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N Böhler

Publications and source records attributed to N Böhler.

22 records · Page 2Linked to original sources
PubMedDate not supplied

[Therapy and prevention in children with inflammatory rheumatic diseases].

Since 1981, annual four-week holidays have been arranged for children with juvenile rheumatic arthritis, during which the children are cared for by a team of pediatricians, orthopedists, ergotherapists, physiotherapists and assistants trained in psychology. With systematic splint therapy, physiotherapy, and by enhancing drug awareness during these therapeutic holidays significant improvements in joint mobility and subjective wellbeing were achieved. Of the 103 children treated (209 places were available), the majority spent several holidays, with a resulting improvement in joint mobility lasting several years. Through systematic training, adaptation to splints, and physiotherapy acceptance was also enhanced, with a preventive effect for the rest of the year. The success of these measures has encouraged the authors to continue the project.

Adolescent↗
PubMedDate not supplied

[Blood transfusion in total hip endoprosthesis operations in relation to Redon drainage and pressure bandages. An innovation in surgical method].

PROBLEM: There is a difference in the use of redon drainage following hip arthroplasty worldwide. The aim of the study was to find the best version. METHOD: In a prospective randomized study including 158 patients with coxarthrosis we implanted cementless Alloclassic hip-endoprostheses and registered consumption of blood, blood loss, hemoglobin level, subcutaneuos hematoma, swelling of the proximal thigh, bleeding and exsudation of the wound in four groups supplied with three, two (subcutaneously and subfascial) and one (subcutaneously or subfascial) drainage with compression bandage and one group with two redons (subcutaneously and subfascial) without compression bandage. For prophylaxis of deep vein thrombosis we used low dose heparin. RESULT: We could demonstrate, that the application of two redons one subcutaneously and one subfascial gave the best result. Compared to the conventional procedure with three redons we achieved a reduction of 47% of blood units, a significant reduction of exsudation and bleeding out of the wound, subcutaneous hematomas and a reduced swelling of the proximal leg in addition to better clinical conditions of the patients. The reason is a more accelerated stop of the bleeding out of the spongy bone. The application of one drain subcutaneously or subfascial showed no further reduction of blood loss, but an increase of wound exsudation and bleeding out the wound and an increase of subcutaneous hematomas. Sufficient external compression of the area of operation by a compression bandage is very important. Disadvantages as a result of changing the way of drainage have not been detected. CONCLUSION: The use of two Redons one subcutaneously and one subfascial showed an obvious benefit without any clinical disadvantage compared to 3 redons or no drainage.

Arthroplasty, Replacement, Hip↗
PubMedDate not supplied

Guidelines for Chiari's osteotomy in the immature skeleton developed from a canine model.

Three variations of Chiari's pelvic osteotomy were performed on 18 dysplastic hip joints in young, growing German shepherd dogs and rottweilers. The results of the operations and the reactions of the skeletal tissue were investigated radiologically and histologically after six and 12 months. By use of polyfluorochrome sequential labeling and microangiography, it was demonstrated that neither the formation of new bone nor the blood supply in the vicinity of the rim of the acetabulum (apophysis of the acetabular roof) was seriously impaired by the operation. Conversely, the operative technique was of decisive importance to the result of the operation. Only if the osteotomy was performed through the original acetabular rim, completely covering the femoral head, was the newly formed acetabular roof adequately biomechanically loaded, providing the conditions required for functionally adapted differentiation of skeletal tissue. Chiari's pelvic osteotomy can be performed on canine hips with good chances of success, provided one uses the proper operative technique. Apophyseal bone growth and the blood supply of the newly formed acetabular roof were apparently not disturbed by Chiari's operation.

Acetabulum↗