PubMed Health⌕ Search

Biomedical subjects

B Binnendijk

Publications and source records attributed to B Binnendijk.

16 recordsLinked to original sources
PubMed1991

[The treatment of fractures of the distal femur using the dynamic condyle screw].

For several years now the dynamic condylar screw (DCS) has been available for the operative treatment of supra- and intercondylar fractures of the femur. In the Department of Traumatology of the University Hospital Groningen, 12 patients were treated with a dynamic condylar screw in the period 1986-1990. Experiences with this method are reported. In all cases a stable fixation could be achieved. Nearly half the patients were polytraumatized and their recovery was influenced greatly by the other injuries. Regaining movements in the knee joint was mainly dependent on the age of the patient. Based on these experiences we conclude that the dynamic condylar screw is the method of choice for the treatment of supra- and intercondylar femoral fractures.

Adolescent↗
PubMed1989

Injuries of the lateral ankle ligaments: classification with tenography and arthrography.

To assess the value of tenography of the peroneal tendon sheaths and of arthrography of the tibiotalar joint for the diagnosis and classification of recent ruptures of the lateral ankle ligaments, the authors performed a prospective study on 108 patients with inversion trauma of the ankle. All patients underwent tenography. Arthrography was performed if results of tenography were negative. All patients with positive tenographic or arthrographic results underwent surgery. Tenography proved to be reliable in the diagnosis of injuries of the calcaneofibular ligament (sensitivity, 88%; specificity, 87%-94%). The positive predictive value of tenography in combination with arthrography was 100% for the diagnosis of lateral ligament ruptures. The authors conclude that a combination of arthrography and tenography is a reliable method for diagnosing recent ruptures of the lateral ankle ligaments and for differentiating between isolated ruptures of the talofibular ligament and combined lesions of both the talofibular and the calcaneofibular ligaments.

Adolescent↗
PubMed1988

Fat embolism in patients with an isolated fracture of the femoral shaft.

Analysis of basic pathophysiologic variables in fat embolism patients is often restricted by the complexity of the different injuries present in each individual patient. To avoid this problem we investigated the presence of the fat embolism syndrome in patients with an 'isolated' fracture of the femoral shaft. Two groups were distinguished: those who had an open fracture or a closed fracture treated operatively within 24 hours after the accident (decompression group), and those who were treated initially conservatively (nondecompressed group). Clinical fat embolism occurred only in patients in the nondecompressed group (3.5%). They showed significantly higher initial temperatures, lower pulse rates, a progressive hemoglobin decrease, and a fracture localization more proximal (p less than 0.025) than the other patients in the nondecompressed group; they also showed significantly different pathophysiologic patterns from the patients in the decompressed group. Although the pathophysiologic mechanism of the onset of clinical fat embolism remains unclear, initial temperature elevations in combination with 'typical' fracture localization and fracture type appear to have a predictive value.

Adolescent↗
PubMed1987

Duration of fracture healing after early versus delayed internal fixation of fractures of the femoral shaft.

The effect of delayed internal fixation in closed uncomplicated fractures of the femoral shaft was studied by comparing 40 patients from a hospital where this fracture was principally treated within 24 hours of the injury, with 46 patients from another hospital where this type of fracture was principally treated after a mean period of 13 days in skeletal traction. The two groups of patients were similar with regard to age, level of fracture, type of fracture and incidence of comminution. All fractures were treated by stable internal fixation. In the group treated by early operation considerably longer AO plates were used. Although delayed fixation resulted in more callus and although secondary bone healing was more frequent than in the group with early internal fixation, no difference in the rate of union of the fractures could be demonstrated.

Adolescent↗
PubMed1987

Conservative treatment of elbow dislocations in adults.

The results of 20 conservatively treated elbow dislocations were retrospectively studied in 20 adults older than 16 years. After an average follow-up of 5 1/2 years (range 2-10 years), 16 patients (80%) had good or excellent results. Only two patients with neurological lesions showed poor results. According to the literature instability is always present after reduction of elbow dislocations. The conservatively treated patients of the present series showed no serious problems with long-term elbow instability at follow-up. In case of simple elbow dislocations instability after reduction does not form an indication for surgical treatment.

Adolescent↗
PubMed1987

Indications and results of osteosynthesis by plate fixation of femoral shaft fractures in children.

