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DerUnfallchirurg.81010674.eng.abstr
|
DerUnfallchirurg.81010674.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010674.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From 1986 to 1994 18 patients with 19 IIIB open tibial fractures were treated following similar therapeutic management . This included early and radical primary debridement , early and whereever possible immediate internal fixation of the bone and coverage with a local muscle flap ( hemisoleus or gastrocnemius ) . At the time of follow-up all fractures had consolidated clinically as well as radiographically . The mean time to bony union was 7 months ( 3-20 ) . Twelve patients did not have any severe pain and were able to walk for more than 4 km. The time to return to work averaged 8 months . In 2 cases a permanent disability of 50 % was established . Fourteen of 18 patients were satisfied with the function of the leg . On the other hand , 9 didn ' t like the aesthetic appearance and were inhibited because of it . The following complications occurred within a period of 2 years : non-union ( 3 ) , flap necrosis ( 2 ) , osteomyelitis ( 2 ) , delayed union ( 4 ) . The mean number of reoperations was 3 ( 0-8 ) . In no case did an amputation have to be performed ."
],
"offsets": [
[
0,
1074
]
]
}
] |
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"id": "DerUnfallchirurg.81010674.eng.abstr-s1-t2",
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"open"
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"hand"
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"id": "DerUnfallchirurg.81010674.eng.abstr-s9-t3",
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"id": "DerUnfallchirurg.81010674.eng.abstr-s9-t4",
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"id": "DerUnfallchirurg.81010674.eng.abstr-s11-t1",
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] |
[] |
[] |
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] |
DerUnfallchirurg.81010684.eng.abstr
|
DerUnfallchirurg.81010684.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010684.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Defects of the dorsal and ventral ligament complexes of the lumbar spine results to an instability of the functional spinal unit . For the prognosis of secondary instability due to disko-ligamentous injuries the functional insufficiency of the lasting scars is a larger problem than the primar loss of osseous stability with fast healing tendency . The main goal of the present biomechanical study in vitro was to demonstrate the different grades of instability in the correlation to progressive disko-ligamentous defects as well as stabilisation through dynamic and static procedures . With a transpedicular screw-ringband-system the segmental function was preserved and instability was abolished . After rigid instrumentation with a fixateur intern remained a residual range of motion due to which can result refuse to bending moments without spondylodesis in an implant failure ."
],
"offsets": [
[
0,
882
]
]
}
] |
[
{
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{
"id": "DerUnfallchirurg.81010684.eng.abstr-s1-t2",
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"ligament"
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34,
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]
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]
},
{
"id": "DerUnfallchirurg.81010684.eng.abstr-s1-t3",
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"spine"
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},
{
"id": "DerUnfallchirurg.81010684.eng.abstr-s2-t1",
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{
"id": "DerUnfallchirurg.81010684.eng.abstr-s2-t2",
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] |
[] |
[] |
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}
] |
DerUnfallchirurg.81010691.eng.abstr
|
DerUnfallchirurg.81010691.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010691.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Purpose : The purpose of this study was to present our experience and results with arthroscopic resection of the acromioclavicular joint ."
],
"offsets": [
[
0,
138
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010691.eng.abstr-s1-t1",
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"text": [
"joint"
],
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[
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136
]
],
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{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.81010691.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"acromioclavicular joint"
],
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[
113,
136
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001208"
}
]
}
] |
[] |
[] |
[] |
DerUnfallchirurg.81010704.eng.abstr
|
DerUnfallchirurg.81010704.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010704.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Simple bone cysts are asymptomatic , benign lesions which are usually an incidental finding on a radiograph . Etiology and treatment are controversially discussed . The weightbearing status of the calcaneus and possible pathologic fracturing lead many authors to recommend therapeutic measures after diagnosis has been made . We present a case report of an intact unicameral bone cyst of the calcaneus concomitant with tibial and talar fractures following crush trauma . Several types of treatment for simple bone cysts of the calcaneus have been suggested . The question whether treatment is unconditionally necessary is controversially discussed . It is the author's opinion , that asymptomatic bone cysts of the calcaneus require no further treatment ."
],
"offsets": [
[
0,
755
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s1-t1",
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"bone"
],
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11
]
],
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},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s1-t2",
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"cysts"
],
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17
]
],
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"db_id": "C0010709"
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"id": "DerUnfallchirurg.81010704.eng.abstr-s1-t3",
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"finding"
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[
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]
],
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"db_id": "C0243095"
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"id": "DerUnfallchirurg.81010704.eng.abstr-s1-t4",
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],
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{
"id": "DerUnfallchirurg.81010704.eng.abstr-s1-t5",
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"text": [
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],
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7,
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]
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"db_id": "C0005937"
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]
},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Etiology"
],
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[
110,
118
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"db_id": "C0015127"
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"db_id": "C0007463"
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]
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{
"id": "DerUnfallchirurg.81010704.eng.abstr-s2-t2",
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},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s3-t1",
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169,
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{
"id": "DerUnfallchirurg.81010704.eng.abstr-s3-t2",
"type": "umlsterm",
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"calcaneus"
],
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197,
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]
],
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"db_name": "UMLS",
"db_id": "C0006856"
}
]
},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"pathologic"
],
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220,
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]
],
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"db_id": "C0205469"
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},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"therapeutic"
],
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[
273,
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]
],
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"db_name": "UMLS",
"db_id": "C0039796"
}
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},
{
"id": "DerUnfallchirurg.81010704.eng.abstr-s3-t5",
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DerUnfallchirurg.81010708.eng.abstr
|
DerUnfallchirurg.81010708.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010708.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We analyzed the failure of Schanz pins in 234 patients with fractures of the lower extremity . All patients had the AO external fixator and stainless steel pins ( ISO 58/32-1 ) . The mean duration of treatment was 14 weeks . During this time 88 of a total of 1147 pins became loose . The first failures occurred 2 weeks after insertion . Most pins failed after 5-6 weeks . Early loosening was not accompanied signs of local infection , while late failures regularly developed pin- tract infections . Pins next to the fracture gap exhibited the highest rate of loosening . Intermediate pins had the lowest one . We could not detect an effect of the configuration of the external fixation . Eighty-one percent of the failed pins were exchanged consequently . We conclude that the early occurrence of pin loosening is due to mechanical reasons . Significant factors for this complications were the location close to the fracture gap and the number of pins in that segment ."
],
"offsets": [
[
0,
970
]
]
}
] |
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}
] |
[] |
[] |
[
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"normalized": []
},
{
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},
{
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},
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},
{
"id": "DerUnfallchirurg.81010708.eng.abstr-s1-r5-t5.1-t3.1",
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},
{
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},
{
"id": "DerUnfallchirurg.81010708.eng.abstr-s2-r2-t3.1-t1.1",
"type": "affects",
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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.81010728.eng.abstr
|
DerUnfallchirurg.81010728.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010728.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The authors describe a patient with a wrist metastasis of a primary pulmonary carcinoma . Palliative radiotherapy in combination with splinting failed to release the pain . He was then succesfully treated by radiocarpal bridging with a dynamic condylar plate ."
],
"offsets": [
[
0,
260
]
]
}
] |
[
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"metastasis"
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44,
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}
]
},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"carcinoma"
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{
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"radiotherapy"
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}
]
},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s2-t2",
"type": "umlsterm",
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"pain"
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"id": "DerUnfallchirurg.81010728.eng.abstr-s3-t1",
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"plate"
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}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s1-r1-t4.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.81010728.eng.abstr-s1-t4",
"arg2_id": "DerUnfallchirurg.81010728.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s1-r2-t2.1-t3.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s1-r3-t3.1-t1.1",
"type": "occurs_in",
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"arg2_id": "DerUnfallchirurg.81010728.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s1-r4-t2.1-t4.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.81010728.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010728.eng.abstr-s2-r1-t1.1-t1.2",
"type": "treats",
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"arg2_id": "DerUnfallchirurg.81010728.eng.abstr-s2-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010731.eng.abstr
|
DerUnfallchirurg.81010731.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010731.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 45 years old female runner developed a bilateral tendinopathy of the Achilles tendon after repeated antimicrobiotical treatment with ciprofloxacin . One month later the right Achilles tendon ruptured without any sudden pain . MRI revealed degenerative changes of the left Achilles tendon ; on the right side the tendon was ruptured with a dehiscence of 4 cm between both ends of the tendon . The tendon was reconstructed surgically . The histological analysis showed cystic changes with focal necrosis . This finding differ from findings in non drug induced tendinopathies . After antimicrobiotical treatment with ciprofloxacin the side effect of a tendon disorder must be considered . The impairment of the tendon may be as strong that a tendon rupture may occur at daily living activities without any typical clinical symptoms ."
],
"offsets": [
[
0,
832
]
]
}
] |
[
{
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"old"
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]
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"female"
],
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[
15,
21
]
],
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{
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"db_id": "C0086287"
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"db_id": "C0015780"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"tendon"
],
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[
80,
86
]
],
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{
"db_name": "UMLS",
"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"treatment"
],
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129
]
],
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},
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"ciprofloxacin"
],
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[
135,
148
]
],
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"db_id": "C0008809"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"Achilles tendon"
],
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[
71,
86
]
],
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"db_name": "UMLS",
"db_id": "C0001074"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"right"
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171,
176
]
],
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{
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"db_id": "C0035621"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"tendon"
],
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186,
192
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],
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"pain"
],
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221,
225
]
],
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"db_id": "C0030193"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"Achilles tendon"
],
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[
177,
192
]
],
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"db_name": "UMLS",
"db_id": "C0001074"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"MRI"
],
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228,
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]
],
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"db_id": "C0024485"
}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"tendon"
],
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283,
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]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"right"
],
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[
299,
304
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"tendon"
],
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"tendon"
],
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"Achilles tendon"
],
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274,
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],
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]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"tendon"
],
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]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s5-t1",
"type": "umlsterm",
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"analysis"
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}
]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"necrosis"
],
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[
495,
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{
"id": "DerUnfallchirurg.81010731.eng.abstr-s6-t1",
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"finding"
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]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s6-t2",
"type": "umlsterm",
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"findings"
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},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s6-t3",
"type": "umlsterm",
"text": [
"drug"
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{
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]
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{
"id": "DerUnfallchirurg.81010731.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"ciprofloxacin"
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{
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"type": "umlsterm",
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{
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},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
"type": "umlsterm",
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"tendon"
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{
"id": "DerUnfallchirurg.81010731.eng.abstr-s8-t2",
"type": "umlsterm",
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},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s8-t3",
"type": "umlsterm",
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"rupture"
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]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"type": "umlsterm",
"text": [
"symptoms"
],
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]
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s8-t5",
"type": "umlsterm",
"text": [
"daily living activities"
],
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]
],
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{
"db_name": "UMLS",
"db_id": "C0001288"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r1-t1.1-t6.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r2-t1.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r3-t2.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r4-t6.1-t4.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r5-t4.1-t6.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r6-t1.1-t4.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r7-t6.1-t4.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r8-t1.1-t4.1",
"type": "produces",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r9-t6.1-t1.1",
"type": "surrounds",
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"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r10-t2.2-t1.1",
"type": "property_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r11-t4.1-t1.1",
"type": "disrupts",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s1-r12-t6.1-t1.1",
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},
{
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s2-r2-t1.1-t4.1",
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"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r1-t6.1-t1.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r2-t3.1-t6.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t3",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r3-t5.1-t6.1",
"type": "developmental_form_of",
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"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r4-t2.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t2",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r5-t6.1-t3.1",
"type": "surrounds",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s3-t6",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010731.eng.abstr-s3-r6-t3.1-t1.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t3",
"arg2_id": "DerUnfallchirurg.81010731.eng.abstr-s8-t1",
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DerUnfallchirurg.81010735.eng.abstr
|
DerUnfallchirurg.81010735.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010735.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We reviewed 77 conservatively and 164 operatively treated cases of rupture of the long head of the biceps documented in the literature . Refixation offers a small but relatively constant improvement of flexion and supination power and thus reduces the number of cases with remaining light or marked weakness by one third . Deformity by the slipped muscle can be corrected effectively . As complications are uncommon surgery should be recommended to young and active patients and should at least be offered to less active patients . Thirteen patients were re-examined after operative repair for distal biceps tendon avulsion and 277 reported cases were reviewed . After conservative management ( n = 20 ) the power of flexion remains reduced by 30 %-40 % , that of supination by more than 50 % . The loss of flexion power , as well as the deformity can be nicely diminished by attachment of the distal biceps to the brachialis muscle ( n = 22 ) . There are no complications documented regarding this procedure . The anatomic reinsertion ( n = 248 ) additionally reduces the loss of supination power to 0 %-25 % , but bears a higher risk of complications . The double-incision technique ( n = 105 of 248 ) does not necessarily decrease this risk . There are as many nerve injuries reported as with the single-anterior approach . Additionally we are faced with the problem of radioulnar synostosis . The use of suture anchors provides a nice way of fixation of the tendon but does not facilitate the approach to the tuberosity . The distal biceps tendon rupture should be treated operatively . The adequate method of repair is to be determined individually ."
],
"offsets": [
[
0,
1655
]
]
}
] |
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[] |
[] |
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] |
DerUnfallchirurg.81010742.eng.abstr
|
DerUnfallchirurg.81010742.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010742.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Accidental hypothermia ( AH ) can be defined as an unintentional decrease in core temperature below 35 °C during cold exposure by individuals without intrinsic thermoregulatory dysfunction . Pathophysiological changes can be attributed both to the severity of hypothermia and to co-morbid factors such as trauma , submersion , intoxication and underlying diseases . In trauma victims stratified according to the Injury Severity Score , the factor hypothermia is considered to be a poor prognostic sign for survival . In these patients rewarming therapy should be applied as soon as possible . In the Utrecht University Hospital , adult patients with AH are managed according to an algorithm based on their presenting hemodynamic conditions . Patients with perfusing cardiac rhythms and systolic pressures over 80 mmHg will receive continuous arteriovenous rewarming ( CAVR ) . Arrested and hemodynamically instable patients are treated with cardiopulmonary bypass ( CPB ) . In a 3-year period , 22 patients with AH were admitted to the emergency department . Fourteen patients had a trauma as the cause of hypothermia . Twenty patients were treated according to the algorithm ( CAVR n = 18 , CPB n = 2 ) and two patients were alternatively managed . Mortality in the CAVR group was 28 % and total mortality reached 32 % . Complications of CAVR are related to placement and removal of vascular catheters and may be severe in these patients with impaired coagulation . CAVR permits a good access to the ( trauma- ) patient and rewarming can be continued synchronously with diagnosis and treatment of various injuries ."
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[] |
[] |
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}
] |
DerUnfallchirurg.81010755.eng.abstr
|
DerUnfallchirurg.81010755.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010755.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Purpose : The purpose of this study was the evaluation of our results after posteroinferior capsular shift in patients with a posterior shoulder instability ."
],
"offsets": [
[
0,
158
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010755.eng.abstr-s1-t1",
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"evaluation"
],
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54
]
],
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}
]
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{
"id": "DerUnfallchirurg.81010755.eng.abstr-s1-t2",
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"patients"
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118
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{
"id": "DerUnfallchirurg.81010755.eng.abstr-s1-t3",
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"text": [
"posterior"
],
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126,
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]
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"id": "DerUnfallchirurg.81010755.eng.abstr-s1-t4",
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"shoulder"
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144
]
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{
"db_name": "UMLS",
"db_id": "C0037004"
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}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010755.eng.abstr-s1-r1-t3.1-t4.1",
"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.81010755.eng.abstr-s1-t3",
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},
{
"id": "DerUnfallchirurg.81010755.eng.abstr-s1-r2-t4.1-t3.1",
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"arg2_id": "DerUnfallchirurg.81010755.eng.abstr-s1-t3",
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}
] |
DerUnfallchirurg.81010762.eng.abstr
|
DerUnfallchirurg.81010762.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010762.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Conservative treated distal radius fractures with extended metaphyseal void and missing cortical support resulted in loss of reduction . From 1988 till 1994 117 fractures of the distal radius were treated by open reduction , filling the metaphyseal void with a cortico-cancellous iliac bone graft and plate fixation . In this retrospective study results after surgical reconstruction were evaluated radiologically and clinically and were discussed to conservative treatment . 30 patients suffering from extraarticular metaphyseal distal radius fracture were evaluated after a mean of 42 months ( minimum 20 , maximum 68 months ) after surgery . Ulnar variance was restored in 70 % to the uninvolved side . Ulnar minus variance up to 2 mm persisted in 30 % . Radial joint angles were restored to normal in 53 % . In 40 % of the patients a loss of reduction up to 10 ° and in 7 % up to 25 ° occured . Active range of motion in the sagittal and frontal plane was equivalent to the non involved side in 30 % . 70 % of the patients showed reduced range of motion up to 20 % . Rotation was unlimited in 77 % , reduced up to 10 % in 23 % . Subjective results were excellent in 90 % , good in 10 % . Compared to conservative therapie , surgery showed superior results ."
],
"offsets": [
[
0,
1261
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010762.eng.abstr-s1-t1",
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"text": [
"radius"
],
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28,
34
]
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s1-t2",
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"text": [
"fractures"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s1-t3",
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"void"
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"id": "DerUnfallchirurg.81010762.eng.abstr-s1-t4",
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"text": [
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t1",
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"text": [
"fractures"
],
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161,
170
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"radius"
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185,
191
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"type": "umlsterm",
"text": [
"open"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"void"
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253
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"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"bone"
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[
286,
290
]
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{
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"db_id": "C0262950"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"graft"
],
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291,
296
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],
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{
"db_name": "UMLS",
"db_id": "C0332835"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"plate"
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301,
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"bone graft"
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286,
296
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"db_id": "C0005976"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"retrospective"
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339
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"db_id": "C0035363"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"surgical"
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368
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
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"db_id": "C0039798"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s3-t4",
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"radius"
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{
"id": "DerUnfallchirurg.81010762.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
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[] |
[] |
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},
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},
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}
] |
DerUnfallchirurg.81010775.eng.abstr
|
DerUnfallchirurg.81010775.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010775.eng.abstr-passage-0",
"type": "abstract",
"text": [
"After cruciate ligament reconstruction using an autogenous central bone-patellar tendon-bone graft persistent complaints are described in the literature . There is the difficulty to distinguish the morbidity associated with the graft harvest and the morbidity caused by the injury and the reconstruction procedure . In order to clarify the morbidity resulting from the graft harvest alone , we evaluated those patients who had transplantat harvest from the opposite knee . Between 1990 and 1995 a central bone-tendon-bone graft has been taken from the contralateral uninjured knee in 37 patients , in 22 cases for anterior and in 15 cases for posterior cruciate ligament reconstruction . 27 patients were clinically ( IKDC Score ) , isokinetically and radiologically followed up in an average of 25,3 months after the operation ( range : 9-73 months ) . 21 patients were classified into IKDC group A. Except of one patient with an extension deficit of 5 ° all others showed normal range of motion . Only 5 of 27 patients expressed minimal knee pain during vigorous activities . Three of them reported about weather sensitivity in addition . These 6 patients were ranked in group B. No patient was classified into IKDC group C or D. The isokinetic examination showed a normal level of quadriceps strength . At final followup , the technique of Blackburne and Peel was used to assess patellar height . There was no radiographic evidence of patella contracture or baja . According to our results taking the autogenous CBTB graft used for cruciate ligament reconstruction leads to no serious morbidity ."
],
"offsets": [
[
0,
1599
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010775.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"ligament"
],
"offsets": [
[
15,
23
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023685"
},
{
"db_name": "UMLS",
"db_id": "C0023686"
}
]
},
{
"id": "DerUnfallchirurg.81010775.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"tendon-bone"
],
"offsets": [
[
81,
92
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.81010775.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"tendon-bone"
],
"offsets": [
[
81,
92
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
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[] |
[] |
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DerUnfallchirurg.81010791.eng.abstr
|
DerUnfallchirurg.81010791.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010791.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The scapulothoracic dissociation ( SD ) is a complex injury of the shoulder girdle , mostly associated with polytraumatized critically ill patients . This case report of 3 patients shows the variety of possible injuries combined with SD . Diagnosis and therapy in such a rare trauma , which is most likely seen in specialized trauma centres are being described . The 3 patients are presented from trauma to management , with remarks to various possibilities in treatment . Reports of other groups include multicenter studies with small numbers of patients , making it different to look for homogenity or defining standards , whereas current guidelines are being mentioned , including remarks on the management of these mostly polytraumatized and vitally endangered patients ."
],
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[
0,
775
]
]
}
] |
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{
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[] |
[] |
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] |
DerUnfallchirurg.81010799.eng.abstr
|
DerUnfallchirurg.81010799.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010799.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Necessary precondition for acceptance of spine disorders as occupational disease is an excessive occupational exposition , its compatibility with and an explicit causal relation to this disorders . The latter may be assumed in case of multisegmental spondylosis of the column , combined with local impairment of function and pain , if the vertebral disorders of the occupationally exposed column-segment are significantly worse than those of other vertebral segments . Finally non-occupational , preexisting discrete vertebral disorders ( e . g . scoliosis , spondylolisthesis ) have to been excluded . So far there are no alternatives or rejections to this consensus , called \" Hamburg formula \" . It should be used as long as no other valid , positive markers of occupationally caused disorders can be defined on the basis of reliable epidemiological investigations ."
