[Distal radius fractures at a municipal clinic. Causes, treatment and results].
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Biomedical subjects
Publications and source records attributed to M Häring.
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Experiments were carried out on 12 weeks old dogs to determine the reaction of the proximal tibial epiphysis to different implants. The contralateral tibial epiphysis was used as controls. As implants we used Kirschner wires, medullary nails, screws and miniplates, which were inserted through the epiphyseal plate itself. The further development of the epiphysis was followed till completion of growth. The changes observed were proportional to the pressure exerted by the implant and reached from reversible lesions to premature ossification with faulty growth.
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Aneurysmal and juvenile bone cysts are characterized by frequent recurrence and pathological fractures caused by such bone cysts also recur frequently. Curettage of the cyst and spongiosaplasty is often unsuccessful. According to our experience, excochleation must be followed by drilling the cyst wall and fraising off the compact substance. Densely packed homologous spongiosa must then be implanted. In case of recurrence or if the cyst increases in size, radical en-bloc resection is indicated and the defect must be bridged by osteoplastic and osteosynthetic methods. We have treated four difficult cases successfully with this procedure. In one case, resection with limb shortening lead to full recovery.
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