Biomedical subjects

G Wöhry

Publications and source records attributed to G Wöhry.

4 recordsLinked to original sources

PubMed1996

[Initial results of treatment of a two-stage surgical technique of chronic flexor tendon injuries with Kleinert modified early mobilization].

The authors present first results after secondary two-stage flexor-tendon reconstruction and a modified postoperative management according to Kleinert. Between 1990 and 1993 we treated eight men and two women with an average age of 35 (19 to 58) years. All injuries were in zone 2. We used the silastic rod (5 mm) as an active gliding prosthesis in stage I. All patients received a palmaris tendon graft in stage II. The patients were treated with a modified Kleinert splinting technique inactivating the palmar traction, employing extension by a rubber band during the night after the second week. We had no complications during the whole treatment phase, no rupture of the tendon grafts and no infection. In our functional results, we saw in one case a lack of PIP-joint flexion of 10 degrees and in another an extension deficit of 15 degrees in the DIP-joint. With this modified technique we achieved satisfying results especially in otherwise non cooperative patients.

Adult↗

PubMed1994

[Value of gamma nailing in management of hip para-articular fractures. Clinical use in 310 cases].

Treatment of fractures of the coxal femur has become routine at the Clinic for Trauma Surgery at the University of Vienna. This paper reports on the follow up on 310 patients treated with the gamma nailing (average follow up: 21.4 months). In all, 240 women and 70 men were operated on between 1987 and 1992. Most of the fractures wer unstable and many were located in the subtrochanteric region (38.3% A3). It was possible to operate on 45.8% of these patients during the first 2 days. The modalities of treatment and mobilization are described, and the clinical and radiological results are presented. Mobilization was possible after an average of 10.2 days in 81.6% of these cases. Complications we had to face and ways they might be prevented in future are discussed.

Adult↗

PubMed1991

[Limbus-plasty in recurrent anterior shoulder dislocation].

We are reporting the results of labrum reconstruction following recurrent dislocations of the shoulder. From 1985 to 1988 35 patients (27 male/eight female) aged 28.4 years on the average (20 to 45 years old) had surgical treatment. 33 of these 35 came in for a follow-up about 40 months later (28 to 60 months). So far, only one patient suffered a re-dislocation from major trauma. In that case, therapy was continued on a conservative basis and the patient has been free of complaints and re-dislocation for three years. No one of the remaining 32 patients had another dislocation. Shoulder mobility is normal in 29 patients. One patient's abduction is impaired by 10 degrees and one has a 10 degrees to 15 degrees impairment of outward rotation. 30 patients have no complaints whatever. 32 patients consider the outcome satisfactory and only one does not. 30 of 33 patients say their dexterity in sports is the same as prior to the accident and only three feel slightly impaired during competitive sports.

Adult↗

PubMed1991

[Therapeutic procedure in initial traumatic shoulder dislocation (arthroscopy--limbus refixation)].

This is a report of the therapeutic measures following primary traumatic dislocation of the shoulder in young patients (under 40 years of age). In order to rule out a disruption of the glenoid labrum, all patients were subjected to arthroscopy and disruption thus diagnosed in 38 of 48 cases. Surgical refixation of the glenoid labrum was performed on these patients. The ten patients with a stable labrum were given a Gilchrist dressing, immobilizing the shoulder for two to three weeks. Eight of the ten patients who had only had arthroscopy were followed up for an average of three years (two to six years). One developed recurrent dislocation of the shoulder. 31 of 38 patients who had had surgical refixation of the glenoid labrum were followed up for an average of 2.4 years (two to 5.8 years). None of these patients developed recurrent dislocation. Clinically, 25 patients have no pain whatsoever, while five report minor complaints, 30 patients are satisfied with the surgical outcome and only one is not.

Adolescent↗