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Biomedical subjects

K H Müller

Publications and source records attributed to K H Müller.

At least 55 records · Page 3Linked to original sources
PubMed1982

[External fixation--rare indications, combination of internal and external osteosynthesis technics, secondary operations].

The rare application of external stabilisation requires special knowledge of its indications and surgical assembly, which are closely linked to usually serious bone and soft-tissue damage, topographical prerequisites and biomechanical requirements. This paper differentiates the indications for external osteosynthesis of the femur, immobilisation using external fixation to bridge a joint, unstable fractures of the pelvic girdle, osteosynthesis and application of the fixateur externe in the region of the knee, hip and hand joints, as well as the foot. Combinations of internal and external osteosynthesis techniques in the femur and tibia are presented and discussed. Criteria are discussed for changing from primary external to final internal osteosynthesis, as well as osteotaxis indicated solely by the soft tissue or in plastic surgery.

Adult↗
PubMed1982

[The crossed-leg flap with the fixateur externe technic].

As an introduction statements from literature and own experience are used to show and evaluate the present possibilities for the coverage of skin and soft tissue defects. As a routine operation the stemmed cross-leg flap is further on indicated on the lower leg. For the immobilisation of the legs wer use the fixateur externe. This kind of fixation has got advantages compared to plaster casts: optimal position of the two lower legs to each other, a local and general handling of the nursing with only few problems and a subjective relief for the patient. Moreover, flaps and transplant base can be connected permanently and without tension during the operation by fine adjustment of the fixateur externe, while postoperative functional strains of the neighbouring joints are possible to a certain degree. The technique of assembling the fixateur externe, i.e. immobilisation of the legs by Schanz screws and the AO-tubular system is described in detail. The results of a collective of 21 patients with mostly infectious soft tissue defects after an osteomyelitis of the tibia were checked by control examinations. There were no disadvantages for the donor leg following the use of Schanz screws. According to the presented results the settling of cross-leg flaps has been improved by the fixateur-externe-technique. Together with other authors we can recommend this method.

Adolescent↗