],
"offsets": [
[
0,
869
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t1",
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"text": [
"spine"
],
"offsets": [
[
41,
46
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037949"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"disorders"
],
"offsets": [
[
47,
56
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"disease"
],
"offsets": [
[
73,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"disorders"
],
"offsets": [
[
186,
195
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"spine disorders"
],
"offsets": [
[
41,
56
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0037933"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"occupational disease"
],
"offsets": [
[
60,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0028797"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"spondylosis"
],
"offsets": [
[
250,
261
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038019"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"function"
],
"offsets": [
[
312,
320
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"pain"
],
"offsets": [
[
325,
329
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030193"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"disorders"
],
"offsets": [
[
349,
358
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"disorders"
],
"offsets": [
[
527,
536
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"scoliosis"
],
"offsets": [
[
547,
556
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036439"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"spondylolisthesis"
],
"offsets": [
[
559,
576
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038016"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"rejections"
],
"offsets": [
[
639,
649
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035015"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"consensus"
],
"offsets": [
[
658,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0376298"
}
]
},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"markers"
],
"offsets": [
[
754,
761
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005516"
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},
{
"id": "DerUnfallchirurg.81010799.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
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],
"offsets": [
[
787,
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]
],
"normalized": [
{
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]
}
] |
[] |
[] |
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{
"id": "DerUnfallchirurg.81010799.eng.abstr-s5-r2-t1.1-t2.1",
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"arg2_id": "DerUnfallchirurg.81010799.eng.abstr-s7-t2",
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] |
DerUnfallchirurg.81010807.eng.abstr
|
DerUnfallchirurg.81010807.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010807.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The investigation and management of extensor tendons play a minor role compared to those of flexor tendons . The finger extension does not seem to be as important as the flexion . But the practical value of the hand is determined by both ."
],
"offsets": [
[
0,
239
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010807.eng.abstr-s1-t1",
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"tendons"
],
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45,
52
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],
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"db_id": "C0039508"
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]
},
{
"id": "DerUnfallchirurg.81010807.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"minor"
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"id": "DerUnfallchirurg.81010807.eng.abstr-s1-t3",
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"role"
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66,
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{
"id": "DerUnfallchirurg.81010807.eng.abstr-s1-t4",
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"flexor"
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92,
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"id": "DerUnfallchirurg.81010807.eng.abstr-s2-t1",
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"finger"
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"id": "DerUnfallchirurg.81010807.eng.abstr-s3-t1",
"type": "umlsterm",
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{
"id": "DerUnfallchirurg.81010807.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"hand"
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{
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] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010807.eng.abstr-s1-r1-t1.1-t4.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.81010807.eng.abstr-s3-t1",
"arg2_id": "DerUnfallchirurg.81010807.eng.abstr-s1-t4",
"normalized": []
}
] |
DerUnfallchirurg.81010813.eng.abstr
|
DerUnfallchirurg.81010813.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010813.eng.abstr-passage-0",
"type": "abstract",
"text": [
"On 3 June 1998 a high-speed train ( Inter City Express , ICE ) collided with a bridge at a speed of 200 km/h . The bridge collapsed and the rear wagons of the train were pushed into it with the power of the rear engine . The accident caused 101 deaths and 103 injuries . Four minutes after the accident the alarm was raised , and 16 minutes after the accident the first doctor was on the scene , arriving from Celle , approx . 20 km away ."
],
"offsets": [
[
0,
439
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s1-t1",
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"June"
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{
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"City"
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"ICE"
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s1-t4",
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{
"id": "DerUnfallchirurg.81010813.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"power"
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{
"id": "DerUnfallchirurg.81010813.eng.abstr-s3-t1",
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"id": "DerUnfallchirurg.81010813.eng.abstr-s4-t2",
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{
"id": "DerUnfallchirurg.81010813.eng.abstr-s4-t3",
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"doctor"
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370,
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{
"db_name": "UMLS",
"db_id": "C0031831"
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}
] |
[] |
[] |
[
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"type": "interacts_with",
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{
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},
{
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"type": "interacts_with",
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"arg2_id": "DerUnfallchirurg.81010813.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s1-r12-t1.1-t3.1",
"type": "interacts_with",
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"normalized": []
},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s3-r1-t2.1-t3.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.81010813.eng.abstr-s4-t2",
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},
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},
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"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.81010813.eng.abstr-s4-t3",
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s3-r5-t2.1-t3.1",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.81010813.eng.abstr-s4-t3",
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s3-r6-t2.1-t1.1",
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s3-r7-t3.2-t2.1",
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},
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s4-r1-t1.1-t3.1",
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},
{
"id": "DerUnfallchirurg.81010813.eng.abstr-s4-r2-t2.1-t3.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.81010813.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.81010813.eng.abstr-s4-t3",
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}
] |
DerUnfallchirurg.81010817.eng.abstr
|
DerUnfallchirurg.81010817.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010817.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report our results after primary implantation of 30 radial head prostheses in a retrospective study from 1978 to 1996. If there was intraoperatively a remaining instability of the elbow after resection of the radial head , we implanted a prosthesis . The average age of our patients was 40.7 years . The results were evaluated concerning the recommendations of Radin and Riseborough . In 22 patients ( 73 % ) we found good to satisfactory results , in 8 patients ( 27 % ) , there was a free range of motion . Heterotopic ossifications with a remarkable decrease in the range of motion were discovered in 3 patients ( 10 % ) . The implant had to be removed in three ( 10 % ) patients ( 2 incorrect implantations , one broken prosthesis ) . To conclude , the primary implantation of a radial head prosthesis after a strict indication improves the clinical benefit for the patient . A correct surgical technique avoids unneccessary complications ."
],
"offsets": [
[
0,
947
]
]
}
] |
[
{
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{
"id": "DerUnfallchirurg.81010817.eng.abstr-s1-t2",
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"text": [
"head"
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{
"id": "DerUnfallchirurg.81010817.eng.abstr-s1-t3",
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"text": [
"prostheses"
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67,
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"id": "DerUnfallchirurg.81010817.eng.abstr-s1-t4",
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"id": "DerUnfallchirurg.81010817.eng.abstr-s1-t8",
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DerUnfallchirurg.81010822.eng.abstr
|
DerUnfallchirurg.81010822.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010822.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Although the free-hand technique remains the most popular method for distal interlocking screw insertion , proximally mounted \" radiation-independent \" devices which compensate for implant deformation recently have been developed for rotationally stiff , unslotted femoral nails . However , the benefits of such systems have not been determined . This study prospectively compared the duration of the nailing procedure , the length of radiation time , and the accuracy of interlocking screw placement with a radiation-independent distal aiming system to those using the free-hand technique . In twenty paired intact cadaveric femora , a single surgeon experienced only in the free-hand technique performed statically locked intramedullary nailing using the two methods . For the aiming system and free-hand technique respectively , the total operation time was 19.1 +/- 8.4 versus 20.9 +/- 11.3 minutes ( p = 0.9 ) , the distal locking time was 6.6 +/- 2.4 versus 4.8 +/- 1.5 minutes ( p = 0.002 ) , the total fluoroscopy time was 23 +/- 17 versus 69 +/- 34 seconds ( p 0.0001 ) , and the distal locking fluoroscopy time was 0 versus 37 +/- 15.5 seconds ( p 0.0001 ) . There were no failures in either group . Drill nail contact ( p 0.0001 ) and distal screw damage ( p = 0.02 ) were both greater with the free-hand technique ."
],
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[
0,
1327
]
]
}
] |
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] |
[] |
[] |
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{
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"type": "isa",
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},
{
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"type": "result_of",
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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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},
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},
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},
{
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},
{
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},
{
"id": "DerUnfallchirurg.81010822.eng.abstr-s5-r12-t7.1-t1.1",
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"arg2_id": "DerUnfallchirurg.81010822.eng.abstr-s7-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010838.eng.abstr
|
DerUnfallchirurg.81010838.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010838.eng.abstr-passage-0",
"type": "abstract",
"text": [
"58 patients following Gustilo IIIB open tibial fractures , treated by serial debridements , osteosynthesis and microvascular free tissue transfer were investigated after an average of 6 years . Assessment of life satisfaction was done by means of a proven valid and reliable test instrument ( FLZ - \" Fragen zur Lebenszufriedenheit \" ) . Further specific questions on treatment satisfaction , aesthetic result , occupation and income were added to this questionnaire . Significant discrepancies of the items recreational activities , income , occupation and partnership , productivity , mobility and pain were evaluated in comparison to available data of healthy west german population . The calculated global index of life satisfaction and health differed significantly from the established index of west german population . Although specific aspects like aesthetic result , donor site morbidity , pain and even function were critically judged , 91 % of the patients were satisfied with the long term result of the treatment . None of the patients thought that an initial amputation probably might have been a better solution . The postrehabilitation employment rate was 64 % . Limb salvage of Gustilo IIIB fractures by means of a multidisciplinary treatment protocol is able to afford useful and satisfying long time results . However , an impairment of quality of life , at least in specific items has to be considered ."
],
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0,
1423
]
]
}
] |
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{
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{
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] |
DerUnfallchirurg.81010851.eng.abstr
|
DerUnfallchirurg.81010851.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010851.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients in traumatology need additional physiotherapy to prevent deep vein thrombosis . There is still a 4 % risk of deep vein thrombosis in outpatients receiving already low molecular weight heparin prophylaxis [ 9 ] . However , there are no prospective studies with a high number of patients to prove effectiveness of the presented physiotherapeutic tools , even if the hypothesis \" achieving physiological-like conditions \" sounds positive and some authors postulate that physiotherapy would be equal to drug prophylaxis of deep vein thrombosis ."
],
"offsets": [
[
0,
550
]
]
}
] |
[
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],
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0,
8
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s1-t2",
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],
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12,
24
]
],
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}
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},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s1-t3",
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],
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41,
54
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],
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}
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},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s1-t4",
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"vein"
],
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[
71,
75
]
],
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},
{
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},
{
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],
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86
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],
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},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s1-t7",
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"text": [
"deep vein thrombosis"
],
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66,
86
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],
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},
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},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s2-t2",
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"text": [
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],
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123,
127
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},
{
"id": "DerUnfallchirurg.81010851.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
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DerUnfallchirurg.81010866.eng.abstr
|
DerUnfallchirurg.81010866.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010866.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The use of degradable implants in recent years has brought not only good results . Foreign body reactions to implantation of degradable polymers clearly curtailed the initial expectations . Bioabsorbable polymers have been used for sutures , vascular clips , and fixation implants for both intra-articular fractures and malleolar fractures . In the literature these implants are controversial . Potential benefits remain for the use of this material for interference screws if the problems of inflammation are minimal and the fixation properties are sufficient . There is no need for a second operation for removal . In one patient , 4.5 years after to implantation of an degradable interference screw ( Copolymer 85/15 D , L lactide glycolide ; Biologically Quiet , Instrument Makar , Inc. Mount Hope , MI 48864 , USA ) we took an biopsy and made histological examinations . No foreign body reaction or inflammation signs could be detected ."
],
"offsets": [
[
0,
942
]
]
}
] |
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[] |
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}
] |
DerUnfallchirurg.81010870.eng.abstr
|
DerUnfallchirurg.81010870.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010870.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since transmission of HIV through allogenic bone grafts has been established , the concept of cryopreservation of allogenic bone had to be reconsidered . The strict guidlines of the scientific board of the Bundesaerztekammer of 1990 are very labour- , time- and money-intensive . We have therefore moved to autoclaving allogenic cancellous bone . This is harvested from femoral heads during THR in slices of 2 to 3 mm , then cleaned under non-sterile conditions with a hard water jet followed by an ultrasonic bath for approx . 20 minutes . The slices are then double sealed individually and autoclaved at a temperature of 134 °C and a pressure of 2.5 atmospheres . Storage is in sealable containers at room temperature , so the material available at any time . Since the bone tissue has been freed of most organic matter and therefore lost its bone-specific antigenic structure , all that is left is the anorganic component with its inimitable architecture . This treatment results in a cancellous bone graft which is sterile , biocompatible and osteoconductive . Biologically it is inferior to autogenic and cryopreserved bone . Experimental and clinical studies show , however , that autoclaved cancellous bone can be a suitable substitute in well-selected indications . To elucidate the ultrastructural changes of the spongiosa and proteins induced by autoclaving further investigations are necessary . For example , the specific proteins involved need to be determined ."
],
"offsets": [
[
0,
1475
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t1",
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"text": [
"transmission"
],
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[
6,
18
]
],
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{
"db_name": "UMLS",
"db_id": "C0040722"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"HIV"
],
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[
22,
25
]
],
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{
"db_name": "UMLS",
"db_id": "C0019682"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"bone"
],
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[
44,
48
]
],
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{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"grafts"
],
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49,
55
]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"cryopreservation"
],
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[
94,
110
]
],
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"db_id": "C0010405"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t6",
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"text": [
"bone"
],
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124,
128
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{
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}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"bone grafts"
],
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[
44,
55
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005976"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"labour-"
],
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242,
249
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"bone"
],
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[
340,
344
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010870.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"heads"
],
"offsets": [
[
378,
383
]
],
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[] |
[] |
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] |
DerUnfallchirurg.81010878.eng.abstr
|
DerUnfallchirurg.81010878.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010878.eng.abstr-passage-0",
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"Posttraumatic stress disorder ( PTSD ) can occur after motor vehicle accidents ( MVAs ) . It is an anxiety disorder characterized by intrusive reliving of the accident , avoidance of reminders of the trauma and increased arousal . Diagnostic criteria as specified in DSM-IV and in ICD-10 are discussed . A case example illustrates the features of PTSD incurred by MVA . An overview concerning the history of empirical studies on the consequences of MVAs is given . PTSD is one of the more common psychiatric disorders , with prevalence rates after MVAs ranging from 1 % to nearly 9 % . Other psychiatric and comorbid disorders that can occur as a consequence of MVAs are described . The present paper reviews the most influential etiological theories for PTSD . It describes and discusses current knowledge on risk factors for the development of PTSD after surviving an MVA . In the treatment of PTSD cognitive-behavioural approaches have proven to be the most effective interventions ."
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] |
DerUnfallchirurg.81010894.eng.abstr
|
DerUnfallchirurg.81010894.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010894.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between January 1993 and December 1995 we treated 109 patients ( median age : 75 years ) with 112 extraarticular hip fractures including combined trochanteric and shaft fractures using two different \" sliding-screw-nail implants \" ( intramedullary hip screw = classic nail : n = 61 ; gamma nail : n = 51 ) . Comparing the two systems in detail certain advantages and disadvantages were seen , with both being equivalent . We encountered the following complications : secondary varus malalignment of the collum femoris with \" cut out \" of the sliding-screw ( 1.8 % ) and without \" cut out \" ( 1.8 % ) , fissure of the femoral shaft occuring intraoperatively and being treated conservatively ( 1.8 % ) , femoral perforation by the nail ( 0.9 % ) , infection ( 2.7 % ) . Thus , 5 reoperations ( 4.5 % ) were necessary . None of these complications were attributable to the principle itself or to the different implants used . Each patient was followed-up for a minimum of 12 months postoperatively . In 59 % of all patients the pre-trauma range of mobility could be fully restored . Intramedullary hip screw and gamma nail are excellent and equivalent systems , which fully satisfy the biomechanical needs of above mentioned fractures ."
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] |
DerUnfallchirurg.81010901.eng.abstr
|
DerUnfallchirurg.81010901.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010901.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Periprosthetic femoral fractures present the problem of fracture treatment and prosthetic stability . Various treatment options are recommended for managing these fractures . We treated 51 patients with 54 periprosthetic fractures between 1985 and 1995. Of these , 42 ( 78 % ) fractures were treated with a plate , eight ( 14 % ) , with a revision prosthesis , two ( 4 % ) , with retrograde nailing , and two ( 4 % ) , conservatively due to poor medical condition . The choice of fracture management was dependent on the type and location of the fracture and on the stability of the prosthesis . A total of 50 fractures healed primarily . Complications included three cases of plate loosening , one further fracture , one deep infection , one broken bolt and one varus deformity . Four patients died in the postoperative period , an additional 19 were dead at the time of the evaluation . Fractures with a stable implant can be treated with plate fixation . Cases of a loose implant require revision . Distal fractures are stabilized with a plate or with a retrograde nail ."
],
"offsets": [
[
0,
1074
]
]
}
] |
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] |
[] |
[] |
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{
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DerUnfallchirurg.81010907.eng.abstr
|
DerUnfallchirurg.81010907.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010907.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures of the distal metaphysis of the tibia often include an extension into the ankle . Intramedullary nailing combined with covered screw osteosynthesis should reduce the high incidence of soft tissue and ankle problems and should be an alternative to open plate fixation , with good ultimate functional outcome . Between January 1993 and December 1995 , a prospective study on 49 patients with distal metaphyseal tibia fracture and involvement of the ankle was performed . All the fractures were treated with intramedullary nailing combined with covered screw osteosynthesis , and plate fixation in cases of fibula fractures . There were 27 men and 22 women with an average age of 46.4 +/- 12.7 years ( range 21-90 ) . In most studies of the use of intramedullary nailing in distal tibial fractures the classification has been inadequate . Therefore a new classification according to Robinson et al. ( 1995 ) was used : 10 fractures were type II B ( 20.4 % ) , 13 were type II C ( 26.5 % ) , and 26 patients suffered a combination of type II B and type II C ( 53.1 % ) . This fracture type was defined as type II D for use in this study . The severity of soft tissue injury was recorded using the Gustilo system in case of open ( n = 19 ) and the Tscherne system in case of closed fractures ( n = 30 ) . In 31 patients distal tibia fracture was accompanied by a fracture of the fibula , which was first stablized using a plate . For reconstruction of the distal articular surface , covered screw osteosynthesis was done . At the next step intramedullary nails were inserted and were statically locked proximally and distally . From January 1993 to February 1994 , the reamed AO standard nail was used . After introduction of the unreamed tibial nail ( UTN ) all fractures were treated by this implant . Full load on the operated leg was allowed after 8 weeks . Union of the fracture was assessed by standard radiological and clinical criteria . Misalignment was defined as more than 5 ° of angular rotation . Further surgery due to a valgus deformity in the ankle joint had to be done in three cases . There were no deep infections . Three patients had a superficial infection in the ankle area , but surgical debridement was not necessary . A leg shortening was found in 4 cases , but it was less than 1 cm in every case . Therefore , surgical correction was not done . Patients were reviewed at intervals of 2 , 6 , and 12 weeks , and after 6 , and at least 12 months . All 49 patients were finally reviewed after an average time of 15.7 months ( range 12-38 ) . Bone fusion was reached 12.8 weeks ( range 9-21 ) after the operative treatment . A specific assessment of the ankle symptoms was made using the score of Olerud and Molander ( 1984 ) . In 29 patients excellent results were recorded . A satisfactory result was attained with 17 patients and just 3 patients were found to be unsatisfactory . Although proximity of distal tibia fracture to the ankle makes the treatment more complicated than for fractures of the tibial diaphysis , closed intramedullary nailing combined with covered screw fixation is a good alternative to open reduction and plate fixation . The major advantages are closed procedure and simplified interlocking techniques . Therefore , closed intramedullary nailing combined with covered screw fixation is a safe and effective method of managing this type of fracture ."
],
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] |
DerUnfallchirurg.81010914.eng.abstr
|
DerUnfallchirurg.81010914.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010914.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Extracorporal shock wave application ( ESWA ) has been used in the treatment of stones located in kidneys , bile , pancreas and the glandula parotis . In the last 2 years several studies have shown the benefit of the ESWA on the treatment of soft tissue disorders . The aim of this study was to explore the effect of high energy extracorporal shock waves in patients with painful calcaneus spurs . 83 patients who underwent medicophysical treatment without benefit were treated with 3000 impulses of 0,30 mJ/mm2. Follow-ups after 12 weeks and 12 months showed that 51 of 83 patients became pain-free and 20 patients improved from the treatment . The results are showing the benefit of the high energy extracorporal shock wave application in the treatment of chronic plantar fasciitis ."
],
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785
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}
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[] |
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"id": "DerUnfallchirurg.81010914.eng.abstr-s4-r12-t2.1-t1.1",
"type": "affects",
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"arg2_id": "DerUnfallchirurg.81010914.eng.abstr-s5-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010950.eng.abstr
|
DerUnfallchirurg.81010950.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010950.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Impaction of an intramedullary nail during extraction is an unpredictable and delicate situation . Its problematic nature is unfolded on a report of two cases , one with a Kuentscher nail and one with a modern solid titanium nail . This event is caused by ingrowth of new bone formation into the slot or the dorsal flute respectively . The new bone formation is a mechanical barrier which effectively forces the distal part of the nail to jam against the cortex . Both , the slot of the unlocked reamed clover leaf nail and the wider dorsal flute of the solid titanium nail , realize certain therapeutic concepts . Their factual benefit within the concept of interlocking nailing is doubtful ."
