Based on a critical view of the available data and taking clinical experience into account, currently used antiseptics for prevention and treatment of wound infection are evaluated comparatively. Povidone-iodine and octenidine are considered more or less equivalent for acute wounds whether infected or colonized, whereas polihexanide is regarded as first choice for chronic wounds. In addition, an overview of active agents inappropriate for wound antisepsis is presented.
{"title":"Empfehlungen zur Wirkstoffauswahl für die Wundantiseptik*","authors":"P. Heeg1","doi":"10.1055/s-2004-821237","DOIUrl":"https://doi.org/10.1055/s-2004-821237","url":null,"abstract":"Based on a critical view of the available data and taking clinical experience into account, currently used antiseptics for prevention and treatment of wound infection are evaluated comparatively. Povidone-iodine and octenidine are considered more or less equivalent for acute wounds whether infected or colonized, whereas polihexanide is regarded as first choice for chronic wounds. In addition, an overview of active agents inappropriate for wound antisepsis is presented.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"34 1","pages":"225 - 228"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-821237","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57985103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Blankstein1 , 3, I. Dudkiewicz2, U. Givon1, A. Ganel1
{"title":"Ultrasonographic Imaging of Congenital Pseudoarthrosis of the Clavicle","authors":"A. Blankstein1 , 3, I. Dudkiewicz2, U. Givon1, A. Ganel1","doi":"10.1055/s-2004-821056","DOIUrl":"https://doi.org/10.1055/s-2004-821056","url":null,"abstract":"","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"34 1","pages":"234 - 236"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-821056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57983676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The bony structures of the axis are different, depending on the patient's constitution. Radiological investigations of the axis harvested on cadavers documented two different types of it's bony architecture. For the treatment of odontoid fractures this fact should be taken into consideration.
{"title":"Beitrag zur Wahl des Behandlungsverfahrens von Odontoidfrakturen","authors":"H.-E. Vitzthum1, E. Mühle1","doi":"10.1055/s-2004-821008","DOIUrl":"https://doi.org/10.1055/s-2004-821008","url":null,"abstract":"The bony structures of the axis are different, depending on the patient's constitution. Radiological investigations of the axis harvested on cadavers documented two different types of it's bony architecture. For the treatment of odontoid fractures this fact should be taken into consideration.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"34 1","pages":"222 - 224"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-821008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57983719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Schätzler1, W. Attmanspacher1, V. Dittrich1, H.-W. Stedtfeld1
In the clinic of Nuernberg between 1999 - 2002 55 patients were treated by ligament reconstruction after patellar dislocation, 43 could be reviewed. In 23 cases patients reached our clinic as first time dislocators, 20 after multiple dislocations (1 - 15). In 3 cases only arthroscopy was done, in 40 cases with an additional medial ligament reconstruction, in 11 cases combined with lateral release. In follow-up examination redislocation rate was 9%, only concerning habituell dislocations. According to Lysholm score 70% of the patients showed more than 90 points out of 100, according to Larsen and Lauridsen score 81% had excellent to good results. We recommend arthroscopy after patellar dislocations, if necessary combined with medial ligament reconstruction and lateral release.
{"title":"Die Therapie der Patellaluxation mittels Weichteilrekonstruktion","authors":"A. Schätzler1, W. Attmanspacher1, V. Dittrich1, H.-W. Stedtfeld1","doi":"10.1055/s-2004-821096","DOIUrl":"https://doi.org/10.1055/s-2004-821096","url":null,"abstract":"In the clinic of Nuernberg between 1999 - 2002 55 patients were treated by ligament reconstruction after patellar dislocation, 43 could be reviewed. In 23 cases patients reached our clinic as first time dislocators, 20 after multiple dislocations (1 - 15). In 3 cases only arthroscopy was done, in 40 cases with an additional medial ligament reconstruction, in 11 cases combined with lateral release. In follow-up examination redislocation rate was 9%, only concerning habituell dislocations. According to Lysholm score 70% of the patients showed more than 90 points out of 100, according to Larsen and Lauridsen score 81% had excellent to good results. We recommend arthroscopy after patellar dislocations, if necessary combined with medial ligament reconstruction and lateral release.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"34 1","pages":"237 - 240"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2004-821096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57984134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In III B and III C open tibial fractures (according to Gustilo) it is extremely difficult to decide if an attempt should be taken to salvage the extremity or to perform an amputation. To standardize the criteria for amputation different salvage scores (PSI, MESS, NISSSA, HFS'98) have been published in recent years. However, large trials failed to show a high clinical value of those scoring systems. Salvage scores can therefore not be used as the single criterion to decide how to treat a mangled leg. In doubt, an attempt to salvage the extremity should be taken. Following this initial surgery a second look procedure after 24 to 48 hours is planed. After the consultation of other specialist the definite decision has to be made. For the salvage procedure the patient should be transferred to a level I trauma center. Patients seem to have a better clinical and social outcome after primary amputation (0 -7 days after trauma) compared to secondary amputation (2 - 6 weeks after trauma).
{"title":"Grenzen des Gliedmaßenerhalts bei III° offenen Unterschenkelfrakturen","authors":"M. Diefenbeck, T. Mückley, G. Hofmann","doi":"10.1055/S-2004-821168","DOIUrl":"https://doi.org/10.1055/S-2004-821168","url":null,"abstract":"In III B and III C open tibial fractures (according to Gustilo) it is extremely difficult to decide if an attempt should be taken to salvage the extremity or to perform an amputation. To standardize the criteria for amputation different salvage scores (PSI, MESS, NISSSA, HFS'98) have been published in recent years. However, large trials failed to show a high clinical value of those scoring systems. Salvage scores can therefore not be used as the single criterion to decide how to treat a mangled leg. In doubt, an attempt to salvage the extremity should be taken. Following this initial surgery a second look procedure after 24 to 48 hours is planed. After the consultation of other specialist the definite decision has to be made. For the salvage procedure the patient should be transferred to a level I trauma center. Patients seem to have a better clinical and social outcome after primary amputation (0 -7 days after trauma) compared to secondary amputation (2 - 6 weeks after trauma).","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"34 1","pages":"182-188"},"PeriodicalIF":0.0,"publicationDate":"2004-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/S-2004-821168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57984852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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