PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Traumatology”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed1992

[The value of Ender nailing in hip para-articular femoral fractures in gerontologic traumatology. Ender nailing--hip para-articular femoral fractures--gerontologic traumatology].

Nailing according to Ender is one of several competing methods of osteosynthesis for treating per- and subtrochanteric fractures of the femur in geronto-traumatology. Within 5 years we have treated 62 geriatric patients by this procedure. The average-age of our patients was about 76 years. Only 20 of them were able to be examined after a time of ca. 37 months post operationem. Intraoperative complications were backing out of the femur corticalis at the entry hole, followed by perforations of the head or neck of the femur. In one case we saw a supracondylar fracture. In the postoperative period we mostly found dislocations of the nails to cranial or caudal. Moreover there were one wound infect and one pseudarthrosis. The mortality rate came to 6.5% and was never caused by the method. When leaving the hospital the majority of the elderly patients was mobilized and able to walk. In spite of reduction of function of hip and knee and external rotation deformity and shortened legs the patients declared to be content with the result of the operation. Important geronto-traumatological aspects of the Endernailing-method could be seen in the simple procedure, the short operating time, a minimal surgical trauma and a diminishing of the risk of the mostly multi-morbid patients. Regarding the great number of specific complications competing methods are going on to be preferred. Meanwhile the application of Endernails is an exception in geronto-traumatology.

Aged↗
PubMed1992

[The cervico-capital endoprosthesis in traumatology. Experience of the Traumatology and Special Surgery Research Institute 1985-1990].

The authors submit an analysis of a group of 143 patients to whom in 1985-1990 in the Traumatological Research Institute in Brno a cervicocapital endoprosthesis was implanted. Indication for implantation was in all instances a fracture of the neck of the femur, most frequently a subcapital fracture--a total of 92. Women predominated 5:1. The mean age was 75 years, the range 37-93 years. In 119 patients the endoprosthesis was implanted on account of a new injury, in the remaining 24 on account of the sequelae of an injury. In 32 patients 1-4 operations preceded. The most frequent cause was a fall in the home. Fifteen patients were operated on the day of the injury and 80 were operated within five days after the injury. In the group 60 complications were recorded, 1-4 complications in 46 patients (32% of the group). The causes of complications are discussed. During the investigation 46 patients died (32% of the group), incl. half during the first hospitalization on account of the investigated injury. Only 27 patients of the group could be followed up, results are presented (excellent and good in 20 patients) and the reasons are discussed why patients cannot be followed up. Finally the authors conclude that in future it will be necessary to indicate endoprostheses as primary treatment more frequently, although secondary operations have similar results. The operation should be made as soon as the patient's condition permits it; the urgency is not acute as in syntheses; it should permit early mobilization of the patient. The unsatisfactory percentage of complications must be reduced by a complex of measures starting with organization of the workplace and the regime of the operating theatres and ending with the technical skill of the surgeon. The authors emphasize the problem of subsequent rehabilitation but do not analyze it in the present work.

Adult↗
PubMed1975

[History of traumatology in Hungary].

The history of the Hungarian Traumatology since the 16th century up to the present days is outlined by the author. The most important works--dealing with the treatment of the fractures and with the activity of other areas of the traumatology--are enumerated. Moreover, the factors promoting the development of the Hungarian traumatology are specified and the important surgeons active in the field of traumatology and the war operative surgery are named, who too have contributed to the development of the Hungarian traumatology. The importance of the Hungarian Institute of Traumatology--founded in 1956--is emphasized,--thus, the traumatology became an independent section of the Hungarian public health; and centrally directed and organized function of the traumatology was assured.

Accidents↗
PubMed1980

[Dilemmas in traumatology].

The introduction paper lists out the dilemmas arising in organization of the traumatologic service and describes the current organization scheme of this service in Slovenia. The author maintains that organization of traumatology is in all respects the primary task of the traumatologists in larger centres as well as of the traumatologic sections established inour republics. The author points aot that incidence of trauma is on a constant increase Recently, the work conditions of the traumatologic service have slightly improved, at least in Slovenia, but have not yet attained the standards reguired for efficient solving of the problems challenging the organization of traumatology. The traumatologic service is still faced with shortage of staff, means, hospital bed fund and functional facilities. These problems are most pronounced in the peripheral hospitals. The aim of better organization of this service should be to provide that a complete medical assistance in view of preserving at least the major vital functions of the most severely traumatized patients be available at all traumatologic departments and units. Categorization of the hospitals nad division of labour are essential in further-successful treatment of casualties as well as decreasing of their mortality and disability rates.

Humans↗
PubMedDate not supplied

[The level of microbial contamination and frequency of surgical site infections at the department of orthopedic and traumatologic surgery of the clinical hospital center in Kragujevac].

INTRODUCTION: The level of microbial contamination is an important risk factor for surgical site infections. The aim of this study was to investigate the frequency of surgical site infections in regard to the level of microbial contamination at the Department of Orthopedic and Traumatologic Surgery of the Clinical Hospital Center in Kragujevac. MATERIAL AND METHODS: This study included 474 patients who underwent surgery in the period from January 1, 2002 to December 31, 2002 at the Department of Orthopedic and Traumatologic Surgery of the Clinical Hospital Center in Kragujevac. Hospital infections were identified using CDC definitions, modified to fit our circumstances. The traditional classification of surgical sites in regard to the level of microbial contamination includes three categories: clean, contaminated and dirty. RESULTS: The incidence of surgical site infections was higher at the Orthopedic Surgery Ward (5.94%) compared to Traumatologic Surgery Ward (5.02%). Additionally, a significantly higher frequency of deep surgical site infections, which were classified as clean were established at the Orthopedic Surgery Ward, in regard to the level of microbial contamination, whereas the greatest frequency of surface infections in clean surgical sites (p=0. 000) were established at the Traumatologic Surgery Ward. Surgical site infections were more frequent in patients undergoing multiple surgeries at the Orthopedic Surgery Ward zhan in those treated at the Traumatologic Surgery Ward (p=0.037). CONCLUSION: It is of utmost importance to estimate the frequency of surgical stie infections and identify associated risk factors in order to undertake adequate measures for their prevention and control.

Adult↗