities].

The Ilizarov method, with external fixation by means of rings, rods and wires, has been used at the Norwegian National Hospital, Orthopaedic Centre, since 1992. The method is unique in correcting multiplanar deformities in one surgical procedure. We have treated 70 patients with a wide variety of orthopaedic etiologies. Soft tissue and bone deformities in the lower extremity have been corrected separately or combined. The frequency of complications has been relatively high, but we still think that the Ilizarov method is useful to correct complex deformities in children and adults alike.

Adolescent↗
PubMed1997

[An autopsy case of pulmonary thromboembolism: a delayed complication of a victim by traffic accident].

A 35-year-old male had fallen down from his motor bike caused a fracture of the medial condyle of the right tibia and the acromion of the left scapula. He had received screw fixed operation for his right tibia and had been in the hospital for one month. He died suddenly in the hospital and was autopsied to find out the cause of death. On external examination, it was found that affected leg was bruised and swollened. Partially organized thrombosis in the posterior tibial vein was revealed and bilateral pulmonary arteries were packed with reddish massive thromboemboli. The causes of the posterior tibial vein thrombosis were intimal damage and decreased venous flow, attributable to bed rest for long days and external fixation of the lower extremity. We presumed that direct cause of death was a large thromboemboi which were migrated from posterior tibial vein and lodged at the bifurcation of the pulmonary artery causing obstruction of pulmonary blood flow. Finally we opened the direct cause of death was pulmonary thromboembolism due to leg injury. Clinical instability may hinder the diagnostic elevation and delay therapeutic intervention, it is the most often happened in sudden death cases within the hospital. The importance of early diagnosis and early prevention is underscoped, because the symptoms of pulmonary thromboembolism are not always produced. To prevent fatal pulmonary thromboembolism in trauma, prophylactic use of low-dose heparin therapy and/or the use of oral anticoaglant (warfarin) have been effective and recommended in USA and Western Europe. The routine use of these therapy has not yet been spread in Japan, because the incidence is still apparently lower than in USA and Western Europe as well as the risk of hemorrhage. If the victims of road traffic accident receive the prophylactic use of low-dose heparin and/or oral anticoaglant (warfarin), it might be an effective way to reduce mortality.

Accidents, Traffic↗