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Biomedical subjects

H Reimer

Publications and source records attributed to H Reimer.

8 recordsLinked to original sources
PubMed1999

[Diabetic foot: is preventive surgery possible?].

The diabetic foot and its complications are in many cases leading to minor- or major amputations. If macro-vascular diseases are excluded, most of the patients are in a conservative follow-up. Surgeons are only involved if infections occur. In this series of 34 patients and surgery on 39 feet 2/3 consisted in incision/debridement and/or partial ray resections. Nevertheless 1/3 of the surgery could be considered as prophylactic. This means performing surgery at a state of "hyperceratosis" of the foot, a sign of high pressure areas. Of these patients all wounds healed per primam and no additional footwear was necessary. We believe that teamwork, especially with the surgeon, should lead to an early diagnosis of diabetic foot disorders. If necessary surgery should be performed in order to avoid the mal perforans and by this avoiding infection or amputation.

Adult↗
PubMed1996

Extended uses for the Herbert/Whipple screw: six case reports out of 35 illustrating technique.

We have used 6.5-mm and 4.5-mm Herbert/Whipple screws in our Trauma Center since 1991. This double-threaded headless device is used primarily in the scaphoid to manage fractures and delayed unions, but can be used successfully to fixate other fractures at diverse sites. In reviewing our experience, we will discuss several characteristics of this screw. These include advantages of the screw, such as generation of only minor soft-tissue trauma in areas of poor soft-tissue coverage or for transcartilaginous fixation, as well as its disadvantages, such as weak interfragmentary compression and low pullout resistance. Case reports are presented to illustrate applications of this device in the upper extremity (fractures of the humeral neck, the articular surface of the shoulder blade, and pseudarthrosis of the olecranon) and in the lower extremity (fractures of the talar neck, the medial malleolus, and Volkmann's triangle).

Adolescent↗
PubMed1996

[Results of modern osteosynthesis procedures in fractures of the radial head--are conservative therapy, bone pin osteosynthesis or primary resection still allowed?].

In a retrospective study, we evaluated the outcome of 38 patients who underwent open reduction internal fixation for displaced radial head fractures. We used resorbable material, as well as titanium implants which need no hardware removal. Our results were 84% good, 6% satisfying and 10% unsatisfying. The latter were due to more severe damage to the elbow joint.

Adult↗
PubMed1995

[Expanded indications for the Herbert-screw osteosynthesis].

Since 1984 the typical headless double threaded Herbert/Whipple screw is known in managing scaphoid fractures and scaphoid non-unions. We resume technical, biomechanical and histological aspects to point out advantages and disadvantages of this osteosynthesis. Our case review of 39 patients illustrate the same good results as achieved in treating scaphoid injuries, when using the Herbert/Whipple screw of a larger diameter for expanded indications other than scaphoid fractures, such as humeral- or radial-head fractures, Jones fractures and others.

Adolescent↗
PubMed1991

[Missed traumatic diaphragmatic rupture--a legal insurance problem].

Even nowadays traumatic ruptures of the diaphragm cause diagnostic difficulties. Especially diaphragmatic ruptures of the so-called "late-type" are accompanied by uncharacteristic abdominal or cardio-respiratory complaints. These complaints depend on the type and the volume of the prolapsed organs. By hearing the classic previous history and symptoms the expert has to consider the diagnosis. Beside the previous history, the clinical evidents, the thoracic as well as the abdominal survey radiography, further informations can be given by Gastrointestinal passage with Gastrographin, by Colon contrast fluid enema and by abdominal CT. If there are no general contraindications, diaphragmatic ruptures have to be treated by surgery. There after patients are usually without complaints. Insurance-law-problems are unnecessarily created by "not identifying" fresh diaphragmatic ruptures and by "not considering" the possibility of "late-type" ruptures.

Adult↗