Eversion endarteriectomy of the internal carotid artery.

Eversion endarteriectomy has been proposed as a reliable and rapid method for operating on an ulcerated or stenosed internal carotid artery. The surgical technique is presented in detail. The perioperative course is appraised in a series of 60 operations. Irrespective of age and other diseases in the patients and the preoperative state of the ipsilateral and contralateral vessels, a perioperative morbidity of 1.6% (a temporary neurological deficit) and no lethal outcomes were found. Indication for operation on the carotid artery depends on the spontaneous prognosis based on the vascular morphology and the rate of perioperative complications. The method of surgery described establishes favorable conditions for endarteriectomy even in the asymptomatic stage as well as in exulcerative lesions of the carotid wall.

[Treatment possibilities in new and chronic Bennett's fracture]. / Behandlungsmöglichkeiten bei der frischen und veralteten Bennett'schen Fraktur.

Follow up of 36 patients with Bennett's fracture was observed. In 20 cases out of 22 fixed by Kirschner-wireing only a good result could be reached. The closed percutaneous nailing as an independent therapeutic method is explained and prefered for standard. The open reduction and osteosynthesis should be done in closed unreduceable and delayed cases.

[Effectiveness of conservative treatment following distal radius epiphyses injuries]. / Die Leistungsfähigkeit der konservativen Behandlung nach distalen Radiusepiphysenverletzungen.

From 1966 to 1978, 122 infants and children suffering from injuries of the distal radial epiphysis were treated by reposition and repeated reposition. 68 of them were followed-up from 2 to 13 years later. In most cases spontaneous correction of remaining deformities by growth could be demonstrated. This remodelling of angulation depends on type and extent of the epiphyseal injury, the age of the patient and the time gone after the accident.

[Treatment and results following para-articular epiphyseal injuries of the knee during the growth period]. / Behandlung und Ergebnisse nach kniegelenknahen Epiphysen-verletzungen im Wachstumsalter.

A total of 23 children aged 3 to 18 years, underwent treatment in a period of 14 years. They were followed-up from 1 to 12 years later. The follow-up examinations confirmed that the treatment has to consider the kind of epiphyseal injury, its localisation and the patient's age in order to avoid prearthrotic deformity. Thus, conservative and operative treatment have their exact indication.

[Spinal column injuries in childhood (author's transl)]. / Kindliche Wirbelsäulenverletzungen.

22 children suffering from fractures and dislocations of the spinal column were seen at the Surgical Dept. of the Medical Academy of Erfurt from 1960 to 1976. This came up to 4.3% of all patients with injuries of the spine. The treatment was conservative. Vertebral fractures, without concomitant paralysis of the medulla had a favourable prognosis. In two third of the patients followed up a spontaneous compensation of deformed growth could be observed.

[Valgus deformity of the femoral neck after nailing of infantile femoral shaft fractures (author's transl)]. / Valgisierung des Schenkelhalses nach Nagelung kindlicher Oberschenkelschaftfrakturen

In 6 patients out of 29 who had suffered fractures of the femoral shaft at childs age and were treated mainly by open nailing, considerable growth disturbances of the major trochanter and valgus deformities of the neck of the femur had been observed in check-ups. The origin and prevention of these complications in nailing and nailremoval are discussed.