Search PubMedSearch

SEARCH · Search PubMed

Results for “Leg Injuries”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

New methods of skin replacement in leg injuries.

Problems relating to the management of traumatic skin loss of the lower extremity and methods of replacement are discussed with emphasis on several new methods namely, muscle flaps. foot flaps carried on its own blood vessels are nerve as an island flap and free microvascular flaps. Cases treated by these methods are illustrated.

Adult

Efflux of cyclic AMP, prostaglandin E2 and F2 alpha and thromboxane B2 in leg lymph of rabbits after scalding injury.

Leg lymph was collected from pentobarbital anaesthetized rabbits before and after scalding injury of the paw (75 degrees C for 20 s), and the contents of cyclic AMP (cAMP), prostaglandin E2 (PGE2) and PGF2 alpha and thromboxane B2 (TXB2) in lymph were determined. After injury lymph flow increased about four times. The maximal rate of flow was found between 30 and 60 min after scalding. The efflux of cAMP and immunoreactive iPGE2, iPGF2 alpha and iTXB2 also increased. The maximum values were detected at approximately 0-30, 30-60, 30-60 and 180-240 min, respectively, after the injury. The output of cAMP, iPGE2 and iPGF2 alpha and iTXB2 in lymph of the contralateral non-scalded paw remained low throughout the experiments. When rabbits were injected with indomethacin (2.5 mg/kg) or diclofenac sodium (2.5 mg/kg) immediately after the scalding injury, the efflux of cAMP, iPGE2 and iPGF2 alpha were low. Lymph flow was markedly reduced after treatment with diclofenac sodium; treatment with indomethacin did not significantly affect lymph flow. The results suggest a prostaglandin-dependent formation of cAMP following scalding injury which may be related to the initial responses to scalding.

Animals

[Indications and experiences in saving of the lower leg following injuries and tumors].

In the primary treatment of skin and soft tissue defects of the lower leg, after injuries or tumor excision, split skin grafting is the method of choice. But in respect to the late results, frequently additional plastic reconstructive measures, preferrably skin flap procedures, must be considered. Follow-up over decades and if necessary, skin transplantation, are mandatory to prevent interference of growth and function of the leg, as well as malignant degeneration of the scars.

Adolescent

Ski injuries.

A group of 147 injuried skiers seen in the emergency room of a midwestern hospital was studied. There were almost twice as many males as females, and lower-extremity injuries outnumbered upper-extremity injuries two to one. Leg injuries tended to occur in beginners whose bindings failed to release. Upper-extremity injuries were prevalent in better skiers whose bindings released properly. Frequent binding checks only slightly improved the likelihood of proper binding function.

Adolescent

[Analysis of pedestrian injuries in traffic accidents: impact point, injury portion, and injury severity].

We conducted in-depth case studies of traffic accidents involving 118 pedestrians, who were struck by the fronts of bonnet-type cars. The data were reviewed in order to correlate injury severity with pedestrian age, and area of body contact, contact surface of vehicle or the local environment, and impact speed. It was found that head injuries caused by impacts against the top surface of car bonnets and leg injuries caused by front bumpers both showed high incidence rates. Both head and leg injuries caused by striking the vehicle were more severe than those caused by striking the road surface. In cases of impact between the head and the solid portion of the vehicle, such as the A-pillar, or in cases of secondary impact between the head and underhood solid structures such as shock tower, injuries tended to be more severe. The location of head impact varied according to the stature of the pedestrians.

Accidents, Traffic

Injuries in paragliding.

In a retrospective study, 376 paragliding accidents have been analysed. Leg injuries were most common, but a large number of spinal injuries also occurred. The causes were either misjudgement by the pilot or the influence of weather and terrain. Improvements in the instructor's knowledge and the pilot's training could have prevented most of the accidents. Analysis of the mechanisms of the crashes and the pattern of trauma help to produce an efficient approach to diagnosis and treatment.

Accidents, Aviation

[Sports accidents of tennis players (author's transl)].

An analysis of 144 sports accidents of 275 tennis players in Switzerland (203 men, 72 women) showed fractures of bones in 5,5% open wounds in 14,5%, torsions in 33% and other injuries in 47%. The head was injured in 9,5 and the legs in 76%, the arms in 11,5% and the trunk in 11,5%. Two fifth of all leg injuries were on the left side, three fifth on the right side. The arms were hurt in 98% on the right and only in 2% on the left side. Causes of accidents were in 21% slipping on wet ground, in 17% related to the rackets, in 33% a too speedy start with damage to muscles and tendons, in 14% stepping on tennisballs lying on the ground. A tennis sport accident required an average of 35,8 days of treatment by a medical doctor and an average of 0,7 days of clinical treatment. Already 33% of the men and 26% of the women suffered from the so called "tennis-elbow".

Adult

Repair of skin and soft tissue loss of the lower leg with cross-leg flaps.

Forty patients with severe leg injuries associated with skin or soft tissue loss were treated. Cross-leg flaps were used. The flaps healed well. Special attention was paid to the pre- and postoperative periods of disability of the patients. The former were very long (37.7 months) compared to the latter (10.5 months) which ceased when the patient became fit for work.

Child

Influence of the burn wound on peripheral circulation in thermally injured patients.

Simultaneous measurements of resting leg blood flow and surface and rectal temperatures were made in 45 studies of 9 normal subjects and 28 burn patients. The patients had burns from 3-86% of the total body surface with leg injury ranging from 0-87.5% of the leg surface. In the patient group, blood flow was essentially normal in the uninjured legs, increased in a curvilinear manner with the size of the leg burn, and approached a plateau of 8.0 ml/100 ml-min as the percent of leg burn exceeded 60%. Increasing the leg surface temperature by 5 degrees C increased blood flow in patients with burned and unburned extremities to the same extent as in normal subjects. Increased peripheral blood flow following thermal injury is directed primarily to the burn wound. Variations in surface temperature modify this peripheral vascular response to injury.

Adolescent

Transposition of muscle flaps for covering exposed bone in the leg.

A muscle transposition technique for reconstruction of soft tissue loss and skin defects with exposed bone in the leg is described. Reconstruction with muscle flaps and freee skin grafts is a reliable and convenient one-stage operation. The gastrocnemius and soleus muscles were used to cover the upper and middle third of the leg. The method was used in 13 patients, and there were 3 failures in the series because of the impaired vascularity of the injuried leg. In 7 cases, including one failure, the soft tissue injury was associated with compound fractures. No functional disability was observed in the leg, ankle or foot after successful transposition of the muscle flap.

Adolescent