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Biomedical subjects

H Henkemeyer

Publications and source records attributed to H Henkemeyer.

At least 19 recordsLinked to original sources
PubMed1981

Surgical management of acute injury of the ligaments of the knee joint.

Objective loss of stability is the indication for surgical reconstruction of acute knee ligament injuries. The final diagnosis is established under anaesthesia preceding the operation. This examination also determines the incision and approach. All structures of the knee joint are checked, lesions are precisely reconstructed. This is done by fine sutures in the case of interligamentary ruptures, pull-out sutures with cruciate lesions present, and fixation plate reinsertions of avulsions with or without osseous flakes. Menisci torn from their capsular base should be reinserted whenever possible. Lesions of the cartilage call for adequate primary management. Incisions are closed subsequent to suction drainage. The leg is positioned in a splint in elevation. Early functional therapy is indicated.

Adult↗
PubMed1977

[Long-term radiological and clinical observations following surgery for tibio-fibular syndesmosis after fractures of the upper ankle joint (author's transl)].

Forty-two patients treated surgically for tibio-fibular syndesmosis were observed radiologically and clinically for a period of five years; the lesions followed fracture-dislocations type B, type C and following intra-articular fractures. Surgery consisted, as usual, of bone reconstruction and, where necessary, of transfixation of the syndesmosis with a horizontal screw introduced 2 cm. above the syndesmosis at a 30 degree angle to the frontal plane (15 cases). A new classification of the severity of subsequent arthrosis, as seen radiologically, was introduced and its correlation with clinical findings were determined. There was good agreement between the degree of arthrosis and functional results. The earliest signs of posttraumatic arthrosis following an incompletely treated lesion can be seen within the first year following the injury. An arthrosis of severity O due to sclerosis is of no, or only little, significance; it does not share the poor prognosis of severity grades I to III which, once they have developed, always show further deterioration.

Ankle Injuries↗
PubMed1975

[Experimental studies on the biomechanics of syndesmosis].

The amplitude of movement of the distal fibula was measured with the tibio-fibular syndesmosis intact, severed and transfixed after anatomical and insufficient reduction. Transfixation by means of a location screw inserted above the syndesmosis horizontally and at an angle of 30 degrees in the frontal plane proved to be optimal since the quality of movement is not altered while its amplitude is only minimally reduced. Malalignment with shortening leads to rotation outward.

Biomechanical Phenomena↗