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DerUnfallchirurg.71000591.eng.abstr
|
DerUnfallchirurg.71000591.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000591.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a 33-year-old man after knee luxation and disruption of a popliteal artery , which was missed after repositioning at the first clinic . Eighteen hours later complete discontinuity of the popliteal artery was confirmed by arteriography and an immediate reversed , end-to-end autovenous graft was interposed under general anesthesia with anterior and posterior fasciotomy prior to blood flow restoration . Forced diuresis with a diuretic mixture and balanced fluid intake were used , and the patient was discharged from the intensive care unit on the 10th postoperative day in good condition with normal diuresis ."
],
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[
0,
634
]
]
}
] |
[
{
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},
{
"id": "DerUnfallchirurg.71000591.eng.abstr-s1-t2",
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"text": [
"knee"
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46,
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{
"id": "DerUnfallchirurg.71000591.eng.abstr-s1-t3",
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"artery"
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90,
96
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{
"id": "DerUnfallchirurg.71000591.eng.abstr-s1-t4",
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"text": [
"popliteal artery"
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80,
96
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"db_id": "C0032649"
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{
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"artery"
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219,
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{
"id": "DerUnfallchirurg.71000591.eng.abstr-s2-t2",
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"arteriography"
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243,
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{
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"graft"
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307,
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"db_id": "C0332835"
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{
"id": "DerUnfallchirurg.71000591.eng.abstr-s2-t4",
"type": "umlsterm",
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"anesthesia"
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"anterior"
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"id": "DerUnfallchirurg.71000591.eng.abstr-s2-t7",
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"blood"
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},
{
"id": "DerUnfallchirurg.71000591.eng.abstr-s2-t8",
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"popliteal artery"
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"id": "DerUnfallchirurg.71000591.eng.abstr-s3-t1",
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{
"id": "DerUnfallchirurg.71000591.eng.abstr-s3-t2",
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"id": "DerUnfallchirurg.71000591.eng.abstr-s3-t7",
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"id": "DerUnfallchirurg.71000591.eng.abstr-s3-t8",
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] |
[] |
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DerUnfallchirurg.71000613.eng.abstr
|
DerUnfallchirurg.71000613.eng.abstr
|
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[] |
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DerUnfallchirurg.71000623.eng.abstr
|
DerUnfallchirurg.71000623.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000623.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Treatment of subacromial outlet impingement can be operative or non-operative . The purpose of this prospective study was to compare the results of these two types of treatment over a fairly long period . To this end , 72 patients suffering from grade II outlet impingement were prerandomized into two different groups . Group I was made up of 32 patients who were treated operatively ; the 40 patients in group II underwent a non-operative treatment . Follow-up time was 4 years for both groups . Depending on the surgeon an arthroscopic subacromial decompression according to Ellman or an anterior acromioplasty according to Neer was performed in each patient in group I. During a 2-week hospital stay a non-operative treatment was administered to all patients in group II . Before the start of treatment patient evaluation was performed : clinical examination , transscapular , a. p . and oblique X-rays , ultrasonography and the LA test ; in addition , the Subjective Shoulder Rating Scale ( SSRS ) was used . This is basically a modification of the Constant-Murley Scoring System . The patients were familiarized with the SSRS sheet before starting the treatment . The sheet was mailed to the patients for then to evaluate their shoulders at yearly intervals . The median total score in group I started from a lower level , with 54 points . The non-operativ median total score in group II started at 59 points . During the 4-year follow-up the improvement in the operatively treated shoulders was 30 points and that in the non-operatively treated shoulders , 15 points . Over the years there was a tendency for the operatively treated shoulders to improve . The pain score in group I improved from 10 points preoperatively to 25 points 1 year postoperatively and to 30 points in the 2nd , 3rd and 4th years after the operation . In group II the pain score declined . An increase of 5 points was found in the first 2 years after starting the treatment , and the same score , 20 points , as at the start was found in the 3rd and 4th years . The range of motion changed from 20 to 30 points only in group I. The activity score paralled the range of motion . Ability to work overhead was consistently reduced throughout the follow-up period and was not influenced by the treatment received . Instability was not a problem for these patients . There was no change in the scores in the two groups . In summary , both forms of treatment led to an improvement of the subacromial impingement . The improvement in pain was the most marked . The long-term results are required for the final evaluation , because results tend to change after both operative and non-operative treatment . In addition , clinical examination and diagnostic imaging techniques should be applied and are necessary to find the reasons for this change ."
],
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0,
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DerUnfallchirurg.71000630.eng.abstr
|
DerUnfallchirurg.71000630.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000630.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between January 1989 and July 1992 , 76 patients with thoracolumbar fractures were operatively treated at the Department of Trauma Surgery , Hannover Medical School . After a mean of more than 3 years , 56 of 62 patients ( 90 % ) still alive who had their implants removed were examined . According to the ASIF classification 33 patients sustained type A fractures , 13 type B and 10 type C. Three patients with incomplete paraplegia returned to normal ; in one case of complete paraplegia no change occurred . In 40 cases the dorsal instrumentation was combined with transpedicular cancellous bone grafting . The mean operative time totaled 3 h . In this series , two complications ( 3.6 % ) were observed : one iatrogenic vertebral arch fracture without consequences and one deep infection . Compared to the preoperative status , our follow-up examinations demonstrated permanent physical and social sequelae : the percentage of individuals able to do physical labor was reduced by half ( 22 to 11 patients ) whereas the share of unemployed or retired patients doubled ( 4 to 8 patients ) . At the time of follow-up examination only 21 of 42 patients continued in sports . The assessment of complaints and functional outcome with the \" Hannover Spinal Trauma Score \" reflected a significant difference ( P 0.001 ) between the status before injury ( 96.6/100 points ) and at the time of follow-up ( 71.4/100 points ) ."
],
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}
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"id": "DerUnfallchirurg.71000630.eng.abstr-s3-t1",
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"id": "DerUnfallchirurg.71000630.eng.abstr-s3-t4",
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"arg2_id": "DerUnfallchirurg.71000630.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000630.eng.abstr-s9-r5-t1.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000630.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000630.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000630.eng.abstr-s9-r6-t1.1-t2.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.71000630.eng.abstr-s9-t2",
"normalized": []
}
] |
DerUnfallchirurg.71000640.eng.abstr
|
DerUnfallchirurg.71000640.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000640.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The most important prerequisite for permanent fixation of an implant is primary stability . Osteointegration of the implant is a major goal in cementless total hip replacement ( THR ) . This means direct contact between bone and implant , leading to fixation of the implant in the bone without the interference of fibrous tissue . In addition to the design of the implant , the structure of the implant surface and the material of the implant , the specific operational technique plays a major role in permanent fixation . Only the conical fixation of femoral implants guarantees high primary stability in cementless THR . The type of fixation of the implant in the femoral cavity and the resulting load transfer from implant to bone has a decisive effect on the durability of the prostheses . In order to achieve optimal primary fixation of the implant , robot-assisted implantation of the cementless implant has been performed at the Berufsgenossenschaftliche Unfallklinik Frankfurt am Main since the summer of 1994. After preoperative planning at a three-dimensional graphic work station these data are transferred to the robot , which transforms the preoperative planning by milling the femoral cavity with the highest precision . So far this type of surgery has been performed on 300 patients . The encouraging postoperative results prompted us to install the second system of Robodoc at the Berufsgenossenschaftliche Unfallklinik Frankfurt ."
],
"offsets": [
[
0,
1447
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"goal"
],
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135,
139
]
],
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{
"db_name": "UMLS",
"db_id": "C0018017"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"hip"
],
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[
160,
163
]
],
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{
"db_name": "UMLS",
"db_id": "C0019552"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"hip replacement"
],
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160,
175
]
],
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"total hip replacement"
],
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154,
175
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],
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"db_id": "C0040508"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-t1",
"type": "umlsterm",
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"direct"
],
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197,
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]
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"bone"
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-t3",
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"bone"
],
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281,
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]
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"tissue"
],
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[
322,
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]
],
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"db_name": "UMLS",
"db_id": "C0040300"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"technique"
],
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"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"role"
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"transfer"
],
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[
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]
],
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"db_name": "UMLS",
"db_id": "C0040671"
}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"bone"
],
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-t3",
"type": "umlsterm",
"text": [
"prostheses"
],
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}
]
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"implantation"
],
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},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-t2",
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"id": "DerUnfallchirurg.71000640.eng.abstr-s7-t3",
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{
"id": "DerUnfallchirurg.71000640.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"surgery"
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},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
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}
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},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"type": "umlsterm",
"text": [
"postoperative"
],
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[
1316,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032790"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-r1-t2.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s2-r2-t2.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-r1-t1.1-t2.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-r2-t1.1-t3.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-r3-t1.1-t2.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s3-r4-t1.1-t3.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-r1-t2.1-t3.2",
"type": "uses",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s6-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-r2-t2.1-t1.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s6-r3-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-r1-t2.1-t1.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-r2-t4.1-t1.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t4",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-r3-t1.1-t4.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s7-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s7-r4-t1.1-t2.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000640.eng.abstr-s8-r1-t1.2-t1.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000640.eng.abstr-s8-t1",
"arg2_id": "DerUnfallchirurg.71000640.eng.abstr-s9-t1",
"normalized": []
}
] |
DerUnfallchirurg.71000646.eng.abstr
|
DerUnfallchirurg.71000646.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000646.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Heparin-induced thrombocytopenia type II ( HIT-II ) is a serious complication in heparin treatment . Because of arterial and/or venous thromboembolism , HIT-II quite often takes a life-threatening course . This article describes the clinical course of seven trauma patients , who developed HIT-II during thromboembolism prophylaxis with unfractionated heparin ( UFH , Heparin-Natrium-Nattermann , 250,000 I. E. , Rhone-Poulenc Rorer GmbH ) , given subcutaneously . Thromboembolic complications occurred in 5 out of 7 cases ( 71.4 % ) . One case took a fatal course ( 14.3 % ) . UFH was replaced by Orgaran when HIT-II was suspected or diagnosed . There were no more complications . Thrombocyte count increased to normal values within 3 to 9 days . The importance of HIT-II in heparin therapy during in- and outpatient therapy is discussed with reference to the current literature ."
],
"offsets": [
[
0,
881
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"thrombocytopenia"
],
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[
16,
32
]
],
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"db_name": "UMLS",
"db_id": "C0040034"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"complication"
],
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65,
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]
],
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"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"heparin"
],
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81,
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]
],
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"db_name": "UMLS",
"db_id": "C0019134"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-t4",
"type": "umlsterm",
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"treatment"
],
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"db_name": "UMLS",
"db_id": "C0087111"
},
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"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"thromboembolism"
],
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135,
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],
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"db_name": "UMLS",
"db_id": "C0040038"
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{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-t1",
"type": "umlsterm",
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"db_name": "UMLS",
"db_id": "C0021501"
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"db_name": "UMLS",
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}
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},
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"id": "DerUnfallchirurg.71000646.eng.abstr-s3-t2",
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"db_name": "UMLS",
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-t3",
"type": "umlsterm",
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],
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],
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"db_name": "UMLS",
"db_id": "C0040038"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"prophylaxis"
],
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"db_id": "C0033107"
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"id": "DerUnfallchirurg.71000646.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"heparin"
],
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352,
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}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"complications"
],
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}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"Orgaran"
],
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"db_id": "C0163842"
}
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},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"complications"
],
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]
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"Thrombocyte"
],
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"db_id": "C0005821"
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},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"values"
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s8-t3",
"type": "umlsterm",
"text": [
"Thrombocyte count"
],
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682,
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"db_name": "UMLS",
"db_id": "C0032181"
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s8-t4",
"type": "umlsterm",
"text": [
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"db_name": "UMLS",
"db_id": "C0086715"
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"type": "umlsterm",
"text": [
"heparin"
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776,
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]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"type": "umlsterm",
"text": [
"therapy"
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"db_name": "UMLS",
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"type": "umlsterm",
"text": [
"outpatient"
],
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[
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{
"db_name": "UMLS",
"db_id": "C0029921"
}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"type": "umlsterm",
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"therapy"
],
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},
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}
]
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-t5",
"type": "umlsterm",
"text": [
"literature"
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{
"db_name": "UMLS",
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}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r1-t4.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r2-t4.1-t1.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r3-t2.1-t1.1",
"type": "degree_of",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
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},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r4-t1.1-t2.1",
"type": "produces",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
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},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r5-t1.1-t2.1",
"type": "degree_of",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r6-t2.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r7-t1.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r8-t2.1-t1.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r9-t2.1-t1.1",
"type": "diagnoses",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s1-r10-t4.1-t2.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r1-t4.1-t3.1",
"type": "treats",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r2-t3.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r3-t1.1-t3.1",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r4-t4.1-t1.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r5-t4.1-t3.1",
"type": "complicates",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r6-t4.1-t3.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r7-t4.1-t3.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r8-t2.1-t4.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r9-t4.1-t1.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r10-t3.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r11-t4.1-t3.1",
"type": "diagnoses",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r12-t1.1-t2.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r13-t4.1-t1.1",
"type": "complicates",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r14-t3.1-t4.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r15-t1.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s3-r16-t3.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t3",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s8-r1-t2.1-t4.1",
"type": "measures",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-r1-t2.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000646.eng.abstr-s9-r2-t2.1-t4.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.71000646.eng.abstr-s9-t4",
"normalized": []
}
] |
DerUnfallchirurg.71000658.eng.abstr
|
DerUnfallchirurg.71000658.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000658.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Biodegradable implants are increasingly used in orthopedic and trauma surgery . Many different implants consisting of different biodegradable polymers are currently available . Different factors contribute to the biocompatibility of these implants , and local foreign-body reactions remain a matter of concern . Therefore , it is mandatory to document and compare the tissue reactions caused by various biodegradable implants in experimental or clinical studies . We have developed a standardized system of classification based on our previous experimental and clinical observations . Foreign-body reactions are differentiated into osteolyses ( O-0 to O-4), extra-articular ( EA-0 to EA-4) and intra-articular ( IA-0 to IA-4) soft-tissue reactions ."
],
"offsets": [
[
0,
749
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"implants"
],
"offsets": [
[
14,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0013183"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"orthopedic"
],
"offsets": [
[
48,
58
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029355"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"trauma"
],
"offsets": [
[
63,
69
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
70,
77
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"Biodegradable implants"
],
"offsets": [
[
0,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0600551"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"polymers"
],
"offsets": [
[
142,
150
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032521"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"foreign-body reactions"
],
"offsets": [
[
260,
282
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016549"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"tissue"
],
"offsets": [
[
368,
374
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040300"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"biodegradable implants"
],
"offsets": [
[
403,
425
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0600551"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"clinical studies"
],
"offsets": [
[
445,
461
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008972"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"classification"
],
"offsets": [
[
507,
521
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008902"
},
{
"db_name": "UMLS",
"db_id": "C0008903"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"observations"
],
"offsets": [
[
570,
582
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0302523"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"osteolyses"
],
"offsets": [
[
632,
642
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029435"
}
]
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"Foreign-body reactions"
],
"offsets": [
[
585,
607
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016549"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r1-t4.2-t2.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r2-t1.1-t4.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r3-t4.2-t3.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r4-t1.1-t2.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r5-t3.1-t4.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r6-t1.1-t3.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s1-r7-t3.1-t2.1",
"type": "issue_in",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-r1-t2.1-t1.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-r2-t2.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-r3-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-r4-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000658.eng.abstr-s6-r5-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.71000658.eng.abstr-s6-t2",
"normalized": []
}
] |
DerUnfallchirurg.71000675.eng.abstr
|
DerUnfallchirurg.71000675.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000675.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Two patients with complete paralysis of the axillary nerve are reported on . One case is well documented . In both cases there was very good functional adaptation , resulting from hypertrophy of the rotator cuff so that there was only a slight or no loss of movement . The rotator cuff should therefore be exercised at an early stage when there is isolated axillary nerve damage . The function of the supraspinous muscle is also discussed ."
],
"offsets": [
[
0,
440
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
4,
12
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"paralysis"
],
"offsets": [
[
27,
36
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030440"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"nerve"
],
"offsets": [
[
53,
58
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027769"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"adaptation"
],
"offsets": [
[
152,
162
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0000934"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"hypertrophy"
],
"offsets": [
[
180,
191
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020564"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"movement"
],
"offsets": [
[
258,
266
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026649"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"rotator cuff"
],
"offsets": [
[
199,
211
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0085515"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"stage"
],
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[
328,
333
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027646"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"nerve"
],
"offsets": [
[
366,
371
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027769"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"rotator cuff"
],
"offsets": [
[
273,
285
]
],
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"db_name": "UMLS",
"db_id": "C0085515"
}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"function"
],
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385,
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]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"muscle"
],
"offsets": [
[
414,
420
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026845"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-r1-t2.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-r2-t2.1-t3.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-r3-t3.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-r4-t2.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s1-r5-t3.1-t2.1",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r1-t4.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r2-t2.1-t1.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r3-t3.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r4-t4.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r5-t2.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r6-t2.1-t3.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r7-t2.1-t3.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r8-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s3-r9-t4.1-t2.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-r1-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-r2-t1.1-t2.1",
"type": "measures",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000675.eng.abstr-s4-r3-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.71000675.eng.abstr-s5-t2",
"normalized": []
}
] |
DerUnfallchirurg.71000678.eng.abstr
|
DerUnfallchirurg.71000678.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000678.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The extremely rare finding of a proximal radio-ulnar synostosis in a 5 years-old girl with a fetal alcohol syndrome is presented . Despite the elbow's being fixed at 30 ° pronation , the patient exhibits good ipsilateral arm function . The difficulties in differential diagnosis and treatment modalities are discussed ."
],
"offsets": [
[
0,
319
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"radio-ulnar"
],
"offsets": [
[
41,
52
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034546"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"synostosis"
],
"offsets": [
[
53,
63
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039093"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"years-old"
],
"offsets": [
[
71,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0331059"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"alcohol"
],
"offsets": [
[
99,
106
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001975"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"syndrome"
],
"offsets": [
[
107,
115
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"fetal alcohol syndrome"
],
"offsets": [
[
93,
115
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015923"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"pronation"
],
"offsets": [
[
171,
180
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033421"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"patient"
],
"offsets": [
[
187,
194
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"arm"
],
"offsets": [
[
221,
224
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003792"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"function"
],
"offsets": [
[
225,
233
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"diagnosis"
],
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[
269,
278
]
],
"normalized": [
{
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"db_id": "C0011900"
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"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"treatment"
],
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283,
292
]
],
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{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"differential diagnosis"
],
"offsets": [
[
256,
278
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220820"
},
{
"db_name": "UMLS",
"db_id": "C0011906"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r1-t5.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r2-t2.1-t6.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r3-t5.1-t3.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r4-t6.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r5-t6.1-t3.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r6-t3.1-t2.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r7-t2.1-t5.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r8-t3.1-t5.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r9-t2.1-t3.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s1-r10-t3.1-t6.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-r1-t4.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-r2-t3.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-r3-t1.1-t4.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s2-r4-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s3-r2-t1.1-t2.1",
"type": "precedes",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.71000678.eng.abstr-s3-r3-t1.2-t2.1",
"type": "precedes",
"arg1_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.71000678.eng.abstr-s3-t2",
"normalized": []
}
] |
DerUnfallchirurg.71000683.eng.abstr
|
DerUnfallchirurg.71000683.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000683.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Of all macroreplantations , reattachment of a leg amputated at the proximal thigh presents the biggest difficulty . A patient with no other injuries was treated in this way . A critical discussion of indications in general , the technique in the acute setting , and reconstructive procedures , including the Ilizarov distraction technique , is presented . The outcome after 2.5 years is gratifying . The results obtainable in proximal thigh replantation can justify the risk of potentially lethal general complications ."
