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Biomedical subjects

W Glötzer

Publications and source records attributed to W Glötzer.

8 recordsLinked to original sources
PubMed1992

Arthroscopic Bankart procedure by suture technique: indications, technique, and results.

The arthroscopic Bankart procedure by suture technique was performed in 31 patients (1984-1987). In 22 of the cases, the minimum follow-up was 2 years. Fourteen patients had sustained a primary traumatic complete dislocation resulting in unidirectional instability, and eight patients experienced recurrent subluxation. Clinical examination demonstrated positive labrum pathology in all cases, which was proven in five patients by contrast computed tomography scan. None of the 22 patients experienced intraoperative complications or infection. A slight loss of abduction was found in two patients, and a minimal loss of external rotation was found in five patients, but there was no recurrence of complete dislocation of subluxation.

Adult↗
PubMed1990

[Pathology, diagnosis and therapy of patellar dislocation].

Patella dislocation in sports trauma is a common injury and is influenced by minor alterations or derangements of dynamic or static factors. The sulcus angle should not exceed 138 degrees and the Q angle should not be more than 15 degrees. Patella alta has some influence on the dislocation tendency, and so has weakness and atrophy of the musculus vastus medialis obliquus, causing muscular imbalance. Diagnosis is made via x-ray in tangential as well as a.p. and lateral view. Clinical examination of the patella reveals in lateral dislocation or redislocation can be provoked after positioning. Tenderness is present along the medial retinaculum associated with haemarthrosis in most of the cases. Conservative treatment includes evaluation of haemarthrosis and physiotherapy especially with regard to strengthening the vastus medialis obliquus. Surgery includes lateral release and medial capsular plication or transposition of the patellar tendon for correction of the Q-angle.

Adolescent↗
PubMed1990

[Late results in patellar fracture].

This article surveys a follow-up of 31 patients suffering from a patella fracture 6 to nearly 9 years ago. Patients complaints are compared with objective circumstances. Conservative treatment only was exercised in fractures without displacement and in longitudinal ones, which had an intact extensor mechanism. Results after patellectomy are not satisfactory. Most of fractures are treated with tension cerclage combined with K-wires or with screws. Partially difference was realized between patient's feelings and medical evidence.

Bone Screws↗
PubMed1990

[Arthroscopy of traumatic hemarthrosis following sports injuries. A 5 year analysis].

This retrospective study was made to evaluate the significance of different sports activities that cause variable haemarthrosis with intraarticular lesions of the knee joint. Throughout 1984 to 1988 arthroscopy was performed in 337 patients with acute haemarthrosis. The average time between trauma and arthroscopy was 8 days. ACL rupture was diagnosed in most of these cases. Regarding the different types of sport activities ACL lesions were found in skiers (74%), other winter sports (47%), soccer (53%), tennis and squash (58%), athletics (41%) and indoor (61%). Peripheral meniscus tears associated with haemarthrosis were found in 36% and patellar dislocations in 8%. Isolated MCL ruptures were diagnosed clinically and arthroscopy was not performed in these cases. Throughout 1987 isolated ACL ruptures were fixed by reattachment. This technique was not continued any longer and ACL replacement by patellar tendon as bone-ligament-bone was performed routinely since 1988 in those patients, who required surgery. 56 patients required ACL reconstruction following conservative treatment because of ACL deficiency, when they went back to sports activities. Longitudinal peripheral meniscus tears were fixed by the scape in inside-out technique.

Adolescent↗
PubMed1990

[Knee joint hemarthrosis--differential diagnostic considerations for planning an operation].

From 1980 to the end of 1988, arthroscopy has been performed on 620 patients with acute hemarthrosis of the knee joint. Of all the intraarticular lesions, 89.4% required surgery. Arthroscopy has changed in the last decade from diagnostic screening to invasive instrumentation for exact operative planing and alternative operative techniques. Hemarthrosis in stable knee joints was caused by minor lesions (7.84%) that did not require surgical procedures. Seventy-three patients had traumatic patellar dislocations--in 33 cases associated with chondral or osteochondral fractures. In 54.8% of the isolated medial retinacular ruptures, simple suture was performed in 14 cases--3 times arthroscopically and 11 times open, combined with lateral retinacular release without redislocation following. Associated chondral fracture indicated surgery in all cases. Isolated meniscus pathology (12.48%) was treated by arthroscopy alone, and refixation of the medial meniscus was carried out using the inside-out technique in 27 cases. Arthroscopic elevation of lateral tibia plateau fracture--indicated by type II fracture according to the AO classification--was performed in 3 cases with excellent results, and was associated with screw fixation and image intensification in 2 patients. Intercondylar eminence fracture is an excellent indication for arthroscopic refixation in the presence of the mono- or two-fragment type of fracture. ACL rupture is the main intra-articular pathology (64.8%) for hemarthrosis of the knee joint, which was diagnosed as an acute injury within the 1st week following trauma (51.04%). Anterior instability can be detected clinically if a careful examination with the Lachman test, combined with the missing end-point and pivot-shift test, is performed.(ABSTRACT TRUNCATED AT 250 WORDS)

Arthroscopy↗
PubMed1989

[Technical errors and early complications of osteosynthesis of pertrochanteric femoral fractures using the dynamic hip screw].

Within a period of 3 years, 198 patients with pertrochanteric fractures were operatively treated with implantation of the dynamic hip screw: 141 were female and 57 male (ratio of 2.5:1). The youngest patient was 27 and the oldest 100 years of age (average 74.4 years). Most preoperative failures in management were caused by insufficient reduction when no valgus of the femoral head and neck was achieved. Some patients had ulcers in the genital region because of forced reduction on the traction table, and in one of these cases plastic surgery was necessary. Intraoperative failures may occur because of too early removal of the guide pin, which should remain in the center of the femoral head until the screw is placed in the right position. Postoperative complications are caused by full weight bearing, which leads to varus and recurvation malposition. In 2 cases, deep wound infection occurred. The plate broke out in 3 cases, 2 of those required reoperation. Six patients between 61 to 84 years of age died in the early postoperative period during their stay in hospital.

Adult↗
PubMed1977

[Rupture of the achilles tendon and eversion fracture of the inner malleolus - a typically combined injury in alpin skiing (author's transl)].

5.3% of all ruptures of the Achilles tendon occurring during alpin skiing are accompanied by an eversion fracture of the inner malleolus. The frequency of this type of combined trauma has not changed in the last fifteen years. A typical eversion trauma resulting in the inner malleolus being torn off, but not involving a rotation motion, occurs in the second phase of an acute angle foreward fall, in which in the first phase, the Achilles tendon has already been ruptured. Simply catching an edge, for the most part of the outer ski edge, does not lead to an eversion fracture as has formerly been supposed.

Achilles Tendon↗