Primary operative repair of acute knee joint ligament injuries; results (author's transl)

From 1978 to 1980 43 patients suffering from ligament injuries of the knee-joint immediately underwent definitive surgical repair. The follow-up of 31 patients showed 8 patients with excellent results, 13 with good results, 7 with satisfactory results, 2 with poor results, and 1 with a bad one. Instability could be found in the antero-medial compartment of 15 patients, in the antero-lateral compartment of 7 patients, in the postero-medial compartment of 2 patients. There was 1 case of instability in the postero-lateral compartment. We recommend to perform the repair as soon as possible and in the postoperative period as well as early mobilisation under supervision of an experienced physiotherapist.     

161例肾损伤的处理

目的探讨严重肾损伤的概念及治疗方案。方法对１９６５至１９９６年收治的１６１例严重肾损伤病例资料进行回顾分析。结果１６１例病人,伴有合并伤１１６例（７２．０％）。保守治疗７７例,发生并发症６例,治愈率９２．２％;手术治疗７３例,其中肾切除３２例,切肾率１９．９％;选择性肾动脉栓塞治疗１１例,治愈率１００．０％;死亡１５例,死亡率为９．３％。结论（１）强调手术治疗与非手术治疗的指征。（２）对有合并伤者,应全面、准确、及时的进行伤情评估。（３）对疑有内脏损伤者,应仔细探查,发现损伤应一并处理。