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Biomedical subjects

W Hackl

Publications and source records attributed to W Hackl.

76 records · Page 5Linked to original sources

Bioabsorbable polyglyconate interference screw fixation in anterior cruciate ligament reconstruction: a prospective computed tomography-controlled study.

PURPOSE: It was the purpose of the study to evaluate a new polyglyconate bioabsorbable interference screw for graft fixation in anterior cruciate ligament (ACL) reconstruction. TYPE OF STUDY: Prospective randomized. MATERIALS AND METHODS: Forty patients who underwent endoscopic ACL reconstruction were included in the study and randomized intraoperatively. Group A consisted of 20 patients (6 women, 14 men; mean age, 29.6 years) who had femoral bone block fixation with a bioabsorbable interference screw and tibial fixation with a titanium interference screw. Group B included 20 patients (5 women, 15 men; mean age 29.6 years) who had fixation of both femoral and tibial bone blocks with titanium interference screws. There was no significant difference between the groups with regard to age, gender, height, weight, time from injury to surgery, activity level, and concomitant injuries. RESULTS: Clinical results (using IKDC, Lysholm, Tegner scores) of the 2 groups as well as instrumented laxity measurements (KT-1000) did not show significant (P >.05) differences at any stage of follow-up. No complications with respect to graft fixation could be found. Computed tomography scans, performed within the first postoperative week, at 6 weeks, and at 3, 6, 12, and 24 months postoperatively revealed a uniform picture for all patients within the groups, showing completed screw degradation at 12 months in group A. CONCLUSION: Polyglyconate interference screw fixation for patellar tendon grafts has not been found to be associated with increased clinical complications or significant osteolysis. It provided equivalent fixation and clinical results compared with titanium screws. However, replacement of the screw with bone did not take place for up to 3 years postoperatively.

Absorbable Implants↗

[The use of a rapid infusion system in orthopedics].

Major orthopedic surgery such as partial resection of the pelvis and subsequent implantation of a prosthesis is highly connected with massive bleeding. Therefore we tested the hypothesis that the use of a rapid infusion device, which was originally designed for liver transplantations, can prevent hypovolemic shock. We studied 20 patients: in one group (n = 10) the iv volume was given in a conventional way (37 degrees C) by use of pressure infusion bags. Patients of the second group (n = 10) received the iv volume via the Rapid Infusion system (Haemonetics Corp., Braintree, MA). We can conclude that with this new device for rapid volume replacement it is possible to keep the patient's vital functions stable even during times of excessive bleeding and to prevent from metabolic consequences following hypovolemic shock.

Adult↗

[Lysine requirement of fattening sows depending on their performance. 2. Relations between energy consumption and live weight increase].

105 growing sows in the live weight range were fed with 7 test rations with graduated energy and amino acid levels. The growth intensity was very much influenced by the daily energy consumption. On the basis of regression analysis the following linear relation between daily weight increase (y in g per kg live weight0,75) and the daily energy consumption (x in energetic feed units for pigs per kg live weight0,75) was calculated: y = -13,79 + 0,7037 x (r = 0,84, sb -0,0295). The interpolation with regard to live weight balance resulted in a maintenance requirement of 19,8 energetic feed units for pigs resp. 70 kcal net energy fat for pigs per kg live weight0,75. The methods of assessment chosen showed an increase of the energy requirement per 100 g additional live weight increase per day of a constant amount, independent of the live weight, of 142 energetic feed units for pigs resp. 497 kcal net energy fat for pigs.

Amino Acids↗

[The energy metabolism of swine at a feed level of "live weight equilibrium"].

10 castrated pigs each of a live weight (LW) of 35 kg and 115 kg were fed over 28 and 40 days resp. in a way that a live weight equilibrium was achieved. The pigs were kept individually and at a low mobility on perforated floors of zinc-plated sheet iron at an air temperature of 19 degrees C. The weighing 35 kg received 668 kJ ME/kg LW 0.75 per day and one half of the animals weighing 115 kg 635 kJ ME/kg LW 0.75 in a diet consisting of barley and bran. The other half of the animals weighing 115 kg received 514 kJ ME/kg LW 0.75 per day in a ration consisting barley, bran and dried skim milk. The crude protein content of the rations was 12.6 and 17.1% resp. of the DM, the crude fibre content amounted to 8-10% of the DM. Energy excretion in faeces and urine was calorimetrically measured. Up to the end of the experiment LW and the weight of the empty body (without ingesta) remained unchanged. For the measuring of energy retention, 4-5 zero animals each were analysed before the experiments. The pigs weighing 35 kg showed a daily loss of 39 g fat in the course of the 40-day experiment. The calculation of the energy balance showed that an intake of 790 kJ ME/kg LW 0.75 was necessary. This maintenance requirement, rather high in comparison with values from literature, can be explained with the emission of body heat on sheet iron floors and a crude fibre content of 9% in the rations. The pigs of the two groups of 115 kg LW were at an energy equilibrium at both nutrition levels. The lower maintenance requirement of the group fed with dried skim milk cannot exclusively be explained by the higher energetic utilization of the milk protein in the ration. The reason should be the more advanced age of the animals of the milk group. Although they had nearly the same live weight, their empty bodies contained 41% fat, the pigs of the barley/bran group, however, only 34%, both before and after the experiment.

Age Factors↗