[Retrograde intramedullary nailing in proximal fracture of the humerus in the elderly patient. Results of a minimally invasive management concept].

Abstract:

:Retrograde intramedullary fixation of proximal humerus fractures with flexible wires was evaluated in a prospectively documented study. Seventy-four fractures in 73 patients with unstable proximal humerus shaft or neck fractures were fixed with 3-11 flexible intramedullary wires. The age of the patients averaged 72 years (42 females, 31 males). In nine fractures additional implants (screws, cerclages) were used to fix dislocated fragments through an anterior approach to the shoulder. Complications associated with the procedure especially in osteoporotic bone were secondary loss of reduction (16%) and wire migration (21%) which lead to revision surgery in 14% of patients within 6 weeks. A minimum follow-up of 12 months (average 16.5 months) could be obtained in 61 patients (84%). According to the Neer- and Constant-scores 60% showed good or excellent results, 30% had a satisfactory and 10% had an unsatisfactory or poor result.--Retrograde intramedullary, flexible wire fixation can provide an overall satisfactory outcome in unstable proximal humerus fractures of the elderly. However, the high incidence of secondary wire dislocations especially in marked osteoporosis appears to be an unsolved problem of this treatment modality.

journal_name

Zentralbl Chir

authors

Hoffmann R,Khodadadyan C,Raschke M,Melcher I,Maitino PD,Haas NP

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

1232-8

issue

11

eissn

0044-409X

issn

1438-9592

journal_volume

123

pub_type

杂志文章
  • [Surgical emergency interventions in acute diseases of the large intestine].

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    doi:

    authors: Jatzko G,Lisborg P,Wette V,Pertl A,Horn M,Wiercinski J

    更新日期:1992-01-01 00:00:00

  • [Zenker's diverticulum treated by transoral diverticulostomy: technique and results].

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    更新日期:2007-10-01 00:00:00

  • [Current treatment strategies in acute distal aortic occlusion].

    abstract::Forty-eight acute distal aortic occlusions were treated on an inpatient basis from January 1973 to December 1993. The mean age was 66 years. Twenty-seven patients had an acute thrombotic occlusion of the distal aorta, and a cardiogenic embolism was the cause of occlusion in 21 cases. The 43 operated patients evidenced...

    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Lorenz EP,Trabhardt S,Diermann J,Weber B,Boese-Landgraf J

    更新日期:1995-01-01 00:00:00

  • [Implementation of Robot-Assisted Surgery].

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    journal_title:Zentralblatt fur Chirurgie

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  • [Surgical treatment of the scimitar syndrome].

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    doi:

    authors: Lichey C,Ursinus W

    更新日期:1983-01-01 00:00:00

  • [Plastic reconstruction of postoncologic defects in the pelvic area].

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    pub_type: 杂志文章

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    authors: Vogt PM,Jokuszies A,Kall S,Steiert A,Busch K

    更新日期:2006-12-01 00:00:00

  • [Animal experiment study of performance ultrasound in the welding of liver wounds].

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    pub_type: 杂志文章

    doi:

    authors: Mikus E

    更新日期:1990-01-01 00:00:00

  • [External fixation of the pelvis--indications, assembly and results].

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    pub_type: 杂志文章

    doi:

    authors: Fröhlich P,Barnbeck F

    更新日期:1987-01-01 00:00:00

  • [Liver parameters in intensive care medicine].

    abstract::Elevated liver function tests in ICU-bound patients are associated with a greater risk of mor-tality. Chronic liver diseases as well as acute events and complications of therapy are among the causes. The disorder could further be investigated by assessment of liver cell integrity markers (AST, ALT and GLDH), cholestas...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0031-1271601

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    更新日期:2013-12-01 00:00:00

  • [Rahel Hirsch (1870-1953). The first Prussian woman medical professor].

    abstract::Dr. Rahel Hirsch was only the second woman to attain a professional medical position at the Charité Hospital in Berlin. For more than 16 years, she worked in Clinic II Internal Medicine. In 1906, she discovered that solid particles are able to pass from the veins and arteries into urine (Hirsch-Effect). The results of...

