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At least 19 recordsLinked to original sources
PubMed1992

[The value of Ender nailing in hip para-articular femoral fractures in gerontologic traumatology. Ender nailing--hip para-articular femoral fractures--gerontologic traumatology].

Nailing according to Ender is one of several competing methods of osteosynthesis for treating per- and subtrochanteric fractures of the femur in geronto-traumatology. Within 5 years we have treated 62 geriatric patients by this procedure. The average-age of our patients was about 76 years. Only 20 of them were able to be examined after a time of ca. 37 months post operationem. Intraoperative complications were backing out of the femur corticalis at the entry hole, followed by perforations of the head or neck of the femur. In one case we saw a supracondylar fracture. In the postoperative period we mostly found dislocations of the nails to cranial or caudal. Moreover there were one wound infect and one pseudarthrosis. The mortality rate came to 6.5% and was never caused by the method. When leaving the hospital the majority of the elderly patients was mobilized and able to walk. In spite of reduction of function of hip and knee and external rotation deformity and shortened legs the patients declared to be content with the result of the operation. Important geronto-traumatological aspects of the Endernailing-method could be seen in the simple procedure, the short operating time, a minimal surgical trauma and a diminishing of the risk of the mostly multi-morbid patients. Regarding the great number of specific complications competing methods are going on to be preferred. Meanwhile the application of Endernails is an exception in geronto-traumatology.

Aged↗
PubMed1992

[The cervico-capital endoprosthesis in traumatology. Experience of the Traumatology and Special Surgery Research Institute 1985-1990].

The authors submit an analysis of a group of 143 patients to whom in 1985-1990 in the Traumatological Research Institute in Brno a cervicocapital endoprosthesis was implanted. Indication for implantation was in all instances a fracture of the neck of the femur, most frequently a subcapital fracture--a total of 92. Women predominated 5:1. The mean age was 75 years, the range 37-93 years. In 119 patients the endoprosthesis was implanted on account of a new injury, in the remaining 24 on account of the sequelae of an injury. In 32 patients 1-4 operations preceded. The most frequent cause was a fall in the home. Fifteen patients were operated on the day of the injury and 80 were operated within five days after the injury. In the group 60 complications were recorded, 1-4 complications in 46 patients (32% of the group). The causes of complications are discussed. During the investigation 46 patients died (32% of the group), incl. half during the first hospitalization on account of the investigated injury. Only 27 patients of the group could be followed up, results are presented (excellent and good in 20 patients) and the reasons are discussed why patients cannot be followed up. Finally the authors conclude that in future it will be necessary to indicate endoprostheses as primary treatment more frequently, although secondary operations have similar results. The operation should be made as soon as the patient's condition permits it; the urgency is not acute as in syntheses; it should permit early mobilization of the patient. The unsatisfactory percentage of complications must be reduced by a complex of measures starting with organization of the workplace and the regime of the operating theatres and ending with the technical skill of the surgeon. The authors emphasize the problem of subsequent rehabilitation but do not analyze it in the present work.

Adult↗
PubMed1975

[History of traumatology in Hungary].

The history of the Hungarian Traumatology since the 16th century up to the present days is outlined by the author. The most important works--dealing with the treatment of the fractures and with the activity of other areas of the traumatology--are enumerated. Moreover, the factors promoting the development of the Hungarian traumatology are specified and the important surgeons active in the field of traumatology and the war operative surgery are named, who too have contributed to the development of the Hungarian traumatology. The importance of the Hungarian Institute of Traumatology--founded in 1956--is emphasized,--thus, the traumatology became an independent section of the Hungarian public health; and centrally directed and organized function of the traumatology was assured.

Accidents↗
PubMed1980

[Dilemmas in traumatology].

The introduction paper lists out the dilemmas arising in organization of the traumatologic service and describes the current organization scheme of this service in Slovenia. The author maintains that organization of traumatology is in all respects the primary task of the traumatologists in larger centres as well as of the traumatologic sections established inour republics. The author points aot that incidence of trauma is on a constant increase Recently, the work conditions of the traumatologic service have slightly improved, at least in Slovenia, but have not yet attained the standards reguired for efficient solving of the problems challenging the organization of traumatology. The traumatologic service is still faced with shortage of staff, means, hospital bed fund and functional facilities. These problems are most pronounced in the peripheral hospitals. The aim of better organization of this service should be to provide that a complete medical assistance in view of preserving at least the major vital functions of the most severely traumatized patients be available at all traumatologic departments and units. Categorization of the hospitals nad division of labour are essential in further-successful treatment of casualties as well as decreasing of their mortality and disability rates.

Humans↗
PubMedDate not supplied

[Development of orthopedics and founding of the Clinic for Orthopedic Surgery and Traumatology in Novi Sad].

