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At least 1,747 records · Page 97Linked to original sources
PubMed1989

Current concepts in the treatment of fractures of the clavicle.

Clavicle fracture is a common injury in all age groups. Injuries can be classified into groups. Group I includes fractures of the middle one third, the most frequent site. Group II fractures account for 10% of fractures of the clavicle and involve the clavicle lateral to the coracoclavicular ligament and are caused by direct violence. These injuries are divided into two subsets. Group II Type I fractures occur lateral to the coracoclavicular ligaments and are stable. Group II Type II fractures occur just medial to the coracoclavicular ligaments and are unstable. These latter injuries require stabilization. Group III fractures are uncommon and involve the medial end of the clavicle and are rarely caused by direct violence. Most fractures of the clavicle can be treated closed with excellent results. Open treatment is only occasionally indicated and then only under certain stringent conditions. Most complications occur with open treatment and include nonunion and infection. Neurovascular complications are uncommon but not unusual. Although reasonable shoulder function is compatible with surgical resection of the clavicle, it cannot be done with impunity.

Adolescent↗
PubMed1979

[Stabilization of the thoracic wall (author's transl)].

The improvement of mechanical respiration by surgical stabilization of the chest wall is an important measure to reduce disadvantages and complications of long time respiratory treatment. Indications are: (1) Chest wall instability with indication for emergency thoracotomy; (2) Respiratory insufficiency mainly caused by chest wall instability; (3) Respiratory insufficiency due to severe laceration of intrathoracical organs with additional chest wall instability as an obstacle for sufficient respirator treatment.

Adult↗
PubMed1979

[Surgical aspects during the intensive care of chest trauma (author's transl)].

A wide range of surgical methods is available in the intensive care of patients with a chest trauma. Discussions with the anaesthetist as to the planning and co-ordination of diagnosis and treatment must take into consideration a great number of factors. The indications for surgery in polytraumatized persons are different from those that apply to single injuries. Table 6 which lists the cause and time of death of 52 persons with multiple injuries provides evidence that during the first 7 days after a severe accident all surgical intervention that is not absolutely necessary should be avoided and attention focused on the problem of adequate ventilation and primary and secondary complications of shock.

Adult↗
PubMed1995

Treatment of unstable intertrochanteric hip fractures associated with spinal fractures. A treatment dilemma.

Treatment approaches to a patient with polytrauma comprising combined spinal and hip fractures need more careful planning than those for a patient with an isolated spinal or hip fracture. The patient in this case presentation had multiple burst fractures of the spine, but was neurologically intact. The spinal injuries were treated conservatively. The patient also had concomitant unstable intertrochanteric fractures of the hip, which were treated surgically. The presence of a thoracic or lumbar fracture, in addition to a hip or femur fracture, may require an altered therapeutic approach. We present an approach to treating this complex problem without the use of a fracture table.

Fracture Healing↗