],
"offsets": [
[
0,
520
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"leg"
],
"offsets": [
[
46,
49
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023216"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"thigh"
],
"offsets": [
[
76,
81
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039866"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"patient"
],
"offsets": [
[
118,
125
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
140,
148
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"technique"
],
"offsets": [
[
229,
238
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"procedures"
],
"offsets": [
[
281,
291
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"technique"
],
"offsets": [
[
329,
338
]
],
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{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"thigh"
],
"offsets": [
[
435,
440
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039866"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"replantation"
],
"offsets": [
[
441,
453
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035139"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"risk"
],
"offsets": [
[
470,
474
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "DerUnfallchirurg.71000683.eng.abstr-s5-t4",
"type": "umlsterm",
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[] |
[] |
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DerUnfallchirurg.71000705.eng.abstr
|
DerUnfallchirurg.71000705.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000705.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A total of 208 multiple trauma patients with head injury ( HI ) were investigated who had been treated in the period from 1990 to 1995. The average age was 35.2 +/- 17.7 years ; the injury severity according to ISS was 30.2 +/- 8.6 points ; 20.5 % died as a result of the HI ; the mortality of all patients was 26.5 % . The Glasgow Coma Scale ( GCS ) was determined at an average of 22 min after trauma ( 8.0 +/- 4.3 points ) at the scene of accident . The patients were classified according to GCS into minor HI ( group 1 : 14-15 points ) , moderate HI ( group 2 : 9-13 points ) and severe HI ( group 3 : 3-8 points ) . Patient outcome was assessed by the Glasgow Outcome Scale ( GOS ) and was classified as good ( GOS 4 and 5 ) and poor ( GOS 1 , 2 and 3 ) outcome . At the latest , 2 h after trauma , a CT scan of the head ( CCT ) was done . The HI groups are compared regarding frequency of types of injury . In all HI groups the fractures of the bony face occurred at the same frequency ( 36.0-38.9 % ) . The frequency of calotte fractures ( Kal-Fx ) increased from group 1 ( 8.0 % ) to 2 ( 19.2 % ) and 3 ( 25.6 % ) ; fractures of the skull base significantly differed between group 1 ( 16.0 % ) , 2 ( 7.8 % ) and 3 ( 33.4 % ) . Epidural hemorrhage ( EDB ) appeared only in group 2 ( 7.8 % ) and 3 ( 6.7 ) ; subdural hemorrhage was found in group 1 ( 2.7 % ) , 2 ( 7.8 % ) and 3 ( 10.0 % ) . Subarachnoid hemorrhage ( SAB ) was significantly more frequently seen , dependent on HI severity , in group 3 ( 26.7 % ) compared to group 2 ( 11.7 % ) and 1 ( 8.0 % ) . Intracerebral contusion ( ICK ) significantly increased from group 1 ( 12.0 % ) to 2 ( 27.3 ) and 3 ( 45.6 % ) . Brain swelling ( BS ) also significantly increased from group 1 ( 8.0 % ) to 2 ( 19.5 % ) and 3 ( 49.0 % ) and lesions of ventricles ( VL ) from group 1 ( 2.7 % ) to 2 ( 11.7 % ) and 3 ( 20.0 % ) . Midline shift ( 13.4 % ) and signs of herniation ( 4.5 % ) only occurred in group 3. The analysis of correlation/regression and receiver operating characteristics was able to predict 79 % of patients ' outcome accurately using GCS ( r 0.54 ; P 0.0001 ) alone , using CCT ( r 0.65 ; P 0.0001 ) 87 % were correctly predicted with significant variables Cal-Fx , EDB , SAB and BS . CCT with GCS ( r 0.74 ; P 0.0001 ) were able to predict 88 % accurately with significant variables Cal-Fx , EDB , BS and GCS . The combination of CCT with GCS , age and ISS ( r 0.78 ; P 0.0001 ) was able to predict only 87 % correctly , although the r value was the highest ; significant variables were Kal-Fx , EDB , BS , VL , GCS , age and ISS ."
],
"offsets": [
[
0,
2605
]
]
}
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DerUnfallchirurg.71000711.eng.abstr
|
DerUnfallchirurg.71000711.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000711.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Enchondroma are benign cartilaginous tumors and are localized most often at the site of the phalanges . Between 1982 and 1993 73 patients with monostotic enchondroma and 5 patients with polyostotic enchondroma were operated at our clinic . Clinical signs of monostotic tumors were pathological fracture ( 38.4 % ) , pain or swelling . Eleven percent of cases were accidental findings . Surgical treatment was performed by complete removal of the tumors and filling the bone cavity with autologous spongiosa taken from the pelvic bones , the elbow , or the radius . Three patients ( 4.1 % ) had to be operated a second time due to wound infections and hematoma . In one case Sudeck's dystrophy was diagnosed . One patient ( 1.4 % ) developed a recurrent tumor . Our follow-up examination of 65 patients showed that 77 % of the patients with monostotic enchondroma achieve very good or good functional long-term results after this operation , but only 40 % of the patients with polyostotic enchondroma ."
],
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}
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[] |
[] |
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},
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}
] |
DerUnfallchirurg.71000715.eng.abstr
|
DerUnfallchirurg.71000715.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000715.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Pathological fractures and osteolyses with impending fractures of long bones impose a severe problem in patients with advanced cancer . For palliative treatment between June 1993 and October 1995 intramedullary nailing was performed in 19 patients with 13 femoral , 7 humeral and 1 tibial lesions ; AO unreamed nails were used for this purpose ( unreamed femur nail UFN with or with spiral blade for femoral lesions and unreamed tibia nail UTN for humeri and tibia ) . Stabilization was achieved without severe complications ; full weight bearing of both femora and humeri ( while using crutches ) was allowed . Simultaneous and bilateral nailing was done . Follow-up until death due to advanced cancer demonstrated no implant failure and improved quality of life as well . Unreamed intramedullary nailing seems to be a minimally invasive procedure with a low complication rate for palliative treatment of ( impending ) pathological fractures in advanced cancer ."
],
"offsets": [
[
0,
963
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
13,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"osteolyses"
],
"offsets": [
[
27,
37
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029435"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
53,
62
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"bones"
],
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[
71,
76
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"patients"
],
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[
104,
112
]
],
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{
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"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"cancer"
],
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[
127,
133
]
],
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{
"db_name": "UMLS",
"db_id": "C0006826"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"Pathological fractures"
],
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[
0,
22
]
],
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{
"db_name": "UMLS",
"db_id": "C0016663"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
151,
160
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"June"
],
"offsets": [
[
169,
173
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162508"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"October"
],
"offsets": [
[
183,
190
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029279"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
239,
247
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"nails"
],
"offsets": [
[
311,
316
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"femur"
],
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[
355,
360
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015811"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"nail"
],
"offsets": [
[
361,
365
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"tibia"
],
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[
429,
434
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040184"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t9",
"type": "umlsterm",
"text": [
"nail"
],
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[
435,
439
]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t10",
"type": "umlsterm",
"text": [
"humeri"
],
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[
448,
454
]
],
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{
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"db_id": "C0020164"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t11",
"type": "umlsterm",
"text": [
"tibia"
],
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[
459,
464
]
],
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{
"db_name": "UMLS",
"db_id": "C0040184"
}
]
},
{
"id": "DerUnfallchirurg.71000715.eng.abstr-s2-t12",
"type": "umlsterm",
"text": [
"palliative treatment"
],
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[
140,
160
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] |
DerUnfallchirurg.71000719.eng.abstr
|
DerUnfallchirurg.71000719.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000719.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the presented study , knee joint proprioception of 43 patients with a patellar pain syndrome of the knee joint was evaluated . In a control group , the proprioception of 30 healthy volunteers with clinical and anamnestic inconspicous knee joints was examined . We tested the proprioceptive capability of the subjects with a passive angle reproduction test . Additionally , all knee joints were measured with and without an elastic knee bandage . The patient group showed significant deterioration of angle reproduction capability ( 13.2 ° +/- 6.1 ° ) compared to the control group ( 7.8 ° +/- 2.8 ° ) . After applying an elastic knee bandage , the angle reproduction capability significantly improved to 9.2 ° +/- 4.5 ° . Proprioception of the contralateral , noninvolved knee joint in the patients ( 11.6 ° +/- 6.3 ° ) was worse compared to the control group . Applying an elastic knee bandage did not significantly improve the proprioception of the uninjured knee joint ."
],
"offsets": [
[
0,
976
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
25,
29
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"joint"
],
"offsets": [
[
30,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"proprioception"
],
"offsets": [
[
36,
50
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033499"
}
]
},
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
57,
65
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"pain"
],
"offsets": [
[
82,
86
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030193"
}
]
},
{
"id": "DerUnfallchirurg.71000719.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"syndrome"
],
"offsets": [
[
87,
95
]
],
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[] |
[] |
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] |
DerUnfallchirurg.71000737.eng.abstr
|
DerUnfallchirurg.71000737.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000737.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During a 7-year period ( between July 1987 and June 1994 ) 19 patients were treated for Chopart dislocation . Seventeen patients were examined clinically 48 months following trauma . We found 1 excellent , 6 good , 6 mediocre , and 4 poor results . Only 4 patients were able to achieve their pre-accident level of work and no patients could return to sports at the same level . In our patients , Chopart dislocation had a negative social consequence both at the work place and in recreational activities . In long-term follow-up , the Chopart dislocation was the most debilitating injury even for polytrauma patients ."
],
"offsets": [
[
0,
618
]
]
}
] |
[
{
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"period"
],
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16,
22
]
],
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"db_id": "C0025344"
}
]
},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s1-t2",
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"text": [
"June"
],
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47,
51
]
],
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{
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"db_id": "C0162508"
}
]
},
{
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"patients"
],
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[
62,
70
]
],
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"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"Chopart"
],
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[
88,
95
]
],
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{
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},
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],
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}
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s1-t6",
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"dislocation"
],
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96,
107
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s4-t2",
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"pre-accident"
],
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s5-t2",
"type": "umlsterm",
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"Chopart"
],
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"id": "DerUnfallchirurg.71000737.eng.abstr-s5-t3",
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"Chopart"
],
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396,
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"id": "DerUnfallchirurg.71000737.eng.abstr-s5-t4",
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s5-t6",
"type": "umlsterm",
"text": [
"work place"
],
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462,
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]
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s5-t7",
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"text": [
"recreational activities"
],
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"id": "DerUnfallchirurg.71000737.eng.abstr-s6-t1",
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"Chopart"
],
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-t2",
"type": "umlsterm",
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"Chopart"
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-t3",
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"dislocation"
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-t4",
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"injury"
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{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-t5",
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]
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{
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}
]
}
] |
[] |
[] |
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s1-r13-t2.1-t1.1",
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s4-r2-t4.1-t5.1",
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},
{
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s4-r4-t2.1-t1.1",
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},
{
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{
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},
{
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s4-r8-t1.1-t3.1",
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s4-r9-t5.1-t2.1",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s4-r10-t2.1-t4.1",
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},
{
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s5-r2-t2.1-t4.1",
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},
{
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},
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},
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},
{
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},
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},
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},
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s5-r12-t1.1-t5.1",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s5-r13-t4.1-t5.1",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s5-r14-t5.1-t2.1",
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},
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s5-r17-t2.1-t1.1",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r1-t4.1-t1.1",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r2-t1.1-t6.1",
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"arg2_id": "DerUnfallchirurg.71000737.eng.abstr-s6-t6",
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},
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"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r3-t6.1-t1.1",
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r4-t6.1-t1.1",
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},
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},
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},
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},
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"arg2_id": "DerUnfallchirurg.71000737.eng.abstr-s6-t4",
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r10-t1.1-t3.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.71000737.eng.abstr-s6-t3",
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},
{
"id": "DerUnfallchirurg.71000737.eng.abstr-s6-r11-t4.1-t3.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.71000737.eng.abstr-s6-t3",
"normalized": []
}
] |
DerUnfallchirurg.71000750.eng.abstr
|
DerUnfallchirurg.71000750.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000750.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In patients with a significant elongation of the ACL we propose a new therapeutic regimen . After mobilisation of the tibial insertion of the ACL we pull the bone block with the attached ACL distally . Thus the ACL is easily tightened . In accordance with this method , we describe the treatment of a case of a strictly proximal rupture of the ACL : the tibial insertion is mobilised , the bone block with the attached ACL removed from the joint . Ex vivo sutures are placed into the ACL , the ligament is pulled back into the joint , and the shortening of the ligament caused by the sutures is compensated by slight proximal dislocation of the bone block ."
],
"offsets": [
[
0,
657
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
3,
11
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"therapeutic"
],
"offsets": [
[
70,
81
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039796"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"mobilisation"
],
"offsets": [
[
98,
110
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0300926"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
158,
162
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"method"
],
"offsets": [
[
261,
267
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
286,
295
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"rupture"
],
"offsets": [
[
329,
336
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "DerUnfallchirurg.71000750.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
390,
394
]
],
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[] |
[] |
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DerUnfallchirurg.71000754.eng.abstr
|
DerUnfallchirurg.71000754.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000754.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To date , current jurisdiction has not permitted an answer to the Aquestion as to how long thromboembolism prevention therapy is to be carried out after trauma surgery . However , the Bundesgerichtshof ( BGH ) reached a decision in 1995 on this matter . Accordingly , patients have to be informed about possible alternative treatment as well as the applicable form of thromboembolism prevention therapy in each specific case . In combination with the fact that the Deutsche Gesellschaft fuer Phlebologie ( DGP , German society for phlebology ) has published guidelines on thromboembolism prevention therapy via the Internet , this may have considerable impact on the outcome of civil litigation , with consequences for financial compensation . Since civil action requires the medical doctor to prove that he has provided an adequate and acceptable basis for informed consent in patients , in concurrence with the above-mentioned DGP guidelines being potentially misunderstood as representing state-of-the-art treatment , it is deemed necessary to present a list of points that must be brought to the patient's attention when requesting informed consent and , furthermore , the manner in which the guidelines of the medical specialist societies may bring about problems must be pointed out . In the specific context of the German judicial system , criminal law will virtually never lead to a conviction in a case of fatal pulmonary embolism following neglect of or insufficient thromboembolism prevention therapy ."
],
"offsets": [
[
0,
1513
]
]
}
] |
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DerUnfallchirurg.71000760.eng.abstr
|
DerUnfallchirurg.71000760.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000760.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Nonoperative management of forearm fractures in children has a good outcome in over 90 % of all cases . In our own series ( n = 102 ) there were only six children ( 6.1 % ) with significant limitation ( > 25 ° ) of forearm rotation . In these cases two out of four ( 50 % ) were located in the proximal third but only two out of 68 in the distal third . Indications for operative stabilization are the following : compound fractures , fractures associated with vessel and nerve injuries , joint fractures , dislocated fractures of the middle and proximal third , and Monteggia/Galeazzi injuries . As implants intramedullary devices are preferred . Twenty children were managed with elastic IM rods between 1994 and 1995 at our institution . At final follow-up all had a free ROM and a maximal axial malalignment of less than 5 ° . In the region of the distal forearm K-wires are useful . Plates play a dominant role for corrections and nonunions ; external skeletal stabilization is indicated for temporary fixation in compound fractures ."
],
"offsets": [
[
0,
1039
]
]
}
] |
[
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],
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27,
34
]
],
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}
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},
{
"id": "DerUnfallchirurg.71000760.eng.abstr-s1-t2",
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"fractures"
],
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35,
44
]
],
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},
{
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],
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[
48,
56
]
],
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{
"id": "DerUnfallchirurg.71000760.eng.abstr-s2-t2",
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},
{
"id": "DerUnfallchirurg.71000760.eng.abstr-s2-t3",
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"text": [
"rotation"
],
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231
]
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},
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{
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},
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},
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"id": "DerUnfallchirurg.71000760.eng.abstr-s4-r66-t2.2-t6.1",
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{
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] |
DerUnfallchirurg.71000770.eng.abstr
|
DerUnfallchirurg.71000770.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000770.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Objective . Post-traumatic recurrent dislocation is a major problem in the operative treatment of shoulder dysfunction in young athletes . This prospectively designed study evaluates the long-term results of a modified Eden-Hybinette procedure in young male athletes . The criteria were : capacity in sports , functional limit , and persistent pain . Genuine disorders of the glenoid or muscular imbalance of the shoulder joint were criteria for exclusion ."
],
"offsets": [
[
0,
457
]
]
}
] |
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{
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9
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}
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"id": "DerUnfallchirurg.71000770.eng.abstr-s2-t1",
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}
]
},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s2-t3",
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],
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106
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"id": "DerUnfallchirurg.71000770.eng.abstr-s2-t4",
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}
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s3-t2",
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"sports"
],
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301,
307
]
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}
]
},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"pain"
],
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344,
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"id": "DerUnfallchirurg.71000770.eng.abstr-s5-t2",
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"shoulder"
],
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413,
421
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{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-t3",
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"id": "DerUnfallchirurg.71000770.eng.abstr-s5-t4",
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"shoulder joint"
],
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413,
427
]
],
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{
"db_name": "UMLS",
"db_id": "C0037009"
}
]
}
] |
[] |
[] |
[
{
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"type": "associated_with",
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{
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s3-r1-t2.2-t1.2",
"type": "uses",
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r1-t2.1-t3.1",
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r3-t4.1-t1.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r4-t4.1-t2.1",
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{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r5-t3.1-t1.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r6-t3.1-t2.1",
"type": "adjacent_to",
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},
{
"id": "DerUnfallchirurg.71000770.eng.abstr-s5-r7-t2.1-t1.1",
"type": "location_of",
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"normalized": []
}
] |
DerUnfallchirurg.71000782.eng.abstr
|
DerUnfallchirurg.71000782.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000782.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We assessed the interindividual diagnostic variance of 39 experienced arthroscopists by the Kappa Cohen interobserver variation analysis using videotapes of eight different patients with different diagnoses . Arthroscopically normal findings showed a relatively acceptable interobserver correlation . Pathological changes , in contrast , often showed very little correlation , especially in the synovial membrane of the suprapatellar recess , in the cartilage of the femoropatellar groove and the posterior cruciate ligament . In patellar alignment there was also great interobserver variation . Clinical relevance : When comparing arthroscopic findings with other imaging techniques the above results should be taken into account . Furthermore , these results will affect the significance of medical expertise based only on pictures . In addition , medical cost billing , which is based on arthroscopic findings , has to take into account that a wrong diagnosis is possible and therefore charges will be wrong ."
],
"offsets": [
[
0,
1012
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"diagnostic"
],
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[
32,
42
]
],
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"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"variation"
],
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[
118,
127
]
],
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{
"db_name": "UMLS",
"db_id": "C0042333"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"analysis"
],
"offsets": [
[
128,
136
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002778"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"videotapes"
],
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[
143,
153
]
],
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"db_name": "UMLS",
"db_id": "C0042655"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"patients"
],
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[
173,
181
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"diagnoses"
],
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[
197,
206
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],
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"db_name": "UMLS",
"db_id": "C0011900"
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"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"interobserver variation"
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104,
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s2-t1",
"type": "umlsterm",
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233,
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"db_id": "C0243095"
}
]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s3-t1",
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]
},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s7-t4",
"type": "umlsterm",
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007961"
}
]
}
] |
[] |
[] |
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},
{
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},
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},
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},
{
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-r6-t3.1-t6.1",
"type": "conceptual_part_of",
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},
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"id": "DerUnfallchirurg.71000782.eng.abstr-s1-r7-t6.1-t4.1",
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},
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-r9-t6.1-t3.1",
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-r10-t3.1-t1.1",
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},
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{
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s1-r13-t6.1-t7.1",
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},
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},
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},
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},
{
"id": "DerUnfallchirurg.71000782.eng.abstr-s3-r7-t3.1-t7.1",
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"id": "DerUnfallchirurg.71000782.eng.abstr-s3-r8-t1.1-t5.1",
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},
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"id": "DerUnfallchirurg.71000782.eng.abstr-s3-r16-t1.1-t5.2",
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},
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}
] |
DerUnfallchirurg.71000787.eng.abstr
|
DerUnfallchirurg.71000787.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000787.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this retrospective study , 13 patients with subtle Lisfranc joint injuries were examined after a mean period of 23 months using clinical assessment , radiography and dynamic pedographic gait analysis . The aims were to identify the factors leading to a mobile flatfoot deformity , evaluate the functional and clinical outcome of these injuries , and draw practical conclusions for initial management and subsequent intervention . All patients showed a mobile flatfoot deformity , increased motion in the subtalar joint , increased load on the hindfoot , decreased load on the forefoot , and a prolonged contact phase during the stance phase . Radiographs revealed progressive osteoarthrosis in the joint and a residual displacement of the medial Lisfranc joint . An unstable medial Lisfranc joint results in the development of a mobile flatfoot . Initial treatment of a subtly displaced Lisfranc joint should consist of exact anatomical reduction and additional maintenance of the longitudinal arch of the foot . After failed initial treatment , early arthrodesis of the midfoot is recommended as a salvage procedure for the foot ."
],
"offsets": [
[
0,
1134
]
]
}
] |
[
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"retrospective"
],
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[
8,
21
]
],
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{
"db_name": "UMLS",
"db_id": "C0035363"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
33,
41
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"joint"
],
"offsets": [
[
63,
68
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"injuries"
],
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[
69,
77
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"period"
],
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[
105,
111
]
],
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{
"db_name": "UMLS",
"db_id": "C0025344"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"assessment"
],
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[
140,
150
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0028708"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"radiography"
],
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[
153,
164
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034571"
},
{
"db_name": "UMLS",
"db_id": "C0043299"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"gait"
],
"offsets": [
[
189,
193
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016928"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"analysis"
],
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[
194,
202
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002778"
}
]
},
{
"id": "DerUnfallchirurg.71000787.eng.abstr-s1-t10",
"type": "umlsterm",
"text": [
"retrospective study"
],
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[
8,
27
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0035363"
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]
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] |
DerUnfallchirurg.71000792.eng.abstr
|
DerUnfallchirurg.71000792.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000792.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Skin and soft tissue necrosis of the heel are the main problems following open reposition and fixation of calcaneal fractures . In order to demonstrate how the classic approaches harm the supplying vessels , the classic medial , lateral , enlarged lateral and bilateral approaches have been simulated in ten lower limbs prepared by arterial latex injection . Bases on anatomic literature and on these findings , we have proposed two modified approaches that minimize damage to the vessels of the adjacent soft tissues yet allow exact reposition of the fractures ."
