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Biomedical subjects

V Bartl

Publications and source records attributed to V Bartl.

8 recordsLinked to original sources
PubMed1996

[Personal experience with elastic stable intramedullary osteosynthesis in children].

Derived from Ender's elastic nail and from other fixation techniques, elastic stable intramedullary nailing (ESIN) provides a combination of elastic mobility and stability. The operation uses only small incisions, is rapid, blood loos is minimal and physeal area stands intact. Mobilisation using crutches but without-bearing is allowed as soon as the fracture is painfree and from third week starts partial weight-bearing. Between November 1994 and May 1996 21 children with femoral shaft fracture, 7 children with tibial shaft fracture and 1 child with humeral shaft fracture were admitted to the Pediatric Hospital in Brno and treated with ESIN. The guider and the nails from finest quality steel were made for us by the czech firm Medin, a. s. to order. We report about our good experiences with the ESIN-method.

Child↗
PubMed1989

[Pediatric polytrauma].

Based on earlier knowledge, the severe multiple injuries are classified according to dominating symptoms into several groups. Of the total number of 277 cases of polytraumatism treated in our clinic in 1977-1986, the highest mortality (i.e. 75%) occurred in the group without a dominating injury in which a severe trauma affects different organs and or body systems so that it is not possible to decide which of them ist the most important. The second group of patients with injured head and chest was classified (56% of mortality); in these patients a limited ventilation capacity, hypoxia, increased level of CO2 and acidosis caused the brain oedema. The definition of a proper sequence of reconstruction of individual damaged organs is of cardinal importance for the survival of patients. Interventions of vital indication must be performed in time even under unfavourable conditions because no resuscitation can replace a causal surgical intervention.

Child↗
PubMed1989

[Incidence of multiple injuries in children 1977-1986].

The authors give an account of multiple injuries in children during a ten-year period. Injuries are divided into different groups according to the dominating injury--head, chest, abdomen, pelvis, urogenital system, extremities and injuries without a dominant. From the total number of 277 casualties there were 101 with a predominating injury of the head, 35 of the chest, 41 of the abdomen, 24 of the pelvis and urogenital system, 71 of the extremities and 4 without a dominant. Deaths were recorded after dominating head injuries in 11.8%, after dominating abdominal injuries in 7.3% and in the group without a dominant in 75%. In the remaining group no deaths were recorded. Attention is paid also to the diagnosis and therapeutic tactics of these serious conditions and the necessity to establish the order in which to implement therapeutic procedures in multiple injuries.

Adolescent↗