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Biomedical subjects

S Brunnemann

Publications and source records attributed to S Brunnemann.

6 recordsLinked to original sources
PubMed2003

[Rehabilitation after replantation].

Limb replantation represents a particular surgical challenge. Rehabilitation and functional integration of the patient into everyday life has proven to be as equally important as the operation itself. This requires intensive and long-term cooperation between surgeon, therapist, and patient since replanted limbs without restoration of function are of no use. Besides physiotherapy, ergotherapy is highly important for this since it helps to reactivate daily activities.Also, tactile gnosis and protecting nervous sensibility and motor function can be improved by ergotherapy. With the help of special devices, adjustments,and psychological care, ergotherapy also supports the patient's reintegration into his former social environment.

Activities of Daily Living↗
PubMed1999

[Radiocarpal and intercarpal arthroscopy].

The development of arthroscopic wrist surgery has helped to understand the anatomy and pathology of the wrist joint. One of the most important functions of the arthroscopic inspection in the radiocarpal and mediocarpal joints is the evaluation of the wrist stability. State of the art in the hand surgery today includes a combination of arthroscopic and arthroscopic assisted operations. The arthroscopy of the wrist offers significant information independent from the standard radiological diagnostic tools. TFCC lesions and scapholunate dissociation remain to be the most common causes for arthroscopic wrist surgery.

Arthroscopy↗
PubMed1994

Vitamin D, parathormone, and calcitonin profiles in persons with long-standing spinal cord injury.

Rapid immobilization after acute spinal cord injury (SCI) leads to increased bone resorption, net calcium efflux from the bone, hypercalciuria, depressed parathormone (PTH) and increased calcitonin release. However, the effects, if any, of long-standing SCI on calcium regulatory system is not well understood. We measured plasma concentrations of 25 hydroxy (OH) vitamin D, 1,25(OH)2 vitamin D (calcitriol), intact PTH molecule, calcitonin, ionized calcium [Ca++] and phosphorus in 40 clinically stable men with long-standing SCI of 3-year to 50-year duration (22 persons with paraplegia and 18 persons with quadriplegia). The results were compared with those obtained in 14 able-bodied control men. Plasma PTH concentration in the SCI group was significantly lower than that found in the able-bodied controls despite virtually identical concentrations of ionized calcium. Likewise, plasma calcitriol concentration in the SCI group was significantly lower than the value found in the able-bodied control group and lower in persons with quadriplegia than in those with paraplegia. In contrast, plasma calcitonin concentration in the quadriplegic group was significantly higher than that in persons with paraplegia and insignificantly higher than that in the control group. No significant difference was noted in serum ionized calcium between the study groups. PTH and calcitriol levels were positively related to one another (r = 0.35, p < .01) and negatively related to the level of injury (r = -0.43, p < .002 and r = -0.54, p < .001, respectively). In conclusion, long-standing SCI is associated with significant depression of calcitriol and PTH concentrations despite normal ionized calcium concentration.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Erythropoietin profile in spinal cord injured patients.

Patients with spinal cord injury (SCI) have a high incidence of anemia. Intact erythropoietin (EPO) production is essential to the maintenance of erythrocyte mass and prevention and correction of anemia. However, the effect of chronic SCI on EPO production remains unclear. We measured plasma EPO concentration in 83 men with longstanding SCI and a group of normal able-bodied individuals. The SCI patients showed a significant reduction in hematocrit, a high prevalence of anemia, and an increased plasma EPO concentration. Active smokers showed a significantly higher hematocrit and lower EPO concentration than nonsmokers. No significant difference was found in hematocrit or EPO between individuals with paraplegia and those with quadriplegia. A negative correlation was found between EPO and hematocrit in SCI patients lacking significant lung disease. Thus, in the absence of renal insufficiency, EPO response to anemia is qualitatively preserved in SCI patients and is largely independent of the level of injury.

Adult↗
PubMedDate not supplied

Acetabular reconstruction with Eichler-Ring and cemented cup.

The authors report the data obtained from their experience in acetabular reimplantation using an Eichler ring and cemented cup. The ring that may also be applied indifferently by the prosthetic stem component, allows complete reconstruction of the anatomical border of the acetabulum even when there has been a considerable loss of substance. Long-term follow-ups have shown that by using Eichler rings partial but progressive migration is no longer manifested, a phenomenon which is evident in reimplantations with cemented cups without the ring.

Acetabulum↗