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K Küpfer

Publications and source records attributed to K Küpfer.

13 recordsLinked to original sources
PubMed2001

[Intercostal nerve syndrome].

The intercostal nerve syndrome is caused by an impingement of the intercostals nerve at the level of the anterior rectus sheath. It may lead to acute or chronic abdominal pain, it should therefore be considered in the differential diagnosis of the acute or chronic abdomen. A positive Carnett-test and an effective local anaesthesia at the point of maximal tenderness allow the correct diagnosis. In our retrospective study 14 patients with 15 entrapment syndromes are described. If, sometimes after a few diagnostic and therapeutic detours, the diagnosis is established, surgical intervention with resection of the altered nerve at it's exit of the anterior rectus sheath can usually abolish the pain with little side effects.

Abdomen, Acute↗
PubMed1998

Long-term results of the external fixation of distal radius fractures.

OBJECTIVE: To evaluate the long-term results of external fixation of distal radius fractures. METHODS: A retrospective follow-up study (median follow-up, 5.3 years) of 49 patients with 50 distal radius fractures treated with an external fixator was carried out. An external fixator (Minifixator, Stratec Medical, Waldenburg, Switzerland) was used. The operative procedure is described in detail. A personal evaluation including clinical and radiologic assessment of both wrists was performed. RESULTS: The functional results, including the parameters strength, daily activities, range of motion, and presence of pain, as well as an anatomic score, the presence of osteoarthritis, the quality of reduction, and complications were recorded. Functional and anatomic results indicated excellent to good ratings in more than 80% of the cases. CONCLUSION: The external fixator is a versatile tool in the treatment of intra-articular and extra-articular fractures of the distal radius. The rate of algodystrophy (reflex sympathetic dystrophy) was 6%, and wrist stiffness was not found in our series.

Adult↗
PubMed1992

[Long-term follow-up of acute pancreatitis--significance of cholecystectomy for the biliary form].

Of 83 patients with acute pancreatitis it was possible to control 79 of them 5-16 years later, 33 on the basis of case histories and 46 personally. In 43 cases (54.4%) it was pancreatitis caused by gallstones. After an operative procedure, there followed in each case an auspicious progress without recurrence. By the patients who were not operated, there was a recurrence rate of 45.5%. In cases of pancreatitis not caused by gallstones the late progress is marked by a high recurrence and complication rate.

Acute Disease↗
PubMed1991

[Long-term results after neurolysis and palmar transposition of the ulnar nerve].

We reviewed 41 patients with 43 proximal ulnar nerve compression syndromes. The usual procedure was neurolysis of the ulnar nerve und subcutaneous transposition. The average follow-up period was 5 1/2 years (15 1/4 years to 3 months). The M/F ratio is 2.4:1. Most of the patients are hard manual workers, the dominant arm is most often affected, and 60% have some form of an injury in their history. About half of the patients followed-up have extensive relief of pain, loss of sensibility and weakness of the hand. But only 8 patients feel to have a perfect result. A few do complain of some tenderness in the scar region, some sensibility loss and a Tinel sign along the anterior route of the transposed nerve. Regaining of strength last months or even years. There is a general tendency to better final results in younger patients.

Adolescent↗
PubMed1987

[10 years' experience using a modified Shouldice surgical technic for inguinal hernia in adults. II. Which factors modify the recurrence of inguinal hernia?].

Many factors seem to influence the recurrence rate after adult inguinal hernia repair. A statistical analysis of data derived from 726 transversalis fascia repairs examined by the authors (with a follow-up rate of 82.5% and a mean follow-up time of 5.5 years) revealed a significantly higher recurrence rate in patients with chronic bronchitis (p less than 0.05) or with postoperative complications (p less than 0.001). Lower recurrence rates were found after resection of lipomas of the cord (p less than 0.01) or cremasteric muscle resection (p less than 0.05). No significant difference of recurrence rate could be established for following parameters: Sex, side, age distribution, profession, prostatism, obesity, type of hernia (direct, indirect, combined, sliding), suture material (silk, polyglycolic acid), surgeon, anesthesia (local, spinal, full), elective or emergency operation, and whether the repair was unilateral or simultaneously bilateral. Recurrent repairs showed no significantly higher recurrence rate than primary repairs.

Adult↗
PubMed1986

Palmar dislocation of scaphoid and lunate as a unit: case report with special reference to carpal instability and treatment.

A case of palmar dislocation of scaphoid and lunate as a unit is reported with a 3 1/2-year follow-up. Closed reduction was followed by redislocation after a week. Secondary open reduction could not prevent a dorsiflexed intercalated segmental instability deformity, which ended with arthritic changes in the wrist. A plea is made for early open reduction and internal fixation.

Bone Wires↗
PubMed1980

[Results following surgical repair of the ankle ligaments].

From a total of 133 patients with acute traumatic rupture of the lateral ligaments of the ankle 118 patients (88%) have been followed up for a period of 6 months to 8 years (average 2 years) after operative repair. According to the patients own statements, 88% reported good or very good results (minimal or no complaints). 12% referred to occasional pain and/or swelling. The objective results obtained by clinical and radiological examinations were excellent in 79% and unsatisfactory in 21%. The operative risk is minimal, thus we recommend early operative treatment of acute traumatic rupture of the lateral ligaments of the ankle.

Adolescent↗
PubMed1979

[Hypoproteinemia causing postoperative "interstitial" paralytic ileus].

On the basis of recent pathophysiological data and clinical observations in three patients, this paper draws attention to the commonly neglected importance of postoperative hypoproteinemia as the cause of an edema of the intestinal wall with a consequent "interstitial" paralytic ileus. The characteristic features of this syndrome are its onset between the third and the eighth postoperative day; the absence of other known causes of intestinal hypomotility; the benign, but protracted course without treatment; and the therapeutic success achieved by the correction of a hypoproteinemic fluid overload with concentrated albumin and a diuretic. In addition, parenteral hyperalimentation and Rheomacrodex-Sorbit may be indicated, but the hypoproteinemia should at any rate be corrected.

Aged↗