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Biomedical subjects

H Wuschech

Publications and source records attributed to H Wuschech.

At least 19 recordsLinked to original sources

[Indication for and technic in arthroscopic retinaculum division].

We reviewed 57 arthroscopic lateral release of the knee-joint during the period from January 1985 to December 1988. A high percentage of chondropathies affecting the patella and the patellofemoral joint was the mainly indication to this surgical operation. Included in the above mentioned cases were 8 traumatic patella luxations. Therefore, the necessity of strict indication and adequate postoperative therapy is emphasized.

Adolescent↗

[Arthroscopic surgery of the knee joint cartilage].

The arthroscopic surgery of articular cartilage of the knee is beside conservative therapy and invasive surgical procedures an important enrichment in treatment of chondromalacia stage II and III. In the Department of Surgery of the Municipal Hospital of Berlin-Weissensee 3250 arthroscopic operations were performed between January 1983 and December 1988. In 227 patients chondromalacia stage II and III was found which had to be treated by arthroscopic surgery. Four different operation methods were used.

Arthroscopy↗

[82 arthroscopic meniscus refixations and results of follow-up].

In 3,126 arthroscopies of the knee 82 menisci were sutured by the inside-outside-technique. 52 patients were followed up. 42 patients had no or small disabilities. In 10 patients we performed a rearthroscopy. The suture of the meniscus includes more social and economic problems then the partial meniscectomy. It's well known, that the menisectomy induces arthrosis, and so should be tried to suture possible tears of the meniscus.

Adult↗

[Arthroscopy of the knee joint. Analysis of 1,200 studies].

Knee-joints were arthroscopically examined in 1,200 cases at Berlin-Weissensee Hospital, between January 1983 and February 1986. A very high number of patients was above 40 years of age. A high percentage of chondropathies affecting the median condyle of the femur was one of the conspicuous findings. These lesions were causatively attributed to median meniscus damage or instability of ligaments. Included in the above cases were 221 total ruptures, 72 partial ruptures of the LCA, 13 full and 32 partial ruptures of the LCP. Partial meniscectomy had to be performed on 190 patients. Cartilage surgery proved to be problematic. Long-time results are still missing. Two infections of joints were recorded among the above 1,200 knee-joint examinations by arthroscopy.

Adolescent↗

[Inoperative ultrasound tomography in surgery of the bile ducts].

Intra-operative ultrasonic tomography has proved to be superior to cholangiography for a number of aspects, including avoidance of both contrast media and radiation exposure as well as increase in potential information due to possible checkup of surrounding regions (gall bladder, liver, pancreas). Accurate coverage of prepapillary area and the papilla proper is somewhat difficult with this method. Bile duct stones were recorded from nine of 52 patients examined by both methods. Concrement stayed undetected by ultrasound in one case and sludge in another. Nevertheless, the assumption is made that under certain conditions intra-operative cholangiography can be substituted with good success by intra-operative ultrasonic tomography.

Ampulla of Vater↗

[Indications and technic of arthroscopic meniscus refixation].

Arthroscopy was applied in 792 instances to 47 knee joints, between 5 and 20 years after meniscectomy. High rates of cartilage damage, some of them accompanied by instability of the knee joint were among the most conspicuous findings. Total, subtotal, and partial meniscectomy and their effects upon the mechanism and functionality of the knee joint are discussed in some detail. An account is given of indication and arthroscopic technique for peripheral meniscus fixation.

Arthroscopes↗

[Arthroscopic meniscus surgery].

Reported in this paper are 142 cases of arthroscopic meniscectomy treated in the Surgical Department of Berlin-Weissensee Hospital, between 1983 and 1985. An account is given of techniques applied to different types of rupture, and reference is made to both advantages and potential complications of arthroscopic surgery. The video technique is considered to be of great importance to endoscopic operations on the knee joint.

Arthroscopes↗

[Experiences with the arthroscopic diagnosis of the knee joint].

The authors report on their experiences gained in arthroscopic examinations of injured knee joints. To a high extent complaints leading to arthroscopy were due to pathological changes of the cartilage of the patella and medial condyle of the femur.

Adolescent↗