],
"offsets": [
[
0,
563
]
]
}
] |
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{
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{
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21,
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{
"id": "DerUnfallchirurg.71000792.eng.abstr-s1-t4",
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{
"id": "DerUnfallchirurg.71000792.eng.abstr-s2-t1",
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"id": "DerUnfallchirurg.71000792.eng.abstr-s2-t3",
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},
{
"id": "DerUnfallchirurg.71000792.eng.abstr-s2-t4",
"type": "umlsterm",
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"latex"
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{
"id": "DerUnfallchirurg.71000792.eng.abstr-s2-t5",
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},
{
"id": "DerUnfallchirurg.71000792.eng.abstr-s2-t6",
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},
{
"id": "DerUnfallchirurg.71000792.eng.abstr-s3-t5",
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"id": "DerUnfallchirurg.71000792.eng.abstr-s3-t7",
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{
"db_name": "UMLS",
"db_id": "C0016658"
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]
}
] |
[] |
[] |
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"id": "DerUnfallchirurg.71000792.eng.abstr-s3-r15-t6.1-t4.2",
"type": "disrupts",
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}
] |
DerUnfallchirurg.71000805.eng.abstr
|
DerUnfallchirurg.71000805.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000805.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Membrane-fixed CD14 acts as a receptor for the protein-bound endotoxin ( LPS ) complex and mediates the cellular effects of endotoxin . Soluble CD14 ( sCD14) is suggested to neutralize circulating LPS , i . e . , acting as an endotoxin antagonist . The aim of this study was to elucidate the release of both sCD14 and endotoxin in traumatized patients , starting from the earliest phase after trauma . A total of 15 patients ( ISS = 19 , 9-75 ) suffering major trauma were enrolled in this prospective study . Blood samples were collected as early as immediately at the site of accident , on hospital admission , and thereafter hourly , then daily . For patients ( ISS = 47 ) died within 24 h because of their severe injuries . Immediately after the accident as well as during the first 2 h after hospital admission , the mean sCD14 levels of surviving patients did not differ from those of healthy volunteers ( n = 53 ) . Thereafter , however , sCD14 increased continuously in the trauma group . The concentrations remained elevated throughout the entire observation period . There was , however , no relation between the sCD14 release and the pattern or the severity of injury . In contrast , endotoxin levels revealed a pattern-specific release . The highest plasma concentrations of LPS were observed in patients suffering from ( additional ) thoracic injury . On the basis of these results we conclude that the release of sCD14 after trauma does not reflect a strict principle such as action/reaction caused by the appearance of endotoxin immediately after the injury . Soluble CD14 is more likely release by an endotoxin-independent mechanism ."
],
"offsets": [
[
0,
1650
]
]
}
] |
[
{
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],
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0,
14
]
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"db_id": "C0025255"
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},
{
"id": "DerUnfallchirurg.71000805.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"CD14"
],
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[
15,
19
]
],
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"db_name": "UMLS",
"db_id": "C0108768"
}
]
},
{
"id": "DerUnfallchirurg.71000805.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"protein-bound"
],
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[
47,
60
]
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"db_id": "C0033684"
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{
"id": "DerUnfallchirurg.71000805.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"endotoxin"
],
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61,
70
]
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}
]
},
{
"id": "DerUnfallchirurg.71000805.eng.abstr-s1-t5",
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"text": [
"LPS"
],
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73,
76
]
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}
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"id": "DerUnfallchirurg.71000805.eng.abstr-s2-t1",
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"CD14"
],
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148
]
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{
"id": "DerUnfallchirurg.71000805.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"LPS"
],
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197,
200
]
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}
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"id": "DerUnfallchirurg.71000805.eng.abstr-s4-t1",
"type": "umlsterm",
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"endotoxin"
],
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]
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}
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"id": "DerUnfallchirurg.71000805.eng.abstr-s4-t2",
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"text": [
"antagonist"
],
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236,
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]
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}
]
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"aim"
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]
],
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},
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"id": "DerUnfallchirurg.71000805.eng.abstr-s5-t2",
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"text": [
"release"
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]
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},
{
"id": "DerUnfallchirurg.71000805.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"endotoxin"
],
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318,
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]
],
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}
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"id": "DerUnfallchirurg.71000805.eng.abstr-s5-t4",
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{
"id": "DerUnfallchirurg.71000805.eng.abstr-s5-t5",
"type": "umlsterm",
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],
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},
{
"id": "DerUnfallchirurg.71000805.eng.abstr-s6-t2",
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],
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]
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{
"id": "DerUnfallchirurg.71000805.eng.abstr-s6-t3",
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"id": "DerUnfallchirurg.71000805.eng.abstr-s7-t2",
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[] |
[] |
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DerUnfallchirurg.71000811.eng.abstr
|
DerUnfallchirurg.71000811.eng.abstr
|
[
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"id": "DerUnfallchirurg.71000811.eng.abstr-passage-0",
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"text": [
"Quality management in early clinical care of patients with multiple injuries ( description of actual process , identification of problems , implementation of quality improvement ) is not possible without sufficient baseline data about the present situation of medical treatment . This study investigates whether the current documentation of treatment in the emergency room is appropriate to judge upon the quality of the process and to detect problems . In addition , a set of baseline data is presented . The performance in the treatment of 126 multiple injured patients was prospectively recorded from 1988 to 1993 and compared with an idealized process based upon an algorithm . The quality of present data recording was analysed , and criteria for judgement of quality of care were assessed . The algorithm was devided into 117 possible steps ( one step consisting of a single decision criterion , the decision and the corresponding procedure ) . Per patient , only 61 % +/- 12 % of these steps were sufficiently documented to allow judgement . Using several criteria for assessment , the following baseline data could be observed ( times shown refer to admission to the trauma room ) : ( 1 ) trauma room time of 129 +/- 55 min ; ( 2 ) completition of basic radiological and sonographic diagnostics in 91 % of patients ; ( 3 ) first blood collection after 17 +/- 11 min ; ( 4 ) cranial computerised tomography after 55 +/- 20 min ; ( 5 ) missed injuries during the trauma room period in 32 % of patients ; ( 6 ) intubation after 20 +/- 19 min ; ( 7 ) insertion of a chest tube after 30 +/- 17 min ; ( 8 ) first blood transfusion in shock after 32 +/- 17 min ; ( 9 ) transfused blood within the first hour of 4.2 +/- 2.8 units and within the second hour of 8.5 +/- 4.7 units ; ( 10 ) emergency operations in shock after 98 +/- 55 min ; ( 11 ) early operations after 156 +/- 69 min ; ( 12 ) craniotomy after 124 +/- 37 min ; ( 13 ) unplanned surgery within 24 hours after admission to the intensive care unit in 11 % of patients . The study presented here supplies information on timing and other process data of the acute clinical care of seriously injured patients . In particular , the data represent indicators for the quality of emergency room management , which may be used as a baseline to compose improvement measures of structure and process . The quality of data collection has to be improved for carrying out an exact analysis of the process ."
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}
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] |
DerUnfallchirurg.71000839.eng.abstr
|
DerUnfallchirurg.71000839.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000839.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 37-year-old woman had intensive care for 105 days and artificial ventilation for 72 days because of a lung transplantation and multiple postoperative complications . She developed severe heterotopic ossification of both shoulders , the right elbow and both hip joints . Owing to complete joint stiffness , she was immobilized and unable to eat or drink without help . Operative treatment was performed in two procedures . The right shoulder and right elbow were operated on first ; the right hip and later the left hip were operated on after recovery from the previous surgical procedures . After 22 months , there was a good functional result ; the patient took part in all activities of daily life and was pain-free . The present knowledge on heterotopic ossifications is summarized , as well as possible prophylactic measurements ."
],
"offsets": [
[
0,
836
]
]
}
] |
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DerUnfallchirurg.71000845.eng.abstr
|
DerUnfallchirurg.71000845.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000845.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since the late 1980s , experiments have been performed to influence physiologic and disturbed healing of bone . However , the mainly negative results of animal studies , cannot be applied to the human nonunion situation as long as there is no adequate animal pseudarthrosis model . Prospective clinical studies in various centres have resulted in success rates of more than 50 % , although the majority of patients had been treated repeatedly and ineffectively with the gold standard of re-osteosynthesis and grafting . Since the mechanisms are not yet understood , only such desperate conditions are an indication for the application of high-energy extracorporal shock waves ."
],
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677
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]
}
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] |
[] |
[] |
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},
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},
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"id": "DerUnfallchirurg.71000845.eng.abstr-s3-r3-t3.2-t5.1",
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DerUnfallchirurg.71000852.eng.abstr
|
DerUnfallchirurg.71000852.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000852.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The treatment of severely injured patients is a challenge for preclinical and clinical treatment concepts , causing financial aspects of increasing importance for the German health care system . A total of 32,500 polytraumatized patients ( PTS III and IV ) are managed in trauma center levels I-IV in Germany . Trauma center levels I or II are by definition capable of supporting the full range of treatment for the severely injured . With the baseline calculation of 64,000 DM per patient and 104 polytrauma treated per year in the Berlin Virchow Clinic , 6.66 million DM primary costs must be spent for treatment . The total annual costs of this center are nearly 24 million DM for emergency cases and 7 million DM fixed costs per year , for a trauma center level I. In Europe the distribution of trauma center levels I or II is sufficient and can be specified with 1 center per 1 million inhabitants . Nevertheless , the european air medical service could support more intensive use of these central trauma institutions . This was shown by comparing the number of polytrauma patients and the number of trauma centers . Less then half of these patients are treated in levels I or II trauma centers . The financial pressure on the health system and the rising quality must lead to better utilization of trauma centers . To meet this goal a annual treatment rate of 300-400 polytrauma patients should be aimed at . The claim of the American College of Surgeons that a trauma surgeon should treat 50 severely injured patients per year would then be possible ."
],
"offsets": [
[
0,
1558
]
]
}
] |
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] |
[] |
[] |
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DerUnfallchirurg.71000859.eng.abstr
|
DerUnfallchirurg.71000859.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000859.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To enhance the quality of treatment of patients with multiple injuries ( blunt trauma ) , guidelines for the acute clinical management ( trauma-algorithm ) were implemented at our clinic in 1994. The impact of these guidelines was analysed , comparing two prospectively recorded collectives of polytraumatized patients 4/1988-12/1993 ( A ; n = 126 ) and 1/1994-6/1996 ( B ; n = 74 ) . Nine specifically defined parameters were used to assess the therapeutic process of early clinical trauma management . All parameters showed an improvement after implementation of the algorithm ( group B ) : ( 1 ) Complete radiological and sonographic basic diagnostics in 97 % vs. 92 % of patients ; ( 2 ) time interval of 38 min vs. 55 min until cranial CT was done after severe head injury ( GCS 10 ) ; ( 3 ) reduction of delayed diagnosis of lesions to 5 % vs. 24 % ; ( 4 ) duration of 16 min vs. 20 min until intubation ; ( 5 ) period of 23 min to 30 min to pleural drainage ; ( 6 ) duration of 18 min vs. 32 min until transfusion in shock ; ( 7 ) period of 79 min vs. 98 min until emergency operation in shock ; ( 8 ) duration of 95 min vs. 124 min until trepanation , and ( 9 ) operation rate within 24 h after admission to ICU in 3 % vs. 12 % . The lethality rates of each collective were assessed after subdivision in three groups ( I-III ) with middle ( ISS : 18-24 ) , high ( ISS : 25-49 ) and extreme ( ISS : 50-75 ) injury severity . In all groups of both collectives ISS values , age , initial loss of consciousness ( GCS ) and shock were comparable ( except the higher injury severity of collective B in group I ) . In all groups a reduction of lethality could be shown for collective B : Group I , 0 % vs. 20 % ( P 0.05 ) ; group II , 8 % vs. 24 % ( P 0.05 ) ; and group III , 40 % vs. 71 % , not significant because of the small group in B ( n = 5 ) . The implementation of therapeutic management guidelines led to an improvement of both treatment processes and outcome . In order to regularly reassess validity and practicability of such guidelines as well as further enhance therapeutic quality , a continuous evaluation programme representing a quality management system should be inaugurated ."
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] |
DerUnfallchirurg.71000874.eng.abstr
|
DerUnfallchirurg.71000874.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000874.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Mechanical irritations of the supraspinatus tendon due to a reduction of the subacromial space are considered to be a potential cause of supraspinatus outlet syndrome . The aim of the current study was , therefore , to provide a method of improved measurement of the acromiohumeral distance and the evaluation of the acromial shape . In seven patients aged 50-60 years with unilateral supraspinatus outlet syndrome , imaging with standardized , high-resolution computed tomography ( CT ) was performed in order to demonstrate the acromion and the subacromial space three-dimensionally . The acromiohumeral distance was measured in three reconstructed frontal sections , and the two sides of each patient were directly compared . The acromial shape was compared with the classification of Bigliani as derived from conventional radiography ."
],
"offsets": [
[
0,
839
]
]
}
] |
[
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],
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[
44,
50
]
],
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"db_id": "C0039508"
}
]
},
{
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],
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128,
133
]
],
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}
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},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s1-t3",
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"syndrome"
],
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158,
166
]
],
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{
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"db_id": "C0039082"
}
]
},
{
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[
173,
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]
],
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},
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]
],
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},
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"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"measurement"
],
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[
248,
259
]
],
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"db_name": "UMLS",
"db_id": "C0242485"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
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290
]
],
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"db_id": "C0012751"
}
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},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s2-t5",
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299,
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]
],
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"db_name": "UMLS",
"db_id": "C0220825"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
343,
351
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"syndrome"
],
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[
406,
414
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"imaging"
],
"offsets": [
[
417,
424
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011923"
}
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},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"tomography"
],
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470,
480
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040395"
}
]
},
{
"id": "DerUnfallchirurg.71000874.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"acromion"
],
"offsets": [
[
530,
538
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001209"
}
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},
{
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[] |
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DerUnfallchirurg.71000880.eng.abstr
|
DerUnfallchirurg.71000880.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000880.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Dorsal fusion with the internal fixator has become the standard treatment of instabilities and deformities of the thoracolumbar spine . With our new device , the modular spine fixator ( MSF ) , which has been specially designed for short-distance instrumentations , we have increasingly been treating unstable injuries of the thoracolumbar spine by one-level stabilization . Prerequisite is an accurate evaluation of the indication , including CT and MRI to assess the involvement of the intervertebral disc and the ligamental structures . The operative technique differs in some details from the procedure in moremulti-level instrumentations , especially concerning the application of the pedicle screws . The instrumentation is always combined with posterior allogenic bone grafting . Since the beginning of 1993 we also perform anterior autogenic transpedicular bone grafting . Between Januar 1991 and July 1995 , 57 one-level stabilizations with the MSF were performed . Of the 57 patients operated on 39 , 27 men and 12 women , with an average age of 41 years , have had a clinical and radiographic follow-up examination so far , on average , 27 months after the accident . Seventeen patients were completely free of pain and 17 patients ( were only ) sensivite to weather changes or had minor pain during great physical stress . Five patients had pain even during slight physical stress or at rest . The preoperatively measured Cobb angle was 15.1 ° on average , after the operation 5.2 ° , and at the time of the follow-up examination amounted to 8.1 ° . The patients ' range of motion was normal . Only five minor complications have been seen . No implant fatigue failure has been noted in this series . We derive from these results that , for correct indications , one-level stabilization can be performed successfully and should be firmly established in the operative treatment of unstable fractures of the thoracolumbar spine ."
],
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[
0,
1938
]
]
}
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] |
DerUnfallchirurg.71000908.eng.abstr
|
DerUnfallchirurg.71000908.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000908.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The foramen ovale is anatomically open in 25 % of individuals , but functionally closed by the higher pressure in the left antrum . Right-to-left shunt and subsequent paradoxical embolism may occur when pressure in the left antrum rises , for example , as a result of pulmonary embolism . In the present case we demonstrate a patient who presented 20 days after osteosynthetic treatment of a femoral fracture with word-finding deficits . Cerebral MRT revealed a fresh ischemic insult . Duplex ultrasound of the legs showed a fresh thrombosis of the superficial femoral vein and scintigraphy of the lungs detected pulmonary embolism . Transesophageal contrast echocardiography trapped a hemodynamically spontaneous , open foramen ovale . Duplex ultrasound of the carotid arteries detected no pathological findings . Deep vein thrombosis and pulmonary embolism can be clinically unconspicuous and become manifest by cerebral deficits resulting from paradox embolism and cerebral ischemia ."
],
"offsets": [
[
0,
987
]
]
}
] |
[
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"id": "DerUnfallchirurg.71000908.eng.abstr-s1-t1",
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"open"
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34,
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]
],
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"db_id": "C0266061"
}
]
},
{
"id": "DerUnfallchirurg.71000908.eng.abstr-s1-t2",
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"text": [
"pressure"
],
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102,
110
]
],
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"db_id": "C0033095"
}
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},
{
"id": "DerUnfallchirurg.71000908.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"foramen ovale"
],
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[
4,
17
]
],
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"db_id": "C0016521"
}
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{
"id": "DerUnfallchirurg.71000908.eng.abstr-s2-t1",
"type": "umlsterm",
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],
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"pressure"
],
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]
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{
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],
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"db_id": "C0022116"
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"ultrasound"
],
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{
"id": "DerUnfallchirurg.71000908.eng.abstr-s5-t2",
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"id": "DerUnfallchirurg.71000908.eng.abstr-s5-t3",
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"id": "DerUnfallchirurg.71000908.eng.abstr-s5-t8",
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DerUnfallchirurg.71000924.eng.abstr
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DerUnfallchirurg.71000924.eng.abstr
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"The compartment syndrome ( cs ) is characterized by an increased tissue pressure in a limited space . Pathophysiologically , it is a multifactorial disease that is potentially induced by an initial trauma and develops according to the existence of cofactors . Cofactors are , for instance , the circulation of the patient and the initial treatment of the impending cs . In particular , the microcirculation is altered with endothelial destruction , development of a capillary leak , protein loss from intravasal space and the development of an interstitial and intracellular third space . An impaired drainage of the lymphatic and venous system causes a venous infarction . An arterial infarction results if the tissue pressure exceeds the arteriolar pressure . An accompanying ischemia reperfusion mechanism increases the trauma load . In disadvantageous cases , the patients are in danger of developing a multi-organ deficiency syndrome ( MODS ) by an uncontrolled inflammatory reaction , by intravasal volume loss and by a myonephropathic systemic reaction . Clinically , the patients suffer a disproportionate amount of pain , followed by neurological signs . Especially in noncompliant patients , tissue pressure measurement is useful . Resuscitation of the circulation as well as splitting of casts is important . In case of a manifest cs , dermatofasciotomy has to be performed as an emergency operation . Even if cs is diagnosed early and fasciotomy is carried out early , the development of sequellae cannot be avoided in every single case ."
],
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0,
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] |
[] |
[] |
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DerUnfallchirurg.71000938.eng.abstr
|
DerUnfallchirurg.71000938.eng.abstr
|
[
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"id": "DerUnfallchirurg.71000938.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of this study was to evaluate the results after open Bankart repair using suture anchors in patients with recurrent posttraumatic anterior shoulder instability . Some 32 patients were prospectively observed for a mean of 40 months ( 24-60 ) after stabilization . The mean age at the time of operation was 29.7 years . All patients were postoperatively immobilized in a sling for 3 weeks . According to the criteria of Rowe , 29 patients ( 90.6 % ) had good or excellent results . Two patients ( 6.3 % ) developed recurrent instability 6-24 months postoperatively ; 93.7 % were not or only slights limited in sports activities . Bankart repair is an excellent treatment for recurrent posttraumatic anterior shoulder instability . The use of suture anchors is an appropriate way of reattaching the capsuloligamentous complex to the glenoid to restore stability to an unstable joint ."
],
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0,
889
]
]
}
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[] |
[] |
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DerUnfallchirurg.71000943.eng.abstr
|
DerUnfallchirurg.71000943.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000943.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Despite advances in the field of orthopedic surgery , necrosis of the femoral head still remains a serious problem . Under normal conditions magnetic resonance tomography ( MRT ) is the gold standard for early diagnosis . Because of magnetic interference , this technique is not applicable in the diagnosis of posttraumatic necrosis with internal fixation , however . This seems to be an ideal indication for ossovenography : contrast medium is injected into the femoral head under X-ray control and the venous flow is documented . Furthermore , it is possible to get histological samples from suspicious areas . Ossovenography was performed in 12 patients and the results were compared with histological samples . In every patient in whom necrosis of the femoral head was diagnosed by ossovenography ( 91.6 % ) , we also found necrosis on histological examination . In one patient in whom physiological flow was found , there was a corresponding absence of necrosis in the histological sample . There were no complications during ossovenography . The results suggest that ossovenography is a promising and reliable method for early diagnosis of necrosis of the femoral head in the presence of internal fixation devices ."
