[Treatment of comminution fractures of the basis of the radius--an alternative way (author's transl)].
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Biomedical subjects
Publications and source records attributed to F Schauwecker.
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The results of two different method of conservative treatment of vertebral fractures are compared in Groups of each 60 patients. Group one was been treated by the early functional method, which is described, whereas group two was treated according to Magnus. The results of the first group were without prejudice to the results of the second group. As a marked advantage, however, the overall period of hospitalisation was reduced by about 3 weeks in the first group.
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In a follow up study of 47 patients with infected pseudarthrosis of tibia therapy and results are declared. The most important matter in therapy is the osteosyntesis with compression of the pseudarthrosis. In the majority of cases externe stabilisation is used; seldom compression plate or medullary nailing is indicated. Such cases require much experience in the therapy of bone infection, although if the stabilisation with the fibula is tryed. Flush drainage, suction drainage, antibiotic therapy and cancellous bone grafting are necessary for localisation and decreasing of infection and for induction and acceleration of bone union. In some cases amutation can't be prevented. With correct judgement and consequent treatment in the majority of cases bone union will be obtained.
The treatment of this kind of fractures, especially involving the elbow-joint still is difficult and needs a thoroughly preoperative planning as well as an exact operative technique. Even in spite of optimal therapy failures are not avoidable in some cases, as our statistic shows.
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