RESUMO
A combined prophylaxis against postoperative deep venous thrombosis comprising of sequential pneumatic limb compression using RMP I/K apparatus and lysine or dextran 70.000 administration was of applied in 34 patients after total hip arthroplasty. In 14 cases lysine was the drug, dextran was used in remaining ones. Prophylaxis was evaluated by impedance plethysmography. No case of postoperative deep venous thrombosis was reported.
Assuntos
Trajes Gravitacionais , Prótese de Quadril/métodos , Complicações Pós-Operatórias/prevenção & controle , Tromboflebite/prevenção & controle , Dextranos/administração & dosagem , Humanos , Lisina/administração & dosagem , Pletismografia de Impedância , Tromboembolia/prevenção & controleRESUMO
The treatment results of 141 femoral bone fractures, including 29 complicated fractures, have been presented. The most frequent cause of femoral shaft fracture was traffic accident (71.6 per cent of the cases). The best results were obtained in the patients treated by the functional method; the worst results were obtained in the group treated surgically by adaptive osteosynthesis with the use of a metal plate and screws. In sum, excellent and good results were obtained in 70.2 per cent, fair in 19.1 per cent, and poor in 10.7 per cent of the cases.
Assuntos
Fraturas do Fêmur/cirurgia , Fixação Interna de Fraturas/métodos , Fraturas Expostas/cirurgia , Adulto , Placas Ósseas , Parafusos Ósseos , Fixação Interna de Fraturas/instrumentação , Humanos , Cicatrização/fisiologiaRESUMO
Early and late complications of the treatment of 141 cases of femoral shaft fracture by various methods have been presented. The most frequent early complications were various forms of traumatic shock (ca. 28 per cent). Disturbances in bone union and infections were main late complications of femoral shaft fracture. Lack of bone union occurred in 7.8 per cent of the cases. Posttraumatic ostitis occurred in 4.9 per cent of the cases.