A study of the development of the orthopaedic surgery in Novi Sad from the antique times till 1980 when the Clinic for Orthopaedic. Surgery and Traumatology was established has been carried out. Development from Roman Times till the Second World War. The first material evidence of the surgical activities in this area originates from the epoch of the Roman Empire, when under the emperor Augustus (Augustus, 27 B.C.-14 A.D.), the northern border of the Empire was established and fortified on the river Danube. At that time on the place of the contemporary Petrovaradin Fortress, a small fortification with a permanent garrison, called Cusum, was built. As it was proved by excavation of the surgical instruments from the Roman time at the nearby Sremska Mitrovica (Sirmium) the surgery in the Roman legions was quite developed and it could be concluded that some forms of surgery and orthopaedics were practised in the antique Cusum as well. There is no reliable evidence about the health service in the area after the Roman era till the 1689 when Petrovaradin was finally sized by Austrian troops from the Turks, and when the first recorded hospital (Petrovaradin Military Hospital) in this region was founded. At that time on the northern shore of the river Danube a new settlement, developing later into the town of Novi Sad, was established. Surgery together with orthopaedics at that time were performed by the so-called "feldschers", and then by primitive, self-taught surgeons who were actually experienced barbers, while educated doctors started to practice surgery only in the 19th century when the first surgical department in Novi Sad was founded in the Great Town Hospital, and for years after that, the orthopaedics was practised by general surgeons. The foundation of the Anglo-Yugoslav Children's Hospital for Tuberculosis of the Bones and Joints at Sremska Kamenica in 1934 by Dr. Katherine S. Macphail, a great benefactress of our people, was of great importance for the development of orthopaedics in this area as it was the first orthopaedic hospital in the country. The first small unit for orthopaedics, as a part of the Surgical Department of the Novi Sad State Hospital, was established in 1937 and led by a surgeon, Dr. Nikola Pravdica. Development from the Second World War till the 1980. After the Second World War the Main Provincial Hospital with two surgical departments was established in Novi Sad. At the so-called Second Surgical Department led by Dr. Nestor Teodorovic a small unit for traumatology and orthopaedics was founded in 1946, which functioned as such till 1953. The first properly trained orthopaedic surgeon was Dr. Stojan Letic who passed the specialty exam in 1953 and was attached to the Second Surgical Department of the Main Provincial Hospital. The first independent Orthopaedic and Traumatologic Department, led by an experienced orthopaedic surgeon, Dr. Vladimir Razenj, was established in 1956. From 1959 till 1963 the department was led by Prim. Dr. Dobrivoje Gradistanac. In 1963 this department together with the former "English Hospital" at Sremska Kamenica were incorporated into the so-called Clinic for Surgical Diseases and divided in the Orthopaedic (led by Prof. Milenko Dosen) and separated Traumatologic (led by Prim. Stojan Letić) departments which existed as such till 1975 when they were integrated again into a single unit which evolved into the Clinic for Orthopaedic Surgery and Traumatology in 1980.

Health Facilities↗
PubMed2000

[50 years among the pioneers of a new medical specialty; the development of modern traumatology].

On the basis of his half a century medical experiences the author analyses how the traumatology became an independent branch of medicine.--L. Markusovszky's scientific achievements in the domain of the field surgery, organization, education and professional policy considerably influenced the development of the traumatology. Derived from the surgery, the present-day traumatology's basis feature is to provide a high-level professional education and a well organised continuing medical attendance.--The achievements of the last fifty years are now disclosed to the readers on the strength of the experiences of the author and his contemporary collegues. He breaks the national events into 10 years periods which are in fact representing the efforts and the results of the European shools. Finally in the approach of the second millennium he is looking toward the future. With the full knowledge of the nowadays difficulties he is trying to answer how will advance all that has been founded in the last fifty years. Especially as in the next few decades the harmonization European, an internationally similar high-quality medical attendance will be a considerable task.

History, 20th Century↗
PubMed1990

[Methodology of the branch program in traumatology and orthopedics in present-day conditions].

The method of targeted programming is just entering the practice of science planning in traumatology and orthopedics as specific branch-oriented scientific and technological programmes. The essence of the methodological maintenance of Programme C.18 is presented; the Programme is aimed at elaborating the therapeutic system to manage patients with fractures of bones of the locomotor apparatus. Its result will present as the data on the structure of the general population of such patients, on the optimal methods of treatment, as well as on the issues of the emergency aid organization. Methods to estimate the future and current need in the traumatological-orthopaedic equipment will be elaborated. The programme is carried out according to the coordinated schedule, involving research institutes and departments of traumatology and orthopedics, the total number of the establishments amounting to 70. The programme implementation covers the period from 1986 to 1999.

Fractures, Bone↗