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Chapter and Conference Paper
Morphometrische Untersuchungen zur Veränderung des Kollagenfibrillendurchmessers in einem Patellarsehnentransplantat nach Kreuzbandersatz
In Sehnen und Ligamenten beeinflussen die koaxiale Anordnung der fibrillären Strukturen, vornehmlich von Kollagenfasern, entlang der Belastungsachse sowie der Verteilungsmodus der Kollagenfibrillendurchmesser ...
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Article
174. Pathogenese des Multiorganversagens nach schwerem Trauma —Eine prospektive Studie
A prospective clinical study showed that pulmonary failure between days 3 and 5 after the trauma is the earliest organ disturbance (increase of extravascular lung water). Mediators like elastase, complement (c...
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Article
213. Therapieergebnisse beim malignen Synovialom
Eighteen patients with synovioma were primarily treated operatively — either by local resection or by amputation. In 11 cases of local resection, 6 patients had to be reoperated on because of local recurrences...
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Article
158. Splenektomie und frühe Sepsis nach Polytrauma
In a retrospective study, 111 multiple traumatized patients who were treated with splenectomy were compared with 111 non-splenectomized patients. The severity and patterns of injury were equal. The factors exa...
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Article
241. Die Veränderungen des spezifischen Immunsystems nach schwerem Trauma und ihre Interaktionen
The post-traumatic development of immune deficiencies has been linked to the high incidence of multiple organ failure. In a prospective study, diverse parameters of the specific immune system were monitored in...
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Article
106. Das isolierte Weichteiltrauma und Kombinationsverletzungen
The special problem in severe soft tissue injuries of the lower limb are the thin soft tissue coverage and the diminished blood supply of the distal lower limb and foot. For this reason there is a big difficul...
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Article
78. Thoraxtrauma
Thoracic trauma in multiple trauma increases mortality threefold, usually due to sepsis. Disturbances of the pulmonary vasculature are seen soon after trauma, as is increased EVLW. This can be due to 3 differe...
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Article
199. Die Oberarmschaftfraktur beim Schwerverletzten: Eine Indikation zur Osteosynthese?
Of 105 patients with humerus shaft fractures and other multiple injuries, 38 had to be operated on due to neurovascular or massive soft tissue damage. The complications were two infections and one instability....
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Article
64. Fehler und Gefahren in der Behandlung der Frakturen und Pseudarthrosen des Schlüsselbeins
The rate of pseudarthrosis in 726 conservatively treated fractures of the clavicula was 0.69%. The danger of hyperporoses lies in neurovascular compression. Errors in treatment pertain to wrong operative indic...
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Article
206. Das Staub'sche Schaf-Modell in der experimentellen Schockforschung: Pathophysiologie des septischen Schocks
Using the Staub sheep model, a chronic lung lymph fistula preparation, we analyzed the effects of non-lethal septic shock, as initiated by E. coli endotoxemia, on the pulmonary microcirculation. We found a bip...
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Article
5. Die Belastbarkeit Mehrfachverletzter und ihre Bedeutung für die operative Versorgung
Treatment of severely injured patients requires exact planning and mature management. For practical reasons the classification into 4 phases has been introduced: acute, primary, secondary and tertiary phases. ...
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Article
57. Die primäre Oberschenkelosteosynthese beim Polytrauma: Gefahr oder Gewinn für den Patienten?
In a retrospective study we compared polytraumatized patients with femural fractures after primary osteosynthesis (group 1) with patients after late internal fixation or conservative treatment (group 2). Group...
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Article
281. Die Therapie der Beckenringluxationen — operativ oder konservativ
Luxation of the pelvic ring is caused by rupture of the symphysis or sacro-iliac joint. During the period 1972–1981, 92 patients were controlled 2/12 years after injury. Of the 69 patients with a rupture of th...
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Article
209. Rezidive gutartiger Knochentumoren: Ursachen und Operationstaktik
From 1971–1981, 718 patients with bone tumors were treated. Of 409 benign tumors, 144 patients had primary operations with 7 recurrences, and 8 patients were reoperated on because of recurrences. In all cases ...
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Article
148. Klassifizierung der Frakturen mit Weichteilschaden
A new classification of open and closed fractures is presented. Closed fractures include minor softtissue damage and simple fractures (FxCO); superficial excoriation, contusion and simple to moderately severe ...
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Article
35. Behandlung des Kompartmentsyndroms und Ergebnisse
Differentiation can be made between the imminent and the manifest compartmental syndrome. The only causal therapy is the decompression of the compartment (excision of necrotic muscle, long incision of skin and...
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Article
243. Die chronische anterolaterale Instabilität am oberen Sprunggelenk
From 1972 to 1978 in the Department of Traumatology, Hannover Medical School, 43 reconstructions of fibular ligaments were performed; 36 were reexamined. In 22 patients we used a modified Evans technique: half...
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Article
124. Therapeutische Probleme und Ergebnisse bei Mehrfachfrakturen langer Röhrenknochen
Operative fracture treatment of several long bones of severely injured patients requires a differentiated indication. Interference with vital functions by primary operation has to be avoided. Only limb-saving ...