],
"offsets": [
[
0,
1221
]
]
}
] |
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DerUnfallchirurg.71000949.eng.abstr
|
DerUnfallchirurg.71000949.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000949.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Primary medullary nailing of femoral fractures is burdened by the risk of central and pulmonary complications in patients with polytrauma , especially in conjunction with craniocerebral or thoracic trauma . This also applies to unreamed medullary nailing . Primary treatment with external fixation necessitates secondary surgery with an altered procedure , the timing of which is not predictable . Plate osteosynthesis with anatomical repositioning of the fragments and rigid fixation is a technically demanding procedure , but can lead to fragment necrosis due to fragment denudation . In a prospective study conducted from 1 September 1994 to 30 June 1996 on 17 polytraumatized patients ( average ISS : 30 points ) , simple femoral stem fractures ( A-1 to B-3 of the AO-classification ) were stabilized by elastic plate osteosynthesis using biological technique . While cautiously preserving the periosteal and muscle connections to the bone , a plate is inserted as a bridge without any interfragmentary compression . At least two to four holes are left free in the center of the plate . This allows micro-movements in the fracture gap without the risk of material fatigue . All of the fractures were immediately stabilized on the day of the accident ."
],
"offsets": [
[
0,
1255
]
]
}
] |
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[] |
[] |
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DerUnfallchirurg.71000957.eng.abstr
|
DerUnfallchirurg.71000957.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000957.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Tibial plateau fractures with depression of posterior aspects of the proximal tibia cause significant therapeutic problems . Posterior fractures on the medial side are mainly highly instable fracture-dislocations ( Moore type I ) . Posterolateral fractures usually cause massive depression and destruction of the chondral surface . Surgical exposure of these fractures from anterior requires major soft tissue dissection and has a significant complication rate . However , incomplete restoration of the joint surface results in chronic postero-inferior joint subluxation , osteoarthritis and pain . We present new specific approaches for posterior fracture types avoiding large skin incisions , but allowing for atraumatic exposure , reduction and fixation . Posteromedial fracture-dislocations are exposed by a direct posteromedial skin incision and a deep incision between medial collateral ligament and posterior oblique ligament . The posteromedial pillar and the posterior flare of the proximal tibia are visualized . The inferior extent of the joint fragment can be reduced by indirect techniques or direct manipulation of the fragment . Fixation is acheived with subchondral lag screws and an anti-glide plate at the tip of the fragment . Posterolateral fractures are exposed by a transfibular approach : the skin is incised laterally , the peroneal nerve is dissected free . The fibula neck is osteotomized , the tibiofibular syndesmosis is divided and the fibula neck is reflected upwards in one layer with the meniscotibial ligament and the iliotibial tract attachment . Reflexion of the fibula head relaxes the lateral collateral ligament , allows for lateral joint opening and internal rotation of the tibia and thus exposes the posterolateral and posterior aspect of the tibial plateau . Fixation and buttressing on the posterolateral side can be acheived easily with this approach . In closure , the fibula head is fixed back with a lag screw or a tension-band system . These two exposures can be combined in bicondylar posterior fracture situations . 168 cases with tibial plateau fractures had ORIF in the authors ' institution from 1988 to 1994. 26 of these patients had a total of 29 posterior exposures to treat their fractures ( 9 posteromedial , 12 posterolateral , 3 combined posteromedial/posterolateral and 2 posterior/anterior exposures ) . No specific complications occurred related to these exposures , i . e . no skin slough , no infection , no nerve palsy . The mean duration of follow-up was 4 years . Twenty-one cases healed uneventfully : 12 were excellent in Rasmussen's clinical score , 8 were good and 1 was fair . Seven patients were excellent in the radiological score , 13 good and 1 fair . Five of the 26 cases had revision surgery : 3 patients developed valgus or retrocurvatum deformity and were successfully treated by an osteotomy . They obtained a good result at follow-up . Two fractures in elderly patients were revised to an endoprosthesis ."
],
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}
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] |
[] |
[] |
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DerUnfallchirurg.71000984.eng.abstr
|
DerUnfallchirurg.71000984.eng.abstr
|
[
{
"id": "DerUnfallchirurg.71000984.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 26-year-old man sustained a C2 arc fracture . Ventral spondylodesis using an H-plate was performed . The patient developed a pharyngovertebral fistula which remained undetected for 1 year . Spontaneous fusion of C3/C4 and osteolysis of the cortical block occurred . The fistula was demonstrated intraoperatively and the implant was transorally removed . No further problems occurred after this unusual method of treatment . The anatomy of the cervical spine , special problems of intensive care patients and the use of proper instrumentation are discussed ."
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0,
559
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]
}
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[] |
[] |
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DerUnfallchirurg.81010002.eng.abstr
|
DerUnfallchirurg.81010002.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010002.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Some 13 % of fractures in children are in the foot . Of these fractures , 50 % involve the metatarsals and the phalanges . These are treated conservatively and do not cause therapeutic problems in general . In contrast , fractures and dislocations of the midfoot and hindfoot occur very rarely , so profound therapeutic expertise is lacking . The present paper takes stock and provides a critical assessment of the therapeutic concepts presented hitherto and new approaches to different problematic fractures . The long-term results of the literature and our own follow-up of dislocated intraarticular talus and calcaneus fractures which were not reduced anatomically has shown important problems in terms of pain , limited range of motion and malalignment in adolescence . In contrast to the findings in adults , no arthrosis was apparent in the radiological examinations . The findings were similar in mishealed Chopart dislocation and Lisfranc dislocation . The treatment of complex foot trauma is a multidisciplinary team approach . These challenging injuries should be treated only in centers where vascular and plastic surgeons are constantly available . The precise scientific assessment of foot fractures in children is confronted with the problem that so far too few cases have been evaluated . Rare problematic fractures ( i . e . talus , calcaneus ) require scientific work-up to establish a \" gold standard \" for operative and conservative treatment . This can only be accomplished in a multicenter study ."
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0,
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DerUnfallchirurg.81010012.eng.abstr
|
DerUnfallchirurg.81010012.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010012.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Humeral shaft fractures can be treated either conservatively or operatively . Plating of the humerus is the established operative method , but recently interest has also been focussed on intramedullary nailing . Fifty-nine cases of humeral fractures treated with intramedullary nailing ( Seidel/Marchetti-Vicenzi/Prévot ) from January 1991 to December 1995 ( 44 fractures after trauma , 11 pathological fractures , 3 pseudarthroses , 1 re-fracture ) . Closed reduction in 55/59 cases . One infection ( soft tissue ) ; 2/48 pseudarthrosis ( indication for nailing : pseudarthrosis ! ) . No iatrogenic palsy of the radial nerve . Functional postoperative treatment in all 44 cases of humeral fractures after adequate trauma . One poor functional result : periarticular ossification after retrograde nailing , possibly connected with long-term respiratory treatment after trauma . Treatment of humeral shaft fractures by intramedullary nailing is favoured in our clinic ( low complication rates , excellent or good functional results , limited approaches , small scars ) . Proximal fractures should be treated by the Seidel nail ( stable interlocking of the proximal fragment ) ; very distal fractures need Prévot nailing ( reaming of condylar canals ) . All other fractures of the humeral shaft can be treated by each of the implants used in our clinic . Pathological fractures are an excellent indication for intramedullary stabilization . These patients benefit from stable fixation without intense surgical trauma . Pseudarthrosis , according to our limited experience , seems to require plating plus bone grafting . Plating is also recommended if revision of the radial nerve becomes necessary ."
],
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0,
1697
]
]
}
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DerUnfallchirurg.81010018.eng.abstr
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DerUnfallchirurg.81010018.eng.abstr
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"For the stabilization of the ruptured pubic symphysis , rigid forms of fixation such as plate osteosynthesis and flexible fixations such as wire loops or PDS banding have been recommended . All methods have only been tested by static unidirectional loading until failure of the system . By this experimental arrangement Ecke and Hofmann found comparable results for flexible and rigid methods of internal stabilization of the pubic symphysis . They preferred flexible methods to maintain mobility of the symphysis and to prevent symphyseal fusion . We tested dynamic compression plate osteosynthesis , reconstruction plate osteosynthesis , wire loops and PDS banding for internal fixation of injured pubic symphysis in a dynamic multidirectional experimental arrangement simulating gait conditions . The specimens were loaded with 85 N in vertical ( y - ) direction and 34 N in sagittal ( z - ) direction , which represent 50 % of the forces acting at the pubic symphysis during walking and with a frequency of 1.5 Hz over 55 500 loads simulating the conditions over a 6-week mobilization period . Loading with 100 % of the acting forces ( corresponding to full weight bearing mobilization ) led to early failure of the system . Our experimental analysis showed that neither wire loops nor PDS banding is able to stabilize the ruptured pubic symphysis , even immediately after fixation before loading . During the tests instability increased until failure of the system due to cutting of the bone or breaking of the wires or PDS banding . Success of plate osteosynthesis was dependent on the initial stability of the fixation . Overwinding of the screws , as in osteoporotic bone , lead to increasing loosening during repeated loading , whereas primary stable fixation of the screws was almost completely maintained during the test . In consequence , neither wire loops nor PDS banding should be used for stabilization of injured pubic symphysis if early mobilization with partial weight bearing is desired . Plate osteosynthesis ( DC or reconstruction plate ) tolerates early half weight bearing in patients with \" open-book \" injury only if safe screw fixation is guaranteed ."
],
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DerUnfallchirurg.81010026.eng.abstr
|
DerUnfallchirurg.81010026.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010026.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the present study we evaluated proprioceptive capabilities of the knee joint with a balance test and correlated these findings to parameters which document mechanical stability . We compared 8 conservatively treated and 12 surgically treated patients with ACL-deficient knee joints with a control group of 12 subjects . The balance test was performed with a Kistler force plate . Both the conservatively treated and the surgically treated patients showed significantly higher deviations of their centre of gravity than the control group . This was true not only for the injured leg but also for the noninjured contralateral leg . The differences were most remarkable when comparing the entire distance of centre of gravity deviations during 10 s. Additionally , the conservatively treated patients interrupted the test procedure significantly more frequently than the other two groups . We were not able to document any correlation between proprioceptive function and parameters for joint stability such as anterior drawer , Lachman , pivot shift and KT-1000 measurements ."
],
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[
0,
1076
]
]
}
] |
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] |
[] |
[] |
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] |
DerUnfallchirurg.81010032.eng.abstr
|
DerUnfallchirurg.81010032.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010032.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The diagnosis of occult fractures of the scaphoid bone is even more challenging than that of conventional fractures of the scaphoid . This study aimed to compare prospectively the gold standard method ( plain radiographs in four projections , after about 14 days ) and the primary findings with direct magnification radiography ( DIMA ) and magnetic resonance imaging ( MRI ) . Primary MRI showed much higher diagnostic power than plain radiography at 10-14 days in occult scaphoid fractures and in detection of associated carpal injuries . This may lead to a decreasing time of disease . DIMA was inferior in detecting occult fractures of the scaphoid ."
],
"offsets": [
[
0,
654
]
]
}
] |
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},
{
"id": "DerUnfallchirurg.81010032.eng.abstr-s1-t2",
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{
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s1-t4",
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s1-t6",
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s1-t7",
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s1-t8",
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"id": "DerUnfallchirurg.81010032.eng.abstr-s2-t1",
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s2-t2",
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"id": "DerUnfallchirurg.81010032.eng.abstr-s2-t3",
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s2-t4",
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"radiographs"
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{
"id": "DerUnfallchirurg.81010032.eng.abstr-s2-t5",
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DerUnfallchirurg.81010037.eng.abstr
|
DerUnfallchirurg.81010037.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010037.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Bone fracture , soft-tissue trauma and hemorrhagic shock are frequent complications in trauma patients , and these patients are known to be immunocompromised . Nonetheless , it is difficult to differentiate the effect of soft-tissue trauma plus hemorrhage from that of bone fracture and hemorrhage on host immune function in the clinical setting . To determine this experimentally , closed bone fracture ( right lower leg ) and/or soft-tissue trauma ( 2.5 cm midline laparotomy ) were induced prior to hemorrhagic shock ( mean arterial BP of 35 +/- 5 mm Hg for 90 min ) in male C3H/HeN mice . All animals were killed at 72 h after initiation of the experiment and the spleens were collected aseptically . More significant depression of splenocyte IL-2 and IL-3 release occurred with the combined insult than after bony injury or tissue trauma alone with hemorrhage . The present study suggests that different traumatic insults , i . e . bone fracture as well as soft-tissue trauma in conjunction with hemorrhagic shock , produce comparable depression of host immune function . Moreover , combination of closed bone fracture and soft-tissue trauma prior to hemorrhagic shock leads to even more compromised immunity . This indicates that different mechanisms of immune depression may be involved following soft-tissue trauma or bony injury coupled with hemorrhage . The markedly depressed immune function following bony injury , soft-tissue trauma and hemorrhagic shock may contribute to the increased susceptibility of severely injured patients to sepsis and the ensuing multiple organ failure in the clinical situation ."
],
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0,
1620
]
]
}
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DerUnfallchirurg.81010042.eng.abstr
|
DerUnfallchirurg.81010042.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010042.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From March 1994 to March 1996 , 287 patients , presenting with lower extremity injuries , who required immobilizing bandages or casts , where included in a prospective , randomized study . These patients received either low-molecular heparin or acetylsalicylic acid for thrombosis prophylaxis . In all patients a clinical examination and a colour-coded duplex sonography were performed after removal of the cast for detection of lower extremity venous thrombosis . A plebography was performed when thrombosis was suspected . A subcutaneous injection of clivarin 1750 was given once daily in 143 patients . Thrombosis prophylaxis with Aspirin 2 x 500 mg administered orally was performed in 144 patients . Deep vein thrombosis occurred in 9 patients ( 6.3 % ) with clivarin prophylaxis and in 7 patients ( 4.8 % ) treated with Aspirin . In both groups , no clinically significant side effects of the medications were observed ."
],
"offsets": [
[
0,
926
]
]
}
] |
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}
] |
DerUnfallchirurg.81010066.eng.abstr
|
DerUnfallchirurg.81010066.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010066.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Neurological complications in clavicle fractures are rare . As a primary lesion , it is caused by the trauma itself . More often however , the neurological symptoms develop later by large callus formation that encroach on the costoclavicular space . A case report is presented of delayed injury to the brachial plexus due to clavicular fracture with non-union and callus formation ."
],
"offsets": [
[
0,
382
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s1-t1",
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"complications"
],
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{
"id": "DerUnfallchirurg.81010066.eng.abstr-s1-t2",
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"clavicle"
],
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30,
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],
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{
"id": "DerUnfallchirurg.81010066.eng.abstr-s1-t3",
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],
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},
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s2-t1",
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102,
108
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}
]
},
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s3-t2",
"type": "umlsterm",
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"callus"
],
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188,
194
]
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"db_id": "C0376154"
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}
]
},
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{
"id": "DerUnfallchirurg.81010066.eng.abstr-s4-t2",
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},
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"callus"
],
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364,
370
]
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}
]
},
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s4-t4",
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},
{
"id": "DerUnfallchirurg.81010066.eng.abstr-s4-t5",
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302,
317
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],
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"db_id": "C0006090"
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]
}
] |
[] |
[] |
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},
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},
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},
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{
"id": "DerUnfallchirurg.81010066.eng.abstr-s4-r11-t3.1-t1.1",
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"arg2_id": "DerUnfallchirurg.81010066.eng.abstr-s4-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010092.eng.abstr
|
DerUnfallchirurg.81010092.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010092.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the care and further treatment of patients with hand injuries , a necessary requirement of the hand surgeon is that he be able to cope with the interlocking factors that are no longer influential , for example , the type and extent of the trauma or the age of the patient ; the influential factors are a thought-out care plan , atraumatic action with regard to optimal restoration of the hand . This also showed a retrospective analysis of results and post-examination from flexor tendon injuries in the hand of 298 patients , who were surgically cared for from 1984 to 1994 at the surgical clinic of the University of Jena . Of the 298 patients 119 patients with 198 flexor tendon injuries ( 165 fingers and 33 thumbs ) were followed up . For objective assessment of the treatment results , the assessment scheme Buck-Gramcko was used ."
],
"offsets": [
[
0,
840
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010092.eng.abstr-s1-t1",
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"care"
],
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7,
11
]
],
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},
{
"id": "DerUnfallchirurg.81010092.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"treatment"
],
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[
24,
33
]
],
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{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.81010092.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"patients"
],
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[
37,
45
]
],
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"db_id": "C0030705"
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] |
DerUnfallchirurg.81010100.eng.abstr
|
DerUnfallchirurg.81010100.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010100.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The etiology of os odontoideum is still controversial . In most patients , it is found by accident because of neurological symptoms and/or painful range of motion of the cervical spine . Upon recognition of the os odontoideum , it is unknown whether or not immediate surgery is beneficial . This is in contrast to an \" unstable \" os odontoideum , which could result in atlantoaxial instability or compression of the myelon . In this study , we present the results of our treatment of four patients with an unstable os odontoideum . In all four cases , a C1-2 fusion was performed ( 3 x Magerl/Seemann , 1 Gallie-Brooks ) . Postoperatively , we found a complete regression of neurological symptoms in three patients and one was significantly improved . The range of motion of the cervical spine was free of pain in all patients . As a result , we strongly support immediate surgical treatment of an unstable os odontoideum in order to prevent severe and life-threatening neurological complications ."
],
"offsets": [
[
0,
998
]
]
}
] |
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[] |
[] |
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DerUnfallchirurg.81010105.eng.abstr
|
DerUnfallchirurg.81010105.eng.abstr
|
[
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"id": "DerUnfallchirurg.81010105.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Previous studies in critically ill patients have shown the beneficial effects of early enteral nutrition supplemented with arginine , omega-3 fatty acids and nucleotides ( Impact ) on immunological response , infection rate and length of stay in hospital . No specific data exist for patients with severe multiple injury , who represent a high risk group for systemic inflammatory response syndrome ( SIRS ) , septic complications and multiple organ failure ( MOF ) . In this prospective , randomized , double-blind controlled clinical study on patients after severe trauma ( ISS ca. 40 ) the primary study endpoints were incidence of SIRS and MOF [ definitions according to Am Soc Crit Care Med ( 5 ) and Goris ( 23 ) , Sauaia ( 43 ) ] . Thirty-two patients enrolled in the study , and 29 were eligible for analysis : test ( Impact ) ( n = 16 ) , control ( n = 13 ) . Both groups were comparable according to age , body mass index and severity of trauma ( PTS-test : 38.8 +/- 12.5 , PTS-control : 40.8 +/- 15.5 , ISS-test : 39.6 +/- 11.4 , ISS-control : 40.5 +/- 9.2 ) . Patients were randomized to receive either Impact ( test ) or an isonitrogenous isocaloric diet ( control ) . Feeding was started on the 2nd day after trauma via endoscopically placed nasoduodenal or -jejunal feeding tubes . The experimental diet was safe and well tolerated . During the 1st week the enteral feeding amount was about 2000 ml without significant difference . Test-fed patients developed SIRS significantly less frequently between day 1 and day 28 ( 8 vs 13.3 ; P 0.05 ) and especially between day 8 and day 14 ( 3 vs 6.2 ; P 0.001 ) . In the control group the Goris score was significantly worse ( P 0.05 ) on days 3 , 4 , 6 , 7 , 10 , 11 , 16 and 17 and the Sauaia score on days 8 , 9 , 10 and 11 ( P 0.05 ; P 0.01 ) . Mortality rate did not significantly differ ( test 2/16 , control 4/13 ) , nor did length of ICU or hospital stay . With regard to the acute-phase response , C-reactive protein was significantly lower on day 4 in the test group ( test : 131 +/- 67 mg/l , control : 221 +/- 110 mg/l ) as was fibrinogen on day 12 ( 6.6 +/- 1.4 vs 7.5 +/- 1,4 g/l ) and day 14 ( 7.1 +/- 1.3 vs 7.8 +/- 0,8 g/l ) . No significant difference could be observed for CD4/CD8 ratio , CD45 isotope on activated T-cells and lymphocytic interleukin ( Il ) -2- receptor- and Il-6 level . However , HLA-DR antigen presentation on peripheral monocytes was significantly elevated on day 7 in the test group ( P 0.05 ) . According to the results , arginine , omega-3 fatty acids and nucleotides-enriched diet during early enteral feeding leads to reduction of SIRS after severe multiple injury . There is evidence for improvement of post-traumatic immunological response which helps to overcome the immunological depression after trauma ."
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[] |
[] |
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"arg2_id": "DerUnfallchirurg.81010105.eng.abstr-s16-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010105.eng.abstr-s17-r1-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t2",
"arg2_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010105.eng.abstr-s17-r2-t1.1-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t1",
"arg2_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010105.eng.abstr-s17-r3-t2.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t2",
"arg2_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010105.eng.abstr-s17-r4-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t1",
"arg2_id": "DerUnfallchirurg.81010105.eng.abstr-s17-t2",
"normalized": []
}
] |
DerUnfallchirurg.81010115.eng.abstr
|
DerUnfallchirurg.81010115.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010115.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Conservation of bone perfusion , protection of the soft tissue envelope and reduction of systemic stress by strengthening the host defence mechanism are general and essential aspects of a biological osteosynthesis . The minimal invasive operating techniques with the use of technical aids and tricks form the necessary presupposition for successful bone healing with a low complication rate . For an epiperiosteal , percutaneous plate osteosynthesis , the technique using a sliding tip and a manipulation handle is demonstrated ."
