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Biomedical subjects

H Schürer-Waldheim

Publications and source records attributed to H Schürer-Waldheim.

13 recordsLinked to original sources

[Color-coded duplex sonography in diagnosis of primary varicose veins and recurrent varicose veins].

Varicose vein surgery, adapted to obtaining condition, requires highly accurate preoperative diagnostics as a basic requirement. The Colour Doppler ultrasound allows one to ascertain the morphological, topographical and functional condition of the venous system and thereby makes possible an operation appropriate for the stage. Thirty-six patients who preoperatively were subject to this examination could be clearly classified according to the localisation of the points of insufficiency; also existing insufficient perforans veins were identified. Eleven patients suffering from relapse varicose veins were examined. In the course of examination we identified crosse and parva relapses as well as perforans insufficiencies and subsequently removed them surgically. Our results definitely show that clinical use of colour Doppler ultrasound in the field of preoperative varicose vein diagnostics has considerable advantages compares with the hitherto existing methods and therefore should be applied more extensively.

Adult↗

[Ender nailing of hip para-articular fractures in advanced age].

Since the introduction of the dynamic hip screw to stabilize fractures of the coxal end of the femur Endernails are being used less and less with some teams no longer using them at all. Nevertheless, the use of Endernails appears to be advantageous when the coxal end of the femur is fractured, especially in the case of osteoporotic bones and in elderly patients. We report on 61 instances in which we used Endernails on patients whose average age was 85.5 years. The infection rate of 1.6% was very low and 50 patients were fully ambulant. 19.6% of our patients died in the postoperative phase in the hospital whereas 1/3 of the patients operated died within one year. Complications in the post-operative phase were nail-gliding which occurred in 8 cases while another patient developed a pseudarthrosis in the region of the fracture. Post-operative care check-ups revealed that 7 patients suffered from a secondary dislocation of the fracture, in 4 instances leg length remained foreshortened by more than 2 cm. In one case the final position of the operated leg remained in an outside rotation. In view of the advanced age and therefore limited mobility of all the patients mentioned, adverse post-operative consequences are irrelevant.

Aged↗

[Iatrogenic tissue damage and its treatment (author's transl)].

Modern medicine with its manifold therapeutic possibilites brings many side effects which might result in tissue damage. 8 cases of iatrogenic tissue damage seen over a period of 5 years are presented and discussed. Measures for correction and reconstruction are proposed.

Bone Nails↗