PubMed Health⌕ Search

Biomedical subjects

W Reichmann

Publications and source records attributed to W Reichmann.

At least 19 recordsLinked to original sources
PubMed1986

[A new assessment model for the evaluation of late results following a decompressive operation of the median nerve].

Of ninety patients who had undergone carpal tunnel release in the years from 1970 to 1980, 67% could be reinvestigated after a follow-up period of five years and six months (average interval). A new scheme for classification of long-term results was used. This was achieved by the use of objective clinical and electro-physiological observations. Postoperatively 71% could be classified as "cured" or "much improved". Only 15% were graded as "improved" and 14% remained "unchanged" or "worse".

Carpal Tunnel Syndrome↗
PubMed1985

Experimental and preliminary clinical experience with absorbable calcium phosphate granules containing an antibiotic or antiseptic for the local treatment of osteomyelitis.

Experimental studies on dogs with staphylococcal osteomyelitis showed that it is possible to reduce florid bone suppuration by the use of hydroxyapatite granules containing an antibiotic or antiseptic. In our series the use of flucloxacillin hydroxyapatite granules was superior to other treatment methods. Twelve patients were treated with thorough sequestrectomy, reliable wound closure and suitable stabilization supplemented with an implant of antibiotic or antiseptic hydroxyapatite granules, and an autologous spongiosa graft for large bone cavities or for discontinuity between the bone ends. The results of this preliminary study showed the treatment to be effective.

Adolescent↗
PubMed1984

[The value of arthroscopy in the diagnosis of knee injuries].

Arthrographic and arthroscopic findings of traumatized knee joints were compared by operation. It was found that endoscopic examination, particularly in case of damage to joint cartilage and cruciated ligaments, is superior to arthrographic examination. The lesions of meniscus could not always be detected radiologically. Hence, whenever there is a suspicious knee joint damage, arthroscopy should be performed liberally.

Adolescent↗
PubMed1984

[Experience with the use of an external fixator in patients with multiple injuries].

The authors report on experiences with fixateur extern according to Raoul Hoffmann in 110 open fractures of second-degree and third-degree severity. The patient material comprised 90 patients, of which a total of 71 (79 per cent) had polytraumas. It was shown that good results can be expected if fixateur extern is applied immediately. The advantages of good positioning and care of soft parts are emphasized. A detailed discussion is devoted to the specific problems of polytraumatized patients with second-degree and third-degree open fractures.

Adult↗
PubMed1983

[Release delay of various antibiotics from resorbable tricalcium phosphate ceramic granules with soluble coating for local treatment of osteomyelitis. An animal experiment study].

The releasing kinetic of antibiotics from tricalcium phosphate beads was studied in animal experiments. The porous TCP-beads were filled with antibiotics and coated with biodegradable substances for delaying the release of the antibiotics. There were high tissue levels of antibiotics in the surrounding bone for many days. This method gains an increase in therapeutic safety in treatment of osteomyelitis. The coated TCP-antibiotic beads are used simultaneously as bone graft and for treatment of the bone infection. There is no need for further operation.

Animals↗
PubMed1981

[Treatment outcome in de Quervain's dislocation fracture].

In De Quervains dislocation fracture pseudarthroses of the scaphoid bone following closed reduction are very common, 59% being reported in a former publication. Exact adaptation of the fragments after reduction of the perilunar dislocation is essential for healing of the fracture. In cases where this is not possible by conservative means, open reduction and screwing of the scaphoid fracture is necessary for better result with a rate of pseudarthroses of only 16%.

Bone Screws↗
PubMed1979

[Functional results after reconstruction of severed flexor tendons by means of free flexor tendon grafts].

From 93 free flexor tendon grafts which have been performed in the years 1959--1976 because of flexor tendon laceration 85% could be reinvestigated after 6 years 10 months (average intervall). Three reinvestigation schemes for classification of the functional results were used (VERDAN/MICHON 1961, McKENZIE 1967, BUCK-GRAMCKO 1976). This had the advantage that marked differences in the classification schemes could be demonstrated. With 56% of very good and 22% of good results according to the classification of McKENZIE or 30% of very good and 26% of good results according to the classification of BUCK-GRAMCKO the results of free flexor tendon graft in the area of the thumb are significantly better than those in the fingers. In addition the relationship between the objective reinvestigation results of the operation and the subjective results appraised by the patients is demonstrated and shows that BUCK-GRAMCKO's classification comes closest to the patients evaluation.

Humans↗
PubMed1978

[Distal radial fracture in childhood].

Injuries of the distal forearm region demand careful examination in children if green stick fractures or dislocations of the epiphysis with spontaneous reduction are not to be overlooked. The treatment should be principally conservative with a plaster splint including the elbow joint following reduction. Exact and repeated radiological controls are necessary because of loss of reduction is not infrequent. Operative treatment is indicated in cases of any obstruction to reduction, inadequate reduction of fractures with epiphysis involvement, open fractures with marked dislocation and for the correction of axial and rotational deformities.

Casts, Surgical↗
PubMed1976

[Supracondylar fracture of the humerus in childhood. Complications, possibilities of treatment and late results (author's transl)].

At the Chirurgische Universitätsklinik Köln-Lindenthal, 103 children were treated for supracondylar fracture of the humerus from 1955 to 1975. The method of choice for treatment was Baumann's vertical suspension. Lesions of the brachial nerve were found to be the primary complication in 7% of the children and circulatory disorders in 10%. While the nerve injuries were treated conservatively, except for one case, 9 children had to be operated on because of ischemia of the forearm. The circulatory disorders could be rectified by thrombectomy and reconstruction of the brachial artery. In one child in whom the indication for operative revision in good time was missed, an ischemic muscle contracture developed.

Adolescent↗
PubMed1976

[Operative therapy for primary malignant bone tumors (author's transl)].

During the last 20 years, particularly in Europe, high dosage radiation therapy was primarily advocated and secondarily surgical amputation. Today, the earliest possible surgical elimination is considered to be the most sensible. This need not necessarily take the form of a mutilating procedure since, on the basis of American statistics, the results of resection procedures can be considered to be equally good. In each case, the diagnosis must be histologically clarified by biopsy before drastic surgery. In the context of a plan of therapy which is individually discussed among surgeons, radiation therapists and internists, additional tasks such as metastasectomy and stabilizing procedures in tumor-induced fractures fall to the surgeon. While it is still too early for a survey, we nevertheless hope that the positive aspects of combined therapy in our individual cases will increasingly benefit the total number of patients with malignant bone tumors - even if only in the form of a prolongation of life with less symptoms.

Bone Neoplasms↗