[Clinical aspects of disturbed fracture healing on the tibial shaft with special reference to fragment necrosis].
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Biomedical subjects
Publications and source records attributed to H Seiler.
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Pigmented villonodular synovitis of the shoulder joint, particularly with osseous invasion, is a rare disease. Typical clinical, roentgenological and histological criteria are pointed out on the basis of the case report of one of the authors' own patients. Aetiology and pathogenesis of the changes are discussed. This disease must be included in differential diagnostic deliberations in the shoulder joint region as well, where it may be superficially confused with malignant tumours of the joint.
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Relative tension of the anteromedial part of the anterior cruciate ligament of five cadaver knees is measured. The ligament is taut at 80 degrees - 90 degrees flexion and loosened to a maximum at 30 degrees and 130 degrees flexion. On internal rotation it is taut at each stage of flexion, on external rotation, only at full extension and full flexion.
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In a series of 18 patients delayed embolectomy of the limb was performed 8-63 days after embolism had occurred. Three patients died (2 of them after amputation), and 7 limbs were amputated after surgery. In 10 instances blood flow was fully restored by the operation. Analysis of the 18 cases leads to the conclusion that the success of delayed embolectomy where neuromuscular function is intact depends primarily on surgical technique. Direct embolectomy by local or regional exposure of the obstructed arterial level is shown to produce better results than conventional (distant) balloon catheter embolectomy by proximal incision. This is thought to be due to increased mural adherence of the embolus, with secondary thrombus formation after a delay of 8 days or more. A plea is therefore made for a more aggressive surgical attitude to delayed arterial embolization. Provided that preoperative arteriography has localized the obstructive level and that the patient's general condition allows major vascular surgery, direct removal of the embolus and secondary thrombi by open exposure of the obstructed artery is recommended.
Fermentation balances have been studied on 66 strains from 9 taxa of Enterobacteriaceae. In addition, 6 strains of Aeromonas have been investigated. Among these fermentation balances, 7 types could be distinguished. It was shown, that the taxa of Enterobacteriaceae differed with respect to the balance types involved. This is true especially for VP-positive taxa. For example, Hafnia, the Klebsiella-Enterobacter-Serratia group, Enterobacter cloacae and Erwinia are to some extend characterized by different balance types. The groups of Enterobacteriaceae with plain acid fermentation are apperently more homogenous with respect to fermentation balances. Balances are, however, not suited for classification, because no balance type turned out to be absolutely group specific. The fermentation balances of our strains of Aeromonas are closely related to the acid-type balances of Enterobacteriaceae. A numerical classification of the data showed, that this method is most potent in sorting multivariate data. A basic agreement of both techniques, the subjective and the numerical subdivision, was found. The first one, however, tends to overemphasize differences among the types. A comparison between the quantitative data of fermentation balances and the corresponding diagnostic tests (MR, VP, Gas) gives information on the reliabiity of the latter.
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