],
"offsets": [
[
0,
693
]
]
}
] |
[
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"nail"
],
"offsets": [
[
31,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"intramedullary nail"
],
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[
16,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021885"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"nature"
],
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[
115,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0349590"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"nail"
],
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[
183,
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]
],
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"db_name": "UMLS",
"db_id": "C0027342"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"titanium"
],
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[
216,
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]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0040302"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"nail"
],
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[
225,
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"bone"
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272,
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]
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"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"bone formation"
],
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272,
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"normalized": [
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"db_name": "UMLS",
"db_id": "C0005939"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"bone"
],
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344,
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"nail"
],
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431,
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]
],
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"cortex"
],
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455,
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"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001613"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"bone formation"
],
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]
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"nail"
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"titanium"
],
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]
],
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"db_name": "UMLS",
"db_id": "C0040302"
}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"nail"
],
"offsets": [
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]
],
"normalized": [
{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"therapeutic"
],
"offsets": [
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592,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039796"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-r1-t4.1-t1.1",
"type": "produces",
"arg1_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-r2-t3.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-r3-t1.1-t3.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-r4-t1.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t1",
"arg2_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.81010950.eng.abstr-s4-r5-t3.1-t1.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.81010950.eng.abstr-s5-t1",
"normalized": []
}
] |
DerUnfallchirurg.81010955.eng.abstr
|
DerUnfallchirurg.81010955.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010955.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Candida species have emerged as important pathogens in human infection . Although a variety of deep-seated candidal infections have been reported , Candida spondylitis has rarely been described . One patient with candida tropicalis spondylitis L I and L II in combination with candida coxitis is presented , and the 31 adult cases with vertebral involvement previously reported are reviewed . Candida spondylitis is noted as a simultaneous occurrence or late manifestation of hematogenously disseminated candidiasis . Spondylitis may not be prevented by a course of Amphotericin B adequate to control the acute episode of disseminated candidiasis , particularly in immune suppressed patients . Spondylitis does not present as a postoperative wound infection . The insidious progression of infection , the nonspecificity of laboratory data , and the failure to recognise Candida as a potential pathogen may lead to diagnostic delay . Diagnosis can be made by either open biopsy or CT controlled needle aspiration . Successful therapeutic regimes have employed combinations of antifungal therapy ( Amphotericin B or fluconazole ) with radical surgical debridement . Ventral and facultatively dorsal instumentation is required to stabilize the spine . It is anticipated that the spondylitis will become a more commonly recognised manifestation of hematogenously disseminated candidiasis . A increasing significance of candida species as etiologic agents of infection immune compromised humans has been recognised in the recent years . In those patients whom an antecedent Candida septicaemia was documented , a striking delay of 3.3 months was found between the septicaemia and the onset of symptoms as well as the time of diagnosis ."
],
"offsets": [
[
0,
1731
]
]
}
] |
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
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"id": "DerUnfallchirurg.81010955.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"infection"
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"infections"
],
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"db_name": "UMLS",
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"Candida"
],
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s2-t3",
"type": "umlsterm",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s3-t1",
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s3-t2",
"type": "umlsterm",
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],
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"id": "DerUnfallchirurg.81010955.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s4-t3",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s5-t5",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s6-t3",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s7-t3",
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{
"id": "DerUnfallchirurg.81010955.eng.abstr-s8-t2",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s8-t3",
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"id": "DerUnfallchirurg.81010955.eng.abstr-s8-t4",
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}
]
},
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]
},
{
"id": "DerUnfallchirurg.81010955.eng.abstr-s9-t2",
"type": "umlsterm",
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]
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] |
DerUnfallchirurg.81010960.eng.abstr
|
DerUnfallchirurg.81010960.eng.abstr
|
[
{
"id": "DerUnfallchirurg.81010960.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A problem has arisen when replacing the reamed tibia nail by the massive unreamed tibia nail . In case of nail fracture it is difficult to remove the distal fragment from the medullary cavity . It may also occur that the connecting screw between the insertion handle and the nail breaks off at the edge of the implant , which much complicates removal of the nail . The authors have developed a technique to remove 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 2 patients ."
],
"offsets": [
[
0,
655
]
]
}
] |
[
{
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"tibia"
],
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[
47,
52
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040184"
}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s1-t2",
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"text": [
"nail"
],
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53,
57
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s1-t3",
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"tibia"
],
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82,
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]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s1-t4",
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"text": [
"nail"
],
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[
88,
92
]
],
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},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s2-t1",
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"nail"
],
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106,
110
]
],
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}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"fracture"
],
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[
111,
119
]
],
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{
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"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"screw"
],
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[
232,
237
]
],
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},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"nail"
],
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275,
279
]
],
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]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s3-t3",
"type": "umlsterm",
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"nail"
],
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358,
362
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}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"technique"
],
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[
394,
403
]
],
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{
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"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"fissure"
],
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[
450,
457
]
],
"normalized": [
{
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"db_id": "C0016167"
}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"marrow"
],
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[
465,
471
]
],
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{
"db_name": "UMLS",
"db_id": "C0376152"
}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"instrument"
],
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[
484,
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]
],
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"db_id": "C0243113"
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]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"nail"
],
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]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.81010960.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"wire"
],
"offsets": [
[
591,
595
]
],
"normalized": [
{
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"db_id": "C0005978"
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]
},
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[] |
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DerUnfallchirurg.91020002.eng.abstr
|
DerUnfallchirurg.91020002.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020002.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The traumatic lesion of the cervical cord implies one of the most serious sequale after accident with severe consequences for lifetime . In patients with a relevant injury of the cervical spine in 28 % neurological deficits are seen with an even higher incidence of 44 % in the lower cervical spine . The risk of traumatic cervical cord injury further increases with progressing stenosis of the spinal canal and therefore a second peak of occurrence has to be obsered in the elderly . In the preclinical phase even suspicion of a cervical cord lesion should lead to effective stabilization of the cervical spine and should be removed only after imaged proof of integrity . A high dosage therapy of methylprednisolon should be started as early as possible in every case of spinal cord injury . Diagnostic procedures are including x-rays of the whole spine , CT-scans for clearance of suspicious findings and preoperative planning , image intensifiing under controlled stress for hidden instabilities and MRI for spinal cord injuries without abnormal radiological findings . Aims of operative treatment are consisting of decompression , reduction and stabilization with the aims of protection of the neurogenic structures and to secure intensive care treatment . These objectives can be met sufficiently by a single ventral approach in most instances . Dorsal approaches should be avoided whenever possible leaving the important innervation of the paracervical muscles intact . The postacute phase is marked by loss of systemic control mechanis as a consequence of the spinal shock . The consecutive deficits can be mastered only by treatment under intensive care standards . Respirator therapy is advisable especially for higher plegic lesions . Typical complications are frequent and should be watched for carefully because of the absence of pain sensation . Patients with cervical cord injuries should transferred to specialzed paraplegic units for early rehabilitation as soon as possible since the rate of specific complications like decubital ulcera increases with the days of stay in non-specialized units ."
],
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DerUnfallchirurg.91020013.eng.abstr
|
DerUnfallchirurg.91020013.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020013.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In a long-term follow-up we evaluated 40 patients out of 55 ( 73 % ) with a subtalar fusion . The operations took place from 5/84 to 5/91 . In all cases the indication for the fusion was a post-traumatic arthritis after an intra-articular os calcis fracture . The evaluation of the overall results was carried out with three different scoring systems : a. The Hannover Scoring System . b. The Outcome-questionnaire , rating patient's complaints and the functional status based on the severity-symptom scale and functional status described for Carpaltunnel-syndrome by Levine et al. c . The clinical rating system ( CRS ) described by Kitaoka et al. The statistical evaluation was performed by analysis of variance ( ANOVA ) . Level of significance was based on P = 0.05 and calculation of Pearson's correlation coefficient . The Os calcis fracture was the cause for the subtalar arthritis in all 40 patients ( 33 males and 7 females ) . The primary treatment of the calcaneal fracture was conservative ( cons . ) using a plaster in 23 patients ( 57.5 % ) , while 17 patients ( 42.5 % ) underwent open reduction and plate fixation ( op . ) . The interval between trauma and subtalar fusion averaged 3.5 years ( 3 months to 20 years ) . The interval between subtalar fusion and follow-up averaged 5.2 years ( 4-14 years ) . The mean age at the time of reexamination was 47 years ( 26-61 years ) . In the present study , complete pain relief could be achieved in 21 ( 52.5 % ; 58 % op . , 50 % cons . ) patients . A relevant restriction in the range of motion in the ankle joint was found in 26 ( 65 % ; 76 % op . , 58 % cons . ) . In 23 patients ( 62 % ; 65 % op . , 59 % cons . ) the radiological evaluation revealed a grade 1 ° arthritis of the ankle joint , in the talonavicular joint in 17 patients ( 42.5 % ; 41 % op . , 45 % cons . ) , and in the calcaneo-cuboid joint in 14 patients ( 35 % ; 47 % . , 27 % cons . ) . The statistical analysis revealed a better outcome in the operative group compared with the conservative group , although the operated os calcis fractures in the majority were the more severe fracture types . In all evaluation systems a score between 61 and 69 points could be achieved with no significant difference between the operatively and conservatively treated groups and between the newly developed questionaire and the clinical-radiological scoring systems . For the questionaire this fulfills the requirements for a reliable outcome evaluation ."
],
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[] |
[] |
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DerUnfallchirurg.91020023.eng.abstr
|
DerUnfallchirurg.91020023.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020023.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Previous studies concerning ruptures of the lateral ligaments of the ankle dealt with acute first ruptures . There are a few articles about chronic instability of the ankle but no prospective investigations have been reported concerning the treatment of recurrent ruptures . Good results were obtained following after non-operative treatment of acute ruptures of the fibular ligaments of the ankle joint . This prospectively randomized study was commenced to test whether recidivations of the rupture of the lateral ligaments can also be treated non-operatively or if they are in need of operative repair . The second question to be answered was whether these injuries should be treated differently dependening on the treatment of the first rupture . From December 1986 to November 1989 , 109 patients with a recidivation of a rupture of the ankle joint lateral ligaments were included in this prospective trial at the Department of Trauma Surgery , Hannover Medical School . They were divided into two groups depending on the therapy used to treat the first injury : The relapse was classified as a second-stage-rupture in cases where treatment of the first ligament rupture did not involve an operation and as a rerupture if the initial rupture was surgically repaired . Half of each group was treated randomly either with surgical ligament repair or without . A total of 100 patients ( 92 % ) at an average age of 24 years ( 11 to 49 years ) was seen for follow-up examination one year after the relapse : The follow-up included the patient's subjective assessment , a clinical examination , and stress radiography . A 70 point score was used for evaluation of the total result . Two wound infections requiring reoperation were observed in the operative treatment groups . The follow-up examination revealed better results in both operative treatment groups ( A and C ) , which was statistically significant ( P 0.05 ) . Patients with a second-stage-rupture showed a significantly higher ( P 0.001 ) stability by stress radiography after surgical treatment ( group A ) in contrast to non-operative treatment ( group B ) . In addition , the subjective and clinical results indicated a tendency towards better results which were not statistically significant ( P 0.09 and P 0.07 ) . In cases of rerupture the patient's subjective assessment revealed significantly more ( P 0,05 ) complaints after non-operative treatment ( group D ) . Clinical results were comparable , and radiologic assessment showed a tendency towards higher joint stability after surgical treatment ( group C ) , although it was not statistically significant ( P 0.07 ) . Based on the results presented , the authors recommend the surgical repair of ankle joint ligaments in cases of second-stage- or rerupture ."
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] |
[] |
[] |
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] |
DerUnfallchirurg.91020029.eng.abstr
|
DerUnfallchirurg.91020029.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020029.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Unreamed nailing with solid tibial nails is an accepted method of treatment for open tibial shaft fractures up to grade III and of closed tibial fractures with severe soft tissue damage . However , fatigue failure of the distal locking bolts is a frequent complication . We report a mechanical study investigating the fatigue limit of six different types of locking bolts used in solid tibial nails ( Biorigid Tibial nail/aap , UTN/ace , STN/Howmedica , TLN/Howmedica , R & T Tibial nail/Smith & Nephew , AO/ASIF UTN/Synthes ) . Our results prove a direct correlation between the bolt's diameter and mechanical properties . Further more we found that bolts with a continuing thread were weaker than bolts of the same diameter with only a short thread and an increased diameter at the nail's aperture . Our results suggest that mobilization with half of the average body weight ( 350N ) allows osseous consolidation without fatigue failure of any of the tested locking bolts . Some of the tested locking bolts may even withstand full weight-bearing in a physiological walking cycle , but will not withstand the stress of a running cycle ."
],
"offsets": [
[
0,
1137
]
]
}
] |
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"id": "DerUnfallchirurg.91020029.eng.abstr-s7-t1",
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"id": "DerUnfallchirurg.91020029.eng.abstr-s7-t2",
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"db_id": "C0035953"
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}
] |
[] |
[] |
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DerUnfallchirurg.91020035.eng.abstr
|
DerUnfallchirurg.91020035.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020035.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The purpose of this study was to assess the effects of biodegradable interference screw use in ACL reconstruction beyond the usual clinical historical and physical findings . The use of this material for interference screws has potential benefits if the problems of inflammation are minimal and the fixation properties are sufficient . There is no need for a second operation for removal and no complicating factor if revision surgery is necessary . A prospective study was initiated in May , 1993 to evaluate the use of biodegradable interference screws ( Instrument Makar ) . Our patients were evaluated with the aid of the common OAK-score . The overall evaluation showed 89.5 % excellent and good results , 7 % fair results and 3.5 % poor results . The average score was 90.7 points ( 63-100 points ) . The measurement with the arthrometer ( KT 1000 ) showed a difference of up to 3 mm as compared to the knee joint not operated on in 24 ( 93 % ) of the patients . Four patients showed a 3 to 6 mm difference . A tibia translation of more than 4 mm was not measured in any case . The biodegradable interference screw is a safe and effective interference screw for fixation of the bone blocks for ACL reconstruction ."
],
"offsets": [
[
0,
1220
]
]
}
] |
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[] |
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DerUnfallchirurg.91020043.eng.abstr
|
DerUnfallchirurg.91020043.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020043.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The term \" occult fracture \" defines the lack of visible fracture signs in conventional radiography although a fracture exists . The diagnosis is made in the sequel or through further diagnostic procedures . The use of scintigraphy and CT examinations is limited by their moderate sensitivity and specificity . In contrast , MRI is a diagnostic tool that allows early diagnosis of a fracture and of accompanying chondral or ligament damage . We report on 23 patients with traumatic fractures at 5 different anatomical sites , all of which were negative by x-ray , but the diagnosis could subsequently be made with MRI ."
],
"offsets": [
[
0,
619
]
]
}
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] |
[] |
[] |
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}
] |
DerUnfallchirurg.91020074.eng.abstr
|
DerUnfallchirurg.91020074.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020074.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The surgical therapy of the rupture of a distal biceps tendon and a modified postoperative treatment is described . Mainpoint is the early treatment in anaclisis of Kleinert as it is standardized in the treatment of ruptures of the flexor tendons of the hand . A forearm orthesis with a simply ROM-joint without reboundmechanism was used . Possible benefits are shown and further industrial evolution seems to be indicated ."
],
"offsets": [
[
0,
424
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t1",
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"text": [
"surgical"
],
"offsets": [
[
4,
12
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"therapy"
],
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[
13,
20
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"rupture"
],
"offsets": [
[
28,
35
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"tendon"
],
"offsets": [
[
55,
61
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"postoperative"
],
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[
77,
90
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0032790"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
91,
100
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
139,
148
]
],
"normalized": [
{
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"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
203,
212
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"ruptures"
],
"offsets": [
[
216,
224
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"flexor"
],
"offsets": [
[
232,
238
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175090"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"tendons"
],
"offsets": [
[
239,
246
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"hand"
],
"offsets": [
[
254,
258
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018563"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"forearm"
],
"offsets": [
[
263,
270
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016536"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"orthesis"
],
"offsets": [
[
271,
279
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039828"
}
]
},
{
"id": "DerUnfallchirurg.91020074.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"evolution"
],
"offsets": [
[
391,
400
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015219"
}
]
}
] |
[] |
[] |
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},
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"type": "developmental_form_of",
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DerUnfallchirurg.91020080.eng.abstr
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DerUnfallchirurg.91020080.eng.abstr
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[
{
"id": "DerUnfallchirurg.91020080.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Worldwide there will be an increase in polytraumatized patients . The number of death after trauma will increase from 5,1 Mill. to 8,4 Mill. The reason is the technical progress in the third world . In western countries there was a decrease in trauma death , in Germany below 8.000 due to traffic accidents in 1998. In most countries the paramedic system and ATLS are established ( USA , South Africa ) . Long rescue times and inadequate shock treatment preclinically are the bigest problems in Russia and Greece . Worldwide the institution of trauma centers ( Level I , II , III ) has brought much better results comparing to nontrauma centers but is economically expensive . The annual number of polytraumatized patients ( Level I 600-1 . 000 severe trauma , > 65 personal experience ) is essential for the success rate . Infrastrucure , Algorithmus and the personal experience of the trauma leader are the keys for optimal results . One parameter for Quality measurement is the number of potentially preventable deaths . Retrospective analysis of treatment protocols and pathological results by an expert team is the best practical way . The results of level I trauma teams reach between 1 and 2 % preventable deaths . A further instrument of quality improvement are Trauma registers like in US and England ( MTOS ) and the German Trauma register of the German Society of Trauma . The Trauma register in Germany contents till now 2.069 polytraumatized patients . The lethality is 18,6 % ( ISS 21 +/- 13 ) , comparing to MTOS ( ISS 12,8 +/- 11,3 , lethality 9,2 % ) . The differences in injury pattern show in the US three times more penetrating injuries than in the German Traumaregister ( 21,1 % versus 7,2 % ) ."
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DerUnfallchirurg.91020092.eng.abstr
|
DerUnfallchirurg.91020092.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020092.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Since 1995 German health maintenance laws require hospitals to document and code all referals , admissions and discharges using the 4-digit ICD . Operative procedures are documented and coded using the ICPM . Beginning in January 1996 , reimbursement for health services requires a diagnosis-related billing and payment for special procedures . The decision for billing is based on documented diagnosis and therapy . This extended request for documentation makes an online access to diagnosis and therapy with a computer-assisted coding system advisable . In 1996 in our hospital each diagnosis and operation was manually documented and coded on a form . Since the beginning of 1997 , documentation and coding has been exclusively computer-assisted . On the basis of documented diagnosis and therapy the computer provides the route of reimbursement . Retrospectively we evaluated the number of charged diagnosis-related billings and payments for special procedures from January to April of 1996 and 1997. It became evident that with computer-assisted documentation and coding the number of detected and charged diagnosis-related billings and payments for special procedures was significantly increased in comparison with the previous year ."
],
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0,
1240
]
]
}
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}
] |
[] |
[] |
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DerUnfallchirurg.91020098.eng.abstr
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DerUnfallchirurg.91020098.eng.abstr
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[
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"id": "DerUnfallchirurg.91020098.eng.abstr-passage-0",
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"When comparing two populations of multiply injured patients differences in patient characteristics must be controlled for . To measure the overall severity of injury , scaling systems are used . If after adjustment for injury severity , the proportion of deaths in the two data sets are still different , the difference is to be considered as due to the quality of care . However , this conclusion is only valid after excluding the possibility that the scale in use fails to adequately reflect certain injuries . The scope of the study is to demonstrate a method for examining this potential interference . As an example , four widely used scales were applied to the data of 418 multiply injured patients . By means of multiple logistic regression analysis , variables were selected which have an influence on prognosis in addition to a scale , thus indicating a subgroup of patients who are underrepresented by the respective scoring system . For the scales examined , these additional variables were : Head and thoracic trauma for the Polytrauma score ( Oestern ) , abdominal and thoracic trauma for the Trauma index ( Schreinlechner ) , thoracic trauma and age for the Trauma score ( Champion ) , head trauma and age for the Injury Severity Score ( Baker ) . We conclude that each score analyzed had its characteristic weak points . Prognostic quality was affected by casemix . Therefore , comparisons between groups of polytraumatized patients may be invalidated . The method outlined here is a useful means for checking a scoring system for these types of interfering variables . Therefore , it is recommended to search routinely for potentially interfering variables before applying a scale . In a given data set of multiply injured patients , appropriate adjustments can then be made for the deficiencies of the scoring system ."
