[A political prisoner in Norway and Germany 1941-1945. Experiences of a medical student].
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Biomedical subjects
Publications and source records attributed to H K Dahl.
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Fractures of the neck of the femur, and especially operative treatment of such, are seldom described in the older medical literature. Sir Astley Cooper (1768-1841) was the first surgeon to describe, in 1822, the two most common fractures of the upper end of the femur, medial fracture and pertrochanteric fracture. However, like many other surgeons of his time, he believed that such fractures would not heal. B. von Langenbeck (1810-1887), a German surgeon, was the first to propose operative treatment of a fracture of the femoral neck and actually did one operation, but the patient died. In 1897 and 1899, J. Nicolaysen (1831-1911), Professor of Surgery at the National Hospital, Oslo, published first his technique and then the results of closed nailing of fractures of the femoral neck in his material of 21 patients. He performed his first operation in July 1894, one hundred years ago. Fracture of the femoral neck was not as common in the 1890s as it is today. It is now one of the most frequent kinds of fracture and presents a major challenge to surgical and orthopaedic departments. Professor Nicolaysen is recognized in the international professional literature as a pioneer in the operative treatment of fracture of the femoral neck. His publications are reviewed in this article, to mark the hundredth anniversary of the first systematic nailing of a fracture of the neck of the femur.
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Arterial and neural damage following total hip replacement is not common. Three cases are reported. The first patient had an isolated femoral nerve damage. The second case developed a false aneurysm arising from the external iliac artery 2 months after hip surgery and the third patient sustained a tear of the external iliac artery during the operation. The nerve and vessel injuries were caused by retractors. In both patients with arterial damages a transitory femoral nerve involvement occurred. The prognosis was good in all patients. Preventive measures are discussed.
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