Buchbesprechungen

Ohne Zusammenfassung     

Buchbesprechungen

Ohne Zusammenfassung     

An algorithm for reconstruction of soft tissue defects of the distal lower leg, ankle and heel

AIM: The purpose of the study was to establish an algorithm for the reconstruction of soft tissue defects of the distal lower leg, ankle and heel. METHOD: 81 patients presenting with soft tissue defects in these regions underwent flap coverage. The average age was 44.1 years. Small defects (up to 4 x 4 cm) were covered by local flaps. The neurovascular sural flap was the predominant flap procedure for medium size defects (up to 10 x 15 cm). Free flaps were used for larger defects or in cases of stenosis or occlusion of the peroneal artery. Femoro-crural bypasses were performed in three cases to improve peripheral arterial perfusion. RESULTS: The reconstructive goals were achieved in 95% of the cases by performing reconstruction according to the established algorithm. Minor complications occurred in 29.6% of the cases. CONCLUSION: The results appear to be very good considering a patient population with complex and predominantly contaminated wounds. A preoperative angiography represents an important part of the algorithm for flap reconstruction to detect abnormal arterial vascular conditions and thus to plan vascular reconstruction prior to or simultaneously with free flap coverage. Additionally, a non-patency of the peroneal artery represents a contraindication for sural flaps.     

Gaschromatographische Studien zum Nachweis von Metasystox

Zusammenfassung Metasystox, Metasystox-i und Systox lassen sich durch charakteristische flüchtige Spaltprodukte, die beim Kochen mit Säure, Lauge oder Natriumalkoholat entstehen, gaschromatographisch nachweisen.Vorgetragen auf der Tagung der Deutschen Gesellschaft für gerichtliche und soziale Medizin in Graz im Oktober 1960.Herrn Dr. G.Schrader, Wuppertal-Elberfeld, danken wir für seine verständnisvolle Unterstützung durch Überlassung von Reinsubstanzen.Die Deutsche Forschungsgemeinschaft hat diese Arbeit durch die Bereitstellung einer Sachbeihilfe gefördert, wofür wir auch an dieser Stelle danken möchten.     

Synovialektomie und Sehnenrupturen im Bereich der Hand bei Patienten mit rheumatischen Erkrankungen

Synovialitis and ruptures of tendons at the hand are a common problem for patients with rheumatoid arthritis. Due to progress in research and pharmacology, the number of preventive hand surgery interventions is decreasing in centers for rheumatoid arthritis surgery. However, there is still a high need for operative treatment in cases of tendon ruptures or for prevention of tendon ruptures in cases of persisting synovialitis. The results after tenosynovialectomy and stabilization of joints are generally very good. Good results can not always be achieved after tendon reconstruction; functional outcome depends on location and cause of the rupture, time between rupture and reconstruction, number of ruptured tendons, type of reconstruction, etc. The aim for treatment of patients with rheumatoid arthritis is to achieve early diagnosis and specific hand surgery therapy. This can only be achieved by interdisciplinary concepts in centers with hand units specialized in rheumatoid arthritis.     

Duration of outpatient fecal colonization due to Escherichia coli Isolates with decreased susceptibility to fluoroquinolones: longitudinal study of patients recently discharged from the hospital

Among 10 subjects colonized with Escherichia coli isolates with reduced susceptibility to fluoroquinolones, the median duration of colonization following hospital discharge was 80 days (range, 8 to 172 days). Colonization was longer for isolates demonstrating organic-solvent tolerance than for isolates that were not organic-solvent tolerant (151 versus 29 days, respectively; P = 0.07) but was not associated with other resistance mechanisms, demographics, or antibiotic use.