],
"offsets": [
[
0,
529
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
16,
20
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"perfusion"
],
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[
21,
30
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031001"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"tissue"
],
"offsets": [
[
56,
62
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040300"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"stress"
],
"offsets": [
[
98,
104
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038435"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"techniques"
],
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[
247,
257
]
],
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"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"use"
],
"offsets": [
[
267,
270
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042153"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"aids"
],
"offsets": [
[
284,
288
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021588"
},
{
"db_name": "UMLS",
"db_id": "C0001175"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
349,
353
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"complication"
],
"offsets": [
[
373,
385
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"epiperiosteal"
],
"offsets": [
[
400,
413
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0065061"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"plate"
],
"offsets": [
[
429,
434
]
],
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{
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"db_id": "C0005971"
}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"technique"
],
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456,
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]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"tip"
],
"offsets": [
[
482,
485
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0339897"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r1-t4.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r2-t1.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r3-t3.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r4-t1.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r5-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r6-t1.1-t3.1",
"type": "surrounds",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s1-r7-t3.1-t1.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r1-t4.1-t3.2",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r2-t3.2-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r3-t2.1-t1.1",
"type": "conceptual_part_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r4-t4.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r5-t5.1-t3.2",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r6-t1.1-t3.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r7-t1.1-t5.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r8-t3.2-t5.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r9-t4.1-t5.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s2-r10-t5.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s2-t5",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010115.eng.abstr-s3-r1-t3.1-t1.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010115.eng.abstr-s3-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010122.eng.abstr
|
DerUnfallchirurg.81010122.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010122.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A group of experienced riders who qualified for the German riding badge 9.5 years ago answered a questionnaire pertaining to injuries during jumping , dressage and cross-country riding , as well as handling the horse . During riding 69 % of the persons had had 187 injuries and while handling the horse 52 % had had 124 injuries . Fractures and contusions were the most-frequent injuries ; most riding injuries were located in the upper extremities and shoulder while handling mainly in the hands and feet . The number of injuries was comparable in jumping , dressage or cross-country riding . The time engaged in jumping was about one-third of the other types of riding , but the injuries were more severe . While handling the horse the number of injuries relative to the time spent during the activity were higher but less complicated . No change in safety precautions had been implemented by 67 % of the persons injured . The injury rate for equestrians is relatively low both in handling the horse and during riding . The frequent fractures and contusions may be reduced by following the required safety regulations ."
],
"offsets": [
[
0,
1121
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"questionnaire"
],
"offsets": [
[
97,
110
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034394"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
125,
133
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"horse"
],
"offsets": [
[
211,
216
]
],
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{
"db_name": "UMLS",
"db_id": "C0019944"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"persons"
],
"offsets": [
[
245,
252
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027361"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
265,
273
]
],
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{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"horse"
],
"offsets": [
[
297,
302
]
],
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{
"db_name": "UMLS",
"db_id": "C0019944"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
320,
328
]
],
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{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"Fractures"
],
"offsets": [
[
331,
340
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"contusions"
],
"offsets": [
[
345,
355
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009938"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"injuries"
],
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[
379,
387
]
],
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"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"injuries"
],
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[
402,
410
]
],
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"db_id": "C0175677"
},
{
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"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"extremities"
],
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[
437,
448
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"shoulder"
],
"offsets": [
[
453,
461
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037004"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t7",
"type": "umlsterm",
"text": [
"hands"
],
"offsets": [
[
491,
496
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018563"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t8",
"type": "umlsterm",
"text": [
"feet"
],
"offsets": [
[
501,
505
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016504"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-t9",
"type": "umlsterm",
"text": [
"upper extremities"
],
"offsets": [
[
431,
448
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003792"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
522,
530
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"time"
],
"offsets": [
[
598,
602
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"injuries"
],
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[
681,
689
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"horse"
],
"offsets": [
[
728,
733
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019944"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"injuries"
],
"offsets": [
[
748,
756
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s6-t3",
"type": "umlsterm",
"text": [
"relative"
],
"offsets": [
[
757,
765
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0080103"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s6-t4",
"type": "umlsterm",
"text": [
"time"
],
"offsets": [
[
773,
777
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"safety"
],
"offsets": [
[
852,
858
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036043"
}
]
},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s7-t2",
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907,
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{
"id": "DerUnfallchirurg.81010122.eng.abstr-s8-t1",
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"injury"
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{
"id": "DerUnfallchirurg.81010122.eng.abstr-s9-t4",
"type": "umlsterm",
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{
"db_name": "UMLS",
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}
]
}
] |
[] |
[] |
[
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},
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"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r6-t7.1-t1.1",
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},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r9-t7.1-t4.2",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r10-t7.1-t3.2",
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},
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"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r11-t7.1-t9.1",
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},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r12-t7.1-t4.1",
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},
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},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s3-r15-t7.1-t3.1",
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},
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"id": "DerUnfallchirurg.81010122.eng.abstr-s9-r1-t4.1-t2.1",
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},
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},
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},
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},
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"id": "DerUnfallchirurg.81010122.eng.abstr-s9-r10-t1.1-t2.1",
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},
{
"id": "DerUnfallchirurg.81010122.eng.abstr-s9-r11-t3.1-t1.1",
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}
] |
DerUnfallchirurg.81010129.eng.abstr
|
DerUnfallchirurg.81010129.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010129.eng.abstr-passage-0",
"type": "abstract",
"text": [
"With a prospective assessment of 140 emergency-room patients , we registered the conventional radiological examinations ( CR ) , ultrasound ( US ) and computer tomographies ( CT ) , including the duration of the examinations , transportation and diagnostic free time . Results : CR : 98.6 % ( average 8.5 radiographs per patient ) , US 78.6 % , CT 67.8 % . Duration : CR average 20.3 min ( range 1-80 min ) , US average 6.5 min ( range 2-15 min ) , CT average 16.9 min ( range 12-135 min ) . The entire time spent in the primary diagnostic work-up , including CT : average 79.4 min ( only CR and US average 49.1 min ) . Diagnostic free time , including CT : average 31.9 min , without CT average 19.2 min . Time for transportation and repositioning : average 14.5 min . When a CT is indicated , the radiological diagnostic work-up will increase as a result of waiting and transportation . The patient also suffers because of more repositioning procedures ."
],
"offsets": [
[
0,
956
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t1",
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"assessment"
],
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[
19,
29
]
],
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"db_id": "C0028708"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"emergency-room"
],
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[
37,
51
]
],
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{
"db_name": "UMLS",
"db_id": "C0013956"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"patients"
],
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[
52,
60
]
],
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{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"ultrasound"
],
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[
129,
139
]
],
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{
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"db_id": "C0220934"
},
{
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},
{
"db_name": "UMLS",
"db_id": "C0041621"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"computer"
],
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[
151,
159
]
],
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{
"db_name": "UMLS",
"db_id": "C0009622"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"tomographies"
],
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[
160,
172
]
],
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{
"db_name": "UMLS",
"db_id": "C0040395"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"transportation"
],
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[
227,
241
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040756"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"diagnostic"
],
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[
246,
256
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"time"
],
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[
262,
266
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"radiographs"
],
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[
305,
316
]
],
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{
"db_name": "UMLS",
"db_id": "C0043299"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"patient"
],
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[
321,
328
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"time"
],
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503,
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]
],
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"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"diagnostic"
],
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529,
539
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"Diagnostic"
],
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[
620,
630
]
],
"normalized": [
{
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"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"time"
],
"offsets": [
[
636,
640
]
],
"normalized": [
{
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"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"Time"
],
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[
707,
711
]
],
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{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"transportation"
],
"offsets": [
[
716,
730
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040756"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"diagnostic"
],
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[
812,
822
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"transportation"
],
"offsets": [
[
872,
886
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040756"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"patient"
],
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[
893,
900
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s8-t2",
"type": "umlsterm",
"text": [
"procedures"
],
"offsets": [
[
944,
954
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0184661"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-r1-t1.1-t8.1",
"type": "measures",
"arg1_id": "DerUnfallchirurg.81010129.eng.abstr-s8-t1",
"arg2_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-r2-t4.3-t2.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.81010129.eng.abstr-s8-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-r3-t6.1-t4.3",
"type": "measures",
"arg1_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-r4-t3.1-t1.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t3",
"arg2_id": "DerUnfallchirurg.81010129.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010129.eng.abstr-s1-r5-t7.1-t6.1",
"type": "method_of",
"arg1_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t7",
"arg2_id": "DerUnfallchirurg.81010129.eng.abstr-s1-t6",
"normalized": []
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DerUnfallchirurg.81010149.eng.abstr
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DerUnfallchirurg.81010149.eng.abstr
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"id": "DerUnfallchirurg.81010149.eng.abstr-passage-0",
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[] |
[] |
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DerUnfallchirurg.81010153.eng.abstr
|
DerUnfallchirurg.81010153.eng.abstr
|
[
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"id": "DerUnfallchirurg.81010153.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Because of poorly compartmentalized paraclavicular soft tissues , total extraperiostal claviculectomy in cases of malignoma with cortical destruction is always marginal . Due to different muscular compensation in the patients examined , literature disagrees on the biomechanical consequences of claviculectomy for the shoulder girdle ."
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}
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{
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[] |
[] |
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"type": "uses",
"arg1_id": "DerUnfallchirurg.81010153.eng.abstr-s2-t1",
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{
"id": "DerUnfallchirurg.81010153.eng.abstr-s2-r2-t1.1-t4.1",
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"arg2_id": "DerUnfallchirurg.81010153.eng.abstr-s2-t4",
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] |
DerUnfallchirurg.81010160.eng.abstr
|
DerUnfallchirurg.81010160.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010160.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Quality control in preclinical medical care has become a matter of concern in recent years . In order to evaluate the quality of treatment one has to set standards . Most of the current standards were defined by different preclinical care organisations and are also accepted in the unique emergency medical care protocol used in the Federal Republic of Germany . Considering these standards , we retrospectively analyzed the preclinical treatment of all multiple trauma patients admitted to our department between 1985 and 1996. The major issues of this analysis were the diagnoses , the indications for invasive measures and the performance ."
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] |
[] |
[] |
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] |
DerUnfallchirurg.81010193.eng.abstr
|
DerUnfallchirurg.81010193.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010193.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Non-unions in the proximity of the elbow are very rare and in most cases caused by mistakes in initial treatment . Reconstruction after pseudarthrosis of the elbow continues to pose a challenge for any surgeon . The aim of our study was to analyze the initial mistakes and to underline the most important aspects of reconstructive surgery . In a retrospective study over a defined period of 10 years ( 1/1985 to 12/1994 ) we were able to treat altogether 27 non-unions in the proximity of the elbow . These patients were transferred to our hospital at an average of 44 weeks after initial therapy elsewhere . The main symptoms were in 17 cases pain and in all other patients functional deficit . Reconstructive surgery was performed an average 54 weeks after the primary injury . In 24 out of 27 cases a re-osteosynthesis , in 12 an arthrolysis , in 7 a neurolysis and in 2 cases an arthroplasty was needed . The patient could return to work an average 18 weeks after the operation and 53 weeks after injury . The initial complaints were reduced in 24 of 27 cases , with a significant improvement in the ROM and functional outcome according to the Mayo Elbow Performance Index ."
],
"offsets": [
[
0,
1178
]
]
}
] |
[
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],
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35,
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]
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{
"id": "DerUnfallchirurg.81010193.eng.abstr-s1-t2",
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]
},
{
"id": "DerUnfallchirurg.81010193.eng.abstr-s2-t1",
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"text": [
"pseudarthrosis"
],
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136,
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"id": "DerUnfallchirurg.81010193.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.81010193.eng.abstr-s4-t2",
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{
"id": "DerUnfallchirurg.81010193.eng.abstr-s4-t3",
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"id": "DerUnfallchirurg.81010193.eng.abstr-s4-t4",
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},
{
"id": "DerUnfallchirurg.81010193.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"hospital"
],
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[] |
[] |
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DerUnfallchirurg.81010201.eng.abstr
|
DerUnfallchirurg.81010201.eng.abstr
|
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{
"id": "DerUnfallchirurg.81010201.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Open reduction with internal stabilization is considered to be the standard therapy for the treatment of displaced acetabular fractures . The internal fixation is routinely achieved by the use of plates and screws . The use of cerclage wires and cables as a reduction aid and definitive implant for stabilization has only occasionally been reported in the literature . The indication was mostly limited to use in elderly patients with insufficient bone stock . A newly instrument developed on the basis of a standard bone elevator is presented . It allows a safe , semiclosed application of a cerclage wire around the greater ischiatic notch through use of the second window of the ilioinguinal approach . A wide dissection at the \" outside \" of the pelvis is not necessary ."
],
"offsets": [
[
0,
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]
]
}
] |
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[] |
[] |
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DerUnfallchirurg.81010204.eng.abstr
|
DerUnfallchirurg.81010204.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010204.eng.abstr-passage-0",
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"The endoscopic single incision technique for ACL reconstruction with a femoral half-tunnel may lead to a graft/tunnel mismatch and subsequent protrusion of the block from the tibial tunnel . The typical tibial fixation with an interference screw is not possible in these cases . Fixation with staples in a bony groove inferior to the tunnel outlet can be used as an alternative technique . Current literature does not provide biomechanical data of both fixation techniques in a human model . This study was performed to evaluate primary biomechanical parameters of this technique compared to a standard interference screw fixation of the block . 55 fresh-frozen human cadaver knee joints of a younger age ( mean age : 44 years ) were used . Grafts were harvested from the patellar tendon midportion with bone blocks of 25 mm length and 9 mm width . A 10 mm tibial tunnel was drilled from the anteromedial cortex to the center of the tibial insertion of the ACL . 3 different sizes of interference screws ( 7 x 30 , 9 x 20 and 9 x 30 mm ) were chosen as a standard control procedure ( n = 40 ) . For tibial bone-block fixation the graft was placed through the tunnel , the screw was then inserted on the cancellous or the cortical surface respectively . 15 knees were used for staple fixation . A groove was created inferior to the tunnel outlet with a chisel . The bone block was fixed in this groove with 2 barbed stainless steel staples . Tensile testing in both of the groups was carried out under axial load parallel to the tibial tunnel in a Zwick-testing-machine with a velocity of 1 mm/sec . Dislocation of the graft and stiffness were calculated at 175 N load . Maximum load to failure using interference screws varied between 506 and 758 N. Load to failure using staples was 588 N. Dislocation of the graft ranged between 3.6 and 4.7 mm for interference screw fixation and was 4.2 mm for staples . With both fixation techniques , the recorded failure loads were sufficient to withstand the graft loads which are to be expected during the rehabilitation period . Staple fixation of the bone block outside of the tunnel resulted in fixation strength comparable to interference screw fixation ."
],
"offsets": [
[
0,
2200
]
]
}
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DerUnfallchirurg.81010209.eng.abstr
|
DerUnfallchirurg.81010209.eng.abstr
|
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{
"id": "DerUnfallchirurg.81010209.eng.abstr-passage-0",
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"text": [
"We reviewed 45 patients on average 14.7 years after surgery for rupture of the anterior cruciate ligament . The aim of the study was to compare the reliability of the Lachman test to evaluation of knee laxity with the KT 1000 arthrometer and the ultrasound-assisted Lachman test . Forty-five knees were examined with the Lachman test : 12 knees showed no sign of instability ; 20 had a + positive Lachman test with a hard end point ; 6 with a + positive test had no end point and were rated as unstable ; a ++ Lachman test was found in 7 knees . With the KT 1000 Arthrometer 44 knees were examined : 30 knees were graded as stable according to the criteria of Daniel ; 14 knees were unstable . We used the ultrasound-guided Lachman test in 44 knees . Taking only the side-to-side difference into account , 37 knees were stable and 7 unstable . According to Gruber , a single translation greater than 4 mm is also a sign of instability . Therefore , 12 knees were unstable , although 6 of these knees were rated as stable , taking the side-to-side difference into account . Comparing the two instrument measurements , all knees with ultrasound-rated instability on the basis of side-to-side measurements were also rated as unstable with the KT 1000 arthrometer . Only half of the knees rated as unstable because of a single translation greater than 4 mm with the ultrasound technique were rated as unstable with the KT 1000 arthrometer . Our results show that the accuracy of the Lachman test is as good as the instrument evaluation if the end point is taken into consideration . A positive Lachman test indicating anterior knee laxity is one where the soft end point is as described by Torg et al. Both instrument measurements are accurate in indicating anterior knee laxity , but only if they are used by an experienced examiner . Using the side-to-side measurements , the sensitivity of the KT 1000 arthrometer is higher . If only single translations greater than 4 mm without a significant side-to-side difference with the ultrasound technique are interpreted as anterior knee instability , then some knees will be rated as unstable , although both the clinical and KT 1000 arthrometer examinations prove them to be stable . We believe that only a side-to-side difference with the instrument technique should be interpreted as knee laxity . Borderline positive measurements should only be used together with the clinical findings . Both instrument measurements can help to improve the quality of the clinical examination if the examiners are inexperienced . If instrument measurements are required , we believe that the ultrasound technique is easy and cheap to perform . Nevertheless , we believe that instrument measurements of anterior knee laxity are not necessary if a thorough clinical examination is performed , taking the end point of the Lachman test into consideration ."
],
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[] |
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},
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},
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},
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},
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},
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},
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}
] |
DerUnfallchirurg.81010214.eng.abstr
|
DerUnfallchirurg.81010214.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010214.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures of the cuboid are very rare . During the last 10 years four patients with isolated fractures of the cuboid have been treated in our hospital . The displaced fractures were treated by open reduction , bone grafting where necessary , and internal fixation . At the time of follow-up the results concerning pain and function were good to excellent and better than those previously reported for conservative treatment . We recommend this treatment for fractures with displacement of one or more of the articular surfaces or with shortening of the lateral arch of the foot ."
],
"offsets": [
[
0,
579
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Fractures"
],
"offsets": [
[
0,
9
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"patients"
],
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[
70,
78
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
93,
102
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"hospital"
],
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[
142,
150
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019994"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"fractures"
],
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[
167,
176
]
],
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{
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"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"open"
],
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[
193,
197
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0266061"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"bone"
],
"offsets": [
[
210,
214
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"grafting"
],
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[
215,
223
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040732"
},
{
"db_name": "UMLS",
"db_id": "C0040733"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"bone grafting"
],
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[
210,
223
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005976"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"time"
],
"offsets": [
[
273,
277
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"pain"
],
"offsets": [
[
314,
318
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030193"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"function"
],
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[
323,
331
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
414,
423
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
444,
453
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
458,
467
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"displacement"
],
"offsets": [
[
473,
485
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012725"
}
]
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"foot"
],
"offsets": [
[
573,
577
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016504"
}
]
}
] |
[] |
[] |
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"type": "causes",
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},
{
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s2-r3-t3.1-t1.1",
"type": "manages",
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"arg2_id": "DerUnfallchirurg.81010214.eng.abstr-s5-t1",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s2-r4-t2.1-t1.1",
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"type": "associated_with",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r2-t3.1-t4.2",
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{
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{
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{
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"type": "result_of",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r8-t4.2-t2.1",
"type": "associated_with",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r9-t1.1-t3.1",
"type": "disrupts",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r10-t2.1-t1.1",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r11-t4.2-t1.1",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r12-t2.1-t4.2",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r13-t1.1-t2.1",
"type": "result_of",
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},
{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r14-t3.1-t1.1",
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{
"id": "DerUnfallchirurg.81010214.eng.abstr-s3-r15-t1.1-t2.1",
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{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-r1-t4.1-t3.1",
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{
"id": "DerUnfallchirurg.81010214.eng.abstr-s4-r2-t3.1-t1.1",
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{
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DerUnfallchirurg.81010232.eng.abstr
|
DerUnfallchirurg.81010232.eng.abstr
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"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r8-t3.1-t1.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r9-t3.1-t6.1",
"type": "degree_of",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r10-t5.1-t3.1",
"type": "degree_of",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r11-t5.1-t1.1",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r12-t5.1-t3.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r13-t3.1-t1.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r14-t1.1-t5.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s2-r15-t6.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010232.eng.abstr-s2-t6",
"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t3",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r1-t1.1-t2.1",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t2",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r2-t3.1-t4.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r3-t3.1-t2.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t2",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r4-t1.1-t4.2",
"type": "causes",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r5-t3.1-t4.2",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010232.eng.abstr-s3-r6-t1.1-t4.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010232.eng.abstr-s3-t4",
"normalized": []
}
] |
DerUnfallchirurg.81010235.eng.abstr
|
DerUnfallchirurg.81010235.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010235.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A problem arose when the reamed tibia nail was replaced by a massive unreamed tibia nail . Of the nail fractures , it is difficult to remove the distal fragment from the medullary cavity . It may also happen that the connecting screw between the insertion handle and the nail breaks off at the edge of the implant , which complicates removal of the nail . The authors have developed a technique for removing the implant without having to saw a fissure in the marrow . A concave instrument is slid over the part of the nail left behind after which the two are connected by means of a K wire . This method has been successfully applied in two patients ."
