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  • Flap  (2)
  • Instabiler Thorax  (2)
  • Artificial respiration  (1)
  • 1
    Electronic Resource
    Electronic Resource
    The lateral calcaneal artery (1999)
    Springer
    Surgical and radiologic anatomy 20 (1999), S. 419-423 
    Details
    ISSN: 1279-8517
    Keywords: Lateral calcaneal artery ; Calcaneal fracture ; Flap ; Avascular necrosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract An anatomic study of the lateral extraosseous and intraosseous arterial supply of the calcaneus and the lateral soft tissue was carried out on 10 fresh lower adult cadaver legs using different anatomic and radiologic procedures (plastination, modified Spalteholz clearing technique, digital subtraction and rotational angiography and computed tomographic angiography). Consistent patterns of extraosseous and intraosseous lateral calcaneal vascular anatomy were demonstrated. The lateral calcaneal artery is a branch of the anterior tibial artery which crosses over the calcaneal tuberosity and forms a large lateral arch with the lateral tarsal artery which is a branch of the dorsalis pedis artery. The intraosseous circulation is supplied laterally by the lateral calcanear artery, medially via the short branches of the lateral plantar artery. Comparing magnet resonance images after fresh calcaneal fractures the lateral calcanear artery may be interrupted by the impacted lateral bulge, by the conventional lateral surgical approach, or by applying a lateral osteosynthesis plate. This may cause avascular bone necrosis. Furthermore the lateral calcanear artery can clinically serve as a vascular pedicle for a local rotational skin flap to cover soft tissue defects of the heel.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-998-0419-1
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    The lateral calcaneal artery (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 419-423 
    Details
    ISSN: 1279-8517
    Keywords: Lateral calcaneal artery ; Calcaneal fracture ; Flap ; Avascular necrosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé L'étude anatomique de la vascularisaiton artérielle extra et intraosseuse du calcanéus et des parties molles a été faite sur 10 jambes fraîches de cadavres d'adultes. Différentes techniques anatomiques et radiologiques ont été utilisées : plastination, diaphanisation (technique de Spaltholtz modifiée), angiographie numérisée par soustraction, angiographie rotationnelle et angiographie par tomographie computérisée. Les aspects habituels de l'anatomie vasculaire de la région latérale du calcanéus ont été décrits : l'ACL est un rameau de l'artère tibiale postérieure ; elle surcroise la tubérosité calcanéenne et constitue une large arcade latérale avec l'artère tarsienne latérale, branche de l'artère dorsale du pied. La moitié de la circulation intraosseuse passe par l'ACL, médialement par des rameaux courts de l'artère plantaire latérale. Lorsqu'on examine les images obtenues en IRM lors de fractures récentes du calcanéus, on constate que l'ACL risque d'être lésée par l'élargissement latéral du calcanéus écrasé. Elle peut l'être aussi lors de l'abord latéral classique de l'os ou lors de l'application d'une plaque d'ostéosynthèse. Le risque en est la nécrose ischémique de l'os. Enfin, l'ACL peut constituer un pédicule vasculaire intéressant pour un lambeau local de rotation, lors de la couverture des pertes de substances cutanées du talon.
    Notes: Summary An anatomic study of the lateral extraosseous and intraosseous arterial supply of the calcaneus and the lateral soft tissue was carried out on 10 fresh lower adult cadaver legs using different anatomic and radiologic procedures (plastination, modified Spalteholz clearing technique, digital subtraction and rotational angiography and computed tomographic angiography). Consistent patterns of extraosseous and intraosseous lateral calcaneal vascular anatomy were demonstrated. The lateral calcaneal artery is a branch of the anterior tibial artery which crosses over the calcaneal tuberosity and forms a large lateral arch with the lateral tarsal artery which is a branch of the dorsalis pedis artery. The intraosseous circulation is supplied laterally by the lateral calcanear artery, medially via the short branches of the lateral plantar artery. Comparing magnet resonance images after fresh calcaneal fractures the lateral calcanear artery may be interrupted by the impacted lateral bulge, by the conventional lateral surgical approach, or by applying a lateral osteosynthesis plate. This may cause avascular bone necrosis. Furthermore the lateral calcanear artery can clinically serve as a vascular pedicle for a local rotational skin flap to cover soft tissue defects of the heel.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01653134
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    424. Primäre Knochenheilung an der Rippe (1983)
    Springer
    Langenbeck's archives of surgery 361 (1983), S. 941-941 
    Details
    ISSN: 1435-2451
    Keywords: Flail chest ; Internal stabilization ; Primary healing ; Instabiler Thorax ; Thoraxwandstabilisierung ; Primäre Knochenheilung
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Für die Thoraxwandstabilisierung gelten die Prinzipien der Osteosynthese wie am übrigen Skelet. Da die physiologische Belastung nicht unterlassen werden kann, muß Belastungsstabilität erreicht werden. Nach Messung der dynamischen Kräfte an der durchtrennten Rippe des Lebenden und Bruchversuchen an Leichenrippen wurden Implantate entwickelt, welche sowohl im knorpeligen als auch im knöchernen Bereich der Rippe ebenso wie am Sternum eine primäre Spaltheilung ermöglichen. Dies wurde tierexperimentell und klinisch nachgewiesen. Die biomechanischen Daten von Rippen und einige typische Osteosynthesen werden tabellarisch dargestellt. Die neu vorgestellten Implantate stellen die physiologischen Ausgangswerte von Federkonstante und Bruchlast wieder her. Damit konnte histologisch und röntgenologisch der Beweis für die primäre Knochenheilung an der Rippe erbracht werden.
    Notes: Summary The principles of internal stabilization are also valid in chest wall stabilization. Because physiological load cannot be interrupted, high stability is necessary. After measurement of the dynamic force at the rib fracture in vivo and experimental fractures of cadaver ribs, a new implant was developed. With this, primary healing is possible both in the osseous and in the cartilaginous parts of the rib and sternum. This was demonstrated in animal experiments and clinical cases. The biomechanical data of ribs and some typical methods of stabilization are listed. The recommended implants restore the physiological rates of tensile strength and elasticity. Roentgenographs and histological findings demonstrate that primary healing of rib fractures is possible.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01276250
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    194. Abkürzung der Beatmungsdauer durch Thoraxwandstabilisierung (1985)
    Springer
    Langenbeck's archives of surgery 366 (1985), S. 633-634 
    Details
    ISSN: 1435-2451
    Keywords: Flail chest ; Operative stabilization ; Polytrauma ; Artificial respiration ; Instabiler Thorax ; Operative Thoraxwandstabilisierung ; Polytrauma ; Beatmungsdauer
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Aus 103 Polytraumatisierten mit Thoraxverletzung aus den Jahren 1980–1982 wurden 2 Gruppen mit je 15 konservativ and operativ behandelten Thoraxwandinstabilitaten ausgewertet. Die konservative Gruppe zeigte bei geringerem Verletzungsgrad schlechtere Ergebnisse: Mittelwerte konservativ operativ Anzahl Rippenfrakturen je Patient 6,6 9,1 Polytraumaschlüssel Thorax 14,8 22,7 Polytraymaschlüssel Gesamtverletzung 32,17 36,4 Verstorben, Überlebenszeit (Tage) 13/15, 8, 1 10/15, 21, 0 Beatmung (Tage) Überlebender 7,3 4,6
    Notes: Summary In 1980–1982, 103 patients with polytrauma and flail chest were treated. Fifteen patients who had undergone surgical stabilization were compared to 15 with conservative treatment. Although the conservative group had less severe traumata the clinical results were worse:
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01836793
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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