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Biomedical subjects

A G Kaschner

Publications and source records attributed to A G Kaschner.

3 recordsLinked to original sources

[Management of femoral neck fracture with an intermediate (dual head) prosthesis in geriatric surgery].

Between 1980 and 1989 in 195 elderly patients with fractures of the femoral neck a duo-cup endoprosthesis was inserted. The average age was 78 years, most of them were high risk patients with sometimes more than 2 preexisting diseases. The hospital mortality after hip replacement was 9.7%, specific complications like protrusio acetabuli and shaft fractures were not observed. In 2 cases immediate postoperative luxation required reintervention. The incidence of infection was significantly reduced to 2.4% after antibiotic therapy. When discharged from hospital, 86% had a good functional result. We regard hemiarthroplasty with duo-cup endoprosthesis as an acceptable alternative to total hip replacement in elderly patients with fractures of the femoral neck.

Aged↗

[Inflammatory abdominal aortic aneurysm].

Between January 1, 1970 and March 1, 1985 530 patients underwent graft replacement of the abdominal aorta for infrarenal aortic aneurysms. 28 (5.3%) patients had inflammatory aneurysmal disease, in 3 cases (10.7%) the aneurysm was ruptured. Operation mortality was 17.3%. Characteristic appearance was an unusually thick aortic wall with diffuse, shiny white fibrotic reaction in the retroperitoneum. In most cases the duodenum, inferior vena cava, left renal vein, transverse mesocolon or the ureter were involved into the inflammatory mass. Thoracic aortic involvement was not observed. Contrast CT showed enhancement of the periaortic tissue similar to the blood in the aortic lumen. Standard operation techniques had to be modified to avoid mobilisation of the adherent structures and organs to the aorta.

Aorta, Abdominal↗