],
"offsets": [
[
0,
651
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"tibia"
],
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[
32,
37
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040184"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"nail"
],
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[
38,
42
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"tibia"
],
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[
78,
83
]
],
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{
"db_name": "UMLS",
"db_id": "C0040184"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"nail"
],
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[
84,
88
]
],
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{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"nail"
],
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[
98,
102
]
],
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"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"screw"
],
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[
228,
233
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005975"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"nail"
],
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[
271,
275
]
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}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"nail"
],
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349,
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]
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}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"technique"
],
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385,
394
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}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"fissure"
],
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[
444,
451
]
],
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{
"db_name": "UMLS",
"db_id": "C0016167"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"marrow"
],
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[
459,
465
]
],
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"db_name": "UMLS",
"db_id": "C0376152"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"instrument"
],
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478,
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]
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"db_id": "C0243113"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"nail"
],
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518,
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}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"wire"
],
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585,
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],
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"db_id": "C0005978"
}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"method"
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]
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"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"patients"
],
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[
641,
649
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r1-t3.1-t2.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r2-t1.1-t2.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r3-t4.1-t3.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r4-t2.1-t3.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t2",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r5-t4.1-t1.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r6-t2.1-t1.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t2",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r7-t3.1-t4.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s1-r8-t1.1-t4.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s4-r1-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010235.eng.abstr-s5-r1-t3.1-t1.1",
"type": "isa",
"arg1_id": "DerUnfallchirurg.81010235.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010235.eng.abstr-s6-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010238.eng.abstr
|
DerUnfallchirurg.81010238.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010238.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The incidence of giant cell tumors accounts for less than 5 % of all bone tumors . In the thoracic spine these tumors are extremely rare ( 1-1 . 5 % of the giant-cell tumors ) . The potential malignant character of giant cell tumors of the spine usually leads to wide surgical extirpation by ventral approach . The filling of bone defects with palacos cement after tumor resection is sufficient in the metaphysis of long bones . The case presented here is a giant cell tumor of the upper thoracic spine with primarily posterior destruction of the vertebral body and left arch . A single dorsal approach allowed for intralesional resection and filling of the defect with bone cement . This procedure was sufficient to achieve a solid fixation without recurrence of the giant cell tumor ."
],
"offsets": [
[
0,
786
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"incidence"
],
"offsets": [
[
4,
13
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220856"
},
{
"db_name": "UMLS",
"db_id": "C0021149"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"giant"
],
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[
17,
22
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0017547"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"cell"
],
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[
23,
27
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007634"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"tumors"
],
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[
28,
34
]
],
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{
"db_name": "UMLS",
"db_id": "C0027651"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"bone"
],
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[
69,
73
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"tumors"
],
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[
74,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027651"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"giant cell"
],
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[
17,
27
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],
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"db_name": "UMLS",
"db_id": "C0017526"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"bone tumors"
],
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69,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0005967"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"giant cell tumors"
],
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[
17,
34
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0017525"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"spine"
],
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99,
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]
],
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"db_name": "UMLS",
"db_id": "C0037949"
}
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},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"tumors"
],
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111,
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}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"giant-cell"
],
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156,
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]
],
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"giant-cell"
],
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156,
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],
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}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"tumors"
],
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167,
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],
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"db_id": "C0027651"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"malignant"
],
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192,
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"db_id": "C0006826"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"character"
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"db_id": "C0007952"
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},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
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},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"cell"
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221,
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]
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}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"tumors"
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226,
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"db_id": "C0027651"
}
]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t6",
"type": "umlsterm",
"text": [
"spine"
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240,
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]
},
{
"id": "DerUnfallchirurg.81010238.eng.abstr-s4-t7",
"type": "umlsterm",
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"surgical"
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],
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"db_id": "C0038895"
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},
{
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DerUnfallchirurg.81010259.eng.abstr
|
DerUnfallchirurg.81010259.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010259.eng.abstr-passage-0",
"type": "abstract",
"text": [
"To calculate canal compromise and decrease of midsagittal diameter caused by retropulsion of fragments into the spinal canal we analyzed the pre- and postoperative computed tomographies of 32 patients with unstable thoracolumbar burst fractures treated by USS ( universal spine system ) . Our intention was to examine the efficiency of ultrasound guided repositioning of the dispaced fragments which was performed in all 32 cases . We found a clear postoperative enlargement of canal area ( ASP preoperatively 55 % , postop . 80 % ) and midsagittal diameter ( MSD preop . 58 % , postop . 78 % ) . 10 of 13 patients presented a postoperative improvement of neurological deficit , no neurological deterioration occured . Fractures with neurological deficit showed more canal compromise ( 52 % ) and less midsagittal diameter ( MSD compromise 51 % ) than those without ( 40 % or 39 % ) . There was no correlation between the percentage of spinal canal stenosis and the severity of neurological deficit . Below L 1 the spinal canal is greater than between Th 11 and L 1 , so a more important spinal stenosis is tolerated . In case of unstable burst fractures with neurological deficit the ultrasound guided spinal fracture reposition is an effective procedure concerning the necessary improvement of spinal stenosis : an additional ventral approach for the revision of the spinal canal is unneeded . In fractures without neurologic deficit the repositioning of the displaced fragments promises an avoidance of long-term damages such as myelopathia and claudicatio spinalis ."
],
"offsets": [
[
0,
1570
]
]
}
] |
[
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"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t1",
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"text": [
"postoperative"
],
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150,
163
]
],
"normalized": [
{
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}
]
},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t2",
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"text": [
"tomographies"
],
"offsets": [
[
173,
185
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040395"
}
]
},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t3",
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"text": [
"patients"
],
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[
192,
200
]
],
"normalized": [
{
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"db_id": "C0030705"
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"universal"
],
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[
262,
271
]
],
"normalized": [
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}
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},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t5",
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"text": [
"spine"
],
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[
272,
277
]
],
"normalized": [
{
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"db_id": "C0037949"
}
]
},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t6",
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"text": [
"spinal canal"
],
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[
112,
124
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"db_id": "C0037922"
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},
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"id": "DerUnfallchirurg.81010259.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"computed tomographies"
],
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[
164,
185
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],
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"db_id": "C0040405"
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},
{
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"text": [
"intention"
],
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[
293,
302
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162425"
}
]
},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"efficiency"
],
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322,
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]
],
"normalized": [
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{
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"type": "umlsterm",
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"ultrasound"
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[
336,
346
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"db_id": "C0220934"
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{
"db_name": "UMLS",
"db_id": "C0041621"
}
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},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s3-t1",
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"postoperative"
],
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449,
462
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},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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463,
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],
"normalized": [
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"db_id": "C0020564"
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},
{
"id": "DerUnfallchirurg.81010259.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
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DerUnfallchirurg.81010271.eng.abstr
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DerUnfallchirurg.81010271.eng.abstr
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[
{
"id": "DerUnfallchirurg.81010271.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In an overview the clinical and academic problems of this kind of fractures are described and their treatment is discussed . The most important problem is the pseudarthrosis that can happen in the framework of a conservative treatment of displaced fractures , rarely after operative treatment with K-wires . A rather academic problem is the obligatory growth disturbance of a partial stimulation of the lateral part of the growth plate . This leads to radial overgrowth and thus to a more or less distinct varus deformity . The extent of varus deformity is dependent on the time till consolidation , which is longest in conservatively treated fractures and shortest in those treated with compression screw osteosynthesis . An additional academic problem is the so-called fishtail deformity that becomes radiological visible at the end of growth . This deformity has no clinical significance . Pseudarthrosis , varus and fishtail deformity are a result of increasing instability of primarily or secondarily displaced fractures . All three problems can be avoided by metaphyseal compression osteosynthesis with an AO small-fragment screw with an additional axial K wire in the trochlea . Our own long-term results are shown and compared with the results of other procedures in the literature ."
],
"offsets": [
[
0,
1291
]
]
}
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DerUnfallchirurg.81010280.eng.abstr
|
DerUnfallchirurg.81010280.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010280.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Pseudoarthrosis and cubitus valgus as main complications following displaced fractures of the radial condyle in children can be prevented by open reduction and fixation by K wires . However , delayed union and stimulation of the radial physis with condylar overgrowth and varisation of the elbow as well as fishtail deformities of the distal end of the humerus are reported nevertheless . To prevent those growth disturbances all primary and secondary ( 4-day X-ray control ) displaced fractures of the radial condyle , i . e . those with a central gap of more than 2 mm , were prospectively treated by open reduction and osteosynthesis with a metaphyseal lag screw beginning 1974. Sixty-six patients ( 41 boys , 25 girls ) with an average follow-up of 10 years ( 2-22 years ) sustained 28 primary and 6 secondary displaced fractures . In 5 cases a K wire fixation was performed in view of the smallness of the fragment . Two children with conservative treatment following overlooked displaced fractures showed condylar overgrowth and varisation of the elbow . Screw osteosynthesis led to symmetric elbow angles and function in all cases , whereas fishtail deformities could be observed in 8 of 27 children , probably as a consequence of the remaining central fracture instability . Conclusion : Open reduction and osteosynthesis with a metaphyseal lag screw prevents condylar overgrowth in displaced fractures of the radial condyle by guaranteeing fracture healing in anatomic position within 3-4 weeks . However , fishtail deformity can not be prevented by metaphyseal compression only ."
],
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[
0,
1589
]
]
}
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DerUnfallchirurg.81010287.eng.abstr
|
DerUnfallchirurg.81010287.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010287.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures of the proximal radius in children may lead to deformities of the radial head and functional disturbance of pro- and supination . However , traumatization is not only caused by the injury itself , but may also occur secondary to surgical reduction , manipulation of fracture fragments and excessive physiotherapy . In a prospective long-term follow-study ( 2-20 years after trauma ) of 38 children with displaced proximal radius fractures we found functional disturbances in 11 % of children only . These were not caused by radial head deformities , which were present on 83 % of follow-up radiographs . Functional impairment was mainly seen after open reduction or secondary growth disturbances . On follow-up radiographs all conservatively treated fracture angulations up to 60 ° had corrected themselves spontaneously . In view of the high complication rates after open reduction and the poor functional results , as well as the inconvenience for the pediatric patient and the economic aspects , we recommend a primary conservative treatment concept of proximal radius fractures in children ."
],
"offsets": [
[
0,
1105
]
]
}
] |
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[] |
[] |
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] |
DerUnfallchirurg.81010315.eng.abstr
|
DerUnfallchirurg.81010315.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010315.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a 65-year-old man who was sent to our clinic with osteomyelitis of the hip combined with a chronic external fistula after hip joint replacement followed by several further operations including amputation of the leg . After complete removal of the fistula and repeated vacuum sealing of the wound , we used a vasculated glutaeus maximus muscle flap to close the defect . The course after the operation was without any complications . The method applied led to sufficient treatment of the osteomyelitis without weakening the trunk muscles or rendering the use of crutches more difficult ."
],
"offsets": [
[
0,
599
]
]
}
] |
[
{
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"man"
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27,
30
]
],
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},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t2",
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"osteomyelitis"
],
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63,
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"db_id": "C0029443"
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},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t3",
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"text": [
"hip"
],
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84,
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]
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{
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"db_id": "C0019552"
}
]
},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fistula"
],
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[
121,
128
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t5",
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"hip"
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135,
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]
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{
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"type": "umlsterm",
"text": [
"joint"
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139,
144
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"db_id": "C0022417"
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"operations"
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185,
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]
},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"amputation"
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"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t9",
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"leg"
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224,
227
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},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t10",
"type": "umlsterm",
"text": [
"external fistula"
],
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112,
128
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s1-t11",
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"hip joint"
],
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135,
144
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},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t1",
"type": "umlsterm",
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"fistula"
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260,
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},
{
"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t2",
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"text": [
"vacuum"
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t3",
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t4",
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},
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"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"flap"
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s2-t6",
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s3-t2",
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"complications"
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"method"
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s4-t3",
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"id": "DerUnfallchirurg.81010315.eng.abstr-s4-t4",
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{
"id": "DerUnfallchirurg.81010315.eng.abstr-s4-t6",
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"db_id": "C0010397"
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}
] |
[] |
[] |
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DerUnfallchirurg.81010319.eng.abstr
|
DerUnfallchirurg.81010319.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010319.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Closed rupture of the anterior tibial tendon is rare . Fewer than 50 cases have been reported in the literature , perhaps because the symptoms are often neglected by the patient as well as by the doctor . Most often the rupture occurs as a consequence of a sudden plantar flexion of the ankle and pre-existing degenerative changes of the tendon tissue due to systemic disease or iatrogenic local corticoid injections . Clinically , the tendon rupture presents as acute weakness of the ankle extensors without reddening , swelling or neurological signs . Differential diagnoses such as anterior tibial syndrome and peroneal nerve palsy can thus be excluded . During the clinical examination the distal stump and the discontinuity of the anterior tibial tendon are often palpable . The clinical diagnosis can be confirmed by an ultrasound examination . An operation may be undertaken up to 3 months after the injury . Preferred procedures are end-to-end anastomosis and transosseous refixation of the tendon , followed by a plaster cast for 6 weeks postoperatively . High-risk patients can be treated conservatively , but the functional results are less satisfactory . We describe a case of an acute closed rupture of the anterior tibial tendon . A yet unpublished method of osseous reinsertion of the tendon is presented ."
],
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[
0,
1321
]
]
}
] |
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] |
[] |
[] |
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] |
DerUnfallchirurg.81010323.eng.abstr
|
DerUnfallchirurg.81010323.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010323.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on a 57-year-old patient suffering from a complex malposition of proximal femur after osteosynthesis using a condylar plate . For polyaxial correction of the proximal femur we successfully used an intramedullary hip screw system ."
],
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[
0,
240
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]
}
] |
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[] |
[] |
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DerUnfallchirurg.81010328.eng.abstr
|
DerUnfallchirurg.81010328.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010328.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The purpose of this paper is to outline the treatment protocol for the first time traumatic anterior shoulder dislocator , with options including conservative , arthroscopic and open surgical treatment . Regarding the subclassification of the first time traumatic anterior dislocater , it is imparitive to differentiate between the unidirectional dislocator with and without hyperlaxity . This subclassification takes into account the structural quality of the stabilizing ligamentous structures of the glenohumeral capsule . The patient with hyperelastic ligaments exhibit elastic deformation of the glenohumeral ligaments at the time of dislocation and thus , sustain less interstitial structural damage to the ligament . Therefore , these patients benefit from non-operative treatment ."
],
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[
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]
}
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"id": "DerUnfallchirurg.81010328.eng.abstr-s3-t1",
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}
] |
[] |
[] |
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{
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DerUnfallchirurg.81010353.eng.abstr
|
DerUnfallchirurg.81010353.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010353.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraoperative ultrasonography is recommended for operations on the thoracolumbar spine to complement the information provided by standard X-ray , intensifier screen or myelography . There are no unanimates opinions concerning the impaction or exeresis of these fragments . The aim of this study was to show the advantages of intraoperative ultrasonography for anatomic determination and control of the maneuvers used . This study included 46 cases with fractures from T11 to L2. Ultrasonography was performed during the intraoperative reduction provided by the installation and the pedicular instruments . The authors stress the limits of the anatomic and geographic determination , as well as tilting of the fragments because of the size of the ultrasonographic head . The quality of the exeresis may be falsely interpreted in the presence of fragments with a section of less than 4 mm , lateralized , double fragments or in the presence of massive intraoperative haemorrhage . Analysis of the impaction results is more complicated because all of these fragments displaced themselves secondarily . The ligamentum communis vertebralis posterior has no anatomical containing role . The tilting before the impaction and the state of the overlying intervertebral disk represent essential factors for failures . Ultrasonography is better than intraoperative myelography . Nevertheless , it still needs to be complemented by intraoperative profile X-rays and a very precise preoperative CT scan of the intervertebral disk lesions analysis of complicated cases ( fragments with residual pedicular attachments - type A 3.1.2. ; T-like fractures - type A 3.2.1. ) ."
],
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0,
1658
]
]
}
] |
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[] |
[] |
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DerUnfallchirurg.81010360.eng.abstr
|
DerUnfallchirurg.81010360.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010360.eng.abstr-passage-0",
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"text": [
"In IIIB and IIIC type open tibial fractures ( according to Gustilo ) the primary decision that has to be made regarding therapy is wether or not the limb can be salvaged . To standardize the criteria for amputation different salvage scores have been established in recent years . In this study the Hannover Fracture Scale ( HFS ) , the Predictive Salvage Index ( PSI ) , the Mangled Extremity Severity Score ( MESS ) and the NISSSA score were evaluated regarding their clinical relevance . When ROC Analysis was performed for all these scores in our patients the HFS revealed the highest sensivity ( 0.91 ) , but low specifity ( 0.71 ) . The highest specifity was noted for the MESS ( 0.97 ) , which in parallel showed the lowest sensivity ( 0.59 ) . In general it seems to be essential to make the right decision initially in order to avoid secondary amputation . All the scores mentioned here appear to be helpful in decision making . Salvaged limbs in IIIB and IIIC fractures presented a comparable good outcome , whereas salvaged IIIC injuries with a high score presented an outcome which was as bad as in secondary amputations . Secondary amputated patients required not only significant longer hospitalization but also resulted in poor outcome compared with the patients having received reconstruction or primary amputation ."
],
"offsets": [
[
0,
1331
]
]
}
] |
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DerUnfallchirurg.81010377.eng.abstr
|
DerUnfallchirurg.81010377.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010377.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A prospective randomized clinical trial was performed to evaluate the use of self-reinforced absorbable composites ( Biofix ) in the fixation of ankle fractures . The aim of this study was to demonstrate that fixation with Biofix rods and screws is as good as the standard A. O. fixation . The benefits of Biofix rods and screws are : a reduction in costs since no secondary operation is needed , prevention of stress-shielding and thereby diminishing the risk of bone porosity . Patients aged between 16 and 75 years old with closed , non-comminuted fractures of the lateral and/or medial malleolus and dislocation of the fracture fragments greater thean 2 mm were included in the study . 22 patients were treated with Biofix rods and screws and the control group of 19 patients with a standard technique . After 3 , 6 and 12 months , rontgenograms were taken . At the same time functional results were evaluated following the criteria of Olerud and Molander . Two patients were withdrawn from the trial for non-medical reasons . 22 patients ( 12 from the Biofix group , 10 from the AO group ) operated two or more years ago were contacted to see if any complications had occured since they were last seen . In 4 cases a Biofix screw broke down just beneath the head during insertion . This did not result in an insufficient fixation of the fracture . There were no early post-operative complications . The functional and rontgenological results in both groups were equal . In three cases a sterile sinus developed at the site of screw insertion . Biofix rods and screws , made of polylactic acid , are a good alternative for the fixation of fractures of the ankle . The use of resorbable fracture fixation material has the advantage that a second operation to remove osteosynthesis material is not necessary . The long term results are good . There is , however , a possibility of development of tissue reaction to the resorbable material ."
],
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},
{
"id": "DerUnfallchirurg.81010377.eng.abstr-s15-r20-t7.1-t5.1",
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},
{
"id": "DerUnfallchirurg.81010377.eng.abstr-s16-r1-t3.2-t1.1",
"type": "associated_with",
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},
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{
"id": "DerUnfallchirurg.81010377.eng.abstr-s16-r6-t1.1-t3.1",
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{
"id": "DerUnfallchirurg.81010377.eng.abstr-s18-r1-t2.1-t1.1",
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"arg2_id": "DerUnfallchirurg.81010377.eng.abstr-s18-t1",
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}
] |
DerUnfallchirurg.81010382.eng.abstr
|
DerUnfallchirurg.81010382.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010382.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Purpose of the study : We wanted to analyze crystallinity changes during sterilization in raw and in UHMWPE components for total joint arthroplasty manufactured ."
],
"offsets": [
[
0,
162
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010382.eng.abstr-s1-t1",
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"sterilization"
],
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73,
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"db_id": "C0038280"
}
]
},
{
"id": "DerUnfallchirurg.81010382.eng.abstr-s1-t2",
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"id": "DerUnfallchirurg.81010382.eng.abstr-s1-t3",
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"db_id": "C0003893"
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}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010382.eng.abstr-s1-r1-t2.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010382.eng.abstr-s1-t2",
"arg2_id": "DerUnfallchirurg.81010382.eng.abstr-s1-t4",
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},
{
"id": "DerUnfallchirurg.81010382.eng.abstr-s1-r2-t2.1-t1.2",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010382.eng.abstr-s1-r3-t2.1-t1.1",
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}
] |
DerUnfallchirurg.81010388.eng.abstr
|
DerUnfallchirurg.81010388.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010388.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Numerous epidemiological studies about multiple trauma patients do not include an analysis of patients under the age of 18. To study this , the data of 682 patients with multiple traumata , treated between 1981 and 1991 at Hannover Medical School , Germany , were retrospectively analyzed . The patients were divided into four age-related groups : preschool age ( 6 years ) , school age ( 13 years ) , teenagers ( 18 years ) and adults ( L 18 years ) . Analyzed were the cause of trauma , localization of injuries and the cause of death . Children were less often injured as passengers in cars , but more often injured as pedestrians and bicyclists than adults . However , children showed a significant higher mortality than adults , with threefold increased risk of death when they injured as passengers in car accidents . In all groups injuries to the head and the legs were most common . Children showed a lower incidence of trauma to the thorax , abdomen , hip and arms than the adult group . Nevertheless , trauma to the thorax , abdomen and head was associated with the highest risk of death in all groups . Spinal cord injuries , especially injuries to the neck , also showed a high risk of death . Children younger than 6 years had the most severe head injuries . Safety improvements for children in cars , helmet usage on bicycles and early training in traffic safety for children might decrease the lethality in this group of trauma patients ."
