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  • 1
    Electronic Resource
    Electronic Resource
    Die schwere Beckenverletzung mit pelviner Massenblutung: Ermittlung der Blutungsschwere und klinische Erfahrung mit der Notfallstabilisierung (1996)
    Springer
    Der Unfallchirurg 99 (1996), S. 734-743 
    Details
    ISSN: 1433-044X
    Keywords: Schlüsselwörter Pelvine Massenblutung ; Abschätzung des initialen Blutverlusts ; Key words Pelvic-C-clamp ; Mass bleeding ; Complex pelvic trauma ; Calculation of blood loss
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: The blood loss during the acute period after complex pelvic trauma is finally responsible for the high mortality associated with this specific type of injury. Several protocols have been published for optimized management, but up to now comparable data are not available as no exact definitions exist judging the severty of trauma and blood loss. As part of a prospective study 19 patients after unstable pelvic injuries with unstable circulation underwent emergency stabilization by the pelvic C-clamp. Beside standard clinical parameter the initial hemoglobin value was converted into a ``bloodvolume equivalent''. 18 of the 19 patients had an injury severety according to group III and IV of the Hannover Polytrauma Score (PTS). Concommitant abdominal injuries were seen in 12 cases (23 injuries), concommitant urological injuries in 12 cases (14 injuries). In 13 cases the pelvis was the major source of bleeding in 9 cases an additional intraabdominal hemorrhage was observed. 11 patients died due to sequelae of their injury, 8 patients survived. Although the initial blood loss was comparable both in the group of the deceased patients and the survivors, a 44% higher subsequent blood substitution (= 10 089 ml) was observed in the nonsurvivor group. In conclusion the data proofed that early control of hemorrhage is fundamental for the prognoses after complex pelvic trauma. The estimation of the blood loss may help in indicating agressive emergency procedures like emergency stabilisation, pelvic clamps, surgical exploration and tamponade. This calculation may be a basis for a more detailed analyses of this devastating injury and judging the benefit of different management protocols.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001130050049
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    205. Das Problem des zementlosen Ausgleichs ausgedehnter Knochendefekte in der Revisions-Alloarthroplastik (1987)
    Springer
    Langenbeck's archives of surgery 372 (1987), S. 853-853 
    Details
    ISSN: 1435-2451
    Keywords: Cementless hip alloarthroplasty ; Allogenous bone grafting ; Revision alloarthroplasty ; Zementlose Hüftprothese ; Allogene Knochentransplantation ; Revisions-Alloarthroplastik
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Im Zeitraum von 4/84–2/87 wurden in der Unfallchirurgischen Klinik der Medizinischen Hochschule Hannover insgesamt 86 zementfreie Revisions-Alloarthroplastiken mit dem PCA Hüftsystem (davon 12 mit Revisionsschaft) durchgeführt. Neben allogener Spongiosaplastik in allen Fällen wurde an 33 Acetabula zusätzlich ein grosser, allogener cortico-spongiöser Aufbau, an 6 Femura eine partielle oder totale Köcherrekonstruktion mit allogenen Spongiosascheiben durchgeführt. Bis auf 2 Lockerungen der acetabularen (n = 2) und der femoralen Komponente (n = 2) heilten alle Transplantate zusammen mit der zementfreien Prothese nach 3–12monatiger Entlastung stabil ein.
    Notes: Summary Between April 1984 and February 1987, 86 cementless revision alloarthroplasties with a PCA hip system were implanted at the trauma center of Hannover Medical School. In 12 cases, the PCA long stem was used. Allogenous cancellous bone grafts were used in all cases; 33 large acetabular defects were grafted with additional allogenous bone blocks. Six defects of the proximal femur were partially or totally reconstructed. During our 3-year follow-up, 2 acetabular and 2 femoral components loosened; the rest showed bony consolidation after 3 to 12 months of partial weight-bearing.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01297989
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    Paper (German National Licenses)
    Fulltext
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