[Fractures of the bone shaft. Indication and choice of procedure].
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Biomedical subjects
Publications and source records attributed to R Bedacht.
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The surgical training in the traumatological laboratory at the Surgical University Hospital in Munich has proven to be quite successful. The laboratory offers the young resident an opportunity to become familiar with the latest surgical methods within the fields of reconstructive and traumatological surgery. The so achieved knowledge will then be extended in the courses for osteosynthesis in which he will later participate. The laboratory also offers the possibility for experimental research as well as clinical followups and statistical documentation.
In 87 patients from a total of 90 a posttraumatic or postoperative diaphysal or epimetaphysal shaft-pseudarthrosis could be found. In 53 patients we used the plate-osteosynthesis (tension-, axial compression-, neutralisation-, bridge- and bilateral plates). In 24 patients this was combined with other procedures (decortication, resection of the fragments or the pseudarthrosis or surplus--callus, implantation of autogenous bone). Using plate-osteosynthesis in all cases of aseptic or defected pseudarthrosis we gained osseous stabilization and healing, with good function, as was shown by followup studies. In infected pseudarthroses (8 patients) several operations were necessery for complete healing. Successfull treatment of aseptic and infected pseudarthrosis is based on the correct indication as well as correct choice and application of the plate.
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