[Replantation or prosthesis: individual planning]. / Replantation oder Prothese: Ansätze zu einer individuellen Sichtweise.

Rehabilitation of a replanted upper limb is difficult and has to start close to the operation. Physical and occupational therapy are working close together. The unimpaired opposite upper extremity must be trained as well. Replantation of upper limb causes not only a lot of reoperations with extended morbidity, but also problems in social, family and psychic. After eventual amputation of the upper limb prosthetic compensation is necessary as soon as possible. There is a gap open between the technical and financial possibilities. To avoid spine disorders a shoulder cap is necessary if prosthetic compensation is not possible in higher amputations.

Neuropsychological aspects of the rehabilitation of patients with paralysis from a spinal injury who also have a brain injury.

In order to examine the rehabilitation process of patients suffering from a severe spinal cord injury and who also have a cerebral injury, 322 patients with paralysis from a spinal injury were subjected to neuro-psychiatric and neuro-psychological examinations. On average 20.2% of these patients showed an associated cerebral lesion. The psychological results of such cerebral lesions are summarized under the concept of the co-called organic psychic syndrome (OPS). In 27.7% of these patients no organic psychic syndrome resulted, and in these patients a conventional paralysis rehabilitation could be carried out. 41.6% showed very minor to moderate injuries, with 30.7% being severely disabled from the cerebral injury. Rehabilitation for these patients was modified, using new therapeutic approaches, and also traditional therapeutic methods adapted to the abilities and needs of this patient group. In 25.5% of the patients there was no substantial improvement during the treatment period of initial rehabilitation (x = 12.5 weeks for the treatment of cerebral injury); but in 36.2% of the patients there was substantial improvement and in 38.3% full remission of organic psychic disorders occurred. Improvements in this sphere have a direct bearing on the rehabilitation capacity of this patient group.

[Problems of vascular injuries at a large industrial-accident hospital (19 year experiences at the industrial-accident hospital Vienna XII)]. / Zur Problematik von Gefässverletzungen in einem grossen arbeitsunfallkrankenhaus. (Aus den Erfahrungen von 19 Jahren des Arbeitsunfallkrankenhauses Wien XII).

This report covers 213 vessel injuries out of 840 000 injuries through accident. Even considering that these are mostly cases of polytrauma, the results could be improved significantly. This however, only under the condition that all traumatologists and surgeons active in traumatology receive practical training in vessel surgery.