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[] |
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] |
DerUnfallchirurg.91020110.eng.abstr
|
DerUnfallchirurg.91020110.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020110.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Forty-nine patients ( mean age , 54 years ) admitted for displaced ankle fractures were observed retrospectively to determine by clinical examination and measurement of plantar pressure distribution whether successful surgical treatment of ankle fractures had led to gait symmetry . The mean follow-up was 36 months ( range , 19-54 months ) . The deviation in gait was quantified using peak pressure . Using a clinical score , most of the patients had satisfactory results . The plantar pressure distribution showed significant load asymmetries of patients with satisfactory results and those with non-satisfactory results . Dynamic gait analysis allows quantification of gait asymmetry and clinically non-visible gait disorder ."
],
"offsets": [
[
0,
729
]
]
}
] |
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] |
DerUnfallchirurg.91020115.eng.abstr
|
DerUnfallchirurg.91020115.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020115.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Anterior cruciate ligament ( ACL ) reconstruction using autologous hamstring tendons are being performed more frequently and satisfactory results have been reported . Advantages such as low donor site morbidity and ease of harvest as well as disadvantages like low initial construct stiffness have been described . Recently , it has been demonstrated that graft fixation close to the original ACL insertion sites increases anterior knee stability and graft isometry . Hamstring tendon fixation techniques using interference screws offer this possibility . To reduce the risk of graft laceration , a round threaded titanium interference screw ( RCI ) was developed . To improve initial fixation strength , fixation techniques for hamstring tendons with separate or attached tibial bone plugs were introduced . However , data on fixation strength do not yet exist . With respect to the proposed advantages of biodegradable implants , like undistorted magnetic resonance imaging , uncompromised revision surgery and a decreased potential of graft laceration during screw insertion , we performed pullout tests of round threaded biodegradable and round threaded titanium interference screw fixation of semitendinosus ( ST ) grafts with and without distally attached tibial bone plugs . Data were compared with bone-tendon-bone ( BTB ) graft fixation using biodegradable and conventional titanium interference screws ."
],
"offsets": [
[
0,
1413
]
]
}
] |
[
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],
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0,
8
]
],
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},
{
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],
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26
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020115.eng.abstr-s1-t3",
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"text": [
"tendons"
],
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[
77,
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]
],
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{
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],
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0,
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}
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{
"id": "DerUnfallchirurg.91020115.eng.abstr-s3-t1",
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},
{
"id": "DerUnfallchirurg.91020115.eng.abstr-s3-t2",
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423,
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},
{
"id": "DerUnfallchirurg.91020115.eng.abstr-s3-t3",
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],
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[] |
[] |
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DerUnfallchirurg.91020124.eng.abstr
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DerUnfallchirurg.91020124.eng.abstr
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"id": "DerUnfallchirurg.91020124.eng.abstr-passage-0",
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"The classification of acetabular fractures and especially the diagnosis of additional lesions can be misleading , when the personal experience is limited and the decisions are based only on conventional radiographs . The introduction of Spiral-CT with multiplanar reformations and 3-D views has improved the quality of visualization . Due to their higher costs , the need of these additional diagnostic tools is frequently questioned . This paper discusses the relevance of plain radiographs , 2-D-CTs, 3-D-CTs and Femursubtraction-CTs ( FsCT ) for the classification of acetabular fractures , based on a controlled study . Methods : Thirty physicians with different levels of experience in acetabular surgery were divided in three groups of 10 each : group I comprised residents without operative experience in acetabular surgery , group II was physicians with 3-10 years of operative experience , and group III was experts in acetabular surgery . A total of 10 complete radiographic cases of high quality providing all levels of preoperative diagnostics ( plain radiographs , 2-D-CT, CT with multiplanar reformation , 3-D-CT, Fs-CT ) of different acetabular fracture types were prepared . The task for each candidate was to classify the fracture according to Letournel and to identify all additional injuries within the hip joint ( e . g . marginal impaction , head fractures , etc. ) . The different diagnostic \" levels \" could be ordered stepwise according to personal need and no time limit was given . The case was finished when the candidate presented his final diagnosis . The use of the different radiographs , the preliminary diagnosis , the changes in diagnosis , and the final decisions were recorded . These findings were correlated with the different levels of experience and against a \" consensus classification \" which was generated by thorough discussion , and the use of intraoperative information and postoperative radiographs not accessible to the candidates . Results : The \" correct \" fracture classification based on plain radiographs was : group I , 11 % ; group II , 32 % ; group III , 61 % . Based on 2-D-CT a \" correct \" diagnosis was reached by 30 % in group I , by 55 % in group II , and by 76 % in group III . With consideration of the \" transient forms \" in acetabular fractures based on Letournel and the 3-D-CT used mainly by group I , the rate of \" correct \" classifications rose to 65 % in group I , 64 % in group II and 83 % in group III . The modifiers were diagnosed \" correctly \" in group I by 37 % , in group II by 56 % , and in group III by 73 % . The use of the 3-D-CT and especially the Fs-CT by group I resulted in an improvement in the rate of correct classifications to 61 % , whereas in group II the Fs-Ct was used only exceptionally . The 2-D-CT was the basis for the diagnosis of the additional lesions in acetabular fractures within all groups resulting in 73 % complete diagnoses in group III . This study showed the importance of CT for the exact analysis and classification of acetabular fractures . In particular , the secondary reformations in CT and the 3-D-views dramatically improved the rate of \" correct \" classifications in the group of surgeons with limited personal experience in acetabular surgery . This allows the less experienced an acceptable level of \" correct \" diagnoses , so that the treatment options can be weighed correctly . Among the \" experts \" a rate of divergent classifcations of approximately 20 % was observed , especially in \" transient \" forms of acetabular fractures ."
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}
] |
DerUnfallchirurg.91020141.eng.abstr
|
DerUnfallchirurg.91020141.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020141.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A case of paralysis in a youth lasting 7,5 months caused by application of a tourniquet is described . The paralysis was induced by the brief application of excessive cuff pressure . The function of the arm nerves returned spontaneously ."
],
"offsets": [
[
0,
238
]
]
}
] |
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"id": "DerUnfallchirurg.91020141.eng.abstr-s1-t2",
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"youth"
],
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]
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{
"id": "DerUnfallchirurg.91020141.eng.abstr-s1-t3",
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"tourniquet"
],
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{
"id": "DerUnfallchirurg.91020141.eng.abstr-s2-t1",
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"pressure"
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},
{
"id": "DerUnfallchirurg.91020141.eng.abstr-s3-t2",
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"arm"
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{
"id": "DerUnfallchirurg.91020141.eng.abstr-s3-t3",
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"nerves"
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] |
[] |
[] |
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"type": "occurs_in",
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"type": "treats",
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},
{
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},
{
"id": "DerUnfallchirurg.91020141.eng.abstr-s3-r2-t3.1-t1.1",
"type": "evaluation_of",
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] |
DerUnfallchirurg.91020152.eng.abstr
|
DerUnfallchirurg.91020152.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020152.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Significant progress has been made in terms of the management of calcaneal fractures . This is reflected in the marked decrease in complication rates associated with the current intervention of these potentially devastating injuries . The treatment priorities that , in the authors opinion , are key to achieve best results in a displaced calcaneal fracture are anatomic reconstruction of the entire calcaneus : articular surfaces , height , alignment , and length , with a function directed postoperative management . The value of these priorities are confirmed by the authors longterm follow-up results as presented here . To reemphasize , conservative treatment should be considered only in cases of extraarticular fractures , minor displaced intraarticular fractures in nonambulatory patients , and in cases where there is a clear contraindication for surgery . Regarding the technical requirements for an anatomic reconstruction , the os calcis fracture should be categorized as a procedure for experts . In two-part fractures , according to the Sanders classification , an anatomical reduction is obtainable in more than 80 %-90 % of cases . However , in consideration of the articular cartilage damage , a 70 % rate of good to excellent clinical results seems realistic . In three-part fractures , anatomic reduction is attainable in about 60 % of cases with a 70 % rate of good results . These two subgroups comprise about 90 % of all calcaneus fractures . It is the authors recent experience to optimize the extended lateral approach using posteromedial and anterolateral windows , so that an anatomic reduction in more than 60 % of Sanders Type III os calcis fractures can be achieved . Further scientific work in this area of trauma orthopedics would benefit most from a general consensus on a fracture classification system and on a clinical scoring system , with 5 year follow-up studies using these treatment methods and evaluation systems ."
],
"offsets": [
[
0,
1955
]
]
}
] |
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"id": "DerUnfallchirurg.91020152.eng.abstr-s2-t2",
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"injuries"
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"id": "DerUnfallchirurg.91020152.eng.abstr-s3-t2",
"type": "umlsterm",
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"id": "DerUnfallchirurg.91020152.eng.abstr-s3-t3",
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"anatomic"
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{
"id": "DerUnfallchirurg.91020152.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
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"id": "DerUnfallchirurg.91020152.eng.abstr-s5-t6",
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[] |
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DerUnfallchirurg.91020173.eng.abstr
|
DerUnfallchirurg.91020173.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020173.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Medium-term results with a follow-up of at least 3 years were done in 160 patients ( average follow up 51 months ) after ACL reconstruction using IKDC evaluation form and Noyes score and in 110 patients ( average follow Up 53 months ) after non-operative management . Unlike objective good parameters the subjective assessment of knee function according to the Noyes score reveals significantly worse results in cases with ACL reconstruction compared to the knees without surgery . The best functional results we found in professional athletes after ACL reconstruction . Comparable positive results of knee function is only achieved in approx . 15 % of the patients from the natural history group , who can maintain high risk pivoting activity level feeling no giving way . In our opinion compensatory proprioceptive mechanism account for the surpassing results in these two groups of patients . It will be postulated that it is not the absolute power of the hamstring but the latency period of recruition that influences the compensation of anterior knee instability . We have modified our rehabilitation methods in order to improve proprioception and dynamic stability of the ACL-deficient knee . Based on our results we primarily limitate the ACL reconstruction on a group of patients practicing high-risk-pivoting sports . Only when menisceal lesions appear or patients suffer from giving way episodes we support secondary surgery . The pivot shift sign is reflecting the dynamic aspect of knee instability . In our opinion it is the decisive parameter to assess knee instability unless there are useful technical procederes ."
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[] |
[] |
[
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] |
DerUnfallchirurg.91020182.eng.abstr
|
DerUnfallchirurg.91020182.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020182.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The intramedullary hip screw system Classic-Nail and the Dynamic Hip Screw ( DHS ) were evaluated in a prospective-randomized clinical trial for operative treatment of trochanteric femur fractures . Hundred and ten geriatric patients ( mean age 82 years ) were runningly included in the study ( 56 Classic Nail , 54 DHS ) . No significant differences between the two study groups were observed with regard to treatment and follow-up data . With the Classic-Nail one complete femur shaft fracture and one incomplete fracture occured at the tip of the nail intraoperatively and could successfully be fixed with cerclage wires . In the DHS group two patients underwent reoperation for significant loss of reduction early postoperatively . At an avarage follow-up of 3.7 months all fractures were healed with no difference in functional outcome between the two groups . - Classic Nail and DHS both lead to equally good results in the operative treatment of trochanteric femur fractures ."
],
"offsets": [
[
0,
983
]
]
}
] |
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DerUnfallchirurg.91020191.eng.abstr
|
DerUnfallchirurg.91020191.eng.abstr
|
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"Despite of the good results of operative treatment disorders of fracture healing are still a challenge for surgeons . In some cases all endeavours are frustrating and bone does not heal . Low intensity pulsed ultrasound ( frequency : 1,5 MHz , pulsed by 1 KHz , signal burst width : 200 µsec, intensity : 30 mW/cm2) offers the opportunity of an alternative treatment . In contrast to magnetic field therapy , electric stimulation or use of extracorporal shock waves this therapy is judged positively all over the literature . Within an own series of 76 cases at present time we can show a 86 % healing rate under defined conditions . Within this paper we present three case reports , which clearly show the efficiency of low intensity pulsed ultrasound ."
],
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[
0,
754
]
]
}
] |
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[] |
[] |
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] |
DerUnfallchirurg.91020197.eng.abstr
|
DerUnfallchirurg.91020197.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020197.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Operative repair in ruptures of the extensor mechanism of the knee joint mostly requires additional external or internal fixation by plaster , transfer of tendons or encircling wires . Reconstruction of initially undiagnosed ruptures has to solve the problems of fixed proximal or distal migration of the patella and tendenous shortening . This can be performed with a tibiopatellar external fixator which allows gradually reduction of the patella in an anatomical position before operative reconstruction by suturing or reinsertion . During this period as well as a postoperative protection this fixator enables patients to maintain motion of the knee joint and full weightbearing . This technique can avoid poor functional results caused by long periods of immobilisation and is helpful in patients with marked displacement of the patella and inability to manually reduce the patella distally when delayed repair is necessitated ."
],
"offsets": [
[
0,
932
]
]
}
] |
[
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]
],
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},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t2",
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"ruptures"
],
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20,
28
]
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]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t3",
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"knee"
],
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66
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t4",
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"text": [
"joint"
],
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67,
72
]
],
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]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"transfer"
],
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[
143,
151
]
],
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"db_id": "C0040671"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"tendons"
],
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[
155,
162
]
],
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{
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"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"wires"
],
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177,
182
]
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}
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},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t8",
"type": "umlsterm",
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],
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62,
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}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s1-t9",
"type": "umlsterm",
"text": [
"transfer of tendons"
],
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143,
162
]
],
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{
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"db_id": "C0039505"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"ruptures"
],
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[
225,
233
]
],
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{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"migration"
],
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288,
297
]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"patella"
],
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[
305,
312
]
],
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{
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"db_id": "C0030647"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patella"
],
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440,
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]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"anatomical"
],
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]
],
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"db_id": "C0220784"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"reinsertion"
],
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[
521,
532
]
],
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"db_id": "C0035139"
}
]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"external fixator"
],
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383,
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],
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]
},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t1",
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},
{
"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
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},
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"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"patients"
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"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t4",
"type": "umlsterm",
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},
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"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t5",
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"text": [
"knee"
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"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t6",
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{
"id": "DerUnfallchirurg.91020197.eng.abstr-s4-t7",
"type": "umlsterm",
"text": [
"weightbearing"
],
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{
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"type": "umlsterm",
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"id": "DerUnfallchirurg.91020197.eng.abstr-s5-t1",
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}
] |
[] |
[] |
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{
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] |
DerUnfallchirurg.91020227.eng.abstr
|
DerUnfallchirurg.91020227.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020227.eng.abstr-passage-0",
"type": "abstract",
"text": [
"While there are quite a number of reports on vascular injuries complicating hip arthropasty by acetabular component screw fixation , retractor tip pressure or extruding bone cement , the incidence of deep femoral vessel injuries in operative fixation of proximal femoral fractures is comparatively seldom described . We report on two patients with per- and subtrochanteric femoral fractures who sustained injuries of deep femoral artery branches during the implantation of a dynamic hip screw ( DHS ) and a dynamic condylar screw ( DCS ) , which resulted in a massive thigh hematoma and a fist-size pseudoaneurysm respectively and necessitated surgical intervention in either case . We blame these vascular injuries on the pressure of Hohmann retractors exposing the femoral bone or on the drilling of boreholes for plate attachement . After discussing various operative procedures , we conclude that intramedullar implants are safer than plates with regard to potential vascular complications ."
],
"offsets": [
[
0,
995
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020227.eng.abstr-s1-t1",
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"injuries"
],
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[
54,
62
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.91020227.eng.abstr-s1-t2",
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"text": [
"hip"
],
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[
76,
79
]
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[] |
[] |
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DerUnfallchirurg.91020232.eng.abstr
|
DerUnfallchirurg.91020232.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020232.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report a stab-injury of the back with consecutive dissection of a thoracic vertebral arch and subtotal dissection of the spinal cord . The clinical findings and out-come of the patient - representing an incomplete Brown-Sequardsyndrome - are described . The diagnostic and therapeutic management of such rare entities is discussed ."
],
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[
0,
335
]
]
}
] |
[
{
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"dissection"
],
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53,
63
]
],
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"id": "DerUnfallchirurg.91020232.eng.abstr-s1-t2",
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],
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{
"id": "DerUnfallchirurg.91020232.eng.abstr-s1-t3",
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],
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124,
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]
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{
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}
]
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{
"id": "DerUnfallchirurg.91020232.eng.abstr-s2-t1",
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151,
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261,
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}
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"id": "DerUnfallchirurg.91020232.eng.abstr-s3-t2",
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276,
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]
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] |
[] |
[] |
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},
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] |
DerUnfallchirurg.91020236.eng.abstr
|
DerUnfallchirurg.91020236.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020236.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Avascular necrosis of the femoral head is a frequent complication after osteosynthesis of femoral neck fractures . It is rarely seen after proximal femur fractures with intact trochanteric area . The choice of the implant varies from different blade systems ( DHS , DCS and condylar plates ) to intramedular nailing systems ( gamma nail , classic nail ) . The complication of avascular necrosis of the femoral head after internal fixation of subtrochanteric and proximal femur fractures is reported following intramedullary nailing . We report a case of a femoral head necrosis after osteosynthesis of a proximal femur fracture with a 95 degree condylar plate ."
],
"offsets": [
[
0,
661
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"necrosis"
],
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[
10,
18
]
],
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"db_name": "UMLS",
"db_id": "C0027540"
}
]
},
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"head"
],
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[
34,
38
]
],
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{
"db_name": "UMLS",
"db_id": "C0018670"
}
]
},
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"complication"
],
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[
53,
65
]
],
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{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"neck"
],
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[
98,
102
]
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{
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"db_id": "C0027530"
}
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},
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t5",
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"fractures"
],
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103,
112
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"db_id": "C0016658"
}
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},
{
"id": "DerUnfallchirurg.91020236.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"femoral head"
],
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[
26,
38
]
],
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"db_id": "C0015813"
}
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{
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DerUnfallchirurg.91020250.eng.abstr
|
DerUnfallchirurg.91020250.eng.abstr
|
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"text": [
"During the last 15 years biology and life science underwent a dramatic development . Daily we hear about new discoveries in this area of research . There is for example the identification of new genes , which are responsible for different phenomena : cancer genes , adipositas genes and suicide genes . Furthermore there are reports of human ears growing on the back of a mice or cloning of complex organisms ( i . e . Dolly ) . This kind of research is mostly summarized under terms like : genetic engineering , life science , genetics , molecular biology , biochemistry , bioanalytics , tissue engineering and reproduction medicine . Because of the indiscriminate use of these terms and the complexity of the single discipline only specialists are able to understand and to assess the relevance of results . Aim of this article is to explain some of these terms and to clarify the principles of some important techniques . By this we want to show the relevance of life science for traumatology which possibly leads to new diagnostic and therapeutic concepts ."
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] |
DerUnfallchirurg.91020267.eng.abstr
|
DerUnfallchirurg.91020267.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020267.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : The chronic exertional compartment syndrome of the musculus tibialis anterior is thought to be responsible for a major part of complaints of the lower leg among active sportsmen . There is an important role of tissue pressure measurement in diagnosing chronic anterior compartment syndrome during muscular activity . However , there is a controversial debate about the relevant parameters ."
],
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[
0,
405
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s1-t1",
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50,
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s1-t2",
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"anterior"
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s1-t3",
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"leg"
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"id": "DerUnfallchirurg.91020267.eng.abstr-s1-t4",
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"compartment syndrome"
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s1-t5",
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"tibialis anterior"
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75,
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"role"
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"tissue"
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225,
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t3",
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"pressure"
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t4",
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"measurement"
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t5",
"type": "umlsterm",
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"anterior"
],
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275,
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{
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t6",
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"syndrome"
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t7",
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]
},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"anterior compartment syndrome"
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275,
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{
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"db_id": "C0003152"
}
]
}
] |
[] |
[] |
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{
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{
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{
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{
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r2-t4.1-t7.2",
"type": "associated_with",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r3-t2.1-t7.1",
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},
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r5-t4.1-t2.1",
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r6-t4.1-t6.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r7-t4.1-t7.1",
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"arg2_id": "DerUnfallchirurg.91020267.eng.abstr-s2-t7",
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r8-t4.1-t7.2",
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r9-t4.1-t6.1",
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"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r11-t4.1-t3.1",
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"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r12-t2.1-t4.1",
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{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r14-t2.1-t7.2",
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},
{
"id": "DerUnfallchirurg.91020267.eng.abstr-s2-r15-t2.1-t8.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020267.eng.abstr-s2-t8",
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}
] |
DerUnfallchirurg.91020287.eng.abstr
|
DerUnfallchirurg.91020287.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020287.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Central pulmonary embolism represents one of the most threatening complications in surgical patients . In most cases deep vein thrombosis of the lower extremities is the source of emboli . Despite the introduction of hypocoagulative drugs in standard surgical concepts the incidence of deep vein thrombosis remains about 10 % in trauma patients . Estimated numbers of unknown cases of pulmonary embolism are supposed to be rather high too . In haemodynamically symptomatic pulmonary embolism events and especially when the patient has to be reanimated , mortality rates of up to 93 % are reported in literature . After introduction of the heart- and lung-machine in the surgical concept of therapy , survival rates have increased significantly . We report on three cases of successful surgical embolectomy after CPR . In a review of literature current concepts of treatment in central pulmonary embolism are discussed ."
