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At least 19 recordsLinked to original sources
PubMed1977

On the possibilities of the application of scanning electron microscopy in the forensic medicine.

The aim of the paper is to provide pertinent, information about scanning electron microscopy (SEM), with a detailed survey on the great possibilities of SEM which is becoming increasingly important in research and practical work of forensic medicine. The electronoptical characteristics of the method are discussed and the basic preparation methods to be selected are described. The areas of forensic medicine where these methods have already been used, as well as the results obtained, are briefly surveyed. The present state of affairs as well as personal experiences with hairs, bones, muscle and skin are described in detail. The experience with the critical point drying method is described. This method according to the reviewers, is very useful for work with hairs, bones, nails and sometimes with skin although the preparation may result in secondary destructions of the tissues of high water content to such an extent that the evaluation will be interfered with or becomes impossible. Further possibilities of these perspectivic methods are under research. The discussion of the physiological data is preceded by a historical description of the SEM and TEM systems and the basic principles of its function, which should facilitate reading of the text.

Bone and Bones↗
PubMed1975

Primary internal fixation of femoral neck fractures.

The principles in treatment of femoral neck fractures by primary internal fixation have been reviewed. In the rare, undisplaced stress or fatigue fracture, early internal fixation with threaded pins is recommended. Impacted fractures should be treated by primary internal fixation in patients who do not follow orders and patients whose general condition is poor and would require early weight bearing. Displaced fractures may be treated by primary internal fixation at any age and regardless of the patient's general condition. The following principles are emphasized: early operation, anatomical reduction and slight valgus in some cases, compression and impaction of fragments, and firm immobilization of fragments with a device that has a sliding mechanism and provides lateral cortical fixation.

Bone Nails↗
PubMed1975

Subtrochanteric fractures of the femur.

Subtrochanteric fractures of the femur comprise only 5% to 7% of hip fractures, but are important because of the difficulty in management. They combine the problem of instability to varus deformation common to comminuted intertrochanteric fractures and the problem of delayed union common to diaphysial fractures of the femur. While the benefits of open reduction and internal fixation in decreasing morbidity and mortality have been well established, formidable operative complications have occurred when this fracture is treated like an intertrochanteric fracture. Improved results have been obtained by utilizing a fixation device that can control the intertrochanteric instability and that has sufficient strength to withstand deforming forces that may be present for up to a year while the fracture is uniting. Bone grafting has been found very useful in shortening the overall period of healing.

Adult↗
PubMed1976

Animal studies on bone ingrowth kinetics of ceramic material under dynamic stress.

Two of the primary problems of implants in use today result from the materials used in their construction (metal and polyethylene) and from the necessary additional fixation with bone cement. In order to alleviate these well known difficulties, we studied ceramic material (99.7% Al2O3 with 0.25% MgO) which exhibits several advantages in these areas, but has a diminished bending strength. To take advantage of the ceramic material, we tested a cement-free implantation which should allow unhindered growth of bone tissue to or into the material. In particular, the interface relationship under load bearing was investigated. The course of the tissue differentiation and ingrowth on the surface of the ceramic implants under dynamic stress, was studied by a specifically disegned distance-spacer. These were tested on the femur of foxhounds and sheep, as well as by use of temporary immobilization. Histological investigations in intervals of 4 weeks showed the course of the development of the interface tissue. After removal of the binding materials, the behavior of the implant support is studied in 4-week intervals with free load bearing. Radiological and histological development studies are shown. The results we obtained implicate the use of ceremic impants. But the application in humans still seems to be problematic, as there is a need for designs which are loaded by pressure only.

Aluminum↗
PubMed1979

Carbon as an implant material in orthopaedic surgery.

Carbon is a material of proven value in many fields of medicine. It has only minor reactions compared with other materials, but does have unfavourable mechanical characteristics. New kinds of carbon with similar physical characteristics to other materials, e.g. steel and ceramic, have now been developed.

Animals↗
PubMed1978

[Condensor field irradiation (27.12 mhz) and osteosynthetic implants (author's transl)].

The question whether metals implanted in tissue may induce heat damage is yet controversial. Due to physical laws an increased production of heat is to be expected around the metal parts directed towards the capacitor plates. This is due to a converging and shunting effect of the metal in the electric field. Model experiments show that the shunting effect is most significance for the production of heat damage close to the metal. No heat damage is to be expected under the four following conditions: 1. linear or 2-dimensional osteosynthesis implantats are in a rectangular position to the electric field, 2. the metal is covered with at least 10 mm of tissue, 3. the tissue between the capacitor plates is of a with at least 40 mm and 4. common used frequency generators or field intensities are applied. Reported results suggest to investigate whether the high frequent electrical field influences the fracture regeneration advantageously.

Animals↗
PubMed1977

[Corrective osteotomy for malalignment of fractures of the distal radius (author's transl)].

Corrective osteotomy is indicated in young manual workers with significant malalignment after fracture of the distal radius without associated degenerative changes in the wrist joint. Chronic pain, limited motion and impaired power can be avoided and the cosmetic appearance of the hand improved, by restoration of the functional anatomy of the wrist. The operation consists of an opening-wedge osteotomy at the fracture site, sometimes combined with resection of the distal ulna. The approach may be dorsal or volar. A small iliac cortico-cancellous bone graft is inserted at the osteotomy site. Fixation is by an AO-small fragment-T-plate allowing early functional after-treatment.

Adult↗
PubMed1975

[The indication and technique of the arthrodesis by children and adolescents (author's transl)].

The indications and techniques of an arthrodesis procedure, in children and adolescents, differ greatly with that of adults. And this, on account of, the growth of the epiphysis and its circulation during that period, and also, due to the thick cartilage coating the joint's surface. And therefore, only for the rare exceptions, where there are strict indications that the procedure is weeded, should it be performed, and preferably, when possible in late adolescence. It is advised to perform the arthrodesis even earlier, when it will prevent an increase in the static's impairement especially that of the feet. In general, for the seldom splintplastics one should consider autologous material, as primary choice. To conclude, special arthrodesis will be mentioned later.

Adolescent↗
PubMed1975

[Compression osteosynthesis with soft-tissue damage (author's transl)].

The advisability of open reduction with internal fixation by means of compression plates, screws, or tension band is dependant upon the localization and type of fracture, the kind and extent of soft-tissue damage, and also the time factor. Fractures in the vicinity of joints and intra-articular fracture dislocations are practically absolute indications. Its application is less frequent when the metaphysis is involved, except in the case of the forearm. Caution is suggested in the presence of chronic soft-tissue damage subsequent to peripheral circulatory disorders.

Amputation, Traumatic↗