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Biomedical subjects

V Smrkolj

Publications and source records attributed to V Smrkolj.

3 recordsLinked to original sources

Incomplete femoral fracture produced by a wooden projectile: case report.

We report on a case of incomplete fracture of the metaphyseal portion of the femur produced by a wooden missile, a part of which remained stuck in the bone after wound management. The wooden foreign body in the bone was detected with xeroradiography and computed tomography. Complete regression of acute inflammation was achieved through removal of the wounding agent, wound debridement, and systemic and local antibiotic therapy.

Adult

[Testing of an intramedullary reinforcement in osteosynthesis bridging of bone defects using methylmethacrylate].

The purpose of this testing was to determine whether the routinely used intramedullary metallic plate can be replaced by our newly constructed metallic reinforcement ladder without interfering with the static properties of the bone alignment. Our results showed that the alignment obtained by the application of the new metallic reinforcement had the same static value as the formerly used technique. The new technique is superior to the former one as concerns the bending loads due to the greater distance between the external osteosynthesis plate and the reinforcement, and because of the greater friction between the reinforcement and methyl-methacrylate than between the metallic plate and methyl-methacrylate.

Biomechanical Phenomena

[Bone metastases as a traumatologic problem].

The authors have attempted to cast some light on a problem that has confronted the surgeon for some 200 years: should a patient with terminal cancer, bone metastases and pathological fractures be treated surgically? In recent years the number of patient with pathological fractures has paralelled the increase in incidences of malignancies. Such pathological fractures are being noted at ever younger age. This paper concerns the author's five year experience with 53 patients operated on for pathological fractures at the Trauma Clinic in Ljubljana. The type of therapy chosen was determined jointly by the surgeon and oncologist strictly on an individual basis. The survival time of patients following surgery for pathological fractures was relatively long (especially with breast cancer patients /21 months postoperatively). This disprooves the thought that pathological fractures signify the beginning of the terminal phase of patients with malignancies. The authors note that the fracture to be operated on must be fixed and stable and the patients general condition of course must be permitting.

Bone Neoplasms