UNLABELLED: In a group of 316 children with 318 femoral shaft fractures, 28 had been treated operatively (8.8%). Twenty children treated with plate-osteosynthesis came for follow-up. The indications for operation were polytrauma (6 X), unacceptable position after conservative treatment (6 X), severe head injury (3 X), serial fractures of the same limb (3 X) and open fractures (2 X). The average follow-up after trauma was four years and six months. Direct postoperative complications were a transient peroneal nerve palsy and a broken plate. In 17 children the difference in leg length was less than or equal to 1 cm. One boy with serial fractures of the same limb had an overgrowth of 3.3 cm and problems during walking. CONCLUSION: plate-osteosynthesis was a good method of treatment in this study on 20 children with femoral fractures and accompanying complicating conditions.

Adolescent↗
PubMed1986

Brachial artery rupture following supracondylar fracture of the humerus.

Rupture of the brachial artery following a supracondylar fracture of the humerus is rare. The case histories of two children with this injury are reported. Both were treated by open reduction of the fracture, fixation with two Kirschner wires and decompression of the forearm muscles. In one (who also had a rupture of the median nerve) the brachial artery ends were ligated and in the second they were anastomosed by interposition of a reversed vein graft. The postoperative course was uneventful in both cases. On re-examination, more than a year after the injury, the child with the ligated brachial artery had minor cold intolerance and a decreased systolic arterial forearm blood pressure. The indications for brachial artery repair are briefly discussed.

Brachial Artery↗
PubMed1984

The prevention of superinfection in multiple trauma patients.

In a control group of 59 multiple trauma patients requiring prolonged intensive care, a conventional restrictive antibiotic policy was followed. Forty-eight patients (81%) developed 94 infections. Fifty-one patients received systemic antibiotic therapy with one or more drugs. The total quantity of systemic antibiotics used was very high (18.3 +/- 22.1 antibiotic days per patient). This policy resulted in a very high incidence of superinfections (24%) with multiply-resistant Gram-negative bacteria, mostly emerging from the digestive tract (secondary endogenous infections). Five patients died from infection. A novel technique of infection prevention, based on the maintenance of the colonization resistance and on selective decontamination of the digestive tract in combination with systematic antibiotic prophylaxis with cefotaxime, proved to be very effective. Out of 63 multiple trauma patients, intubated and ventilated for 5 days or more in the ICU, 10 (16%) developed 11 infections. Most infections occurring under this regimen were primary endogenous infections which were treated by continuation of cefotaxime. Only two patients (3%) developed a superinfection with cefotaxime-resistant Gram-negative bacteria. No patient died. This approach to infection prevention in the ICU, shows that prophylactic administration of antibiotics significantly reduced the infection rate of critically ill patients without the development of superinfection.

Adolescent↗
PubMed1984

Fracture of the neck of the femur associated with posterior dislocation of the hip.

Two patients are described, each with a fracture-dislocation of the hip combined with a fracture of the neck of the same femur. Open reduction combined with internal fixation was performed in both cases. Eight years later one patient had developed avascular necrosis of the femoral head; no signs of avascular necrosis or associated arthritis have appeared in the other patient after four years. A plea is made for considering this more conservative type of operation for these serious injuries before resorting to total hip replacement.

Accidents, Traffic↗
PubMed1984

Intraoperative autotransfusion.

The components of an autotransfusion system are supposed to play a major role in the induction of observed blood cell alterations. An animal experimentation was undertaken with a one variable analysis of the influence of each component. The estimated blood volume of dogs was recirculated about 24 times. The effects on the blood of short repeated peritoneal contacts, of the interposition of a polyfilter, of air aspiration, in variable quantities together with blood, and of preventing air aspiration were evaluated. Short peritoneum blood contact did not cause hematological damage and did not induce important hemolysis. Polyfilters did not markedly affect erythrocytes and platelets. Aspiration of air was found to be the most damaging factor for red cells and platelets. Its prevention by an electronical system provided an optimal preservation of red cells and platelets.

Air↗
PubMed1983

Incidence and sex distribution of proximal femoral fractures in children and adolescents.

During the period 1909-1981, proximal femoral fractures were treated in 2632 adults and 74 children and adolescents in the age group of 0-18 years. The incidence of these fractures in children and adolescents in relation to that in adults is higher than so far indicated in the literature, and in this series amounts to 1:36. Proximal femoral fractures show a male predominance in children and adolescents, and the age of predilection is 11-18 years.

Adolescent↗
PubMed1976

Femoral shaft fracture with injury of the superficial femoral artery in civilian accidents.

Eight patients with a fracture of the shaft of the femur and a concomitant lesion of the superficial femoral artery are presented. Six patients had a viable leg; one patient, a below knee amputation, and one, an above knee amputation. Early recognition of this relatively rare combination is of paramount importance. In our experience, internal fixation of the fracture followed by grafting of the artery through separate incision works best.

Accidents, Traffic↗