],
"offsets": [
[
0,
1453
]
]
}
] |
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t5",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t7",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t8",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t9",
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{
"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t10",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t11",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t12",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s1-t13",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s2-t1",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s2-t4",
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},
{
"id": "DerUnfallchirurg.81010388.eng.abstr-s2-t5",
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"text": [
"teenagers"
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402,
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"id": "DerUnfallchirurg.81010388.eng.abstr-s3-t1",
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},
{
"id": "DerUnfallchirurg.81010388.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
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480,
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{
"id": "DerUnfallchirurg.81010388.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.81010388.eng.abstr-s4-t1",
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{
"id": "DerUnfallchirurg.81010388.eng.abstr-s4-t2",
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"arg2_id": "DerUnfallchirurg.81010388.eng.abstr-s11-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010388.eng.abstr-s11-r54-t9.1-t5.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010388.eng.abstr-s11-t9",
"arg2_id": "DerUnfallchirurg.81010388.eng.abstr-s11-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010388.eng.abstr-s11-r55-t7.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010388.eng.abstr-s11-t7",
"arg2_id": "DerUnfallchirurg.81010388.eng.abstr-s11-t4",
"normalized": []
}
] |
DerUnfallchirurg.81010402.eng.abstr
|
DerUnfallchirurg.81010402.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010402.eng.abstr-passage-0",
"type": "abstract",
"text": [
"When patients with gunshot injuries are medically treated , it is also important to examine the wound itself to achieve further information concerning the distance and direction from where the bullet was fired . Besides that , it must be remembered that the bullet does not necessarily penetrate the target in a linear direction , but there can be various curves and angles in the bullet channel and subsequently adjacent organs injured ."
],
"offsets": [
[
0,
438
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
5,
13
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"injuries"
],
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[
27,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"wound"
],
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[
96,
101
]
],
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{
"db_name": "UMLS",
"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043250"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"distance"
],
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[
155,
163
]
],
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{
"db_name": "UMLS",
"db_id": "C0012751"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"direction"
],
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[
168,
177
]
],
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{
"db_name": "UMLS",
"db_id": "C0700158"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"gunshot injuries"
],
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[
19,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043252"
}
]
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"direction"
],
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[
319,
328
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0700158"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r1-t5.1-t3.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r2-t2.1-t5.1",
"type": "interacts_with",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r3-t5.1-t3.2",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r5-t5.1-t2.1",
"type": "interacts_with",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r6-t2.1-t3.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r7-t5.1-t2.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r8-t2.1-t3.2",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010402.eng.abstr-s1-r9-t5.1-t2.2",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.81010402.eng.abstr-s1-t2",
"normalized": []
}
] |
DerUnfallchirurg.81010405.eng.abstr
|
DerUnfallchirurg.81010405.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010405.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Functional recovery after bilateral comminuted fractures of the humeral head with posterior dislocation is poor . When reposition and internal fixation fail , the remaining alternatives are ( hemi ) arthroplasty and/or arthrodesis . In a 50-year-old patient , we treated the dominant shoulder by arthrodesis ; a Neer prosthesis was inserted at the other side . Using this strategy , the advantages of both techniques were combined with an acceptable functional recovery , which ist especially important for young and active patients ."
],
"offsets": [
[
0,
534
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"comminuted"
],
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[
36,
46
]
],
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{
"db_name": "UMLS",
"db_id": "C0476171"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fractures"
],
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[
47,
56
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"head"
],
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[
72,
76
]
],
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{
"db_name": "UMLS",
"db_id": "C0018670"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"posterior"
],
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[
82,
91
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032009"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"dislocation"
],
"offsets": [
[
92,
103
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012691"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"Functional recovery"
],
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[
0,
19
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0599766"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"comminuted fractures"
],
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[
36,
56
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0476171"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"arthroplasty"
],
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[
199,
211
]
],
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{
"db_name": "UMLS",
"db_id": "C0003893"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"arthrodesis"
],
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[
219,
230
]
],
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"db_name": "UMLS",
"db_id": "C0003881"
},
{
"db_name": "UMLS",
"db_id": "C0003090"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patient"
],
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[
250,
257
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"shoulder"
],
"offsets": [
[
284,
292
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037004"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"arthrodesis"
],
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[
296,
307
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0003881"
},
{
"db_name": "UMLS",
"db_id": "C0003090"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"prosthesis"
],
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[
317,
327
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0525024"
},
{
"db_name": "UMLS",
"db_id": "C0175649"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"techniques"
],
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[
406,
416
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"patients"
],
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[
524,
532
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"functional recovery"
],
"offsets": [
[
450,
469
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0599766"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r1-t4.1-t7.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r2-t6.1-t5.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r3-t4.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r4-t3.1-t5.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r5-t4.1-t3.1",
"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r6-t6.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r7-t3.1-t2.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r8-t6.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r9-t3.1-t4.1",
"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r10-t3.1-t7.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t7",
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},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r11-t4.1-t5.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r12-t6.1-t7.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s1-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r13-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s1-r14-t4.1-t2.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-r1-t2.2-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-r2-t2.2-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-r3-t2.1-t2.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s2-r4-t1.1-t2.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r1-t3.1-t1.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r2-t1.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r3-t4.1-t1.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r4-t1.1-t4.2",
"type": "uses",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r6-t3.1-t4.2",
"type": "uses",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r7-t1.1-t3.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r8-t3.2-t1.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r9-t3.1-t3.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r10-t2.1-t3.2",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010405.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.81010405.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010405.eng.abstr-s3-r11-t2.1-t4.1",
"type": "location_of",
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DerUnfallchirurg.81010408.eng.abstr
|
DerUnfallchirurg.81010408.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010408.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Avulsion fractures of the ischial tuberosity are rare . They are often caused by a typical \" splits \" -like accident . In general the patients feel sudden severe pain in the buttock with localized tenderness in the region of the ischial tuberosity , rarely in combination with sciatic nerve irritation . According to the functional anatomy , flexion of the knee and extension of the hip may be impaired . Roentgenograms often reveal no abnormality and show no evidence of fracture . Therefore , inadequate therapy because of missed diagnosis can result in avoidable persistent pain . We report on a 42-year-old man with an avulsion fracture of the ischial tuberosity . The epidemiology , symptoms , including irritation of the sciatic nerve , differential diagnoses , diagnostic procedures and therapy are presented in detail ."
],
"offsets": [
[
0,
827
]
]
}
] |
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] |
[] |
[] |
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DerUnfallchirurg.81010426.eng.abstr
|
DerUnfallchirurg.81010426.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010426.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a retrospecitve multicenter study we followed-up 30 fractures of the neck of the femur in children aged 11 years ( 1.5-15 years ) for 4.8 years ( 0.5-20.0 years ) . It is the aim of this study to analyse factors possibly related to outcome , like age at injury , type of fracture , interval between injury and treatment , method of stabilization and postoperative interval until full weight bearing . At follow-up subjective parameters ( pain , weather sensitiveness ) , clinical parameters ( range of motion , claudication , leg length discrepancies ) and radiological parameters ( hip series ) were investigated and medical charts and roentgenograms were reviewed using a standardized protocol . 29 of 30 children ( 96.7 % ) have sustained displaced fractures . Non-operative treatment has been applied in 4 children . 26 femoral neck fractures ( type I : 1 , type II : 8 , type III : 17 ) were stabilized by internal fixation using screws and/or pins . Following non-operative treatment one child suffered a coxa vara and another child suffered a avascular femoral head necrosis in combination with coxa vara and leg length shortening of 4 cm . Following operative treatment 9 of 26 children ( 34.6 % ) sufferred a avascular femoral head necrosis and 3 children ( 11.5 % ) suffered a coxa vara . In 6 of 26 children ( 23 % ) we observed leg length discrepancies > 2 cm . We were not able to demonstrate any significant follow-up result differencies between the groups of children who have sustained type II or type III fractures , or between the groups of children aged 10 years when compared to children aged > 10 years , or between the group of children who were operated on within 6 hours after the accident when compared to the group of children operated > 6 hours after the accident . We observed no significant follow-up result differences between the groups of children who had different intervals between operation and full weight bearing . Operative fracture management remains the treatment of choice in the majority of displaced femoral neck fractures in children . However , in our limited study we were not able to demonstrate any significant follow-up result differences between the group of children treated by immediate open reduction and internal fixation ( interval injury - operation 6 hours ) when compared to children who had been operated > 6 hours after the injury ."
],
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0,
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}
] |
DerUnfallchirurg.81010433.eng.abstr
|
DerUnfallchirurg.81010433.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010433.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Primary intramedullary nailing of femoral fractures is well known to increase the risk of pulmonary complications , especially in multiple-trauma patients with severe thoracic injuries . Aim of this study was to investigate the influence of primary plate ostesynthesis of femur fractures on maior complications after trauma . This retrospective study based on the records of 325 multiple trauma patients ( Injury severity score ISS > 18 , no letal brain injury , age 16-65 ) . According to the abbreviated injury scale of the Thorax ( AIS T ) patients were divided in groups without ( AIS T 3 , \" N \" ) or with relevant thoracic injury ( AIS T > = 3 , \" T \" ) . Both groups were additionally divided in subgroups without severe trauma to the extremities ( AIS E 3 , \" 0 \" ) or primary plate-osteosynthesis of femur fractures ( 24 h , \" I \" ) . 4 groups were performed : N0 ( n = 39 , ISS 25 +/- 1 , pneumonia 10 % , ARDS 5 % , lethality 10 % ) ; NI ( n = 55 , ISS 27 +/- 1 , pneumonia 4 % , ARDS 5 % , lethality 4 % ) ; T0 ( n = 137 , ISS 28 +/- 1 , pneumonia 21 % , ARDS 15 % , lethality 16 % ) ; TI ( n = 94 , ISS 31 +/- 1 , pneumonia 21 % , ARDS 17 % , lethality 15 % ) . Primary plate-osteosynthesis of femur fractures did not increase lethality or incidence of pulmonary complications in patients with or without severe thoracic injuries . Also complication rate after primary plate-osteosynthesis was less compared to published results after intramedullary nailing . For this , primary plate-osteosynthesis is recommendable in case of multiple trauma with thoracic injuries ."
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[] |
[] |
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] |
DerUnfallchirurg.81010440.eng.abstr
|
DerUnfallchirurg.81010440.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010440.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a series of 1850 consecutive knee arthroscopies between 1991 and 1995 , plicasyndrome was diagnosed and resected by arthroscopy in 102 patients ( 5.5 % ) . Clinical response was evaluated for 38 of 54 patients with an isolated plicasyndrome by use of a modified Lysholm questionnaire at an average follow-up of 31 months ( range , 8-78 months ) . Excellent or good results were obtained in 90 % of 21 patients without plica-induced lesions of the cartilage ( group 1 ) and poor results in 10 % . Only 64 % of 17 patients with plica-induced lesions of the cartilage ( group 2 ) had excellent or good results . Both groups showed an improvement for range of motion and swelling postoperatively . The mean time for rehabilitation was 3.2. and 1.7 months for patients with and without cartilage lesions , respectively ."
],
"offsets": [
[
0,
818
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010440.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
32,
36
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerUnfallchirurg.81010440.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"arthroscopies"
],
"offsets": [
[
37,
50
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003904"
}
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]
}
] |
[] |
[] |
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"type": "performs",
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},
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}
] |
DerUnfallchirurg.81010454.eng.abstr
|
DerUnfallchirurg.81010454.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010454.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a retrospective study we evaluated 22 patients suffering from septic arthritis , who were treated arthroscopically . We operated 15 male and 7 female patients with an average age of 38.1 years ( 4-70 ) . There were 16 knee joints , 3 elbows , 2 shoulder and one hip . Arthroscopic therapy was indicated when the typical clinical signs and bloodchemical inflammation findings ( increased ESR and CRP ) were present and when bone involvement was excluded . Arthroscopic treatment was performed according to the local findings and the grade of infection . It consisted of lavage , debridement , synovectomy , and the application of an antibiotics-containing collagenous fleece . Additionally systemic antibiotics were applied peri- and postoperatively . None of our patients got a secondary osteomyelitis . 20 patients could be cured with a single operation , two patients had to be revised severeal times . Excluding one patient , in every patient the infect could be cured with a total restitution of the previous range of motion . CRP was the most sensitive parameter ."
],
"offsets": [
[
0,
1072
]
]
}
] |
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s1-t3",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s1-t5",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s2-t1",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s2-t4",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t1",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t2",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t3",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t4",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t5",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s3-t6",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t2",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t3",
"type": "umlsterm",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t4",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t5",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t6",
"type": "umlsterm",
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{
"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t7",
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"id": "DerUnfallchirurg.81010454.eng.abstr-s4-t8",
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DerUnfallchirurg.81010461.eng.abstr
|
DerUnfallchirurg.81010461.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010461.eng.abstr-passage-0",
"type": "abstract",
"text": [
"50 patients following talar fractures type Marti 2 , 3 and 4 during the years 1972-1993 , could be analysed retrospectively . Evaluated factors effecting posttraumatic avascular necrosis of the body of the talus are : type of fracture , age of the patient , additional fracture of the medial malleolus and time of non weight bearing . The Hawkins sign is reliable to show vitality in the body of the talus . We could see vascular impairment in 51 % of all Marti 3 fractures and in 100 % of all Marti 4 fractures . Patients with a concomitant fracture of the inner malleolus showed positive influence on the blood supply of the talus . In this case the ligamentum deltoideum and the ramus deltoideus of the arteria tibialis posterior remained intact . In addition to this the prognosis was better in young patients . A long period of non weight bearing could not preserve vitality of the talus . Necrosis of the talus did only appear in 34 % of the Marti 3 and in 51 % of the Marti 4 fractures . This means that early anatomic reconstruction of the talus is necessary . Primary arthrodesis of the ankle joint and talectomie are not up to date ."
],
"offsets": [
[
0,
1143
]
]
}
] |
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DerUnfallchirurg.81010468.eng.abstr
|
DerUnfallchirurg.81010468.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010468.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Chondral and osteochondral lesions as well as bone bruises of the ankle are caused in the most cases by trauma and are localized almost exclusively at the talus . For diagnosis , operative management and follow up , magnetic resonance imaging was useful , which can be further improved by application of intravenous or intraarticullar contrast enhancement ( Gadolinium ) . In adults operative therapy is favored . Due to new techniques , arthroscopy became an important alternative to arthrotomy . According to the stage of the disease , drilling or curettage , removal or fixation of the fragment , autologous bone transplantation or osteochondral graft can be performed . All procedures can be managed arthroscopically ."
],
"offsets": [
[
0,
722
]
]
}
] |
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]
],
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},
{
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],
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51,
58
]
],
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},
{
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"arg2_id": "DerUnfallchirurg.81010468.eng.abstr-s5-t2",
"normalized": []
}
] |
DerUnfallchirurg.81010476.eng.abstr
|
DerUnfallchirurg.81010476.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010476.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The results of early conversion of war fractures by the application of AO osteosynthesis in A group ( n = 32 ) of the injuried , were compared with B group ( n = 187 ) of injuried , treated definitely with external fixator . There were statistical evaluations and X-ray observations of healing in both groups , as well as the appearances of the most frequent complications such as : Pintract infection , osteitis , pseudoarthrosis and reoperation . Statistically less significant appearance of complications in A group during 2th and 6th month ( p 0.001 ) was observed . In 12th month of observation , these differences statistically disappeared . Healing observed by X-ray in 2th , 6th and 12th month of observation were no statistically significant differences between the two observed groups ."
],
"offsets": [
[
0,
796
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"war"
],
"offsets": [
[
35,
38
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043027"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
39,
48
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"external fixator"
],
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[
206,
222
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0079321"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"evaluations"
],
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[
248,
259
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220825"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"X-ray"
],
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[
264,
269
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043299"
},
{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"observations"
],
"offsets": [
[
270,
282
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0302523"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"complications"
],
"offsets": [
[
359,
372
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"infection"
],
"offsets": [
[
392,
401
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021311"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"osteitis"
],
"offsets": [
[
404,
412
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029400"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"pseudoarthrosis"
],
"offsets": [
[
415,
430
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033785"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"reoperation"
],
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[
435,
446
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035110"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"complications"
],
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[
494,
507
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"observation"
],
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[
588,
599
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0302523"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"X-ray"
],
"offsets": [
[
668,
673
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043299"
},
{
"db_name": "UMLS",
"db_id": "C0043309"
}
]
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"observation"
],
"offsets": [
[
705,
716
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0302523"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s1-r1-t3.1-t2.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r1-t7.1-t2.2",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r2-t8.1-t7.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r3-t7.1-t4.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r4-t7.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r5-t2.2-t4.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r6-t8.1-t6.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r7-t4.1-t6.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r8-t8.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r9-t1.1-t2.2",
"type": "measures",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r10-t3.1-t7.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r11-t2.2-t7.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r12-t3.1-t6.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r13-t3.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r14-t4.1-t2.2",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r15-t3.1-t2.2",
"type": "measures",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r16-t4.1-t8.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r17-t6.1-t2.2",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r18-t4.1-t7.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r19-t4.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r20-t6.1-t4.1",
"type": "degree_of",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r21-t4.1-t1.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r22-t6.1-t8.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
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},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r23-t6.1-t3.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r24-t2.2-t6.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r25-t7.1-t8.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r26-t1.1-t7.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r27-t1.1-t8.1",
"type": "precedes",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t8",
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},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r28-t1.1-t6.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
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},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r29-t6.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t6",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r30-t1.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s2-r31-t7.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t7",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010476.eng.abstr-s5-r2-t2.1-t1.2",
"type": "measures",
"arg1_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t2",
"arg2_id": "DerUnfallchirurg.81010476.eng.abstr-s5-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010491.eng.abstr
|
DerUnfallchirurg.81010491.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010491.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this article we report a case of an early postoperative compartment syndrome of the anterior tibial compartment with complete sensomotoric palsy of the peroneal nerve after arthroscopic-assisted replacement of the anterior cruciate ligament ( ACL ) of the knee . The tourniquet pressure was 360 mm Hg and operation time was 1.75 h . After the operation the leg was bandaged to avoid swelling of the leg and as antithrombotic prophylaxis . Analgesic therapy was by continuous epidural bupivacaine infusion . Increasing pain of the lower leg was suppressed by additional analgesia . Due to persistent pain despite regular analgesia , the patient was sent to a main hospital on the 3rd postoperative day , where an extremely painful and swollen anterior tibial compartment with intracompartimental pressure of over 100 mm Hg was found . The compartment was released immediately . Despite the appearance of severe muscle damage , no extensive débridement was done . At the second examination , at 48 h , there was minimal perfusion of the muscles without contraction and islands of ischemic necrosis . Clinically , there was complete palsy of the dorsiflexors of the foot . The case shows the danger of a compartment syndrome when tourniquet of the limb , arthroscopy and a firm bandage are combined . Continuous epidural analgesia masks the classic symptoms of compartment syndrome ."
],
"offsets": [
[
0,
1383
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"postoperative"
],
"offsets": [
[
45,
58
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032790"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"syndrome"
],
"offsets": [
[
71,
79
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"anterior"
],
"offsets": [
[
87,
95
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032008"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"palsy"
],
"offsets": [
[
142,
147
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030440"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"nerve"
],
"offsets": [
[
164,
169
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027769"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"anterior"
],
"offsets": [
[
217,
225
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032008"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"ligament"
],
"offsets": [
[
235,
243
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023685"
},
{
"db_name": "UMLS",
"db_id": "C0023686"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
259,
263
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"compartment syndrome"
],
"offsets": [
[
59,
79
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009492"
},
{
"db_name": "UMLS",
"db_id": "C0027743"
}
]
},
{
"id": "DerUnfallchirurg.81010491.eng.abstr-s1-t10",
"type": "umlsterm",
"text": [
"peroneal nerve"
],
"offsets": [
[
155,
169
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031173"
}
]
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[] |
[] |
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DerUnfallchirurg.81010508.eng.abstr
|
DerUnfallchirurg.81010508.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010508.eng.abstr-passage-0",
"type": "abstract",
"text": [
"2-4 % of vascular injuries need operative reconstruktion . In polytraumatized patients the rate is even 10 % . Arterial vascular repair should precede venous reconstruction and orthopaedic stabilization due to limb threatening ischemia . Penetration or blunt vascular trauma result either in acute blood loss , ischemia or compartmental compression . Reperfusion syndrom leads to vital threat of patient . Clinical assessment , measurement of limb pressures using a Doppler device and use of duplex ultrasonography are reliable adjuncts in the rapid evaluation . Arteriography is rarely indicated and should be spared for patients with abnormal physical examination . Minimizing ischemia ( 6-8 h ) is an important factor in maximizing limb salvage . Vascular repair include direct anastomosis or lateral suture repair mostly combined with primary shortening of the extremity . In most cases autogenous vein graft is required . Rethrombosis , arteriovenous fistula and pseudoaneurysms are possible complications . Stabilisation of the fracture has priority over vascular reconstruction . The initial steps to success are surgical debridement , adequate bony stabilization mostly by external fixation , revascularisation of vascular injury , immediate fascial decompression and early soft-tissue reconstruction . The best results are obtained when a multidiciplinary approach is used combining expertise in orthopedic surgery , vascular surgery and plastic surgery ."
