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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Monatsschrift Kinderheilkunde 145 (1997), S. 639-645 
    ISSN: 1433-0474
    Keywords: Schlüsselwörter Rehabilitation ; Gließmaßenfehlbildungen ; Amputationen ; Prothesen ; Key words Rehabilitation ; Limb deficiencies ; Child-medicine ; Amputations ; Prothesis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Children with limb deficiencies or amputations of the lower extremities should be enabled to stand or to walk according to their state of development, because just standing and walking are among the most important preconditions for the best possible integration. Supply them with a prosthesis, orthesis and orthoprosthesis is therefore indispensable for rehabilitation. While a prosthesis replaces parts of the extremities, orthesis stabilizes the existing extremity. Orthoprostheses compensate longitudinal malformations, have a supporting effect, allow growth to be controlled and compensate for shortening. Just as important as the remedy is early medical treatment. The sooner the treatment starts, the better the results. The medical team taking care of the patient works out a treatment plan where responsible cooperation with the parents is of utmost importance. The focus of all efforts is, of course, the handicapped child. Examples are used to demonstrate the course of successful rehabilitation of children and adolescents with damaged limbs. Equally the psychological situation of the parents and child is taken into consideration.
    Notes: Zusammenfassung Kindern mit Gliedmaßenfehlbildungen oder Amputationen der unteren Extremität soll ein entwicklungsgerechtes Stehen und Gehen ermöglicht werden, gehören doch gerade Stand und Gang zu den wichtigsten Voraussetzungen einer bestmöglichen Integration. Die Versorgung mit Prothesen, Orthesen und Orthoprothesen ist hierbei ein unverzichtbarer Bestandteil der Rehabilitation. Während Prothesen Gliedmaßenteile ersetzen, wird bei Orthesen die vorhandene Extremität stabilisiert. Orthoprothesen dienen zum Ausgleich longitudinaler Fehlbildungen und wirken zugleich stützend, im Wachstum lenkend und verkürzungsausgleichend. Genauso wichtig wie das Hilfsmittel ist auch die Forderung nach einem frühen Behandlungsbeginn. Je früher die Therapie beginnt, desto besser sind die Resultate. Im Team der betreuenden Berufsgruppen wird ein Behandlungskonzept erarbeitet, bei dem die verantwortungsvolle Zusammenarbeit mit den Eltern von größter Wichtigkeit ist. Im Mittelpunkt aller Bemühungen steht natürlich das behinderte Kind. Anhand von Beispielen soll der Weg zur erfolgreichen Rehabilitation von gliedmaßengeschädigten Kindern aufgezeigt werden. Auf die psychische Situation bei Eltern und Kind wird eingegangen.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Knee surgery, sports traumatology, arthroscopy 4 (1996), S. 149-153 
    ISSN: 1433-7347
    Keywords: Open wedge high tibial osteotomy ; Drillosteotomy ; Neurological complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine , Sports Science
    Notes: Abstract We investigated retrospectively 132 cases of open wedge high tibial osteotomy using an external fixation device, concentrating on the rate of neurological complications. One group of patients underwent surgery according to the conventional technique (n=89). The rate of transient neurological complications was 15.7%; 7 months after surgery the rate of persistent deficits was 12.4%. For the second group (n=43) a modified surgical technique was used that lowered the complication rate significantly (transient deficits 14%, persistent deficits 4.7%). In the modified technique the osteotomy is not performed in the conventional way using an oscillating saw but through consecutive drill holes of increasing diameter followed by osteoclasis. The lower complication rate in the second group is mainly due to the less extensive approach that leads to a smaller number of postoperative tibialis anterior syndromes (type B lesion). No differences were found with type C lesions (extension deficit of D1). No complete peroneal nerve palsy (type A) occurred in either group. We conclude that the reduction of neurological complications in group 2 is related to the less extensive approach of the proposed technique.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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