[Surgical management of dislocated fractures of the proximal segment of the radius].
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Biomedical subjects
Publications and source records attributed to A Schmitt-Köppler.
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From January 1, 1981 until August 31, 1983, 27 fractures of the corpus humeri were treated with bunch nailing, according to Hackethal. 23 Patients had one or more further injuries and/or accompanying diseases, which did not allow conservative therapy. Only 4 patients had nothing but a corpus humeri fracture, and only for professional reasons they asked for surgery. The operation method was secure and without complications. After a few days, exercise therapy was possible; and in the average full load capacity was reached after 6 weeks. 3-18 months after surgery 85% of the patients with aftercare (n = 18) said that the treatment brought "good" or even "very good" results; in all cases the functional and anatomic results were good.
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A case of tracheo-oesophageal fistula is reported which developed in the course of 4 1/2-weeks' mechanical ventilation (via a naso-tracheal tube) in a severely injured patient with shock lung syndrome. The patient was fed partly via a nasal gastric tube and partly parenterally. The fistula developed despite careful nursing, intermittent blocking of the cuff, weekly changes of the endotracheal tube and inspection of the epiglottic space. As the fistula failed to close spontaneously closure was effected by surgery. With the available types of endotracheal tubes damage to the tracheal structures cannot apparently be entirely prevented.
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