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Biomedical subjects

J Princic

Publications and source records attributed to J Princic.

7 recordsLinked to original sources

[Plate and screw osteosynthesis in femoral shaft fractures. Retrospective study of 500 femur shaft fractures].

The authors collected 500 cases of breaks of the thighbone shaft which were treated using osteosynthesis with screws, between 1st January 1992 and 31st of December 1996 at the Department for Traumatology of the University Medical Center in Ljubljana. Most patients were male (70.6%), the average age was 36.6 years, and the majority of patients had been injured in traffic accidents. In 50% of cases, only the thighbone was broken, the rest had suffered multiple injuries, or were polytraumatised. Their stay in hospital averaged 17 days, while the average time to union was 21 weeks. In most cases (85%), treatment proceeded with no complications. Chronical post-traumatic osteitis occurred in 9 of the patients with open breaks (1.8%), and only in 2 patients (0.4%) with closed breaks, which is within the limits of tolerance. With respect to our experience and results with osteosynthesis with plates and screws in the thighbone shaft, we believe that the mentioned method is good and gives results which are comparable to those achieved using other methods.

Adolescent↗

Intracranial injuries by a screwdriver.

Two patients with unusual intracranial foreign bodies are presented. Intracranial injuries produced by a piece of screwdriver as a wounding agent have not yet been reported in the literature. In one of our two cases we had to deal with homicide and in another with accidental self-inflicted injury. Both patients died, 5 and 14 days, respectively, after successful removal of the foreign body. In both cases death was due to brain ischaemia and the resulting oedema secondary to arterial injury.

Accidents↗

[Birth trauma as the cause of fracture of the distal epiphysis of the humerus. A case report].

The authors report on a case of fracture of the distal humeral epiphysis sustained at birth. This is extremely rare. The main problem in treatment of this kind of fracture is correct and timely diagnosis. In almost all reported cases the fracture has been confused with elbow dislocation. The reason for this mistake is difficult roentgenological orientation owing to invisible ossification nuclei. Ultrasono und examination is recommended for diagnosis. The treatment of the injury is conservative. Closed reduction and immobilization for 3 weeks in an above-the-elbow plaster cast is advised. The end-results have been very good in all published cases, as they were in the present case, in which the shape of the injured elbow corresponded absolutely to that on the healthy side, mobility was unrestricted and no growth disturbances were observed after 9 months.

Birth Injuries↗

[Repeat fracture of the femur shaft in Gaucher disease].

A case of pathologic femoral fracture in a patient with Gaucher's disease is presented. The fracture occurred at the site of bioptic trepanation performed 1 month previously. After fracture healing and removal of a Küntscher nail, pathologic fracture recurred at the same site. The paper emphasizes the value of "biological" internal fixation for the preservation of compromised blood flow in the bones of patients with Gaucher's disease.

Adult↗

[Late results of 351 femoral neck fractures (1986-1987 treatment period)].

A total of 351 femoral neck fractures were treated from 1986 to 1987. The fractures were classified into three groups according to Pauwels. Nineteen percent of fractures were treated conservatively; in 65% internal fixation was performed, while in 16% total hip endoprosthesis was done. Of these patients 254 were reexamined three years later. In only 24.4% of the 254 patients were poor results--necrosis of the femoral head--found.

Aged↗