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Z Vlahović

Publications and source records attributed to Z Vlahović.

6 recordsLinked to original sources
PubMed1982

[Dilemmas and opinions on the diagnosis and surgical treatment of injuries of the knee meniscus].

Authors describe their opinion and dilemma in the diagnosis and surgical treatment injuries of the knee meniscus during period of the ten years. In diagnostic dilemma at doubtful signs of the meniscus tear they pointed out roentgenographic investigation as arthrography of the knee joint by double contrast method which was tasted method in 92.9% cases. In surgical treatment they mention experiences in 271 meniscectomy. They made 14.7% partial meniscectomies and 85.3% total meniscectomies. In dilemma total or partial meniscectomy structures of the knee joint are less injured, postoperative rehabilitation is better and shorter and degenerative change are in frequency only 5% in their material. They prefer early meniscectomy, because the late results with this method are only excellent. They pointed out importance good postoperative rehabilitation, which together with good diagnostic, early and regular surgical treatment is undivided complete in the successful treatment tears of the knee meniscus.

Cartilage, Articular↗
PubMed1976

[Injuries of the thigh bone with a destruction of the neuro-vascular bundle].

From 1969 to 1971 the authors treated 1360 injured patients, eight of which suffered serious injuries of the thigh; fractured femur complicated by a severed Femoral Popliteal Artery, and lesions of the Sciatic Nerve. Six patients were injured at work, one in an automobile accident, and one was a gunshot victim. In approximately 1000 fractures one is complicated by an injured neurovascular bundle. The clinical picture of such a case is characteristic. The arteriograph is used only to locate the lesion. Reconstruction of the artery must be accomplished some eight to twelve hours following the injury. In all of the authors' cases, this was done one to eight hours following the trauma. After twelve hours, ischemic necrosis of the soft tissue (musculature) sets in requiring amputation. The remaining segment of the damaged artery is usually resected. In one case, a segment 8 cm. long was removed. Following the termino-terminal anastomosis, the injured extremity was placed in a flexed position whlich alleviated the tension on the sutures. The result of vein autographs are worse than those of the termino-terminal anastomoses. Thrombosis later begins to restrict blood flow through the reconstructed artery, but by this time, adequate collateral circulation has been established. The limb has thus been saved. Heparin is administrated immediately before and during the operation in a dosage of 5000 units per 500 ml. of physiological solution. Postoperatively, it is not used as it acts on the fibrin thrombi, and not on the thrombocyte thrombi which are formed postoperatively in the areas where the tunica intima has been damaged. Heparin is indicated in the prophylaxis of venous thrombosis. In these cases in which the femur was fractured, the question asked is whether to perform the osteosynthesis and anastomosis simultaneously, or to perform the former at a later time. The authors chose both methods for various reasons. Only a few cases permitted the authors to decide which approach would be better. Usually they performed a temporary fixation of the bone with Rusch's Pin, and sutured the artery. Four months later, a compressive osteosynthesis using an L-plate, was performed. In four cases, the Sciatic Nerve was injured, which, according to the circumstances was sutured either immediately, or 3 to 4 weeks later. In 3 patients, good functional results were obtained. Three cases resulted in a contracture of the knee, two of which also had residual Sciatic Paresis. One case resulted in permanent venous stasis (edema of the legs, and two cases results in amputation.

Adult↗