],
"offsets": [
[
0,
1464
]
]
}
] |
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DerUnfallchirurg.81010520.eng.abstr
|
DerUnfallchirurg.81010520.eng.abstr
|
[
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"id": "DerUnfallchirurg.81010520.eng.abstr-passage-0",
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"The association between the increasing severity of systemic inflammatory response syndrome ( SIRS ) and the incidence of posttraumatic complications and mortality was retrospectively investigated in 1278 injured patients . Patients were divided into three groups according to their Injury Severity Score ( ISS ) ( group A : ISS L 9 K16 points ( n = 626 ) ; group B : ISS > 16 40 points ( n = 589 ) ; group C : ISS L 40 points ( n = 63 ) ) . SIRS was defined according to the criteria of the American Consensus Conference . The number of fulfilled criteria determined its severity : moderate SIRS : 2 criteria fulfilled , intermediate SIRS : 3 criteria fulfilled , severe SIRS : 4 criteria fulfilled . Additionally , acute respiratory distress syndrome ( ARDS ) was defined according to the Murray-Score and the multiple organ dysfunction syndrome ( MODS ) according to the Goris-Score . The incidence of SIRS was 42 % in group A , 70 % in group B and 100 % in group C ( p 0.05 ) . The severity of SIRS increased with severity of trauma . Moreover , 178 of all injured patients ( 14 % ) developed septic complications . In parallel to SIRS , the incidence of these septic complications correlated with the severity of trauma . The occurrence and severity of ARDS and MODS correlated with increased severity of SIRS and septic complications . Among patients without SIRS 15 % developed ARDS and 21 % MODS . In contrast , patients with severe SIRS and septic complications demonstrated ARDS in 99 % and MODS in 97 % . In these patients , no correlation was found between the ISS and the incidence of ARDS or MODS . There were also stepwise increases in mortality rates in the hierarchy from SIRS to septic shock . While 13 of patients with modest SIRS ( 5 % ) and 32 of patients with intermediate SIRS ( 13 % ) died , the mortality rate of patients with severe SIRS was 19 % ( p 0.05 ) . In addition , a significant correlation between the incidence of septic complications and mortality was found . Injured patients with sepsis died in 13 % , those with severe sepsis in 23 % , and patients with septic shock in 33 % ( p 0.05 ) . Thus , the increasing severity of SIRS was associated with the occurrence of posttraumatic ARDS , MODS , and mortality . Using the number of fulfilled SIRS criteria for classifying systemic inflammation , its severity may be predictive for posttraumatic complications and outcome of injured patients ."
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[] |
[] |
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] |
DerUnfallchirurg.81010527.eng.abstr
|
DerUnfallchirurg.81010527.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010527.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intubation and Positive End Expiratory Pressure Ventilation ( PEEP ) is a well established therapeutic strategy for impaired lung function , particularly following blunt chest trauma . Complications of this regime are however also well known and pose the question why non-invasive forms of respiratory assistance such as Continuous Positive Airway Pressure ( CPAP ) have only gained minor popularity . In a prospective study , 30 patients who had suffered blunt chest trauma were treated with CPAP administered by mask . The regime consisted of continuous administration of CPAP by a face-mask , with gradually increasing periods of spontaneous breathing . Initially a FiO2 of 0.33 ( range 0,28-0,38) proved necessary . The initial CPAP level was 7 mbar ( range 5-8 ) with an ( Assisted Spontaneous Breathing ) ASB of 15 mbar ( range 13-18 ) . FiO2 and CPAP/ASB levels were subsequently gradually reduced until no longer necessary . In all patients intubation and ventilation was avoided by this regimen . The treatment was well accepted by all patients and common ventilation associated complications such as pneumonia did not occur . In comparison with the former standard method of treatment the average ICU stay was dramatically reduced , principally due to not having to gradually wean patients from ventilation and sedation . Other positive benefits include normal communication and feeding with active early mobilisation leading to faster recovery , both physical and psychological . We conclude that non-invasive respiratory techniques should be used more frequently and recommend further studies are undertaken to define the indications ."
],
"offsets": [
[
0,
1647
]
]
}
] |
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{
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{
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},
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},
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] |
DerUnfallchirurg.81010537.eng.abstr
|
DerUnfallchirurg.81010537.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010537.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We examined 38 patients with an arthroscopic bioabsorbable tack repair for anterior shoulder instability in a prospective evaluation . The mean follow-up was 22 months ( range 12 to 33 ) . The average age was 28.4 years ( range 15 to 57 ) , the operation was performed at average of 50 months ( 3 to 244 months ) after injury . Assessment using the Rowe score revealed excellent results in 33 and good results in 3 patients . 1 patient had a fair result and 1 had a poor result . 26 shoulders obtained full range of motion , 11 had minor ( 10 ° ) loss of external rotation , 1 experienced greater ( 20 ° ) loss of external rotation . 3 of the 38 patients ( 8 % ) had recurrent instability , 1 patient with 2 preceding operations and atraumatic and voluntary dislocation , respectively . The recurrence rate of arthroscopic Bankart repair with bioabsorbable tacks are comparable to open Bankart procedures . Success of the procedure depends on appropriate surgical technique and suitable selection of patients with unidirectional , posttraumatic , anterior instability who are found to have well-developed ligamentous tissue ."
],
"offsets": [
[
0,
1125
]
]
}
] |
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{
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{
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"id": "DerUnfallchirurg.81010537.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.81010537.eng.abstr-s6-t6",
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{
"id": "DerUnfallchirurg.81010537.eng.abstr-s7-t4",
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}
] |
[] |
[] |
[
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"type": "uses",
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{
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},
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{
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DerUnfallchirurg.81010551.eng.abstr
|
DerUnfallchirurg.81010551.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010551.eng.abstr-passage-0",
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"text": [
"ACL reconstruction with patellar tendon graft has become a standard procedure . The graft can be inserted either using two tunnels and a lateral femoral incision or with a femoral half tunnel drilled from the joint , thus avoiding the lateral incision . Advantages of the single-incision technique in the early rehabilitation period have been claimed . 40 patients with ACL deficiency were included in a prospective randomized trial comparing single and two-incision technique with a follow-up period of 4 years . Preoperative data did not show any significant difference between the two groups . At follow-up no differences were observed with respect to complications or the progress of rehabilitation . Evaluation after 1 and 4 years according to the IKDC form revealed good to excellent results in 70 % of all patients . The Tegner-score increased significantly , however most patients did not regain their former activity level . ACL-reconstruction reduced anterior translation of the knee significantly at 6 months follow-up . However , we observed a slight increase of anterior translation after 1 and 4 years in both groups ; stability was comparable in both groups at all time periods . We conclude that an arthroscopic singleincision technique has no advantage compared to a mini-open two-incision technique for ACL reconstruction with patellar tendon graft in terms of subjective or objective parameters ."
],
"offsets": [
[
0,
1415
]
]
}
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[] |
[] |
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},
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r1-t1.1-t2.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r2-t3.1-t4.1",
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},
{
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r4-t1.1-t4.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r5-t3.1-t1.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r6-t1.1-t3.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s4-r7-t2.1-t1.1",
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},
{
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},
{
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s9-r1-t1.1-t3.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s9-r2-t3.1-t1.1",
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},
{
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s10-r2-t3.1-t4.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s10-r3-t1.1-t4.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r1-t1.1-t6.1",
"type": "developmental_form_of",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r2-t1.1-t6.1",
"type": "produces",
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"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r3-t6.1-t1.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r4-t3.1-t6.1",
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"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t6",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r5-t1.1-t6.2",
"type": "uses",
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"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r6-t1.1-t2.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t1",
"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t2",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r7-t1.1-t3.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r8-t1.1-t4.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r9-t3.1-t1.1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r10-t6.1-t3.1",
"type": "location_of",
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},
{
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"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t1",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r12-t6.1-t1.1",
"type": "surrounds",
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},
{
"id": "DerUnfallchirurg.81010551.eng.abstr-s11-r13-t1.1-t3.1",
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"arg2_id": "DerUnfallchirurg.81010551.eng.abstr-s11-t3",
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}
] |
DerUnfallchirurg.81010557.eng.abstr
|
DerUnfallchirurg.81010557.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010557.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The Posterior Cervical Line helps to differentiate pseudosubluxation from true dislocation C 2/3 in children . But the line can also be used to recognize other pathologic conditions of the upper cervical spine in children , like atlanto-axial sagittal instability or rotatory dislocation ."
],
"offsets": [
[
0,
289
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Posterior"
],
"offsets": [
[
4,
13
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032009"
}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"Line"
],
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[
23,
27
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0677502"
}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"dislocation"
],
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[
79,
90
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012691"
}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"children"
],
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[
100,
108
]
],
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"line"
],
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[
119,
123
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"pathologic"
],
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[
160,
170
]
],
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{
"db_name": "UMLS",
"db_id": "C0205469"
}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"spine"
],
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[
204,
209
]
],
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{
"db_name": "UMLS",
"db_id": "C0037949"
}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"children"
],
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213,
221
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"dislocation"
],
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[
276,
287
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012691"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-r1-t1.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-r2-t3.1-t4.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t4",
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},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-r3-t2.1-t3.1",
"type": "causes",
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"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-r4-t3.1-t1.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t3",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s1-r5-t1.1-t2.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-r1-t2.1-t1.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-r2-t5.1-t2.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t5",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-r3-t1.1-t5.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t1",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-r4-t5.1-t4.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t5",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010557.eng.abstr-s2-r5-t2.1-t5.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.81010557.eng.abstr-s2-t5",
"normalized": []
}
] |
DerUnfallchirurg.81010570.eng.abstr
|
DerUnfallchirurg.81010570.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010570.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 3-year-old child was trapped under the heavy load of a forklift truck and sustained an unstable pelvic ring fracture ( Tile type C ) with complete SI disruption , disruption of the pubic symphysis and external rotation injury of the contralateral SI joint . An immediate internal fixation was performed , exposing the SI joint and the pubic symphysis simultaneously . For stabilization an H-plate was used for anterior plate fixation of the SI joint , while the pubic symphysis was stabilized by screws and cerclage wires . After one revision of the symphysis the clinical course was uneventful with anatomical healing of the pelvic ring . The implants were removed after 4 months . Clinical and radiological follow-up after 12 months showed no signs of maldevelopment of the pelvic ring ."
],
"offsets": [
[
0,
791
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"child"
],
"offsets": [
[
13,
18
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0008059"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fracture"
],
"offsets": [
[
110,
118
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"rotation"
],
"offsets": [
[
212,
220
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035868"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"injury"
],
"offsets": [
[
221,
227
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"joint"
],
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[
252,
257
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"pubic symphysis"
],
"offsets": [
[
183,
198
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034015"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"SI joint"
],
"offsets": [
[
249,
257
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036036"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"joint"
],
"offsets": [
[
323,
328
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"SI joint"
],
"offsets": [
[
320,
328
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036036"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"pubic symphysis"
],
"offsets": [
[
337,
352
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0034015"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"anterior"
],
"offsets": [
[
412,
420
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032008"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"plate"
],
"offsets": [
[
421,
426
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005971"
}
]
},
{
"id": "DerUnfallchirurg.81010570.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"joint"
],
"offsets": [
[
446,
451
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
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[] |
[] |
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DerUnfallchirurg.81010590.eng.abstr
|
DerUnfallchirurg.81010590.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010590.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Injuries of the spine in children rarely occur . They amount to about 0.2 % of all fractures and dislocation and to 1.5 to 3 % of all lesions of the spine . The younger an injured child is , the more likely it has sustained a lesion of the upper cervical spine . This spinal segment in comparison to adults is concerned more often and accounts for 50 % of all C-spine injuries . Important differences between the adult spine and the spine in the child disappear with the age of 10 years . Later diagnostics , classification and treatment correspond widely with the principles valid in adults . The knowledge of the normal shape and development of the spine are crucial in avoiding misinterpretations of X-ray films . Typical examples include the confusion of synchondrosis with fractures or of subluxations of the atlas and the C2/C3 segment with \" true \" instabilities . Relevant lesions always are accompanied by clear clinical symptoms . Specific injuries of the growing axial skeleton are lesions of the cartilaginous endplates and \" fractures \" of the synchondrosis ."
],
"offsets": [
[
0,
1072
]
]
}
] |
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] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010590.eng.abstr-s2-r1-t1.1-t3.1",
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},
{
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},
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},
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},
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}
] |
DerUnfallchirurg.81010619.eng.abstr
|
DerUnfallchirurg.81010619.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010619.eng.abstr-passage-0",
"type": "abstract",
"text": [
"On 90 patients with 93 unstable fractures of the thoracic spine and the thoracolumbar junction we treated by a minimal invasive procedure between may 1996 and april 1998 , in 46 patients an endoscopic splitting of the diaphragm was performed . The diaphragma was dissected at its attachment at the spine and the adjoining costal base . After partial corporectomy and discectomy , a tricortical bone graft has been inserted . An additional stabilization was done by using a plate and screw system . The incision of the diaphragm was closed by suturing or using an universal endostapler . Controlling the postoperative results a complete closure of the incision was documented by X-ray and CT-scan . There was no conversion to the open procedure or postoperative infection . Splitting the diaphragma opens also the thoracolumbar junction to a minimal invasive treatment and stabilization of fractures ."
],
"offsets": [
[
0,
900
]
]
}
] |
[
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6,
14
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fractures"
],
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32,
41
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]
},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"spine"
],
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58,
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},
{
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s1-t6",
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"text": [
"diaphragm"
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218,
227
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},
{
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{
"id": "DerUnfallchirurg.81010619.eng.abstr-s2-t1",
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]
},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"spine"
],
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298,
303
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}
]
},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"costal"
],
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322,
328
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"id": "DerUnfallchirurg.81010619.eng.abstr-s3-t1",
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]
},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"bone"
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"graft"
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s4-t1",
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"plate"
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s4-t2",
"type": "umlsterm",
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"id": "DerUnfallchirurg.81010619.eng.abstr-s5-t1",
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"id": "DerUnfallchirurg.81010619.eng.abstr-s7-t1",
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{
"id": "DerUnfallchirurg.81010619.eng.abstr-s8-t3",
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}
] |
[] |
[] |
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"id": "DerUnfallchirurg.81010619.eng.abstr-s1-r1-t6.1-t2.1",
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},
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},
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{
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{
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{
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},
{
"id": "DerUnfallchirurg.81010619.eng.abstr-s1-r9-t4.1-t6.1",
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},
{
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},
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},
{
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},
{
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},
{
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] |
DerUnfallchirurg.81010628.eng.abstr
|
DerUnfallchirurg.81010628.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010628.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The infection after intramedullary nailing is a severe complication , which is hard to eradicate . The results of reaming the intramedullary canal after removal of the infected nail were evaluated in our investigation . From 1984 to 1991 fifty-five patients with infected intramedullary nails of the lower extremity were included in this trial . Twenty-one patients had an infection of the femur . Thirty-four patients had a primary infection of the nail , twenty-one patients had multiple operations with periods of infection prior to nailing . All patients had signs of a chronic osteitis and sinus formation . At the time of the follow-up the success of the procedure was evaluated regarding recurrence of infection , range of motion of the extremity and patient comfort . The mean time of observation was 10,1 +/- 4,9 years . All patients with initially infected intramedullary nails had no recurrence of the infection , compared to 62 % of those with multiple operations prior to nailing . At the time of the follow up all fractures had healed . 85 % of the patients performed full weight bearing . 32 patients ( 91 % ) had good or excellent ROM of the adjacent joints ."
],
"offsets": [
[
0,
1175
]
]
}
] |
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{
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"id": "DerUnfallchirurg.81010628.eng.abstr-s1-t4",
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"id": "DerUnfallchirurg.81010628.eng.abstr-s3-t4",
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}
] |
[] |
[] |
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}
] |
DerUnfallchirurg.81010649.eng.abstr
|
DerUnfallchirurg.81010649.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010649.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between 1.4.96 and 1.3.97 27 patients with acute infections of bone and soft tissues ( n = 13 ) , chronic osteomyelitis ( n = 8 ) , and chronic wounds ( n = 6 ) were treated by using Instillation-Vacuum-Sealing . Polyvinylalcohol sponges with drainage tubes were used to cover the internal or external wound surfaces which resulted from surgical debridement . Having hermetically covered the wound with a transparent film dressing a vacuum source generated a partial vacuum in the sponge which was modified according to the type of wound between 20 and 80 kPa . Several times daily , the vacuum line was blocked and , in an alternating fashion , antiseptic or antibiotic solution instilled for 30 minutes . Then , the vacuum was reestablished and the fluids drained from the wound . Seven days later , intermittent drug instillation was stopped and there was either immediate or delayed wound closure by secondary suturing ( n = 22 ) , skin grafting ( n = 3 ) or spontaneous epithelialization ( n = 2 ) . During a follow-up from the beginning of the instillation treatment of 4,2 ( 3-14 ) months there was one recurrency of infection in a patient with chronic osteomyelitis ."
],
"offsets": [
[
0,
1175
]
]
}
] |
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},
{
"id": "DerUnfallchirurg.81010649.eng.abstr-s1-t2",
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"text": [
"infections"
],
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49,
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]
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},
{
"id": "DerUnfallchirurg.81010649.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"bone"
],
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[
63,
67
]
],
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}
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},
{
"id": "DerUnfallchirurg.81010649.eng.abstr-s1-t4",
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"text": [
"tissues"
],
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77,
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]
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]
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{
"id": "DerUnfallchirurg.81010649.eng.abstr-s1-t5",
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106,
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"id": "DerUnfallchirurg.81010649.eng.abstr-s1-t6",
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"wounds"
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"id": "DerUnfallchirurg.81010649.eng.abstr-s2-t2",
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{
"id": "DerUnfallchirurg.81010649.eng.abstr-s2-t3",
"type": "umlsterm",
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"drainage"
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"id": "DerUnfallchirurg.81010649.eng.abstr-s2-t4",
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"id": "DerUnfallchirurg.81010649.eng.abstr-s2-t5",
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"id": "DerUnfallchirurg.81010649.eng.abstr-s2-t6",
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},
{
"id": "DerUnfallchirurg.81010649.eng.abstr-s3-t2",
"type": "umlsterm",
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"id": "DerUnfallchirurg.81010649.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.81010649.eng.abstr-s3-t5",
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]
}
] |
[] |
[] |
[
{
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"id": "DerUnfallchirurg.81010649.eng.abstr-s1-r2-t2.1-t3.1",
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] |
DerUnfallchirurg.81010655.eng.abstr
|
DerUnfallchirurg.81010655.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010655.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Complications associated with the application of a halo device are not infrequent ; however , osteomyelitis of the skull with a consecutive subdural abscess is a rare but severe complication . We present the case of a patient with a subdural abscess as a result of a local pin-track infection of the halo device , in whom pathological behavior was the primary clinical finding . The possible complications associated with the halo device are discussed with emphasis on associated head injuries and preexisting neurological diseases , as well as indications for the halo , clinical symptoms of pin-track infections , necessary diagnostic measurements and the appropriate treatment ."
],
"offsets": [
[
0,
681
]
]
}
] |
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13
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] |
[] |
[] |
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DerUnfallchirurg.81010658.eng.abstr
|
DerUnfallchirurg.81010658.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010658.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Complications after BCG vaccine ( bacilli Calmette-Guérin ) occur rarely . They can reach from a local acute abscess to chronic ulceration's . Therapeutically concepts of these complications range from conservative to operative treatment . In the following case history recurrent soft tissue infections occurred after accidental inoculation with BCG vaccine . The time course of these recurrent infections with its therapeutic options is discussed and a treatment strategy is suggested . Currently , radical excision combined with antituberculotic treatment seems to be the most promising therapy of this specific soft tissue infection ."
],
"offsets": [
[
0,
637
]
]
}
] |
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[] |
[] |
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"arg2_id": "DerUnfallchirurg.81010658.eng.abstr-s6-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010658.eng.abstr-s6-r15-t1.2-t5.1",
"type": "diagnoses",
"arg1_id": "DerUnfallchirurg.81010658.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.81010658.eng.abstr-s6-t5",
"normalized": []
}
] |
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