[Plating of fresh clavicular fractures. Experience with 60 operations]. / Die Verplattung der frischen Schlüsselbeinfraktur. Erfahrungen an 60 Operationen.

In two trauma units 63 patients with 65 fresh fractures of the clavicle were treated by plating, applying strict indications for the selection of the patients for surgery. The straight reconstruction plate 3.5, DCP 2.7 and in very slim clavicles the straight reconstruction plate 2.7 proved to be the most useful implants. With correct indication and good operative technique plating leads nearly always to healing in anatomic position with good functional results. The course of 60 fractures could be analysed. 57 patients with 58 fractures were followed. One polytraumatised woman with bilateral fractures died. Seven complications with negative influence on the result were observed: four pseudarthroses following loosening, bending or breaking of the plate, three refractures after removal of the plate. There was no infection. That means, that technical complications with bad results occurred in about 1/10 of the operations. All seven were multiple fragment fractures in the middle of the clavicular shaft. It therefore seems that complications could be avoided by using a different technique or a different implant.

[Comments on the problem of treatment of ipsilateral combined fractures at the coxal end of the femur and shaft of the femur (author's transl)]. / Zur Problematik der Versorgung ipsilateraler kombinierter Frakturen am koxalen Femurende und Oberschenkelschaft.

The article discusses te problems of ipsilateral fractures of the neck and shaft of the femur, basing on relevant cases of patients of the university clinic of Accident Surgery in Vienna (8 patients) and available references from literature (164 injured persons). The surgical methods of treatment are shown, attention is drawn to their justification, and the advantages and disadvantages of the individual methods are described. Preference is given to intramedullary methods of osteosynthesis, such as the locking nail and the Y nail.