ABSTRACT
The successful therapy of fractures of caput tibiae has always been the "haut ecol" of every treatment of fractures. A study made by 52 surgical clinics of the GDR which examined 1,954 patients who were under medical therapy between 1981 to 1985 summarizes the results. The patients have been examined for a period of 4.5 years in average. The study comparing the results of conservative and surgical medical therapy shows that there is no difference between the results of both methods of medical therapy regardless whether all kinds of fractures or whether only the same kinds of fractures were compared. Even if we consider the impression-fractures we come to the same result although we were of the opinion up to now, that impression-fractures should be treated in a surgical way only. The results of the study make clear the necessity of a strong indication for a surgical treatment and also that an early functional conservative therapy has the same results.
Subject(s)
Fracture Fixation, Internal/methods , Knee Injuries/surgery , Postoperative Complications/etiology , Tibial Fractures/surgery , Adult , Female , Follow-Up Studies , Germany, East , Humans , Male , Middle Aged , Multicenter Studies as Topic , Wound Healing/physiologyABSTRACT
68 patients suffering from complications of chronic pancreatitis or tumours of the periampullary region respectively underwent partial duodeno-pancreatectomy (modified Whipple procedure) with or without obstruction of the remaining duct of the pancreas. These patients were followed-up and examined for glucose tolerance, serum insulin and C peptide levels until 2 years after surgery. There were no significant differences in endocrine function between patients with or without pancreatic duct obliteration by acrylate glueing.
