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A Ales

Publications and source records attributed to A Ales.

4 recordsLinked to original sources

[Birth trauma as the cause of fracture of the distal epiphysis of the humerus. A case report].

The authors report on a case of fracture of the distal humeral epiphysis sustained at birth. This is extremely rare. The main problem in treatment of this kind of fracture is correct and timely diagnosis. In almost all reported cases the fracture has been confused with elbow dislocation. The reason for this mistake is difficult roentgenological orientation owing to invisible ossification nuclei. Ultrasono und examination is recommended for diagnosis. The treatment of the injury is conservative. Closed reduction and immobilization for 3 weeks in an above-the-elbow plaster cast is advised. The end-results have been very good in all published cases, as they were in the present case, in which the shape of the injured elbow corresponded absolutely to that on the healthy side, mobility was unrestricted and no growth disturbances were observed after 9 months.

Birth Injuries↗

[External fixation in open fractures].

Author analyses 644 cases of compound fractures managed at the University Department of traumatology, Ljubljana from 1981. do 1987. He examines the incidence of compound fractures and fractures of other types. He analyses the fractures according to the Matter-Rittmann-Algöver classification. Various fixation techniques are described, especially reduction by external fixators used in nearly all grade III compound fractures. The most frequently applied tube-shaped fixator (Synthes) is presented. In 51% of cases external fixation was changed in first three months of treatment. The average length of external fixator application was 4 months, the full weight bearing in average after 7 months. Postoperative bone infection occurred in 4% of cases.

Fracture Fixation↗