],
"offsets": [
[
0,
919
]
]
}
] |
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"embolism"
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"id": "DerUnfallchirurg.91020287.eng.abstr-s1-t2",
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"text": [
"complications"
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"surgical"
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"id": "DerUnfallchirurg.91020287.eng.abstr-s1-t5",
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"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"vein"
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"thrombosis"
],
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127,
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{
"db_name": "UMLS",
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},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t3",
"type": "umlsterm",
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},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"emboli"
],
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180,
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]
},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"vein thrombosis"
],
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122,
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t6",
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"lower extremities"
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"deep vein thrombosis"
],
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"db_id": "C0149871"
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"drugs"
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"db_id": "C0013227"
}
]
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"standard"
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]
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"surgical"
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},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"incidence"
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},
{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t5",
"type": "umlsterm",
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"thrombosis"
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{
"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t7",
"type": "umlsterm",
"text": [
"trauma"
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"id": "DerUnfallchirurg.91020287.eng.abstr-s3-t8",
"type": "umlsterm",
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] |
DerUnfallchirurg.91020292.eng.abstr
|
DerUnfallchirurg.91020292.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020292.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : The treatment of large and complex hand injuries is particularly challenching concerning the functional and cosmetic outcome . In this kind of injuries the primary defect cover is of paramount importance and so the initial situation for secondary reconstructive options may be evidently improved ."
],
"offsets": [
[
0,
310
]
]
}
] |
[
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],
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17,
26
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-t2",
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"text": [
"hand"
],
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48,
52
]
],
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"db_id": "C0018563"
}
]
},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-t3",
"type": "umlsterm",
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"injuries"
],
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53,
61
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-t4",
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"cosmetic"
],
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}
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},
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"id": "DerUnfallchirurg.91020292.eng.abstr-s1-t5",
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"hand injuries"
],
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48,
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]
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"db_id": "C0018571"
}
]
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{
"id": "DerUnfallchirurg.91020292.eng.abstr-s2-t1",
"type": "umlsterm",
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"injuries"
],
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156,
164
]
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"db_id": "C0175677"
},
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}
]
},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"defect"
],
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177,
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]
],
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}
]
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{
"id": "DerUnfallchirurg.91020292.eng.abstr-s2-t3",
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"secondary"
],
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259
]
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"db_id": "C0027627"
},
{
"db_name": "UMLS",
"db_id": "C0036525"
}
]
}
] |
[] |
[] |
[
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"id": "DerUnfallchirurg.91020292.eng.abstr-s1-r2-t1.1-t3.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.91020292.eng.abstr-s2-t1",
"arg2_id": "DerUnfallchirurg.91020292.eng.abstr-s2-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-r3-t1.1-t3.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020292.eng.abstr-s2-t3",
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},
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"id": "DerUnfallchirurg.91020292.eng.abstr-s1-r4-t1.1-t5.1",
"type": "location_of",
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},
{
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"type": "associated_with",
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},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-r8-t1.1-t3.2",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020292.eng.abstr-s1-r9-t1.1-t3.1",
"type": "associated_with",
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DerUnfallchirurg.91020298.eng.abstr
|
DerUnfallchirurg.91020298.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020298.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This is a retrospective analysis of the treatment of 18 patients with pancreatic injuries at our institution . 13 were victims of blunt abdominal trauma . 17 sustained a polytrauma and had an ISS > 15. They had 2.4 associated intraabdominal and 2.7 associated extraabdominal injuries . The mean pancreatic organ injury scale was II . A partial duodenopancreatectomy was performed in one case . In 5 cases a distal pancreatic resection was necessary . In the remaining patients drainage procedures were applied . 3 additional injured organs had to be treated during the first operation . 2 of them were situated intraabdominally . The primary operative procedure was performed in 13 cases during the first 6 hours after the trauma . 7 patients ( 39 % ) died during the hospitalisation . None deceased during an operation . 5 patients ( 28 % ) died because of abdominal complications . 4 of 5 patients with injuries to the great vessels died . 12 had abdominal complications . The mean hospitalisation time was 49 days . The mean drainage time was 26 days . The patients sustained parenteral nutrition for 21 days . The priority in the primary operative approach is damage control . This consists of bleeding control , control of enteral spillage , assessment of pancreatic damage , especially recognition of any ductal injury and generous drainage of the injured pancreas . Definitive treatment in the severly injured patient has to be performed after hemodynamic stabilisation without delay by an experienced surgeon ."
],
"offsets": [
[
0,
1518
]
]
}
] |
[
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"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t1",
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"text": [
"retrospective"
],
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10,
23
]
],
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"db_id": "C0035363"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"analysis"
],
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[
24,
32
]
],
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{
"db_name": "UMLS",
"db_id": "C0002778"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"treatment"
],
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[
40,
49
]
],
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"db_name": "UMLS",
"db_id": "C0087111"
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"db_id": "C0039798"
}
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},
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"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t4",
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"text": [
"patients"
],
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56,
64
]
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"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"pancreatic"
],
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70,
80
]
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"db_id": "C0070016"
}
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"id": "DerUnfallchirurg.91020298.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"injuries"
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}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"trauma"
],
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146,
152
]
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"db_id": "C0021501"
},
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"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"polytrauma"
],
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[
170,
180
]
],
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"db_name": "UMLS",
"db_id": "C0021501"
},
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"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"injuries"
],
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275,
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]
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"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.91020298.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"pancreatic"
],
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295,
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[] |
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}
] |
DerUnfallchirurg.91020320.eng.abstr
|
DerUnfallchirurg.91020320.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020320.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The os trigonum syndrome is an entity causing posterior ankle pain and occurs mostly with typical sports activities . Diagnosis and differential diagnosis are presented . Typical complaints and therapeutic procedure are demonstrated in one case . Therapy includes different non-operative methods , resistance to non-operative procedures is an indication for excision of this ossicle ."
],
"offsets": [
[
0,
384
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020320.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"syndrome"
],
"offsets": [
[
16,
24
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
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}
] |
[] |
[] |
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}
] |
DerUnfallchirurg.91020324.eng.abstr
|
DerUnfallchirurg.91020324.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020324.eng.abstr-passage-0",
"type": "abstract",
"text": [
"MRSA/MRSE infections are a major problem in hospitals and although in orthopaedic units the incidence is low awareness of this problem is necessary . Once a MRSA strain has been isolated the strict use of the hygiene precautions has to be applied to avoid epidemic spread of the strain . The patient has to be isolated . The staff has to use gloves and gowns whilst treating the patient . A antimicrobiel hand wash solution has to be used after taking off the gloves and before leaving the isolation room . Patient and staff have to be informed about the pathogenity and the way of infection spread so that infection precaution rules are fulfilled . Antibiotics should only be used in clinically well defined cases and the overall use of antibiotics should be reduced to lower the incidence of MRSA/E isolates . The problems of an MRSA case and its successful treatment are demonstrated ."
],
"offsets": [
[
0,
888
]
]
}
] |
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"id": "DerUnfallchirurg.91020324.eng.abstr-s7-t1",
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"id": "DerUnfallchirurg.91020324.eng.abstr-s8-t1",
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}
] |
[] |
[] |
[
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"type": "produces",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s1-r2-t2.1-t1.1",
"type": "causes",
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},
{
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"type": "measurement_of",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s1-r4-t4.1-t1.1",
"type": "result_of",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s1-r5-t1.1-t4.1",
"type": "result_of",
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},
{
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s2-r3-t4.2-t5.1",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s2-r4-t4.2-t1.1",
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},
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s2-r7-t4.2-t1.1",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s2-r8-t5.1-t1.1",
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{
"id": "DerUnfallchirurg.91020324.eng.abstr-s2-r14-t2.1-t1.1",
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},
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s6-r1-t2.1-t1.1",
"type": "occurs_in",
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"arg2_id": "DerUnfallchirurg.91020324.eng.abstr-s8-t1",
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},
{
"id": "DerUnfallchirurg.91020324.eng.abstr-s6-r2-t3.1-t1.1",
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"arg2_id": "DerUnfallchirurg.91020324.eng.abstr-s8-t1",
"normalized": []
}
] |
DerUnfallchirurg.91020329.eng.abstr
|
DerUnfallchirurg.91020329.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020329.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The case of a closed elbow dislocation with complete rupture of the brachial artery and its veins is described . This combination of injuries is rather rare and only 25 cases were found in the literature . The sharp lesion of the vessels was remarkable , probably due to the edge of the distally ruptured capsule . Immediate revision with suture of the vessels and an immobilization for three weeks gave a good result ."
],
"offsets": [
[
0,
419
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"elbow"
],
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[
21,
26
]
],
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{
"db_name": "UMLS",
"db_id": "C0013769"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"dislocation"
],
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[
27,
38
]
],
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{
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"db_id": "C0012691"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"rupture"
],
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[
53,
60
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"artery"
],
"offsets": [
[
77,
83
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003842"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"veins"
],
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[
92,
97
]
],
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{
"db_name": "UMLS",
"db_id": "C0042449"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"brachial artery"
],
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[
68,
83
]
],
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{
"db_name": "UMLS",
"db_id": "C0006087"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"injuries"
],
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[
133,
141
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0175677"
},
{
"db_name": "UMLS",
"db_id": "C0021501"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"literature"
],
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[
193,
203
]
],
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{
"db_name": "UMLS",
"db_id": "C0023866"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"vessels"
],
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[
230,
237
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005847"
},
{
"db_name": "UMLS",
"db_id": "C0148346"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"capsule"
],
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[
305,
312
]
],
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{
"db_name": "UMLS",
"db_id": "C0006935"
}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"vessels"
],
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353,
360
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],
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},
{
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}
]
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"immobilization"
],
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[
368,
382
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020944"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r1-t6.1-t1.1",
"type": "adjacent_to",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r2-t2.1-t6.1",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r3-t1.1-t5.1",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t5",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r4-t3.1-t6.1",
"type": "disrupts",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r5-t4.1-t3.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r6-t1.1-t4.1",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r7-t2.1-t5.1",
"type": "disrupts",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r8-t4.1-t2.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r9-t5.1-t3.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r10-t3.1-t5.1",
"type": "disrupts",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r11-t4.1-t1.1",
"type": "adjacent_to",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
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},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r12-t1.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r13-t2.1-t4.1",
"type": "disrupts",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r14-t5.1-t2.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r15-t6.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r16-t5.1-t1.1",
"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t5",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r17-t3.1-t4.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t3",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r18-t1.1-t2.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r19-t6.1-t2.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020329.eng.abstr-s1-r20-t1.1-t6.1",
"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.91020329.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020329.eng.abstr-s1-t6",
"normalized": []
}
] |
DerUnfallchirurg.91020347.eng.abstr
|
DerUnfallchirurg.91020347.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020347.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : The prehospitaly initiated endotracheal intubation and controlled ventilation , is especially in multi-system-trauma cases , recognized to be the \" gold standard \" . Thus especially in view of the increasing demands being placed upon the quality of prehospital emergency treatment in general , the quality of such prehospital induced ventilation , is becoming of increasing importance . Thereby we must take into consideration the limited possabilities , which are afflicted with a high degree of uncertainess , which we have at our disposal to effectively evaluate the efficiency of emergency ventilation . The purpose of our study within a collective of severely traumatized patients , was to determine the quality of prehospitaly induced ventilation with regards to the adequacy of oxygenation and ventilation and as a result of our findings , to identify areas for procedural optimization ."
],
"offsets": [
[
0,
909
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"intubation"
],
"offsets": [
[
55,
65
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021925"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"ventilation"
],
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[
81,
92
]
],
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{
"db_name": "UMLS",
"db_id": "C0042491"
},
{
"db_name": "UMLS",
"db_id": "C0035203"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"multi-system-trauma"
],
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[
112,
131
]
],
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{
"db_name": "UMLS",
"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"gold"
],
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[
163,
167
]
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"db_name": "UMLS",
"db_id": "C0018026"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"standard"
],
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[
168,
176
]
],
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{
"db_name": "UMLS",
"db_id": "C0038137"
},
{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s1-t6",
"type": "umlsterm",
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"endotracheal intubation"
],
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[
42,
65
]
],
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{
"db_name": "UMLS",
"db_id": "C0021932"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s2-t1",
"type": "umlsterm",
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"emergency"
],
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276,
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"db_id": "C0013956"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s2-t2",
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"treatment"
],
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286,
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{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"ventilation"
],
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349,
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}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s2-t4",
"type": "umlsterm",
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"emergency treatment"
],
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276,
295
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],
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"db_id": "C0013969"
}
]
},
{
"id": "DerUnfallchirurg.91020347.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"efficiency"
],
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[
585,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0013682"
}
]
},
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] |
DerUnfallchirurg.91020354.eng.abstr
|
DerUnfallchirurg.91020354.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020354.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Twenty-one patients were evaluated with an average follow up of 30 month after arthroscopical reconstruction of the posterior cruciate ligament using the IKDC-Evaluation Document , Lysholm-Score , KT 1000 and X-ray . Complex ligament injuries and chronic instability of the knee were the indications for operative treatment . Semitendinosus - or patella ligament autografts were used . The Lysholm-Score significantly improved preoperatively to postoperatively ( p 0.01 ) . The IKDC revealed 11 patients for group B , 7 patients for group C and 3 patients for group D. The KT1000 measurement showed a postoperative drawer of 3.6 mm compared with the nonoperated side . Thirteen of the 21 patients showed a posterior drawer of less than 3 mm . The lateral posterior stress view of the X-ray revealed a 4.1 mm ( +/- 2.9 mm ) side to side difference postoperatively in comparison to 9.5 mm ( +/- 3.5 mm ) preoperatively . Three patients possessed radiological signs of osteoarthritis grad I by Ahlbaeck . Our results recommend in patients with complex PCL-injuries as well as in cases of chronic posterior instability a complex reconstruction of the ligaments ."
],
"offsets": [
[
0,
1158
]
]
}
] |
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{
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"arg1_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t2",
"arg2_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020354.eng.abstr-s8-r1-t2.1-t1.1",
"type": "occurs_in",
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"arg2_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020354.eng.abstr-s9-r1-t3.1-t2.1",
"type": "developmental_form_of",
"arg1_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t3",
"arg2_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t2",
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},
{
"id": "DerUnfallchirurg.91020354.eng.abstr-s9-r2-t2.1-t3.1",
"type": "surrounds",
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"arg2_id": "DerUnfallchirurg.91020354.eng.abstr-s9-t3",
"normalized": []
}
] |
DerUnfallchirurg.91020359.eng.abstr
|
DerUnfallchirurg.91020359.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020359.eng.abstr-passage-0",
"type": "abstract",
"text": [
"For the closed treatment of an intraarticular fracture of the heelbone it is essential to know the 3D shape of the bone , the various types of fractures and to get skilled in reduction under an image intensifier . In our hospital we have made a comparison of 34 fractures treated with a plate and 94 treated with screws . The evaluation was made by the scores based on Merle d ' Aubigne and clinical and radiological findings . The method of closed reduction and fixation with screws is easier , less dangerous for the patient and , compared to the open fixation , the results are the same or even better ( good and excellent : 79,7 % ) . As a result of gentle treatment of the soft tissues and the early reposition , the wound healing complications decreased to 2,1 % compaired to the 14 % healing problems connected to open plating . Furthermore , cancellous grafting was necessary within the first group ."
],
"offsets": [
[
0,
908
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-t1",
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"treatment"
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15,
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"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fracture"
],
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46,
54
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"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"bone"
],
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[
115,
119
]
],
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"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fractures"
],
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143,
152
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"id": "DerUnfallchirurg.91020359.eng.abstr-s2-t1",
"type": "umlsterm",
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"hospital"
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221,
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}
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{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"fractures"
],
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262,
271
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"db_id": "C0016658"
}
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},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"plate"
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}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"screws"
],
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313,
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}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"evaluation"
],
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326,
336
]
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"db_name": "UMLS",
"db_id": "C0220825"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"findings"
],
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417,
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}
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},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"method"
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}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"screws"
],
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477,
483
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"patient"
],
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519,
526
]
],
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"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"open"
],
"offsets": [
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549,
553
]
],
"normalized": [
{
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"db_id": "C0266061"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"treatment"
],
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[
661,
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]
],
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"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"tissues"
],
"offsets": [
[
683,
690
]
],
"normalized": [
{
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"db_id": "C0040300"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"wound"
],
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722,
727
]
],
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"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043250"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"complications"
],
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[
736,
749
]
],
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{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"wound healing"
],
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722,
735
]
],
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"db_name": "UMLS",
"db_id": "C0043240"
}
]
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"grafting"
],
"offsets": [
[
861,
869
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040732"
},
{
"db_name": "UMLS",
"db_id": "C0040733"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-r1-t1.1-t3.1",
"type": "disrupts",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-r2-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-r3-t1.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s1-r4-t3.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-r1-t4.1-t1.1",
"type": "isa",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-r2-t3.1-t1.1",
"type": "isa",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-r3-t3.1-t2.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-r4-t4.1-t2.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s2-r5-t1.1-t2.1",
"type": "causes",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r1-t4.1-t3.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r2-t1.2-t4.1",
"type": "treats",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r3-t4.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r4-t1.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r5-t3.1-t1.1",
"type": "uses",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s4-r6-t3.1-t1.2",
"type": "uses",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r1-t4.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r2-t4.1-t3.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r3-t1.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r5-t3.1-t4.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r6-t1.1-t3.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r7-t3.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r8-t4.1-t3.2",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r9-t1.1-t3.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r10-t1.1-t4.1",
"type": "associated_with",
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"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
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},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r11-t1.1-t3.2",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r12-t1.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020359.eng.abstr-s5-r13-t1.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020359.eng.abstr-s6-t1",
"arg2_id": "DerUnfallchirurg.91020359.eng.abstr-s5-t3",
"normalized": []
}
] |
DerUnfallchirurg.91020371.eng.abstr
|
DerUnfallchirurg.91020371.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020371.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A prospective study of 24 operative procedures involving minimal invasive techniques and fluoroscopic guidance was undertaken in order to measure the radiation exposure to the primary surgeon . Radiation was monitored with the use of high sensitive thermoluminescent dosimeters . At the spots of dosimetry ( eyes , thyreoid gland , hand and genitals under lead apron ) the dose was uniformly low and ranged from 0,6 µSv at the eyes to 259,3 µSv at the hand . The dose is determined by the duration of fluoroscopy and the amount of scattered rays , which in turn depends on the volume being x-rayed . On the basis of our results there is no likelihood of exceeding the limits of safety regulations even in a very busy operative environment , although a statistically increased incidence of thyreoid cancer or a radiation-induced glaucoma is present . In vitro measurements with irradiation of a phantom resulted in the following recommendations : 1 ) fluoroscopy should be performed using the magnification-mechanism of the x-ray apparatus , 2 ) during lateral fluoroscopy the primary surgeon should be positioned close to the image intensifier . At least the surgeon should be familiar with the technique of closed reduction and instrumentation to reduce the duration of fluoroscopy which proved to be the most important factor for the amount of the radiation exposure ."
],
"offsets": [
[
0,
1370
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s1-t1",
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"procedures"
],
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36,
46
]
],
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s1-t2",
"type": "umlsterm",
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"techniques"
],
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],
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"db_name": "UMLS",
"db_id": "C0025664"
}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"radiation"
],
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150,
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],
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"db_name": "UMLS",
"db_id": "C0851346"
}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"prospective study"
],
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2,
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]
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"db_id": "C0033522"
}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"operative procedures"
],
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[
26,
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]
],
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{
"db_name": "UMLS",
"db_id": "C0543467"
},
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"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"Radiation"
],
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194,
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}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"use"
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]
],
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"db_name": "UMLS",
"db_id": "C0042153"
}
]
},
{
"id": "DerUnfallchirurg.91020371.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"spots"
],
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287,
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]
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{
"db_name": "UMLS",
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DerUnfallchirurg.91020377.eng.abstr
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DerUnfallchirurg.91020398.eng.abstr
|
DerUnfallchirurg.91020398.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020398.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Bilateral carotid artery dissection is a rare and unusual complication of blunt cervicofacial trauma . The diagnosis of a carotid injury is rarely suspected in trauma patients with neurological deficits . Neurological symptoms may develop in a delayed fashion . Angiography should be considered in trauma patients with hemiplegia and a normal mental status and in patients with blunt cervical trauma with an abnormal neurological examination . Initial heparinisation can prevent arterial thrombosis and neurological deterioration ."
],
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[
0,
531
]
]
}
] |
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{
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] |
[] |
[] |
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},
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"id": "DerUnfallchirurg.91020398.eng.abstr-s4-r13-t4.1-t6.1",
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DerUnfallchirurg.91020402.eng.abstr
|
DerUnfallchirurg.91020402.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020402.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A technique utilizing the Ilizarov ring fixator to stabilize a tibio-calcaneo-naviculo-cuboideal arthrodesis following talus resection is introduced . The advantages of this method will be demonstrated with the help of a case history . The described method permits early weight bearing , while supplying stability and compression of the fusion , thereby avoiding further loss of bone stock , while reducing the risk of thromboembolic complications . The Ilizarov ring fixator construction allows for the combination of the fusion with the correction of a preexisting or ensueing leg length discrepancy ."
