[Peripheral nerve damage in alloarthroplasty of the hip joint].
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Biomedical subjects
Publications and source records attributed to H Grasshoff.
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The records of 825 surgically treated patients were analysed with regard to pre-and postoperative in-hospital stay. It was only in 42% that the preoperative period was without any delay. Its extension was mainly caused by concomitant diseases (cardio-vascular-urological disorders) of the mostly elderly patients, who needed medical care before elective surgery. In the postoperative period an extended in-hospital stay was mainly caused by disturbed wound healing, anaemia and thromboembolism. The authors come to the conclusion that the preoperative therapy should be organised on an outpatient basis. This shortens the time spent in hospital and also the daily census, the rate of postoperative wound infections can be lowered at the same time.
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The effects of ultrasonic saw cuts in the epiphyseal cartilage reach were investigated experimentally in dogs. Saw cuts across led to an impaired growth, whereas longitudinal cuts caused a stimulation of growth. The dimensions of the growth influence were, however, very different and not calculable. Further on, the temporal lapse of the bony repair was investigated radiologically comparatively after osteotomy by the ultrasonic saw or by the oscillated saw. The bony repair took place more slowly after ultrasonic osteotomy generally speaking. The indications and limits for the application of the ultrasonic bone saw were deduced from the investigation results by including the bibliography.
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