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Biomedical subjects

A Skuginna

Publications and source records attributed to A Skuginna.

7 recordsLinked to original sources

[The ochronosis disease picture and conservative and operative therapy. Presented in relation to a case report].

Ochronosis leads very early, already in the fourth decade, to osteoarthritic alterations, mainly of the large joints. As the treatment has to be symptomatic, joint prosthesis is often inevitable. We report about a case history of a patient with coxarthrosis and basic alterations by ochronosis. In spite of a bone structure similar those of osteomalacia, we were able to implant a cementless total hip prosthesis in the left hip joint.

Cartilage, Articular↗

[Primary and secondary arthrodeses following talus fractures].

In 18 cases out of 55 patients, who had been operated on talus fractures in our clinic, a primary or secondary arthrodesis of one or both adjacent joints had been necessary. We carried out a follow-up examination on those 18 patients. In 4 cases a primary or early secondary arthrodesis had been performed; the attempt to reconstruct the joint surfaces after the trauma would have been not promising. The indication of the secondary arthrodesis in the 14 patients is discussed. In all the patients there had been a bony healing of the arthrodesis in an adequate time, the gait pattern of the patients had been improved and they complained less pain. We conclude that in case of a not solvable complication after talus fracture like destroyed joint surfaces, secondary severe arthritis or bone necrosis early secondary arthrodesis should be considered as a measurement to avoid long periods of insufficient conservative treatment.

Adult↗

[Posttraumatic extensor rigidity of the knee joint].

Arthrolysis is indicated in an extensor rigidity of the knee joint after failure of conservative treatment. The value of the method is demonstrated by several reports about clinical results in the literature. Preoperatively detailed clinical and X-ray investigation of the knee is necessary to determine the adequate operating procedure (intraarticular, extraarticular or combined arthrolysis). In this therapy preoperative preparation and exercises of the patient are decisive for the result.

Ankylosis↗

[Conservative and early functional therapy of fractures of the thoracic and lumbar spine (author's transl)].

A series of follow-up examinations in patients treated in our clinic by conservative functional therapy for fractures of the thoracic and lumbar spine without neurologic symptoms is reported. Pathological anatomy and mechanical findings are described, with the distinction between primary stable and primary unstable fractures being emphasized. Because of the preponderance of good late results in both stable and unstable conditions this methodology is recommended.

Adolescent↗

[Experiences with the contrast medium metrizamid in lumbar and thoracolumbar myelographies (author's transl)].

At the orthopaedic clinic in Ratingen we investigated between November 1976 and May 1977 60 patients who were suffering from low back pain by means of myelography in order to verify the type of pathology. As contrast medium we used Metrizamid. All X-rays showed a clear outline of the spinal canal and the roof sheat. In 39 cases out of 60 a prolapsed disk was found. In 9 cases the result was uncertain and the rest was negative. Operation was carried out on 42 patients and the findings in 37 cases were conclusive. No severe side effects were found which were due to the contrast medium.

Adult↗