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Biomedical subjects

A Rüter

Publications and source records attributed to A Rüter.

At least 127 records · Page 7Linked to original sources

[Compound fractures in childhood (author's transl)].

The incidence of compound fractures increases with the age of children. The importance of emergency care at the site of the accident, with sterile coverage of wounds and preliminary fixation, and of fast and careful transportation to hospital, is gaining recognition. Final management should comprise meticulous mechanical cleansing under sterile conditions, treatment of any additional injury, and stabilization. Compound fractures call for more generous application of internal fixation. Tetanus prophylaxis and routine monitoring of wounds are essential when there is any danger of gas gangrene.

Child↗

[Malignant degeneration of fistulas in chronic osteomyelitis (author's transl)].

The malignant degeneration of a skin ulcer has been reported as early as in 1884. In spite of this, however, the danger of malignant degeneration of sinus tracts associated with recurrences of chronic osteomyelitis is still underestimated. This development is neither restricted to case histories of years and decenniums nor to elderly patients and may also involve any part of the skeleton. Usually patients become aware of suddenly increasing tenderness and purulation, "washed out" structures of osteolytic areas are demonstrable radiographically. Diagnosis is established by mandatory histological examination of sinus tracts. Amputation or exarticulation of the extremity involved including efferent lymphatic vessels and nodi has no alternative. Local measures are insufficient. Apparently the first 3 years are decisive as to the prognosis. The prophylaxis consists of the therapy of the original disease: radical debridement of the osteomyelitic focus and filling of the defect with autogenous cancellous bone grafts.

Age Factors↗

[Osteosyntheses].

"Osteosynthesis" or internal fixation is the term used for operative reduction of bone fragments. The aim of the procedure is to effect such stable fixation that the affected extremity may be moved freely. The paper gives a survey of the technical basis of and indications for modern methods of internal fixation.

Bone Screws↗