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Biomedical subjects

A Boda

Publications and source records attributed to A Boda.

At least 19 recordsLinked to original sources

[Bone and joint tuberculosis in Hungary today].

Authors introduce to the history of efforts against tuberculosis in Hungary. The effectiveness of this figh is shown by the decrease of morbidity rates. The decrease of morbidity rates was followed by the cutting down of the system of institutions devoted to the conquest of tuberculosis. Authors give account on the present epidemiological conditions and report on the four and a half years activity of their bone and joint surgery department in this field. The department proved to be reliably suitable for the treatment of patients with bone and joint tuberculosis. They draw the attention to the significance of yearly 30 cases which show that the tuberculosis did not yet disappear from Hungary. The aim of the paper is to maintain the problem in the common medical consciousness.

Adult↗

[CT-guided percutaneous drainage in the management of psoas abscesses].

The authors review their first experiences in Hungary with the CT guided percutaneous catheter treatment of psoas abscesses. Diagnostic aspiration from abscess was performed in one patient. Percutaneous catheter drainage of psoas abscess were performed in 4 patients. There were 4 patients with unilateral and 1 patient with bilateral psoas abscess. 4 patients had tuberculous spondylodiscitis, 1 patient had staphylococcal vertebral osteomyelitis. One patient following diagnostic aspiration was successfully treated with antituberculoutic drugs. All patient treated with percutaneous catheter drainage received medical antituberculoutic or antibiotic therapy and showed excellent clinical and radiological results. There was no complication and there was no need to open surgical drainage in this series. CT guided aspiration is a valuable tool in the diagnosis of psoas abscesses as well as in the identification of the exact abscess etiology. Percutaneous drainage represents an efficient and attractive alternative to open surgical drainage in the treatment of psoas abscesses.

Aged↗

[Experience in the management of osteomyelitis of the fibula].

Authors report on experiences gained with the treatment of 22 cases of osteomyelitis of the fibula in the 17 years material of their Department. It is stated that the fibula osteomyelitis has to be treated first of all with operation and the end results of the treatment are good. In this, the anatomical situation which enables the resection and removal of the proximal part of this bone without more ado has a role. The more frequent occurrence of the disease on the right fibula in their material is an accidental finding.

Adolescent↗

[First experience in Hungary with the use of a garamycin sponge in the treatment of suppurative bone and joint wounds].

Authors have implanted Garamycin sponge in 51 patients, suffering from suppuration of bones and joints. This is a sponge-like collagene material prepared from cattle tendon and containing Gentamycin. Their experiences have shown that this product is especially suitable for the treatment of infected cavities of minor tubular bones, whereas it is less suitable for the treatment of extensive cavities of long tubular bones. Attention is called to the fact, that the product had to be tried on "contraselected" material and they had only 5 exceptional cases in which it could be used as a "first therapeutic measure". Under such conditions the early, 50 per cent good results can be considered as promising. Authors close their paper with the description of 4 cases.

Administration, Topical↗

[Conservative treatment of suppurative hematogenic arthritis of the hip joint].

Authors collected from the 82 suppurations of the hip, during the 12 years activity of their Department, the cases treated from some reason conservatively. They had 21 such cases, 17 of them males. The average age of the patients was 38 years and the haematogenous way of the infection could be proven in 15 cases. The scheme of the treatment: very long.lasting giving of broad spectra antibiotics, temporary immobilization with extension, long-lasting relief of weight bearing, if necessary hip spica. The results are assessed critically. In this the tendency of recurrence of the disease, and that the longest follow-up was 10 years, in average however only 3.6 years, play a role. At closing of the material 12 patients stated to be free of complaints, the hip movements were completely retained in 4.9 cases are demonstrated in details and the "strategic" questions of the conservative treatment of the suppurations of the hip are discussed.

Adult↗

[Simultaneous occurrence of intermuscular calcified deposits and suppuration on the leg (author's transl)].

Simultaneous occurrence of an unusual amount of intermuscular calcified deposit and suppuration in the extensor muscle group has been reported here. A short review is given on the main clinical types of intermuscular calcification. Their case is considered to be worth of publication for the purulent complication of calcified intermuscular deposits which has been unknown in the literature.

Aged↗

[Experiences with the combined use of PMMA (polymethyl-metacrylate-Palacos) and Gentamycin in the management of osteomyelitis (author's transl)].

Two new alloplastic methods of filling bony cavities in osteomyelitis has been reported here. Palacos mixed with Gentamycin has been used to fill cavities at 15 different sites in 14 patients. Gentamycin- PMMA beads made by Merck were used in 15 patients. Both methods resulted in primary healing in 8-8 cases. When a solid block of PMMA was used healing was found in 4 cases and was not in 3. When GPMMA-beads were implanted 2 cases healed and 5 failed. The condition did not deteriorate postoperatively at any patient. The time of observation has been too short to draw any major conclusion from this study, which was intended to be a preliminary publication only.

Adult↗

Antibiotic irrigation-perfusion treatment for chronic osteomyelitis.

This paper reports 125 antibiotic irrigation-perfusion treatments of chronic osteomyelitic patients. The localisation of the osteomyelitic process, the duration of the disease, the duration of the treatment, the age distributions of the patients, and the results of the treatment are noted. The study revealed that only one third of the patients healed after the irrigation-perfusion treatment. This rate falls short of the results reported in the literature. The possible causes are discussed and emphasis is given to the technical problems. On the basis of this survey the author is of the opinion that this method is to be employed only in exceptional cases of bone infections. The indication and contraindications are precisely defined.

Adolescent↗

[Examination of antibiotic sensitivity/resistancy relations of strains of staphylococcus aureus haemolyticus originating from osteomyelitic patients (author's transl)].

On the basis of bacteriology results of osteomyelitic patients of the recent 10 year period the authors examined the changes of antibiotic sensitivity/resistancy relations of strains of coagulase positive Staphylococcus aureus haemolyticus. Examination of 385 strains of Staphylococci showed that Staphylococci originating from osteomyelitic patients are more sensitive, respectively in a lesser degree resistant to antibiotics than those of miscellaneous origin. Concerning 8, in everyday practice most commonly used antibiotics, by means of regression trend line analysis, it has been stated that in the period of 1966-1975 years Staphylococci originating from osteomyelitic patients show a decreasing resistancy to antibiotics examined. The authors are of the opinion that in osteomyelitic patients the no satisfactory results and the high number of recurrent inflammations are not attributable to resistant strains of Staphylococci, but are due to many other biologic factors.

Chloramphenicol↗

[Hydraulic problems in so-called antibacterial suction-drainage of surgical infections and osteomyelitic cavities (author's transl)].

1. Suction-drainage should only be employed when there is a closed space enabling free flow of the irrigation fluid. 2. The drainage of the irrigation fluid must be ensured. 3. Positioning of the perforated drain is more important than the actual length of the perforated segment of the drain. Enlargment of the holes in the drain may prevent it from clogging and not so much an increase in the number of holes. 4. The irrigation system must be simple and not be complicated by Y-tubes. 5. Wound closure should be water-tight for the construction of a closed drainage system.

Anti-Bacterial Agents↗