[An unusual complication of fracture of the pubic bone: traumatic perforation of the small intestine]. / Die ungewöhnliche Komplikation nach Schambeinastfraktur: traumatische Dünndarmperforation.

A 79-year old woman experienced a pubic bone fracture without severe dislocation as a result of a minor trauma. On the same day of the accident the patient developed symptoms of an acute abdomen. During laparatomy a traumatic small bowel perforation, caused by the fracture, was found. The patient died of peritonitis and complications independent of the original trauma three weeks after the accident.

[Secondary aortic rupture as an unusual complication of fracture of the lumbar vertebrae]. / Zweizeitige Aortenruptur als ungewöhnliche Komplikation einer LWK-Fraktur.

Report on a case of acute vital complication of a conservatively treated lumbar vertebra fracture. Nine days after traumatic fracture of the first lumbar vertebra a 62-year old patient suddenly suffered from haemorrhagic shock caused by a minor rupture of the abdominal aorta. Before this dramatic event there were no symptoms pointing to this severe complication. Aetiology, diagnosis and therapy are discussed.

[Treatment of fractures of the cervical spine with external halo fixation]. / Zur Behandlung von Frakturen der Halswirbelsäule mit dem Halo-Fixateur externe.

15 serious injuries of the cervical spine were treated by Halo-fixation devices. Practical procedure as well as advantages in clinical application are dealt with. This method seems to be a good alternative to surgical stabilisation.

[Bilateral fractures of the epiphyses of the femur head in a child. A case report]. / Beidseitige Hüftkopfepiphysenfrakturen beim Kind.

The rare case of a traumatical epiphyseal fracture on both sides of the femoral neck is described. Its treatment and the process during the first year are presented. The general difficulties involved in children's femur-neck fractures are explained, basing on this case.

[Treatment of bending fractures at the distal radius]. / Zur Behandlung der Flexionsfrakturen am distalen Radius.

This paper deals with problems and therapeutic principles of Smith-fractures. Fractures type II and III by Thomas are treated with T-plate osteosynthesis on principle. Methods are shown and the follow up of 15 surgically treated patients is reported. The good results in comparison with non operative treatment speak in favour of this method.

[Mechanical properties of the corium in man]. / Mechanische Eigenschaften von menschlichem Korium.

Sixty-eight samples were removed during autopsy from the right lateral thigh of seven female and ten male deceased persons between the ages of 50 and 82 years. These samples were examined with regard to their mechanical properties. For this purpose, two test series were used. The first series involved natural strips of skin and the second series comprised solvent-dried, gammasterilized and rehydrated strips of skin. The aim of the examinations was -to research the tensile strength of strips of human hide, -the effects of the conservation/sterilization process, -the possibility of a homological transplantation and -the dependency on age and sex. The tensile strength was found to be 29.70 kp mean average in the case of the male natural samples and 28.02 kp mean average for the female samples. The gamma-sterilized samples showed a marked loss in tensile strength of approximately 50%. The remaining tensile strength of 14.53 kp mean average is judged to be reasonably sufficient for use in homological transplants with gamma-sterilized strips of hide. There was found to be no dependency on age or sex.

[Fixation of soft-tissue lesions with Thiersch's graft using cyanoacrylate tissue adhesive (author's transl)]. / Die Fixation von Spalthautlappen mit dem Gewebekleber Zyanoacrylat.

The covering of soft-tissue lesions with Thiersch's graft or Mesh-Graft is part of routine accident surgery. This article will describe the advantages and procedures of transplant-fixation while using the tissue adhesive cyanoacrylate.

["Kinetec 3040"--on electrically driven training splint in the aftertreatment of leg injuries (author's transl)]. / "Kinetec 3040"--ein neuartiges elektromotorisches Ubungsgerät zur Nachbehandlung von Verletzungen der unteren Extremitäten.

In this report an electrically driven training splint is described and shown in its practical use. This appliance, which can be controlled by the patient himself, has proved very well as useful complement concerning the gymnastics as part of treatment.

[Primary ligament replacement with autologous corium in the surgical treatment of acromio-clavicular joint injuries (author's transl)]. / Primärer Bandersatz mit autologem Korium in der operativen Behandlung der Schultergelenkszerreissung.

16 patients with acromio-clavicular joint injuries were postexamined. On six of these a ligament suture and additional fixation by wiring had been applied. On the remaining 10, a replacement of the ligament with autologous corium following the modified Bunnell-technique had been performed. The achieved results are satisfactory in both groups. However, in our opion, the modified procedure following Bunnell is preferable to all other techniques.

[Peripheral arterial injuries due to fractures and dislocations]. / Periphere arterielle Verletzungen durch Frakturen und Luxationen.

Using 12 typical cases, which are tabulated, the diagnosis and therapy of combined bone and vascular injuries are demonstrated. Particular emphasis is put on a detailed presurgery diagnosis, if possible angiographic diagnosis. Early surgery, subject to a generous indication, with resection of the injured vascular segments and subsegment interposition of an autologous vein transplant is preferred. The correctness of this procedure is confirmed by the corresponding good postsurgery results.

[Clinical picture and pathomorphology of traumatic high-pressure oil injections, the so called "grease gun injury"]. / Klinik und Pathomorphologie traumatischer Olimpressionen, sogenannter "grease gun injury"

On the basis of 3 personal observations the clinical picture, pathomorphology and therapy of the so-called "grease gun injury", are described. Clinically there is a difference between the acute stage, intermediary stage and chronic stage. In accordance with the course of disease are the pathomophological alterations, which are characterized by the development of an epithelioidcell-like granulation tissue. The injected oil is surrounded by histiocytic cell infiltrations, which, due to the chemico-toxic influence of this foreign substance are transformed into epithloidcells. Analogous to the pathogenesis of the tuberculoid granuloma this cellular metamorphosis is based on the action of long-chain fatty acids. It is important that the injured person is given immediate surgical treatment and operation. The aim of this being the entire removal of the oil or grease in order to avoid chronically granulating inflammation of the soft parts as well as the formation of scar tissue.