],
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[
0,
603
]
]
}
] |
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{
"id": "DerUnfallchirurg.91020402.eng.abstr-s1-t2",
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"db_id": "C0003881"
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}
]
},
{
"id": "DerUnfallchirurg.91020402.eng.abstr-s1-t3",
"type": "umlsterm",
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"talus"
],
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}
]
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]
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}
]
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"id": "DerUnfallchirurg.91020402.eng.abstr-s3-t3",
"type": "umlsterm",
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}
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"id": "DerUnfallchirurg.91020402.eng.abstr-s3-t4",
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"id": "DerUnfallchirurg.91020402.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"leg"
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}
]
},
{
"id": "DerUnfallchirurg.91020402.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"leg length discrepancy"
],
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]
],
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{
"db_name": "UMLS",
"db_id": "C0023221"
}
]
}
] |
[] |
[] |
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},
{
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{
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},
{
"id": "DerUnfallchirurg.91020402.eng.abstr-s3-r1-t1.2-t5.1",
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},
{
"id": "DerUnfallchirurg.91020402.eng.abstr-s3-r2-t1.2-t5.1",
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"id": "DerUnfallchirurg.91020402.eng.abstr-s3-r3-t2.2-t5.1",
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},
{
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},
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"id": "DerUnfallchirurg.91020402.eng.abstr-s3-r8-t5.1-t1.2",
"type": "affects",
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},
{
"id": "DerUnfallchirurg.91020402.eng.abstr-s4-r1-t1.1-t2.1",
"type": "location_of",
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"arg2_id": "DerUnfallchirurg.91020402.eng.abstr-s4-t2",
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}
] |
DerUnfallchirurg.91020422.eng.abstr
|
DerUnfallchirurg.91020422.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020422.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Proximal humeral fractures are common particularly in the elderly . The decision of the optimal treatment is dependent on many factors . On the one hand the biological age of the patient and the bone structure plays a key-role , on the other hand the living conditions and individual needs are of importance . Most fractures with minimal displacement respond satisfactorily to simple conservative treatment including short sling immobilisation and functional aftertreatment under supervision of the physiotherapist . Most recently there is a trend towards more aggressive surgical intervention with percutaneous insertion of cannulated screws also in the slightly displaced fracture situation . This protocol allows for earlier functional and less painful aftertreatment , less risk of displacement of the fracture fragments and better outcome . In severely unstable fractures with marked displacement of the fragments an operative stabilisation is advocated by most surgeons . Again there is a trend from plating towards cannulated screw fixation combined with tension absorbing ( resorbable ) sutures . In special cases which are described in detail a minimal invasive percutaneous screw technique with less stripping of bone and therefore preservation of the crucial blood supply of the humeral head is recommended . Instead of percutaneous pinning using K-wires only , cannulated screws are inserted today . Plating of proximal humerus joint fractures is the exception in our days , only the subcapital unstable fracture of the elderly would be an indication . LC-condylar plating seems to yield better stability than the conventional T-plate-system . In the most severe fractures of the proximal humerus ( 4-segment-fractures and dislocation fractures according to Neer , respectively C-2- and C-3-fractures according to the AO-classification ) there is still controversy on the best management . Most authors prefer hemiarthroplasty in this situation whereas the other group of orthopaedic surgeons try open reduction and internal fixation particularly in the younger individuals . This stabilisation provides the orthopaedic surgeons with a formidable challenge and requires a lot of experience in this field . Also the understanding of the fracture morphology is needed for optimal results . In spite of good stabilisation techniques often partial or total humeral head necrosis occurs in the most severe fractures . Surprisingly enough results with reasonable function can be obtained even with partial avascular necrocis of the humeral head . A crucial part of the management is team work with the physiotherapist and an individual program for each fracture situation , depending on the stability of the fixation . Close contact between these two professions is of utmost importance . Finally it can be stated that the management of proximal humeral fractures is fairly standardised but it is always dependent on the experience and resources of the attending surgeon and must be tailored to the individual needs of the patient ."
],
"offsets": [
[
0,
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]
}
] |
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{
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"id": "DerUnfallchirurg.91020422.eng.abstr-s3-t2",
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[] |
[] |
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] |
DerUnfallchirurg.91020429.eng.abstr
|
DerUnfallchirurg.91020429.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020429.eng.abstr-passage-0",
"type": "abstract",
"text": [
"During 1973 and 1989 , 6,378 car accidents with 8,931 injured persons were evaluated in the area of Hannover . 3,267 car drivers and passengers sustained fractures overall and 148 ( 4,5 % ) fractures of the foot . A major role in the ethiology of the foot fractures evolves from the deformation of the foot room . Driver and front seat passenger showed similar injuries . Among the 286 single fractures , the forefoot was affected most often ( 45 % ) , followed by ankle ( 38 % ) , midfoot ( 11 % ) and hindfoot ( 6 % ) . 5 % were open fractures . The long term results were estimated upon the limitation of working ability caused by the foot injury in relation to the entire working ability . The evaluation concludes that the foot fractures especially in combination with other injuries were frequently not recognized within the primary examination and therefore underestimated . The long-term outcome leaded to a high degree of impairment due to foot fractures ."
],
"offsets": [
[
0,
965
]
]
}
] |
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"id": "DerUnfallchirurg.91020429.eng.abstr-s5-t4",
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] |
[] |
[] |
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DerUnfallchirurg.91020434.eng.abstr
|
DerUnfallchirurg.91020434.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020434.eng.abstr-passage-0",
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"In a retrospective study 100 patients underwent a clinical and radiological follow-up 7 years and 7 months after an arthroscopic partial medial meniscectomy . None of these patients had associated intraarticular lesions apart a minor chondral damage of the medial compartment . The follow-up showed excellent clinical results in 96 % of patients according to the modified Marshall Score . The radiological results demonstrated a deterioration or development of osteoarthritis of the operated knee joint in 33 % of patients , with a statistical significance between radiological and clinical results ( p 0.05 ) . The age of the patients at time of operation and any angular deformity of the knee joint had no statistical significant influence on the radiological results . Women had a statistically significant higher risk to deteriorate or develop gonarthrosis after partial medial meniscectomy than men ( p 0.05 ) . The arthroscopic partial medial meniscectomy leads to excellent subjective and functional results , but it could not totally prevent the increase or development of degenerative changes in the medial knee compartment ."
],
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0,
1134
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]
}
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[] |
[] |
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r18-t1.1-t4.1",
"type": "performs",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r19-t5.1-t4.1",
"type": "associated_with",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r20-t8.1-t1.2",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r21-t7.1-t6.1",
"type": "adjacent_to",
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"arg2_id": "DerUnfallchirurg.91020434.eng.abstr-s5-t6",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r22-t6.1-t5.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r23-t4.2-t2.1",
"type": "occurs_in",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r24-t8.1-t6.1",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r25-t6.1-t4.1",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r27-t7.1-t5.1",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r28-t1.2-t3.1",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r29-t1.1-t2.1",
"type": "interacts_with",
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"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r30-t5.1-t1.1",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r31-t1.2-t5.1",
"type": "result_of",
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"arg2_id": "DerUnfallchirurg.91020434.eng.abstr-s5-t5",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r32-t7.1-t4.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r33-t8.1-t5.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r34-t4.1-t1.2",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s5-r36-t4.2-t1.2",
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},
{
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s7-r1-t2.1-t1.1",
"type": "location_of",
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},
{
"id": "DerUnfallchirurg.91020434.eng.abstr-s7-r2-t2.1-t1.1",
"type": "result_of",
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}
] |
DerUnfallchirurg.91020439.eng.abstr
|
DerUnfallchirurg.91020439.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020439.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In this study the influence of soft-care systems on subcutaneous tissue pressure and pO2 has been examined . In 14 volunteers 3 probes were implanted over the os sacrum for measurement during the 20-minute periods . Then the probands were asked to lie on a standard mattress , on 8 static beds of various kind and on 3 dynamic soft-care systems . The clinical mattress pressure values amounted to 25.5 mm Hg ( +/- 5.2 ; n = 14 ) . The gell-cushion showed increased values ( 26.9 +/- 9.5 mm Hg ; n = 5 ) . Compared to the standard mattress the other systems showed reductions in pressure from 32.7 % to 83.1 % . The lowest pressure was recorded with an air-supported mattress ( 8.3 +/- 2.3 mm Hg ; n = 5 ) . The pO2 initial values before lying down varied greatly from individual to individual ( 26.9-71.3 mm Hg ) . In the course of the 20-minute periods the pO2 value sometimes remained constant , sometimes increased and at other times it decreased . Under extrem conditions ( with 8 probands asked to lie on the floor ) a correlation ( r = -0 . 787 ) between pressure and pO2 was observed ( pressure values between 20.6 and 192.9 mm Hg ) . The results indicate the use of modern soft-care systems depending on the individual risk of pressure sores ."
],
"offsets": [
[
0,
1251
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"soft-care"
],
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[
31,
40
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0150499"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"tissue"
],
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[
65,
71
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040300"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"pressure"
],
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[
72,
80
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"volunteers"
],
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[
115,
125
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042960"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"probes"
],
"offsets": [
[
128,
134
]
],
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{
"db_name": "UMLS",
"db_id": "C0728863"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"sacrum"
],
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[
162,
168
]
],
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{
"db_name": "UMLS",
"db_id": "C0036037"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"measurement"
],
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[
173,
184
]
],
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{
"db_name": "UMLS",
"db_id": "C0242485"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"periods"
],
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[
206,
213
]
],
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{
"db_name": "UMLS",
"db_id": "C0025344"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"standard"
],
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[
257,
265
]
],
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{
"db_name": "UMLS",
"db_id": "C0038137"
},
{
"db_name": "UMLS",
"db_id": "C0175675"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"mattress"
],
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[
266,
274
]
],
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{
"db_name": "UMLS",
"db_id": "C0024940"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"beds"
],
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[
289,
293
]
],
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{
"db_name": "UMLS",
"db_id": "C0004916"
},
{
"db_name": "UMLS",
"db_id": "C0596170"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"soft-care"
],
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327,
336
]
],
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"db_id": "C0150499"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"mattress"
],
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360,
368
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"pressure"
],
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369,
377
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"values"
],
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[
378,
384
]
],
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"gell-cushion"
],
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[
435,
447
]
],
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{
"db_name": "UMLS",
"db_id": "C0017243"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"values"
],
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[
465,
471
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s6-t1",
"type": "umlsterm",
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"standard"
],
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]
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},
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s6-t2",
"type": "umlsterm",
"text": [
"mattress"
],
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530,
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]
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s6-t3",
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"pressure"
],
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}
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},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s7-t1",
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"text": [
"pressure"
],
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622,
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]
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s7-t2",
"type": "umlsterm",
"text": [
"mattress"
],
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[
666,
674
]
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"values"
],
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723,
729
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s9-t1",
"type": "umlsterm",
"text": [
"periods"
],
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846,
853
]
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"db_id": "C0025344"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s9-t2",
"type": "umlsterm",
"text": [
"value"
],
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]
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"db_name": "UMLS",
"db_id": "C0042295"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s9-t3",
"type": "umlsterm",
"text": [
"times"
],
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[
931,
936
]
],
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{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s10-t1",
"type": "umlsterm",
"text": [
"floor"
],
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[
1014,
1019
]
],
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{
"db_name": "UMLS",
"db_id": "C0016249"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s11-t1",
"type": "umlsterm",
"text": [
"pressure"
],
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"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s11-t2",
"type": "umlsterm",
"text": [
"pressure"
],
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[
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1101
]
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{
"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s11-t3",
"type": "umlsterm",
"text": [
"values"
],
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[
1102,
1108
]
],
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{
"db_name": "UMLS",
"db_id": "C0042295"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t1",
"type": "umlsterm",
"text": [
"use"
],
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[
1167,
1170
]
],
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"db_name": "UMLS",
"db_id": "C0042153"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t2",
"type": "umlsterm",
"text": [
"soft-care"
],
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[
1181,
1190
]
],
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{
"db_name": "UMLS",
"db_id": "C0150499"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t3",
"type": "umlsterm",
"text": [
"risk"
],
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[
1227,
1231
]
],
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{
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}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"type": "umlsterm",
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"pressure"
],
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[
1235,
1243
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"db_name": "UMLS",
"db_id": "C0033095"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t5",
"type": "umlsterm",
"text": [
"risk of"
],
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[
1227,
1234
]
],
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{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s12-t6",
"type": "umlsterm",
"text": [
"pressure sores"
],
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[
1235,
1249
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011127"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-r1-t2.1-t4.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t2",
"arg2_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-r2-t4.1-t2.1",
"type": "measures",
"arg1_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"arg2_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-r3-t1.1-t4.1",
"type": "performs",
"arg1_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t1",
"arg2_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s2-r4-t2.1-t4.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t2",
"arg2_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020439.eng.abstr-s3-r1-t4.1-t3.2",
"type": "manifestation_of",
"arg1_id": "DerUnfallchirurg.91020439.eng.abstr-s12-t4",
"arg2_id": "DerUnfallchirurg.91020439.eng.abstr-s3-t3",
"normalized": []
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DerUnfallchirurg.91020458.eng.abstr
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DerUnfallchirurg.91020466.eng.abstr
|
DerUnfallchirurg.91020466.eng.abstr
|
[
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"type": "abstract",
"text": [
"Dorsal tension band fixation is a wide-spread technique of finger arthrodesis . When using a resorbable PDS-suture as tension band fixation a costly implant removal is not needed . Aim of this study is the investigation of the primary stability of this technique in combination with the cup-in-cone-procedure . Freeze-preserved fingers with thread tension band fixation using the PDS-material ( series 1 ) , the same fixating method on formaldehyde preserved fingers ( series 3 ) , freeze-preserved fingers with a standard tension band fixating ( wire loop , series 2 ) are load in a four-point-bending in the direction of palmarflexion . From 6 degrees onwards the wire-tension-system requires a higher torque for bending , but in case of higher torque frequently leads to fracture . The examination shows that the thread-tension-band method by PDS-loop for the stabilisation of finger joint arthrodesis has a sufficient initial stability against bending forces ."
],
"offsets": [
[
0,
964
]
]
}
] |
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{
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{
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{
"id": "DerUnfallchirurg.91020466.eng.abstr-s5-t3",
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{
"id": "DerUnfallchirurg.91020466.eng.abstr-s6-t2",
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{
"id": "DerUnfallchirurg.91020466.eng.abstr-s6-t4",
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"arthrodesis"
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]
},
{
"id": "DerUnfallchirurg.91020466.eng.abstr-s6-t5",
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"text": [
"finger joint"
],
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880,
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]
],
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{
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"db_id": "C0016125"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.91020466.eng.abstr-s1-r1-t1.1-t3.2",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020466.eng.abstr-s6-t1",
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},
{
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020466.eng.abstr-s1-r3-t3.2-t3.1",
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},
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},
{
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},
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},
{
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},
{
"id": "DerUnfallchirurg.91020466.eng.abstr-s6-r14-t3.1-t4.1",
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}
] |
DerUnfallchirurg.91020493.eng.abstr
|
DerUnfallchirurg.91020493.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020493.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Fractures in the midline of the sacrum are rare , a pseudarthrosis has not been described previously . We report about a 53-year-old woman with a midline fracture of the sacrum which has not been recognized , although there were indirect fracture signs on the native x-rays and a CT was performed . The surgical treatment with sacral compression bars was successful and pseudarthrosis healing resulted but the patient continued to have mild low back pain . The case reported here confirms that low back pain may caused by pathologic changes of the posterior part of the pelvis . The unusual fracture location could be caused by a bifid spinous process ."
],
"offsets": [
[
0,
653
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Fractures"
],
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[
0,
9
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"midline"
],
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[
17,
24
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0677502"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"sacrum"
],
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[
32,
38
]
],
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{
"db_name": "UMLS",
"db_id": "C0036037"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"pseudarthrosis"
],
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[
52,
66
]
],
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{
"db_name": "UMLS",
"db_id": "C0033785"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"woman"
],
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[
133,
138
]
],
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{
"db_name": "UMLS",
"db_id": "C0043210"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"midline"
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[
146,
153
]
],
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"db_name": "UMLS",
"db_id": "C0677502"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t3",
"type": "umlsterm",
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"fracture"
],
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154,
162
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t4",
"type": "umlsterm",
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"sacrum"
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170,
176
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t5",
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"fracture"
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238,
246
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"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"signs"
],
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[
247,
252
]
],
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"db_name": "UMLS",
"db_id": "C0220912"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"native"
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[
260,
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}
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s2-t8",
"type": "umlsterm",
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"x-rays"
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267,
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}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t1",
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"surgical"
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t2",
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"text": [
"treatment"
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"db_id": "C0039798"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"pseudarthrosis"
],
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[
370,
384
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t4",
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410,
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"back"
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t6",
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"pain"
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450,
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}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t7",
"type": "umlsterm",
"text": [
"surgical treatment"
],
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303,
321
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],
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"db_id": "C0543467"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t8",
"type": "umlsterm",
"text": [
"back pain"
],
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445,
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]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s3-t9",
"type": "umlsterm",
"text": [
"low back pain"
],
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441,
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]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t1",
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"text": [
"back"
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498,
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}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t2",
"type": "umlsterm",
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"pain"
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503,
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"pathologic"
],
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522,
532
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"db_name": "UMLS",
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}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"posterior"
],
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548,
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]
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"db_id": "C0032009"
}
]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t5",
"type": "umlsterm",
"text": [
"pelvis"
],
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570,
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]
},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t6",
"type": "umlsterm",
"text": [
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},
{
"id": "DerUnfallchirurg.91020493.eng.abstr-s4-t7",
"type": "umlsterm",
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"back pain"
],
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498,
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]
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[] |
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"arg1_id": "DerUnfallchirurg.91020493.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.91020493.eng.abstr-s4-t5",
"normalized": []
}
] |
DerUnfallchirurg.91020497.eng.abstr
|
DerUnfallchirurg.91020497.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020497.eng.abstr-passage-0",
"type": "abstract",
"text": [
"An iatrogenic avulsion of the greater trochanter occurring during prothetic hip replacement after a fracture of the neck of the femur is a rare complication . The need for maximum internal rotation of the limb during the operation imposes serious mechanical stress on the greater trochanter in patients who are often elderly and whose bones are osteoporotic . Two case reports illustrate that a conservative management - without internal fixation - combined with early mobilisation is successful . Our view is based on the current , international opinion that conservative management with early mobilisation is preferable for isolated traumatic avulsion of the greater trochanter , even if there is wide displacement ."
],
"offsets": [
[
0,
718
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"trochanter"
],
"offsets": [
[
38,
48
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0162370"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hip"
],
"offsets": [
[
76,
79
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0019552"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"fracture"
],
"offsets": [
[
100,
108
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"neck"
],
"offsets": [
[
116,
120
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027530"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"femur"
],
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[
128,
133
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015811"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"complication"
],
"offsets": [
[
144,
156
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009566"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"hip replacement"
],
"offsets": [
[
76,
91
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0392806"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"need"
],
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[
163,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027552"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"rotation"
],
"offsets": [
[
189,
197
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035868"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"limb"
],
"offsets": [
[
205,
209
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"operation"
],
"offsets": [
[
221,
230
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"stress"
],
"offsets": [
[
258,
264
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038435"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"trochanter"
],
"offsets": [
[
280,
290
]
],
"normalized": [
{
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"db_id": "C0162370"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"patients"
],
"offsets": [
[
294,
302
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"elderly"
],
"offsets": [
[
317,
324
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0001792"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t9",
"type": "umlsterm",
"text": [
"bones"
],
"offsets": [
[
335,
340
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0262950"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s2-t10",
"type": "umlsterm",
"text": [
"mechanical stress"
],
"offsets": [
[
247,
264
]
],
"normalized": [
{
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"db_id": "C0038442"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"mobilisation"
],
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[
469,
481
]
],
"normalized": [
{
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"db_id": "C0300926"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"case reports"
],
"offsets": [
[
364,
376
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0007320"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"early mobilisation"
],
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[
463,
481
]
],
"normalized": [
{
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"db_id": "C0013459"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"mobilisation"
],
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[
595,
607
]
],
"normalized": [
{
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}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"trochanter"
],
"offsets": [
[
669,
679
]
],
"normalized": [
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}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"displacement"
],
"offsets": [
[
704,
716
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012725"
}
]
},
{
"id": "DerUnfallchirurg.91020497.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"early mobilisation"
],
"offsets": [
[
589,
607
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0013459"
}
]
}
] |
[] |
[] |
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DerUnfallchirurg.91020505.eng.abstr
|
DerUnfallchirurg.91020505.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020505.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The field surgery has been structured into four specialties of equal importance that are Thoracic Surgery , Vascular Surgery , Visceral Surgery and last but not least Trauma Surgery . Each specialty defines it's research tasks . Therefore it is necessary to evaluate the situation of research in trauma surgery and define future topics and programs . The aim of this survey was to cover the present research situation in Germany . Out of the 200 questionnaires 112 were available for evaluation . The major deficiencies were stated to be a lack of personnel , budget and coordination of topics and resources . Of general interest was to initiate activities of the German Society for Trauma Surgery ( DGU ) in view of coordination of research activities , setting up of new funds and integration of teaching hospitals into university research programs . The data , shown in this article , may serve to start a discussion aiming on the improvement of the financial and scientific environment ."
