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Biomedical subjects

M Rustemeier

Publications and source records attributed to M Rustemeier.

6 recordsLinked to original sources

[The surgical treatment of acromioclavicular joint separation with a resorbable PDS cord].

Osteosynthetic complications in surgery of acromioclavicular separations are common. Also, one more intervention is necessary for removing the metallic implants. Use of self-resorbing materials resolves such disadvantages. One more indirect surgical method is presented. After reposition of dislocated acromioclavicular joint and suture of the disrupted ligaments clavicula is fixed to the coracoid processus by a cord of polydioxanone (= PDS). Early postoperative mobilisation without risks is possible in cooperative patients. Self-resorbing implants don't modify the well known indications of conservative and operative treatment.

Absorption

[Fractured Monteggia pseudarthrosis. An unusual case].

The diagnosis of an ulnar fracture is easily made in Monteggia lesions, but dislocation of the radial head can occasionally be overlooked. In the case presented luxation persisted and ulnar pseudarthrosis developed. In spite of functional disorders, however, the patient still managed to work for 36 years as a lorry driver. An unusual feature of this case is that 40 years after the primary event traumatic fracture of the pseudarthrotic ulna developed and was managed by bone grafting, with good functional results.

Aged

[Clinical experiences in the treatment of humeral shaft fractures with the Sarmiento brace].

13 humeral shaft fractures were treated by Sarmiento-brace. Fracture-bracing is a special conservative traumatological management, that permits early remedial gymnastics. Light weight, optimal cosmetic results and quickly rehabilitation of the injured arm are favorable. Cooperation in gymnastics and controls within short times by the doctor are necessary. All our patients of ages under 45 years achieved nearly normal articular function, that increases 95% in comparison to the opposite arm. External rotation and abduction of the shoulder decreased in elder persons. Loss of function could not be avoided completely in critical cases (upper and lower part of the humeral shaft). Side effects were swelling, angulation deficiencies up to 16 degrees and skin lesions. The rate of pseudarthrosis seems very small. In advanced cases of malignomas pathologic fractures were treated by bracing palliatively. Open fractures, vascular damage, nerve palsy, fractures that cannot be controlled by non operative means and multiple injured patients should be treated by operation.

Adolescent

[Post-traumatic proximal radio-ulnar synostosis].

The posttraumatic synostosis between radius and ulna is one of a rare but grave complication in case of forearm-fracture. Only a few successful treated case-reports are described. This case reports upon a young man with a second-degree open elbow-joint-debris-fracture. Following a proximal radio-ulnar-synostosis happened. Eight months posttraumatic the radio-ulnar-synostosis was operatively eliminated. Subsequent an intermediate dura-cuff was implanted after partial resection of the membrana interossea.

Adult

[A special case: scleroderma].

Progressive systemic scleroderma is presented in an individual case of an acrosclerotic variant, the diagnosis of which was only made following a casual minor trauma. Analysis disclosed further manifestation in various organs, which had been treated for many years without knowledge of the real cause.

Adult