Biomedical subjects

C Melzer

Publications and source records attributed to C Melzer.

39 records · Page 3Linked to original sources

PubMedDate not supplied

[Treatment of unstable dislocated hip in infancy and early childhood using the modified Fettweis method].

We report on our experiences with the application of cast immobilisation in the human position according to Fettweis in order to treat unstable luxations of the hip joint of infants. Stability of the joint was achieved and marked degrees of acetabular dysplasia were brought to cure in about 80% of the cases. However, based on this analysis, remaining instability or lasting dysplasia of the hip joint have to be anticipated in about 10% of the cases. The use of sonography in diagnostics let expect more progress in therapy for the future.

Casts, Surgical↗

PubMedDate not supplied

[Late clinical and roentgenologic results following surgical treatment of chronic shoulder dislocation using Lange's technic].

In German speaking countries the M. Lange procedure is a well known method in the treatment of recurrent shoulder dislocations. In order to study the longterm results 21 shoulder joints of 20 patients were examined clinically and radiologically after an average postoperative period of 13.5 years. According to the subjective judgment of the patients good results were obtained in 19 of the 21 cases. True recurrent dislocation occurred in 5.2%. In 57% of the cases signs of degenerative arthritis of the shoulder joints were found radiologically. Our examination shows that the M. Lange procedure is a reliable method with good longterm results. It should be used in cases of glenoidial dysplasia and in cases of a defect of the anterior glenoid rim.

Adolescent↗

PubMedDate not supplied

[Initial results of the evaluation study of ultrasound hip screening in Germany].

AIM OF STUDY: To assess the effectiveness of a universal sonographic screening of developmental dysplasia of the hip (DDH) established in Germany since 1996. METHODS: Currently a national survey is being performed in Germany to identify infants and young children who receive inpatient treatment for DDH. Between May, 1997 and October, 1997 monthly questionnaires were sent to all pediatric orthopaedic surgeons (active surveillance) and they were asked to report all inpatient cases between 10 weeks of age and 5 years with current closed or open reduction and/or osteotomies due to DDH. Information on time and results of previous ultrasound screening as well as treatment modalities was obtained in reported cases. RESULTS: 129 children (mean age at hospital admission 15.9 months, range 1.1 to 57.1 months) underwent closed reduction (n = 51), open reduction (n = 40) and osteotomies of the hip (n = 38) in the 6-month study period. Ultrasound screening has been performed too late and not at all in 45 children (35.1%). While in 18 cases (13.7%) no information could be obtained on screening results, the majority of children (n = 66, 51.2%) had completed DDH screening prior to the sixth week of life as recommended. Preliminary calculation of the unadjusted incidence of inpatient treatment for DDH in Germany was 0.33 per 1000 livebirths. CONCLUSION: DDH cases are still identified after introduction of an universal ultrasound hip screening in Germany. Continued evaluation must show, whether the incidence will decrease throughout the next few years.

Child, Preschool↗