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  • 1
    ISSN: 1433-044X
    Keywords: Key words Pathological fracture • Osteolysis • Unreamed intramedullary nailing • Palliative surgery • Minimal invasive procedures ; Schlüsselwörter Pathologische Fraktur • Osteolyse • Unaufgebohrte Marknagelung • Palliative Chirurgie • Minimal-invasive Verfahren
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Patienten mit fortgeschrittenem Tumorleiden sind durch stabilitätsgefährdende Osteolysen oft mehrerer langer Röhrenknochen z. T. erheblich in ihrer Mobilität und Lebensqualität beeinträchtigt. Zwischen 6/1993 und 10/1995 wurden bei prospektiv ausgewählten Patienten (n = 19) mit einem fortgeschrittenen ossär metastasierenden Tumorleiden in palliativer Indikation unaufgebohrte Marknägel an Femur (UFN) (n = 13) sowie Tibia (n = 1) und Humerus (UTN) (n = 7) implantiert; z. T. erfolgten bilaterale und simultane Stabilisierungen an oberen und unteren Extremitäten. Die postoperativen Verläufe bis zum Tode am Grundleiden zeigten eine erheblich verbesserte Lebensqualität durch die wieder mögliche Vollbelastung; ein Implantatversagen wurde nicht beobachtet. Die unaufgebohrte Marknagelung erscheint als minimal-invasives und komplikationsarmes Verfahren bei stabilitätsgefährdenden Osteolysen und pathologischen Frakturen langer Röhrenknochen.
    Notes: Summary Pathological fractures and osteolyses with impending fractures of long bones impose a severe problem in patients with advanced cancer. For palliative treatment between June 1993 and October 1995 intramedullary nailing was performed in 19 patients with 13 femoral, 7 humeral and 1 tibial lesions; AO unreamed nails were used for this purpose (unreamed femur nail UFN with or with spiral blade for femoral lesions and unreamed tibia nail UTN for humeri and tibia). Stabilization was achieved without severe complications; full weight bearing of both femora and humeri (while using crutches) was allowed. Simultaneous and bilateral nailing was done. Follow-up until death due to advanced cancer demonstrated no implant failure and improved quality of life as well. Unreamed intramedullary nailing seems to be a minimally invasive procedure with a low complication rate for palliative treatment of (impending) pathological fractures in advanced cancer.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    International orthopaedics 21 (1997), S. 25-29 
    ISSN: 1432-5195
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé. Les fractures fémorales périprothétiques constituent en chirurgie orthopédique un problème majeur. Les traitements conventionnels, pose d’une plaque et/ou de ciment, accentuent la diminution de la masse osseuse dans le fémur proximal. Une méthode de conception différente a été employée chez 12 sujets depuis février 1992. Cette intervention de reprise sans utilisation de ciment consiste à implanter une longue tige de reprise avec un verrouillage distal pour la stabilité initiale et une allogreffe osseuse. La formation et le remodelage osseux ont permis une excellente restauration du fémur proximal. L’ablation des vis distales (dynamisation) après remodelage de l’os convertit le transfert distal de charges en ancrage proximal de la tige de reprise et favorise l’Osteointegration dans la région intertrochanterienne. De bons résultats cliniques ont été obtenus chez tous les sujets au terme d’une période de suivi de 6 à 39 mois (23,5 mois en moyenne). La reprise prothétique sans utilisation de ciment, avec greffe osseuse et dynamisation, est considérée comme une ostéosynthèse biologique convenant surtout aux sujets assez jeunes.
    Notes: Summary. Fractures around a femoral prosthesis have been treated with plating and additional cement, but this leads to further reduction of bone stock in the proximal femur. Since February 1992, we have dealt with this problem in 12 patients by revision using a long uncemented stem and distal interlocking combined with homologous bone grafting. Bony ingrowth and remodelling led to restoration of the proximal femur. After bone healing, removal of the distal interlocking screws converts the distal load transfer to the proximal anchoring of the revision stem so that osteointegration can occur in the trochanteric region. The clinical results were good in all the patients after a mean follow up of 23.5 months. This is a method which provides biological osteosynthesis and is especially indicated in younger patients.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of statistical physics 85 (1996), S. 383-401 
    ISSN: 1572-9613
    Keywords: Ising model ; roughening transition ; Monte Carlo ; finite-size scaling ; renormalization group
    Source: Springer Online Journal Archives 1860-2000
    Topics: Physics
    Notes: Abstract We study the roughening transition of an interface in an Ising system on a 3D simple cubic lattice using a finite-size scaling method. The particular method has recently been proposed and successfully tested for various solid-on-solid models. The basic idea is the matching of the renormalization-groupflow of the interface with that of the exactly solvable body-centered cubic solid-on-solid model. We unambiguously confirm the Kosterlitz-Thouless nature of the roughening transition of the Ising interface. Our result for the inverse transition temperatureK r=0.40754(5) is almost two orders of magnitude more accurate than the estimate of Mon, Landau, and Stauffer.
    Type of Medium: Electronic Resource
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