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Biomedical subjects

G Nierenberg

Publications and source records attributed to G Nierenberg.

8 recordsLinked to original sources
PubMed2000

[Management of compound high energy injuries of the limbs--lessons and recommendations].

We treated 49 patients with high energy injuries of the limbs between 1.1.94-31.12.97. They had sustained 61 fractures, 50 of which were open; 14 had bilateral injuries, and 3 had lost a limb. All fractures were stabilized on arrival with an A-O tubular external fixator. Soft tissue loss was covered by a combination of split skin graft and tissue flaps following repeated surgical debridement. After 10 days, or when all soft tissue defects were covered, the cantilever external fixation frame was exchanged for a hybrid ring which provided three-dimensional stability and allowed early full weight bearing and joint mobilization. The hybrid ring frame did not interfere with the care of soft tissue injuries. Furthermore, it kept the risk of developing deep infections to a bare minimum. At follow-up after a median of 20 months, 1 patient had developed osteomyelitis but all had returned to independent function.

Arm Injuries↗
PubMed1998

Ilizarov external fixation in the management of bilateral, highly complex blast injuries of lower extremities: a report of two cases.

Because of their complexity, war injuries inflicted by a blast mechanism often require tailoring of treatment to attain a more individualized solution. We report two cases of bilateral, severely mangled lower limbs with open tibial fractures and crush injuries to the feet. In each case, one limb had to be amputated below the knee, but the other limb was saved by immediate stabilization in a tubular external fixation frame crossing the knee; the frame was later replaced by a hybrid ring fixation frame with a freely moving knee. Such incidences are rare, and the particular management detailed here has not previously been reported in the literature.

Adult↗
PubMed1992

[Brain abscess following skull traction].

A case of brain abscess developing after skull traction for fracture of the dens is presented. The abscess was most likely caused by retrograde septic thrombophlebitis via the superficial cortical veins. The abscess was drained and treatment with antibiotics was according to sensitivity on culture. 3 months after surgery there was mild residual paresis of the left hand. The need for close follow-up of patients prone to this complication is emphasized.

Adult↗