[Surgical therapy of radial head fracture--results of osteosynthesis and resection treatment]. / Die operative Therapie der Radiusköpfchenfraktur--Ergebnisse der Osteosynthesen und der Resektionsbehandlung.

Between 1982 and 1993 we performed internal fixation or resection in 95 adult patients for radial head fracture. It was possible to follow up 68 patients for an average of 2.1 years. In 53 cases the initial injury was an isolated radial head fracture, which was treated by internal fixation in 41 and resection in 12 cases. Good results were obtained in 80% of patients. A satisfactory outcome was associated with young age, little initial fragment dislocation, internal fixation with screw + K-wire, and early postoperative physiotherapy. Primary resection for crush fractures of the radial head did not have negative long-term effects. In a comparison group with complex elbow injuries (elbow luxation in 9 and a Monteggia-type injury in 6 cases) in addition, results were considerably poorer and did not depend on the above-mentioned factors.

[Treatment of closed dislocations of the knee joint]. / Zur Behandlung der geschlossenen Verrenkung des Kniegelenkes.

Nineteen knee dislocations in 18 patients (one bilateral) occurred over a period of twelve years. The age range was 17 to 70 years with an average age of 33 years. There was no injury of the popliteal artery and five peroneal nerve injuries in the group. One compartment syndrome occurred after reduction. The follow-up study including examination showed good and satisfactory results for early surgical repair. After delayed surgical repair there were more signs of instability, pain and restrictive range of flexion movement. Early operative repair followed by cast bracing for six weeks and an intensive mobilisation therapy after cast bracing are the method of choice. An immobilisation period of three to four weeks is possible.

[Analysis of the collective term "periarthritis humeroscapularis"]. / Analyse des Sammelbegriffes "Periarthritis humeroscapularis".

The functional and anatomical consideration of the shoulder joint in relation to the clinical aspects can differentiate the general term of "scapulohumeral periarthritis". The most frequently pathological findings are seen in the rotary cuff and the long head of the biceps muscle. Significant causes are further arthrosis of the acromioclavicular joint, the instability of the shoulder joint and the frozen shoulder. The exact diagnosis of the disease makes on operative therapy possible.

[Incidence and causes of typical injuries in popular sports]. / Häufigkeit und Ursachen typischer Verletzungen beim Breitensport.

The increasing participation in extensive athletics and leisure time activities correlates with increasing sport injuries. The surgeons tasks include being involved in preventing sport injuries and ensuring a correct diagnosis, as well as providing adequate surgical therapy. After sport injuries, the true diagnosis can be obscured by functional compensation. Therefore the case history and analysis of the trauma mechanism are important for an adequate surgical therapy.

[Surgical therapy in advanced (exulcerated) breast cancer]. / Chirurgische Therapie beim fortgeschrittenen (exulzerierten) Mammakarzinom.

Surgical treatment of 39 cases of advanced (exulcerated) mammary carcinoma in stages III b and IV is reported in this paper. Rotter-Halsted operations were performed on 13 patients, while simple or modified radical mastectomy was applied to 26. Thoraco-epigastric flaps had to be used for plastic coverage of larger soft tissue defects in the thoracic wall in nine cases. Plastic surgical repair is supported by the authors in cases in which the quality of life can thus be improved.

[External fixation of the pelvis--indications, assembly and results]. / Fixateur externe am Becken--Indikation, Montage und Ergebnisse.

Stabilisation of pelvic ring fractures by means of external fixation has been found to provide certain advantages over internal fixation. Good results can be achieved, provided that optimum forms and techniques of assembly are used. The authors' indications are reported together with their assembly techniques and forms. The clinical results reported are relating to ten patients, with a pelvic-arm fixator being used in three additional cases. The simple clamp fixator is recommended by the authors for cases of stable symphyseal rupture with a diastasis of more than 1.5 cm.

[The effect of extravascular administration of adrenaline solution into the carotid sinus on hemorrhage tolerance in anesthetized rabbits]. / Der Einfluss von extravasal am Sinus caroticus verabreichter Adrenalinlösung auf die Hämorrhagietoleranz narkotisierter Kaninchen.

The haemorrhage tolerance in 31 with morphine-urethane solution narcotized rabbits were proved. By locale application of epinephrine at the carotid sinus in 19 rabbits the depressor afferent C-fibres were activated. The efferent sympathetic nerve activity of the kidney was clear decreased before and during the haemorrhage. The maximum of the cardiac frequency and the sympathetic activity in the epinephrine animals was measured when the volume depletion was about 10 percent higher. In comparison with the control rabbits the blood pressure at the end of haemorrhage was clear higher.