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Biomedical subjects

E Cziffer

Publications and source records attributed to E Cziffer.

10 recordsLinked to original sources
PubMed1993

Static fixation of finger fractures.

Static fixation of the fingers by external fixators means external stabilization of a fractured digit or phalanx or preservation of length of the affected segments until bone grafting and bone healing are achieved. During the treatment course, distraction or compression are not applied to the callus. The static fixation does not mean the lack of dynamic influences, it depends on the mechanical characteristics of the device applied. Our mini external stabilizer compared with the former rigid fixators can be considered a semiflexible, and therefore semidynamic, device owing to its metallurgic characteristics, which are proved by the secondary bone healing achieved in our clinical cases.

Bone Transplantation↗
PubMed1991

Management of potentially infected complex hand injuries.

Fifteen patients with contaminated, and thus potentially infected, hand injuries were treated. All had segmental bone loss: six metacarpals, three proximal phalanges, three middle phalanges, and three joint injuries. The treatment was based on the simultaneous primary application of external minifixators and antibiotic-loaded bone cement beads and completed by early bone grafting. This external fixation and internal antibiotic treatment has synergic effect both mechanically and biologically. Thus potentially infected fresh injuries were treated in exactly the same way as an established osteomyelitis. Although there were a few minor wound problems and superficial pin tract infections, there were no deep infections, and no bone grafts were lost. All of the patients were grafted with autologous bone taken from the ilium within 7 to 8 days. Rehabilitation time was markedly decreased by this method, and all of the patients returned to work within 8 months.

Adult↗
PubMed1990

[Insertion of a radius head prosthesis in the management of fresh injuries].

Authors report on experiences in using radius head prosthesis on the basis of early follow-ups. The operation is performed in cases of closed, comminuted fractures of the radial head if the fracture is irreponable on the basis of X-ray and intraoperative findings. Controls until now have shown excellent functional results. Based on literary data they describe the possibilities of late complications after using silicone prosthesis. The number of patients and the short time elapsed after operations does not allow far-reaching conclusions yet. A description of the use of radius head prosthesis in traumatology was not found in the Hungarian literature.

Fractures, Open↗
PubMed1990

[Management of open, potentially infected hand injuries with bone defect by delayed early bone substitution].

Authors make an analogy between the principles of treatment of the fresh, potentially infected injuries with bone and soft tissue defects and of the already developed manifest infection of the hand. The principles of treatment are essentially the same. First of all the fixateur externe and the antibiotics containing globules are suggested for the sanation and prevention of the disease equally. Attention is called to the fact, that better results can be expected from the prophylaxis than from the attempts to make the process reversible. The beneficial synergism of the extrafocal fixation and the intrafocally acting antibiotics will help. One of the secrets of the good late functional results is the early restitution of the architecture of the bones of the hand. For this, the authors suggest the most modern replacement of bone in the form of primary delayed cancellous bone plasty, performed within two weeks.

Anti-Bacterial Agents↗
PubMed1989

The use of the Manuflex disposable mini external fixator.

The Manuflex mini external fixator is an original device which is suitable for either provisional or definitive fixation of hand or foot fractures. The system is simple, disposable, relatively radiolucent, and inexpensive. It has been tested in an animal laboratory and has been used successfully in 27 human cases.

Animals↗
PubMed1989

Possible applications of the "Manuflex" external fixing instrument in small animal surgery.

An external fixing instrument (minifixateur externe) recently developed for use in humans and marketed by the name of "MANUFLEX", its accessories, possible applications and fields of indication are described. The apparatus has been patented in Hungary and an international patent has been applied for. In the second part of the paper the application of the external fixateur for treating bone fractures of dogs is reported, together with the practical experience gained with it so far. As the clinical trials gave favourable results and since the instrument is available for veterinary practitioners at a reasonable price, MANUFLEX may become a gap-filling apparatus in the instrumentarium of small animal surgery.

Animals↗