ABSTRACT
In a cross-sectional study dating from april 94 to march 96 we have investigated length and weight of 2610 girls and 2865 boys (age 4-18 years) at nursery schools and schools in Saarland. Thus we could provide first normative data for this region of Germany. Compared with data that have been collected between 1968 and 1989 at Dortmund, Bonn, Hamm and Jena, we found an increase in height of 2 cm for girls and boys aged 15-18 years. Apart from this finding, no further differences have been observed. Compared with international data, 18-year-old females and males in Saarland show large body heights: their average heights were 169 and 182 cm, respectively. Unfortunately, body weight of children of the Saarland is high, too. Children in Saarland were on average 1.5-6.6 kg heavier than those of the Dortmund study or other international studies. Studies have revealed that, according to the ECOG criteria, people of the Saarland are more obese than in other European countries. As a consequence of our study we request an institution for auxology to be founded which enables immediate reaction. This not only implies medical view points but also practical aspects of daily life (e.g. height of chairs or tables at schools). It is important to note that no changes have been made so far. Standards for height and weight should be updated every ten years. This should be a collaborative task between public health services and pediatric endocrinologists.
Subject(s)
Child Development , Growth , Obesity/epidemiology , Adolescent , Age Distribution , Body Height , Body Mass Index , Body Weight , Child , Child, Preschool , Cross-Sectional Studies , Data Interpretation, Statistical , Female , Germany/epidemiology , Humans , Male , Reference Values , Sex DistributionABSTRACT
Patellar ligament ruptures due to a complication after usage of bone-tendon autograft for an anterior cruciate ligament reconstruction happens seldom. During surgeries to restore continuity a fascia-lata-strip may be wrapped in and fixated to secure the primary tendon suture. This may be done in addition to the usually employed patella-tibial wiring cerclage. Whether a matrix for the scarred healing tendon will be created in addition to the construction of a support for the primary tendon seam without a foreign body reaction has to be left to further histological clarifications that cannot be implemented in the present casuistry.
Subject(s)
Anterior Cruciate Ligament Injuries , Knee Injuries/surgery , Patellar Ligament/injuries , Postoperative Complications/surgery , Tendon Transfer , Adult , Anterior Cruciate Ligament/diagnostic imaging , Anterior Cruciate Ligament/surgery , Bone Transplantation , Fascia Lata/transplantation , Humans , Knee Injuries/diagnostic imaging , Male , Patellar Ligament/diagnostic imaging , Patellar Ligament/surgery , Postoperative Complications/diagnostic imaging , Radiography , Reoperation , RuptureABSTRACT
By using UTN in the treatment of very distal tibia fractures delayed fracture-healing and pseudarthrosis with breakage of the nail are described. The removal of the distal solid part of the nail shows a special difficulty. We report about two cases of broken UTN in 1997. A simple extraction device to remove the distal part of the broken nail is demonstrated.
