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Biomedical subjects

S Sánta

Publications and source records attributed to S Sánta.

8 recordsLinked to original sources

[Stabilization of the injured acromioclavicular joint using a new type of fixation plate].

The opinions in the question of transitory fixation of the joint during the treatment of the acromioclavicular articulation are rather different. The complications of the widely used methods--break of the implant, its tear from the bone, the wandering and the disturbances of wound healing--are well known. To decrease the number of complications authors have developed a new type of hooked plate. The plate is fitted to the anterior surface of the acromial end of the clavicle and its hook is fixed from below in the bore hole of the acromion. To choose the optimal place of the bore hole a drill guide was prepared. The operative method is described and the advantages of the method are summarized. The "Debrecen-plate" was used during 2 years in 39 injuries. 35 patients were controlled 6-24 months after the operation. Based on the results of the treatment a wider use of the method is suggested.

Acromioclavicular Joint

[Experience with the management of scapula fractures].

Authors have treated 37 fractures of the scapula during 3 years. The questions of the aetiology, classification, diagnosis and therapy of this injury are reviewed. It is stated that the majority of the scapula fractures heal on conservative therapy; in consequence the functional treatment has a leading role. The fractures of the articular surfaces with step formation, the fractures of the scapular neck process dislocated in a high degree, or unstable fractures of the scapular neck combined with the comminutive fractures of the operative therapy are assessed. Attention is called to the most frequent operative complications and to the possibility of their prevention.

Bone Nails

[Experience with the Bristow procedure].

Authors assess the results of 17 Bristow's operations performed in the therapy recurrent anterior dislocation of the shoulder. The literature of the subject is reviewed, the technical details of the operations are described and the possibilities of complications are pointed out. On the basis of literary data and their own favourable experiences the wider use of this method is suggested.

Female

[Acromioclavicular dislocation associated with fracture of the coracoid process].

The joining of the acromioclavicular dislocation and the fracture of the coracoid process is rather rare. The number of cases described in the world literature is under 20, in this country no such case was described yet. Author reports on a case treated with operation, that healed with good result. The viewpoints of the diagnosis and treatment of this injury are reviewed. The results of the conservative and operative treatment are hitherto equally favourable. Author thinks the operative treatment of injuries with complete dislocation reasonable.

Accidents, Occupational

[The use of Debrecen plates in the management of acromioclavicular dislocation].

Since surgical treatment of the ruptured acromio-clavicular ligaments is still requiring an improvement, a new implant, the Debrecen-plate, was devised. Its application necessitates only a small exposure, soft tissue covers the plate favourably and spares the joint surface from immediate damage. The authors describe the surgical procedure and report on the outcome of 39 Tossy II and III injuries treated in this way.

Acromioclavicular Joint

[First experiences in Hungary with the use of the Wolter plate in acromioclavicular dislocations].

Authors describe an operative procedure, new in this country, for the treatment of acromioclavicular dislocation. In 18 young sportsmen and physical workers, in cases of injury, the joint was fixed with Wolter's crooked plate until the healing of the capsule and ligament sutures. The plate does not damage the joint surfaces, no postoperative external immobilization is necessary and so early functional treatment will be possible. The patients were reexamined 24 months after the operation. No break or loosening of the implant was observed. In spite of the fact that the subcutaneous dehiscence of the wounds on shorter sections healed without complications further investigations are thought necessary for its prevention. In 17 patients complete function of the shoulder was reached. All patients continue their original jobs or sport activity. On the basis of the convincing good results authors suggest the use of Wolter's plate.

Accidents, Occupational

[Stabilization of the injured acromioclavicular joint].

Authors review the functional anatomy of the sternoclavicular joint and the pathophysiological changes in injuries of the capsule and ligaments. The advantages and complications of the operative methods used for temporary stabilization of this joint are examined. It is stated that methods, the most generally used in the past decade were not suitable to solve the question of stabilization optimally. New possibilities are promised by the hinge and hooked plates, a therapy ensuring movement and loading stability, however little experience was yet gained with their use.

Acromioclavicular Joint