],
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0,
991
]
]
}
] |
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] |
[] |
[] |
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DerUnfallchirurg.91020525.eng.abstr
|
DerUnfallchirurg.91020525.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020525.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The aim of this study was to compare the outcome and clinical course of multiple trauma patients with accidental or intentional ( suicide related ) fall from heights > 4 m . 211 patients with an injury severity score ( ISS ) > 17 were assigned to the following groups : I : intentional fall , n = 94 ; A : accidental fall , n = 117 ) and ISS ( I : 28 +/- 1 ; A : 30 +/- 1 ) , ventilation time ( I : 16 +/- 2 ; A : 15 +/- 1 ) were not different . Significant differences were found in sex ( m/f : I : 56/44 ; A : 73/27 % ) , fractures of lumbarspine ( I : 34 ; A : 15 % ) , pelvis ( I : 51 ; A : 38 % ) , lower leg ( I : 47 ; A : 20 % ) , pilon ( I : 15 ; A : 5 % ) , and os calcis ( I : 17 ; A : 9 % ) . Liver lacerations occured more often after intentional fall ( I : 16 ; A : 6 % ) . Single or multiple organ failure ( MOF ) was diagnosed significantly more often in group A ( I : 1 ; A : 8 % ) . Main cause of death in both groups was single or multiple organ failure ( MOF : I : 47 ; A : 69 % ) or related to brain-injuries ( I : 35 ; A : 19 % ) . Prognosis and rehabilitation of multiple trauma patients after intentional fall is related to brain-injuries , spine-fractures and the functional outcome of the injured lower leg . Prognosis of patients after accidental fall is related to the development of MOF during the ICU-course ."
],
"offsets": [
[
0,
1338
]
]
}
] |
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] |
[] |
[] |
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}
] |
DerUnfallchirurg.91020531.eng.abstr
|
DerUnfallchirurg.91020531.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020531.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between April 1994 and December 1995 14 patients ( average age 56 ( 41-71 ) years , 13 women , one man ) suffering from a fracture of the distal radius ( Extensionsfracture , type 1B by Pechlaner , AO-classification A2 and A3) were treated by minimal invasiv procedure . The bone defect was substituted with hydroxylapatit ceramic . In a prospective study the osteointegration of the alloplastic bone graft was evaluated radiographically and on MRI . Up to week 12 X-ray revealed a radiolucenty around the allograft in all patients . After 6 months trabecular structure reached the alloplastic bone graft in 57 % of the patients . After one year the surface of the hydroxylapatit ceramic was remodelled in 36 % of the patients . At this time MRI examination with contrast agent demonstrated marginal integration of the alloplastic bone craft in 71 % . X-ray follow up showed stageable integration of the porous hydroxylapatit ceramic . MRI examination demonstrated partial osteointegration . Hydroxylapatit ceramic was incorporated in radial metaphyse of elder patients without any complications ."
],
"offsets": [
[
0,
1097
]
]
}
] |
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{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-t3",
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"radius"
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"id": "DerUnfallchirurg.91020531.eng.abstr-s2-t2",
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"id": "DerUnfallchirurg.91020531.eng.abstr-s3-t2",
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"id": "DerUnfallchirurg.91020531.eng.abstr-s3-t3",
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"id": "DerUnfallchirurg.91020531.eng.abstr-s3-t4",
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"id": "DerUnfallchirurg.91020531.eng.abstr-s3-t5",
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}
] |
[] |
[] |
[
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},
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{
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{
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r13-t4.2-t1.1",
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},
{
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{
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r16-t8.1-t2.2",
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r17-t4.2-t2.2",
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r18-t4.1-t7.1",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r19-t7.1-t2.1",
"type": "occurs_in",
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"arg2_id": "DerUnfallchirurg.91020531.eng.abstr-s10-t2",
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r20-t7.1-t6.1",
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},
{
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r22-t2.1-t3.1",
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},
{
"id": "DerUnfallchirurg.91020531.eng.abstr-s1-r23-t6.1-t7.1",
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DerUnfallchirurg.91020535.eng.abstr
|
DerUnfallchirurg.91020535.eng.abstr
|
[
{
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"type": "abstract",
"text": [
"In part I of the paper the biomechanical and technical background of the EPTT using the MPT fixator and the indications for this procedure have been described . In part II we report about the clinical application of the EPTT in 67 patients with a wide spectrum of repairs and reconstructions of the extensor mechanism . 48 patients had fresh injuries , 18 of them with severe concomitant knee lesions and 19 patients had neglected rsp . unsuccessfully operated injuries . There were 4 deep infections , two of them related to the MPT fixator . In the patients with uneventful healing the fixator remained in place for 7.3 weeks in average . The clinical , isokinetic and radiological results were reviewed in 17 patients with an average follow-up time of 37.3 months . There were 5 patients with partial patellectomy and tendon reattachment because of lower patella pole comminution and 12 patients with tendon reattachment ruptured at the inferior patella pole or suture repair in midsubstance rupture . The clinical results according to the IKDC score were rated in 3 patients as normal , in 10 patients as nearly normal and in 4 patients as abnormal . This rating was highly dependend on the subjective judgement by the patients who considered their operated knees not as normal as the contralateral knees . From our clinical experiences and results we can derive that the EPTT enables the surgical management of extensor mechanism disruptions with a minimum of internal fixation material and provides a safe protection of the repairs and reconstructions during the healing period . The EPTT allows immediate unrestricted functional rehabilitation and early walking without crutches . Thus the EPTT represents an effective alternative to the patello-tibial cerclage with a wire or synthetic ligaments ."
],
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0,
1805
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]
}
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]
}
] |
[] |
[] |
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"id": "DerUnfallchirurg.91020535.eng.abstr-s12-r1-t1.1-t1.2",
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}
] |
DerUnfallchirurg.91020543.eng.abstr
|
DerUnfallchirurg.91020543.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020543.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Degenerative changes have been considered to be a cause for spontaneous quadriceps tendon rupture . Aim of this study is to investigate the microvasculature of the quadriceps tendon by injection techniques and immunohistochemical methods ( antibodies against laminin ) with regard to the pathogenesis of tendon degeneration . The blood supply of the quadriceps tendon arises from descending branches of the lateral circumflex femoral artery , by branches of the descending geniculate artery and by branches of the medial and lateral superior geniculate arteries . Blood vessels penetrate the tendon from the surrounding connective tissue and anastomose with a longitudinally orientated intraligamentous network . Compared to the surrounding synovial layer , the amount of vessels in the tendon substance is greatly reduced . The distribution of blood vessels within the quadriceps tendon is not homogenous . The anterior or superficial part of the tendon has a complete vascular network that extends from the musculo-tendinous junction to the patella . Within the deep portion of the quadriceps tendon there is an oval shaped avascular area which measures app . 30 mm in length and app . 15 mm in width . Within this area the immunohistochemical proof of laminin is negative . An explanation for the absence of blood vessels may be compressive stress caused by the patellar groove which serves as hypomochlion for the quadriceps tendon when the knee is flexed . The occurrence of an avascular zone within the deep layer of the tendon that is directed to the joint cavity may explain the frequency of degenerative changes in this region ."
],
"offsets": [
[
0,
1637
]
]
}
] |
[
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"db_id": "C0015127"
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},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"tendon"
],
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[
83,
89
]
],
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{
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"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"rupture"
],
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[
90,
97
]
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},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t1",
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"microvasculature"
],
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],
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},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t2",
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"tendon"
],
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[
175,
181
]
],
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"db_id": "C0039508"
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},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t3",
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"injection"
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},
{
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"type": "umlsterm",
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"techniques"
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}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"methods"
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[
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]
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"db_id": "C0025663"
},
{
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}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"antibodies"
],
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],
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}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"laminin"
],
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]
],
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"db_id": "C0022984"
}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t8",
"type": "umlsterm",
"text": [
"pathogenesis"
],
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]
],
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"db_id": "C0543483"
}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s2-t9",
"type": "umlsterm",
"text": [
"tendon"
],
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]
],
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"db_id": "C0039508"
}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"blood"
],
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[
330,
335
]
],
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"db_id": "C0005767"
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},
{
"db_name": "UMLS",
"db_id": "C0005835"
}
]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"supply"
],
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]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"tendon"
],
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]
],
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]
},
{
"id": "DerUnfallchirurg.91020543.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"artery"
],
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[] |
[] |
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DerUnfallchirurg.91020572.eng.abstr
|
DerUnfallchirurg.91020572.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020572.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraabdominal organ lesions after blunt abdominal injuries often are missed , especially in the contest of a polytrauma because of the absence of obvious clinical injury signs , difficult examination conditions of an intubated patient and the possibility of secondary development of lesions . For an exact recognition of the abdominal injuries a standard diagnostic procedure is necessary . Clinical and laboratory parameters which determine the circulatory situation , initial abdominal ultrasound , x-ray and follow up examinations are indispensable . In equivocal situations CAT scan respectively angiography are recommended . The correct initial diagnosis of intestinal perforations still is problematic and requires repeated examinations . We report the case of a patient with initial blunt abdominal injury and a non dislocated Weber-A-fracture after a car accident . 15 days after trauma the patient was seen with the clinical signs of an acute abdomen . After emergency laparotomy an ischemic necrosis of the ileum , covered with net , was seen ."
],
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[
0,
1055
]
]
}
] |
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] |
DerUnfallchirurg.91020576.eng.abstr
|
DerUnfallchirurg.91020576.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020576.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The calcaneus is a uncomon site for a unicameral solitary bone cyst . However , because of the concentration of forces through the heel , such solitary bone cysts are usually symptomatic , depending on the proximity to the joint and the size of the cyst and therefore require in most cases surgical treatment . This is a report about two patients with a solitary bone cyst of the os calcis in 1996 and 1997. The diagnosis was confirmed radiologically and histologically . The standard therapie in both cases was the curretage of the cyst by packing the defect with bone graft from the pelvis . The author reviewed the literature concerning ethiology , diagnosis and treatment of unicameral solitary bone cysts of the calcaneus . The diagnosis cannot be based solely on radiological findings because of the variation of solitary bone cysts and the special forms , such as calcifying solitary bone cysts . Therefore exact histological diagnosis is of particular importance ."
],
"offsets": [
[
0,
972
]
]
}
] |
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],
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4,
13
]
],
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"db_id": "C0006856"
}
]
},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s1-t2",
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"bone"
],
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58,
62
]
],
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}
]
},
{
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"cyst"
],
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63,
67
]
],
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"bone cyst"
],
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58,
67
]
],
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{
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],
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]
],
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t2",
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"text": [
"heel"
],
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[
131,
135
]
],
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{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t3",
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t4",
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],
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157,
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]
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t5",
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"joint"
],
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223,
228
]
],
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t6",
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"cyst"
],
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]
],
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}
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},
{
"id": "DerUnfallchirurg.91020576.eng.abstr-s2-t7",
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],
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] |
DerUnfallchirurg.91020580.eng.abstr
|
DerUnfallchirurg.91020580.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020580.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 6 patients with primary malignant bone tumors ( 4 Ewing , 1 recurrent Adamantinoma , 1 maligne Haemangioperizytoma ) the local therapy was performed as intraoperative extracorporeal irradiation and replantation . During the follow-up 10 ( 6-24 ) months no local recurrence in the replanted segment occurred . One recurrence occurred in the host bed ; in two cases the replanted segment had to be removed because of severe infection . The other cases showed good functional and radiological results . These clinical findings and the reports in the literature seem to allow the application of the intraoperative extracorporeal irradiation and replantation procedure for defect reconstruction in cases of chemo- and radiotherapy-sensitive bone tumors ."
],
"offsets": [
[
0,
752
]
]
}
] |
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{
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"bone"
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"id": "DerUnfallchirurg.91020580.eng.abstr-s1-t7",
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"id": "DerUnfallchirurg.91020580.eng.abstr-s2-t1",
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"id": "DerUnfallchirurg.91020580.eng.abstr-s3-t2",
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}
] |
[] |
[] |
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DerUnfallchirurg.91020611.eng.abstr
|
DerUnfallchirurg.91020611.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020611.eng.abstr-passage-0",
"type": "abstract",
"text": [
"There are 2 types of a combined tibia fracture and ankle injury : in Type I the tibia fracture extends directly into the ankle joint , in Type II the tibia fracture goes along with a fracture of the fibula and disruption of the fibular-tibial syndesmosis . This type of fracture must be distinguished from a pilon tibiale fracture . The typical mechanism for this combined tibia and ankle injury is the indirect torsional trauma with pronation-eversion . From 1995 to 1997 188 patients with fractures of the tibia were treated by internal fixation in our Trauma Department . 27 of these patients ( 13.6 % ) had a combined tibia and ankle injury . Most of the tibia fractures were located in the distal third , a spiral fracture ( 16 patients ) or a comminuted fracture ( 6 patients ) , and another group extending directly into the ankle ( 5 patients ) . The ankle lesion was a distal fibular fracture ( Weber Typ B + C ) in 14 patients , a proximal fibular fracture ( Type maisoneuve ) in 6 patients , a postero-lateral fragment in 11 cases and a fracture of the medial melleolus in 10 cases . A disrupture of the anterior tibio-fibular syndesmosis was seen in 18 patients , 3 times as an isolated lesion of the ankle joint without fracture of the fibula . The osteosynthesis of the tibia fracture was performed with an unreamed tibia nail in 20 patients , with elastic-biologic plate fixation in 6 and with external fixation in 1 patient . The fibula fractures were stabilized by small fragment titaneum plates , the dorsolateral fragment and the medial malleolus were stabilized by lag-screws , the tibio-fibular ligament was sutured and , in a few cases only , held in place by a positioning screw . The outcome was controlled after 20,7 month according to the Phillip's Score ( 1996 ) . We found not more than one pour results . It must be considered , that most of the combined injuries of the tibia and the ankle joint concerning 13,6 % of all tibia shaft fractures are usually not recognized and may result in an arthrosis of the ankle joint . The attention should be focused to the ankle joint in any spiral fractures of the distal tibia after indirect trauma , especially with a proximal fibular fracture or an intact fibula . Additional X-ray examination of the ankle joint is recommended during internal fixation of the tibia . Posttraumatic arthrosis of the ankle joint can be prevented by diagnosis and adequate anatomical reconstruction of the additional ankle joint injury ."
],
"offsets": [
[
0,
2490
]
]
}
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] |
[] |
[] |
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DerUnfallchirurg.91020619.eng.abstr
|
DerUnfallchirurg.91020619.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020619.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Although children are injured everyday through accidents , road traffic , leisure or sports activities , internal lesions of the knee joint due to the trauma are rare . Diagnose and therapy follow rather empirical than analytical patterns . A retrospective , controlled study evaluates and recommends ways of treatment . Traumatic internal lesions of the knee where analysed in 76 children up to age 16. The pattern of injury changed with increasing age , the trauma remaining the same . Most common where injuries to the anterior cruciate ligament ( ACL ) . Main cause where sports activities . Operative treatment seems to be the appropriate treatment . Osseous avulsions of the cruciates and collateral ligaments showed good results after transosseous refixation with a suture . Suturing of intraligamentous ACL-ruptures as well as patellar ligaments plasty showed unsatisfactory results . Secondary lesions due to instability of the knee where also observed in children . Children cannot self estimate the severity of the injury so subjective statements are insecure . Trauma , surgery , pain and immobilisation cause a marked malfunction of the senso-motor system which is effectively treated by physiotherapy ."
],
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0,
1216
]
]
}
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] |
DerUnfallchirurg.91020625.eng.abstr
|
DerUnfallchirurg.91020625.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020625.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The objective of this investigation was the experimental determination of the contact pressures in the hip joint for characteristic phases of the gait cycle . The joint forces determined in vivo with telemetric endoprosthesis by Bergmann et al. ( 1993 ) were converted into a pelvic reference system , based on kinematic gait analysis . In eight cadaveric hip joints ( age 18-75 yrs . ) the reaction forces were applied corresponding to four phases of the gait cycle ( heel strike , mid-stance , heel off , toe off ) and the pressure distribution determined with FUJI pressure sensitive film . We found maxima of 10 MPa during mid stance . The areas of highest pressure were located in the ventro-superior aspect of the acetabulum ( anterior part of the acetabular roof ) and in the dorso-inferior aspect of the lunate surface . The pressure distribution was relatively constant during the four phases and the maxima did not vary proportional to the applied load . The normal pressure distribution in the hip appears to be determined by the physiological incongruity of the articular surfaces and the inhomogeneous bony support of the acetabulum . During operative interventions this normal load transfer should be restored as accurately as possible ."
],
"offsets": [
[
0,
1251
]
]
}
] |
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"id": "DerUnfallchirurg.91020625.eng.abstr-s4-t2",
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}
] |
[] |
[] |
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DerUnfallchirurg.91020632.eng.abstr
|
DerUnfallchirurg.91020632.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020632.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between January 1986 and August 1995 , we treated 86 patients suffering from lateral displacement of the patella with arthroscopic medial tightening and lateral release after a conservative functional treatment remained unsuccessful . 49 patients were available for follow-up studies . 29 patients were treated after primary dislocation of the patella , and 20 patients after recurrent dislocations ( 2-20 ) . The lateral release was performed by arthroscopy in 28 patients and in 21 patients in an open procedure . The mean follow-up time was 47.3 months . The rate of reluxation was 8 % . In the opinion of the patients , 44 ( 90 % of the follow-up ) operations were evaluated as good/very good , the average Lysholm score was 87.3 +/- 13.9. The clinical results were influenced by the point of time of the operation . Patients with monoluxation showed a lower rate of reluxation ( 3 % vs. 15 % ) and superior functional and subjective results than those with recurrent dislocation . However , there were no significant differences between the open and closed performed lateral release . We recommend the technique presented here as a minimal-invasive method especially for patients with monoluxation of the patella ."
],
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0,
1219
]
]
}
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"id": "DerUnfallchirurg.91020632.eng.abstr-s10-t5",
"type": "umlsterm",
"text": [
"patella"
],
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[
1210,
1217
]
],
"normalized": [
{
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"db_id": "C0030647"
}
]
}
] |
[] |
[] |
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{
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},
{
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},
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{
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},
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"normalized": []
}
] |
DerUnfallchirurg.91020652.eng.abstr
|
DerUnfallchirurg.91020652.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020652.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the case of a 62-year-old woman with marked valgus and limitation of extension of the right knee joint as the result of a supracondylar fracture of the femur , originally treated by internal fixation with a dynamic condylar screw . Two years later , revision osteotomy with retrograde femoral nailing was carried out to achieve varisation and improve extension . Within a week of operation the patient's right leg was fully weight bearing with normal axial positioning . A retrograde locking nail provides satisfactory and stable internal fixation in cases of revision ."
],
"offsets": [
[
0,
580
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"woman"
],
"offsets": [
[
36,
41
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0043210"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"right"
],
"offsets": [
[
96,
101
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035621"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"knee"
],
"offsets": [
[
102,
106
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022742"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"joint"
],
"offsets": [
[
107,
112
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022417"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"fracture"
],
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[
146,
154
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"femur"
],
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[
162,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015811"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"screw"
],
"offsets": [
[
234,
239
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005975"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-t8",
"type": "umlsterm",
"text": [
"knee joint"
],
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[
102,
112
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022745"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"osteotomy"
],
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[
269,
278
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0029468"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"operation"
],
"offsets": [
[
390,
399
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"right"
],
"offsets": [
[
414,
419
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035621"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"leg"
],
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[
420,
423
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0023216"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"weight"
],
"offsets": [
[
434,
440
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005910"
},
{
"db_name": "UMLS",
"db_id": "C0043100"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"weight bearing"
],
"offsets": [
[
434,
448
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0085086"
}
]
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"nail"
],
"offsets": [
[
502,
506
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027342"
}
]
}
] |
[] |
[] |
[
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"type": "adjacent_to",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r2-t8.1-t2.1",
"type": "adjacent_to",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r3-t6.1-t8.1",
"type": "interconnects",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r4-t6.1-t5.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r5-t4.1-t2.1",
"type": "adjacent_to",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r6-t5.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t5",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r7-t4.1-t6.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r8-t8.1-t6.1",
"type": "connected_to",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t8",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t6",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r9-t2.1-t5.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r10-t1.1-t7.1",
"type": "uses",
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},
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{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r12-t2.1-t4.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r13-t7.1-t5.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r14-t8.1-t5.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r15-t1.1-t5.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r16-t6.1-t4.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r17-t2.1-t8.1",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s1-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r18-t6.1-t2.1",
"type": "adjacent_to",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s1-r19-t4.1-t5.1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r1-t1.2-t1.1",
"type": "evaluation_of",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r2-t2.1-t1.1",
"type": "evaluation_of",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t2",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r3-t1.2-t1.1",
"type": "location_of",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r6-t1.2-t4.2",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r7-t4.1-t1.1",
"type": "conceptual_part_of",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r8-t4.1-t1.2",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t1",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r9-t1.1-t4.2",
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"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r10-t4.2-t1.2",
"type": "measurement_of",
"arg1_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.91020652.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020652.eng.abstr-s3-r11-t4.2-t1.1",
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"normalized": []
}
] |
DerUnfallchirurg.91020656.eng.abstr
|
DerUnfallchirurg.91020656.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020656.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report a case of a 64-year old female patient , who developed a total instability of the pelvic ring within one year as a result of increasing insufficiency fractures . A minor trauma of the pelvis was assumed to be the trigger of this process retrospectively . The radiographic appearance of the multiple pseudoarthrosis simulated a metastatic disease . The differential diagnosis and the typical pattern of sacral insufficiency fractures ( SIF ) are described ."