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    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Müller-Schubert A,Kox W

    更新日期:1999-01-01 00:00:00

  • [Primary- and revision-reconstruction of the anterior cruciate ligament with allografts: a retrospective study including 325 patients].

    abstract:UNLABELLED:At our institution we have used fresh-frozen allografts for the reconstruction of the anterior and posterior cruciate ligament since 1993. METHOD:In this retrospective study we evaluated the clinical outcome of 325 fresh-frozen allografts (bone-patellar-tendon-bone allografts and Achilles-bone-tendon allogr...

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    doi:10.1055/s-2002-35129

    authors: Siebold R,Buelow JU,Boes L,Ellermann A

    更新日期:2002-10-01 00:00:00

  • [What is the value of neoadjuvant therapy in bronchial carcinoma?].

    abstract::Neoadjuvant chemotherapy is obligatory for small-cell lung cancer. When combined with radio-therapy, it reduces the incidence of recurrence and increases the survival rate to a level similar to that seen in non-small-cell lung cancer. Preliminary results suggest that complete remissions (3-year-survival rate 56%) can ...

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    pub_type: 杂志文章,评审

    doi:

    authors: Digel W,Brethner L,Hasse J

    更新日期:2000-01-01 00:00:00

  • [Diagnostic and therapeutic procedures in actinomycosis of the liver--a case report].

    abstract::Actinomycosis is a rare disease. Clinical symptoms and diagnostic imaging results need to be differentiated from those of malignancies and abscesses. We report the case of a 51-year-old woman who presented with nocturnal sweating, weight loss, fever, and abdominal pains. Ultrasound and MRI showed a mass in the liver t...

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    pub_type: 杂志文章

    doi:10.1055/s-2008-1076875

    authors: Braun KP,Gastinger I,May M,Kaufmann O,Ernst H

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  • [Laparoscopic tubular rectum and colon resection. An animal experiment study].

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    pub_type: 杂志文章

    doi:

    authors: Köckerling F,Gastinger I,Remmel E,Gall FP

    更新日期:1992-01-01 00:00:00

  • [Late results of ureterosigmoidostomy in treating extrophy of the bladder (author's transl)].

    abstract::26 children with extrophy of the bladder were treated surgically during a period of 23 years. In all cases a ureterosigmoidostomy was performed with a follow up of 1-22 years in 15 of 26 cases. In 9 children the clinical, radiological, and biochemical findings were good in 4 satisfying and 2 bad due to hydronephrosis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Sztaba R,Karcz J

    更新日期:1979-01-01 00:00:00

  • [Improved survival rate of postoperative renal failure caused by high volume hemofiltration].

    abstract::Continuous arteriovenous hemofiltration is the treatment of choice for postoperative acute renal failure (ARF). The clinical value of two different treatment modalities (spontaneous vs. pump-driven hemofiltration PDHF) were compared in two groups of patients with postoperative ARF. There were no differences in both gr...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Inthorn D,Storck M,Hartl WH,Zimmerer E

    更新日期:1991-01-01 00:00:00

  • [Multimodal therapy for colon cancer: state of the art].

    abstract::In UICC stage I a selected group of patients with T1 tumours and a low risk profile regarding simultaneous lymph node metastases can be treated by endoscopic resection alone, if the tumour is thereby completely removed. In UICC stage II an adjuvant chemotherapy (CT) should not be routinely performed. However, in high ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

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    更新日期:2011-08-01 00:00:00

  • [The subjective element in transplantation medicine. The importance of psychosocial indicators in transplantation and their effect on the quality of life].

    abstract::The importance of psychosocial indicators for the course and the evaluation of organ transplantation is being more and more recognized. The following paper tries to point out what should be, at the present, the "state of the art" in psychosocial evaluation and quality of life measurement in organ transplantation. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Johann B,Senf W

    更新日期:1999-01-01 00:00:00

  • [Open Repair of the Thoracic Aorta Using the Clamshell Approach Because of Aortooesopheagel Fistula - a Multidisciplinary Approach].

    abstract:INTRODUCTION:Aortoesophageal fistula (AEF) following open or endovascular operations of the thoracoabdominal aorta is a rare, yet life-threatening condition. In this case, the whole thoracic aorta has to be replaced using a "clamshell approach" because of an AEF following open repair of the ascending aorta after type A...