],
"offsets": [
[
0,
466
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"old"
],
"offsets": [
[
30,
33
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0331059"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"female"
],
"offsets": [
[
34,
40
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0086287"
},
{
"db_name": "UMLS",
"db_id": "C0015780"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"patient"
],
"offsets": [
[
41,
48
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"fractures"
],
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[
160,
169
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"minor"
],
"offsets": [
[
174,
179
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0026193"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"trauma"
],
"offsets": [
[
180,
186
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0021501"
},
{
"db_name": "UMLS",
"db_id": "C0043251"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"pelvis"
],
"offsets": [
[
194,
200
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0030797"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"pseudoarthrosis"
],
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[
309,
324
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033785"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"simulated"
],
"offsets": [
[
325,
334
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0284447"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"metastatic"
],
"offsets": [
[
337,
347
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0036525"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"disease"
],
"offsets": [
[
348,
355
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"metastatic disease"
],
"offsets": [
[
337,
355
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0027627"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"diagnosis"
],
"offsets": [
[
375,
384
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0011900"
},
{
"db_name": "UMLS",
"db_id": "C0348026"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"fractures"
],
"offsets": [
[
433,
442
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016658"
}
]
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"differential diagnosis"
],
"offsets": [
[
362,
384
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220820"
},
{
"db_name": "UMLS",
"db_id": "C0011906"
}
]
}
] |
[] |
[] |
[
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r1-t4.1-t1.1",
"type": "occurs_in",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
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},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r2-t4.1-t2.1",
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"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r3-t1.1-t2.1",
"type": "interacts_with",
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"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
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},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r4-t4.1-t1.1",
"type": "associated_with",
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r5-t2.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
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},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r6-t2.2-t1.1",
"type": "property_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r7-t1.1-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r8-t4.1-t2.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s2-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r9-t2.2-t4.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s2-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s1-r10-t2.1-t1.1",
"type": "interacts_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-r1-t2.1-t1.1",
"type": "occurs_in",
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"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-r2-t3.1-t2.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-r3-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-r4-t3.1-t1.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s2-r5-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r1-t5.1-t1.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r2-t2.1-t5.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r3-t2.1-t5.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r4-t5.1-t2.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r5-t1.1-t5.1",
"type": "degree_of",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s3-t5",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s3-r6-t2.1-t1.1",
"type": "affects",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t2",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s4-r1-t3.1-t1.2",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t3",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020656.eng.abstr-s4-r2-t1.2-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t1",
"arg2_id": "DerUnfallchirurg.91020656.eng.abstr-s4-t3",
"normalized": []
}
] |
DerUnfallchirurg.91020668.eng.abstr
|
DerUnfallchirurg.91020668.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020668.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abstract Basis of the modern shoulder implants is the Neer II-system , a non constrained total shoulder prosthesis with conforming radii of curvature and improved protection against dislocation . The second generation of shoulder prosthesis is based on the geometric shaft design of the Neer II prosthesis and offers not only a variety of modular head- and shaft-sizes but also through different radii a physiologic rotation-translation-mechanism . The third generation of humeral head prosthesis carries the concept of an anatomic reconstruction one step further and enables the surgeon to adjust the inclination and the eccentric offset of the humeral head to restore the centre of rotation . The latest development in shoulder arthroplasty are humeral head prosthesis with a fully variable 3-dimensional modularity to independently adjust the prosthestic head position regardless of the individual shaft geometry . This achieves a 3-dimensional adaptability of the prosthetic head about the stem axis in the coronary and in the sagittal plane . Besides of the humeral shaft prosthesis an alternative concept of shoulder joint replacement is established - the replacement of the humeral head articular surface . A hemispheric surface prosthesis - cup arthroplasty - is cemented onto the residual humeral head , which eliminates the obligatory humeral head resection and the reaming of the medullary canal . Bipolar shoulder prosthesis are humeral shaft prosthesis with a bi-rotational head system . Their indication is limited to pre-existing lesions of the rotator cuff and/or the glenoid surface . The inverse total shoulder prosthesis reverses the articular surface morphology of the humeral head and the glenoid . The hemispheric glenoid component serves as the centre of rotation for the concave epiphyseal proximal humerus component . This implant is especially used in cases of massive rotator cuff deficiences . The role of shoulder prosthesis in treating acute humeral head fractures needs special consideration . A fracture prosthesis has to restore the exact length of the humerus , the centre of rotation , and the anatomical retroversion . Positioning of the tubercula and their adequate osteosynthesis is most critical and fundamental to ensure a correct healing process . A failed consolidation of the tubercula does not lead to a satisfying result . The shoulder joint replacement can be sufficiently fixated in cemented , cementless or hybrid techniques . Today several component design variations of cemented glenoid implants exist . Their main distinction is the fixation system which can be divided into two main groups - the keel - and the peg-shaped glenoid components . The peg-shaped anchorage system shall guarantee a greater stability against shear-forces . Cementless glenoid components consist of a polyethylen inlay and a surface treated metal-back with an integrated fixation system . These fixation systems are object of intensive biomechanical research and range from conventional screw fixation to specialised cone systems and self-cutting cage-screw-systems . The critical area of cementless glenoid components is the transition zone of the PE-inlay and the metal-back because of high force development . The question of implanting a hemi- or total shoulder prosthesis is answered by the morphologic changes of the glenoid articular surface , which includes the size of the subchondral defect and the underlying etiology of the shoulder joint disease , and the age of the patient . Preoperative planning must consist of an adequate radiologic work-up - X-ray , CT or MRI - to accurately assess the glenoid morphology . G. Walch categorised the different glenoid lesions and developed a very important classification of possible glenoid deformations . To compare and evaluate the operative results one must consider the different shoulder prosthesis and the discrepancies between a hemi- and a total shoulder prosthetic replacement . Looking at the loosening and survival rate of the implant the results are related to the type of prosthesis and the preoperative diagnosis . The Neer total shoulder prosthesis has a 15 year survival rate of 87 % , compared to 74 % of the hemi-prosthesis . The objective for the future has to be to further advance the development of prosthetic components , especially for primary joint replacement in acute humeral head fractures . Another point of interest is how to reduce the still existing high loosening rates of the glenoid components . A fairly new research-field is the computer-assisted surgery , e . g . navigation systems and robotics . The computer-assisted navigation could be of great advantage to accurately find the individual resection plane ( inclination and restroversion ) of the humeral head . The use of a surgery-robot could be very helpful to reproducibly achieve the desired conformity of the articular surface when preparing the glenoid ."
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] |
[] |
[] |
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] |
DerUnfallchirurg.91020684.eng.abstr
|
DerUnfallchirurg.91020684.eng.abstr
|
[
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"The correction of complex long bone deformities with concurrent bending , twisting and shortening is primarily based on complex preoperative planning . Up to now , wedge-shaped cortico-spongiose osteotomy has usually been performed . The single cut osteotomy requires more complex mathematical calculations and was therefore less frequently undertaken . In this paper , we present a graphical approach to define the plane of the single-cut osteotomy without any calculations . The resulting osteotomy allows a simultaneous correction of a deformation in the coronal and sagittal planes , as well as a coexisting torsional error . The advantages of this graphical approach are evident . Preoperative planning is significantly simplified and abbreviated as mathematical calculations are no longer needed . Furthermore , the precision by which the osteotomy plane is defined is not decreased by application of this method . However , the osteotomy should be done preoperatively in a model ."
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[] |
[] |
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DerUnfallchirurg.91020700.eng.abstr
|
DerUnfallchirurg.91020700.eng.abstr
|
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"id": "DerUnfallchirurg.91020700.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Between May 1981 and December 1993 , 120 patients ( 126 knee joints ) were operated using the Elsmlie-Trillat procedure because of patella ( sub ) luxation . 79 patients were reviewed at an average follow up of 4.1 ( 1-13 . 6 ) years . 46 women and 33 men were operated with an average age at operation of 26.9 ( 14-59 ) years . The examination included Bentley's Score , radiological parameters ( e . g . grading of patella dislocation ) , grading of chondromalacia and patient characteristics ( e . g . age , pre-operative time ) . 64 knee joints ( 70.3 % ) were evaluated ' very good ' and ' good ' , using the score of Bentley . There were significantly worse results in cases with higher grading of chondromalacia ( p 0.0036 ) , longer pre-operative time ( p 0.012 ) and older patients ( p 0.0023 ) . The worst and most highly significant results were in these patients with prior knee surgery ( p 0.0001 ) . A good patella relocation correlated with improved results ( p 0.001 ) . There was no difference in cases with patella dislocation and/or patellasubluxation . In conclusion , the Elmslie-Trillat procedure should be carried out ' in the correct manner and at an early stage ' . To optimise the therapy in cases of patella dislocation the high number of operation techniques should be analysed and used regarding risk groups ."
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DerUnfallchirurg.91020708.eng.abstr
|
DerUnfallchirurg.91020708.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020708.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From Januar 1st 1990 to December 31st 1997 , 614 children were treated for supracondylar humerus fracture at the Department of Orthopedic Surgery in the Olga Hospital , Stuttgart . Ten of these children had concomitant vascular complications . The concept of treatment we had chosen was analysed retrospectively . The median patient age of the seven girls and three boys with vascular complications was six years . The vascular injuries were diagnosed after admission to the hospital by palpation of the wrist pulse , clinical appraisal of the vascularity and by registration of the Doppler signal via the arteries of the wrist . The emergency operations carried out initially comprised fragment reposition and fixation with crossed K wires via an access route on the extensor side in all ten children . The subsequent appraisal of the blood flow revealed a pulse restoration ( transient vascular occlusion due to dislocation ) in two out of the ten children . In eight out of the ten children , the pulse did not return , which is why the vessel had to be explored under emergency conditions . Intraoperatively , we saw a vascular spasm with functional vascular occlusion in one of these eight children . Mechanical vascular occlusion were diagnosed in five of these eight children . In adventitial strangulation ( two of these five children ) , the pulse transmission to the hand occured immediately after severance of the strangulation connective tissue . In intimal damage ( three of these five children ) , the vascular segment concerned was resected and reconstructed , mostly in the form of an end-to-end-anastomosis with venous patch grafting . We observed a combined vascular occlusion ( mechanical-functional occlusion ) in two out of these eight children . In the follow-up investigation , the wrist pulses could be palpated in nine children . Nine children had a physiological signal in color duplex sonography , and one child had a pathological monophasic signal over the brachial artery , radial artery as well as the ulnar artery . Late ischemic damage ( cold intolerance , claudicatio , Volkmann's contracture ) were not detected in any of the children . Appraisal of elbow joint mobility revealed a median extension deficit of 0 ° ( range 0-10 ° ) , a median flexion deficit of 0 ° ( range 0-15 ° ) and a normal pronation and supination equal on each side . The load-carrying joint axis was normal in a comparison of the sides in all children ."
],
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[
0,
2461
]
]
}
] |
[
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"children"
],
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49,
57
]
],
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},
{
"id": "DerUnfallchirurg.91020708.eng.abstr-s1-t2",
"type": "umlsterm",
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"humerus"
],
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89,
96
]
],
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},
{
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],
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105
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],
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],
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},
{
"id": "DerUnfallchirurg.91020708.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"humerus fracture"
],
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89,
105
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],
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] |
DerUnfallchirurg.91020733.eng.abstr
|
DerUnfallchirurg.91020733.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020733.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 58-year old man with wilson's disease sustained a bilateral spontaneous rupture of the quadriceps tendon . The histological investigation showed advanced degeneration of tendon structure and cupper deposits . After tenosuture the patient had complete cure with full range of movement . We discuss about relation of wilson x s disease , cupper deposits and degenerative changes of tendon tissue ."
],
"offsets": [
[
0,
397
]
]
}
] |
[
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10,
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},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s1-t2",
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}
]
},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s1-t3",
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"wilson's"
],
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23,
31
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},
{
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],
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32,
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}
]
},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s1-t5",
"type": "umlsterm",
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"rupture"
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74,
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"db_id": "C0035955"
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"id": "DerUnfallchirurg.91020733.eng.abstr-s1-t6",
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"text": [
"tendon"
],
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100,
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{
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"type": "umlsterm",
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],
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62,
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{
"id": "DerUnfallchirurg.91020733.eng.abstr-s3-t2",
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"movement"
],
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277,
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},
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{
"id": "DerUnfallchirurg.91020733.eng.abstr-s4-t2",
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},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s4-t3",
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389,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040300"
}
]
}
] |
[] |
[] |
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{
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{
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},
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},
{
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"normalized": []
},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s1-r20-t3.1-t2.2",
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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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{
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},
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{
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},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s4-r3-t2.1-t1.1",
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},
{
"id": "DerUnfallchirurg.91020733.eng.abstr-s4-r4-t3.1-t1.1",
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"arg2_id": "DerUnfallchirurg.91020733.eng.abstr-s4-t1",
"normalized": []
}
] |
DerUnfallchirurg.91020737.eng.abstr
|
DerUnfallchirurg.91020737.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020737.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A tendon transfer or interposition tendon graft is usually recommended for treatment of late diagnosed ruptures of the tibial anterior tendon . A new operative technique using augmented tenoplasty is described in one patient . After 3 years the patient was asymptomatic and showed normalized function . The operative method has the advantage of no additional loss of function in comparison with other methods ."
],
"offsets": [
[
0,
410
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020737.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"tendon"
],
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[
2,
8
]
],
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{
"db_name": "UMLS",
"db_id": "C0039508"
}
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[] |
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DerUnfallchirurg.91020741.eng.abstr
|
DerUnfallchirurg.91020741.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020741.eng.abstr-passage-0",
"type": "abstract",
"text": [
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],
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[
0,
800
]
]
}
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DerUnfallchirurg.91020753.eng.abstr
|
DerUnfallchirurg.91020753.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020753.eng.abstr-passage-0",
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"The purpose of this article is to evaluate the incidence and to give a general review of the examination of the posterior ligament complex . At least ca. 8-10 % of all severe ligament injuries concern the posterior cruciate ligament , which means , that an estimated 4000-5000 Germans suffer a PCL rupture every year . Motor-vehicle accidents are the most common cause of the injury , but sports-related traumas ( football , skiing ) have increased in recent years . The high number of high-energy mechanisms involved ( up to 90 % ) , cause ligament ruptures often to be associated with other injuries , especially fractures of the femur and tibia head . In polytrauma patients PCL ruptures are frequently recognized very late , because the possibility of this kind of injury is often not considered during the clinical examination . The same holds for the diagnosis of monotrauma patients . The initial step in the evaluation is to obtain a thorough history ( including the mechanism of injury ) and to perform a physical examination . The instability after a PCL rupture may present as an ACL rupture , because the anterior drawer test seems to be positive . The anterior/posterior drawer test must be assessed with other evaluation procedures to distinguish between anterior und posterior instabilities . The posterior sag sign , the quadriceps active test or the reversed pivot-shift may indicate a PCL rupture . A correct roentgenogram can reveal an avulsion of the tibia and can prove posterior instability due to a posterior translation of the tibia . A quantitative examination ( clinical or X-ray ) of the instability and the indication of combined injury of the posterior cruciate ligament and the posterolateral complex are necessary for the therapeutic decision ( operative/conservative ) . A rupture of the PCL may occur occasionally as a result of a luxation of the knee ( reduced spontaneously ) before the medical evaluation . A thorough neurovascular examination is essential . Magnetic resonance imaging can be important to the diagnosis of an acute injury , but it is not essential for the choice between operative and non-operative treatment . Arthroscopy has been found to have a high degree of accuracy in the diagnosis of ligament ruptures of the knee , but it is still an operative treatment , so that it can only be used if an operation of repair or reconstruction is planned anyway . Before operative treatment of chronic complex instability , potential osseous abnormalities ( varus morphotype ) must be revealed ; in case of uncertainty , an X-ray control is necessary ."
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] |
DerUnfallchirurg.91020763.eng.abstr
|
DerUnfallchirurg.91020763.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020763.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The discussion about the therapy of the posterior cruciate ligament persists . Conservative treatment , augmented repair , and reconstruction with autografts are discussed . From 1993 to 1997 , 49 patients with posterior cruciate ligament rupture had repair Trevira ligament augmentation of 3 mm . There were 21 isolated and 28 combined ruptures . In 5 cases bony avulsions were refixed by screw or additional hook plate . Investigation of 36 patients , in 15 cases with isolated ligamentous ruptures was made . Osseous avulsion had good results in all cases . Isolated posterior cruciate ligament rupture showed good stability in 7 of 15 cases and instability of 2 + in 8 cases . The medial range Lysholm score was 76.8 ( +/- 21.6 ) , the OAK score showed 2 very good and 5 good results , 3 fair and 5 bad results . Using the IKDC score led to 3 very good and 4 good results , 2 fair and 6 bad results . Using subjective criteria , 10 patients described results as very good or good , 2 fair and 3 bad . Posterior cruciate ligament rupture with additional knee injury or fracture of the leg showed bad results in 60 % of cases , and good or fair results in only 40 % . We think augmented repair of fresh injury of the posterior cruciate ligament can be used as an alternative therapy to reconstruction with autograft ."
],
"offsets": [
[
0,
1319
]
]
}
] |
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DerUnfallchirurg.91020776.eng.abstr
|
DerUnfallchirurg.91020776.eng.abstr
|
[
{
"id": "DerUnfallchirurg.91020776.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The dislocation fracture of the femoral head is the result of high speed trauma . Most of the patients have additional injuries . The prognosis of this kind of fracture of the femoral head depends on the type of fracture , the additional injuries and the age of the patients . The diagnosis and the specific treatment are most important , since most of the patients with this injury are of a younger age . The reposition of the fracture has to be performed within 6 hours . In our opinion , this should be done by surgery if possible . For the operation some routine pelvic X-rays and a CT of the pelvis should be prepared . The therapy depends on the type of fracture . In patients with Type I and II fractures the broken head fragments should be refixed by only taking out small parts of bone which are not elementary for the pressure zone of the femoral head . Younger patients with Type III fractures should always receive the possibility of a screw fixation of the neck of femur , whereas total hip replacement should generally be achieved in the older patient . An exact reconstruction of the dorsal acetabulum must be performed in Pipkin Type IV fractures . The usual approach for Type I-III fractures is the ventrolateral Smith-Peterson and lateral Watson-Jones , for Type IV fractures , the dorsal Kocher-Langenbeck approach . We suggest indometacine as a prophylaxis for ossifications due to high tissue damage . Several scores for the evaluation and documentation of the outcome of this kind of fracture are useful : the clinical results according to Merle d ' Aubigne , social status scored by the Karnofsky Index and X-ray results using Brooker and Helfet to classify the heterotopic ossification and post traumatic joint changes ."
],
"offsets": [
[
0,
1744
]
]
}
] |
[
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s1-t1",
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"dislocation"
],
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[
4,
15
]
],
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"db_id": "C0012691"
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},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s1-t2",
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"fracture"
],
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16,
24
]
],
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"db_id": "C0016658"
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},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s1-t3",
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"text": [
"head"
],
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40,
44
]
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{
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72
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"db_id": "C0002667"
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{
"id": "DerUnfallchirurg.91020776.eng.abstr-s1-t5",
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"text": [
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],
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] |
[] |
[] |
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"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t8",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s14-r24-t6.1-t3.1",
"type": "location_of",
"arg1_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t6",
"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s14-r25-t7.1-t4.1",
"type": "result_of",
"arg1_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t7",
"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s14-r26-t7.1-t4.1",
"type": "isa",
"arg1_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t7",
"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t4",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s14-r27-t1.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t1",
"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t3",
"normalized": []
},
{
"id": "DerUnfallchirurg.91020776.eng.abstr-s14-r28-t7.1-t3.1",
"type": "associated_with",
"arg1_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t7",
"arg2_id": "DerUnfallchirurg.91020776.eng.abstr-s14-t3",
"normalized": []
}
] |
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