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    pub_type: 杂志文章

    doi:10.1055/a-0713-0457

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    更新日期:2018-10-01 00:00:00

  • [Relevance of lower oesophageal sphincter manometry in prae- and postoperative evaluation of gastrooesophageal reflux disease (author's transl)].

    abstract::In 27 patients with refluxoesophagitis the resting LES-pressure was approximatly 80% lower than in 12 patients with asymptomatic hiatal hernia and 15 controls. All patients in the first group were operated on and 21 fundoplications (Nissen) and 6 anterior plications (Dor) were performed. The postiperativ LES-pressures...

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    pub_type: 杂志文章

    doi:

    authors: Starlinger M,Meyer C,Calderoli H,Blanchot P,Hollender LF

    更新日期:1978-01-01 00:00:00

  • [Cholesteatosis of gallbladder (author's transl)].

    abstract::741 cholecystektomies were examined for cholesterosis. In 92% gallstones were present and in 8% there were no stones. Cholesterosis of the gallbladder was found in 0,9% of 4417 autopsies. It was combined with gallstones in 25% and in 75% it was not. There was no difference concerning the clinical symptoms between chol...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Lehmann L,Kraus K

    更新日期:1976-01-01 00:00:00

  • Physiologic significance of the residual stomach after proximal gastrectomy from the view-point of serum gastrin.

    abstract::The physiological significance of the residual distal stomach after proximal gastrectomy (PG) was evaluated in dogs from the view-point of serum gastrin. The fasting gastrin levels in both (1/2 and 2/3) PG groups were high, especially in the 1/2 PG group. The serum gastrin levels did not decrease with time after test ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Koga S,Mizumoto K

    更新日期:1985-01-01 00:00:00

  • [Results of the surgical therapy in advanced colorectal cancer].

    abstract:INTRODUCTION:In every 7th patient with colorectal cancer tumor has already spread beyond intestinal wall into surrounding organs. PATIENTS AND METHODS:Between 01. 01. 1990 and 31. 12. 1998 763 patients with colorectal cancer were treated at our surgical department. 166 patients (23 %) presented with tumor contiguous o...

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    pub_type: 杂志文章

    doi:10.1055/s-2002-31558

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    更新日期:2002-04-01 00:00:00

  • [Surgical Indications for Diverticulitis in Germany: Are All Operations Justified?].

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  • [Diagnosis of liver tumors--what is necessary for therapy planning?].

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    pub_type: 杂志文章,评审

    doi:

    authors: Hinterthaner M,Müller A,Ulrich A,Decker P,Hirner A,Layer G

    更新日期:1998-01-01 00:00:00

  • [Surgical treatment of esophageal cancer: Part I. European results 1980-1991].

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    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Müller JM,Jacobi C,Zieren U,Adili F,Kaspers A

    更新日期:1992-01-01 00:00:00

  • [Value of electrotherapy within the scope of conservative treatment of anorectal incontinence].

    abstract::The following study reports on transanal electric stimulation as a conservative method of treatment in anal incontinence. In the centre of interest are clinical examinations on 45 patients that underwent a combined treatment with the IT-system 100 from Reha-Medi and pelvic floor training. A collective of 29 patients o...

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    pub_type: 临床试验,杂志文章

    doi:

    authors: Sprakel B,Maurer S,Langer M,Diller R,Spiegel HU,Winde G

    更新日期:1998-01-01 00:00:00

  • [Surgical therapy of complicated diverticular disease].

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    journal_title:Zentralblatt fur Chirurgie

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    doi:

    authors: Huber MA,Woisetschläger R,Sulzbacher H,Wayand W

    更新日期:1991-01-01 00:00:00

  • [Use of gentamicin chains in infected osteosyntheses of long tubular bones].

    abstract::Early and late infections are severe complications after osteosynthesis in closed fractures. Using gentamicin chains is an effective form of local treatment in these cases. The indications for the application and different surgical procedures are described and the authors experiences are given. ...

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    doi:

    authors: Tausch W

    更新日期:1991-01-01 00:00:00

  • [Local treatment of thermal injuries in children. Results of a multicenter study].

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    doi:

    authors: Reuter G,Laskus S

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