[Injuries during adolescence]. / Sérülések a serdülökorban.

The incidence of injuries reaches the highest level in the adolescent age-group, as proved also in our survey of accidents in a period of one year in County Vas, Hungary. The incidence is extremely high in boys: 241 per 1000 heads of this age-group while no increase can be observed in girls due to an earlier puberty. The risk-rate of boys appears high at every type of injuries even at those that were caused intended or in an intoxicated state. As to the rest of indices the age-group of adolescents shows a transition between the childhood and the adult age, meanwhile the injuries of the adolescents stay nearer to those of the young adults.

[Childhood accidents]. / Gyermekbalesetek.

A survey of accidents in a period of one year in County Vas, Hungary was performed. The injury of children in the age-group of 0-14 was found in case 5841 i.e. in 22.5% of the total number of the injured. The incidence was 101/1000 head of puerile population. The rate of accidents appeared to be low in early childhood while it showed a significant increase in the school age. The home accidents accounted for the most of the accidents especially in the early childhood. Over the age of 7 the school and sport/playground accidents exceeded. The roads were involved as a high risk factor for each of the age groups. The high (21.5%) rate of fractures indicates severity of the injuries although the number of the most severe injuries remained low. The accident conditions of County Vas are at an advantage compared with international data meanwhile the high rate of accidents in the school age group calls for prevention and educational work.

[Accidents of the elderly]. / Idóskori balesetek.

The topic of accidents in elderly population has been studied on 2055 injured older than 65 years. The severity of injuries indicates the importance of accidents in this age-group. The proportion of fractures in the elderly population is twice of the average-in females over 75 years of age they take the half of the total number of injuries. While the incidence rate of males in the whole material with all of the age groups is twice of that of females, in elderly population it turns into equal. The rate of home-accidents grows with ageing. The elderly people specially the males suffer a high number of road traffic accidents as pedestrians or riding their bicycles. The severity of injuries and the broken health status in elderly people is a major problem both for the health care and the whole society.

[Five-year follow up of patients with femoral neck fractures]. / Combnyaktáji törés miatt kezelt betegek sorsának ötéves követése.

The authors report on follow-up of 754 patients (among them 713 patients aged over 50 years) with hip fracture, treated in the National Institute of Traumatology, in 1990. Excess mortality in a year amounted 23% of cases. One third (254) of the injured survived after 5 years, current health condition of 199 out of them has been evaluated in a questionnaire type survey. Analysis of results according to age, sex and fracture type was made. Definite correlation has been observed with the age, the increase being parallel to it, while age-specific mortality is higher in men. Again, mortality was higher in trochanteric fractures. On analyzing the patients' condition from the aspect of using walking aids, walking ability and complaints, particularly the high rate of painfulness differed from the literature data, though inadequate rehabilitation, already stated before, is reflected in other indicators, too. In addition to the improvement of early rehabilitation, based on their own results the authors emphasize, that further care of patients with complaints is also of great importance.

[The effect of primary nailing on the immediate fate of patients with femoral neck fractures]. / Die Wirkung der primären Nagelung auf das unmittelbare Schicksal der Patienten mit Schenkelhalsfraktur.

Based on their 494 own cases with femoral neck fractures authors investigate the impact on time elapse between the injury and the osteosynthesis upon the outcome of these patients. By comparing two groups with equal severity it was concluded that an operation within 6 hours after the injury is favourable both with regard to the mortality and the systemic or local complications. They provide an explanation for the good results through the analysis of their cases and give a brief review of the literature on this subject as well.

[The role of marginal fractures in the prognosis of ankle fractures (author's transl)]. / Die Rolle des Kantenbruches bei der Prognose der Knöchelbrüche.

Based on review examination of 224 patients 5 years after their ankle fractures, the authors demonstrate a significant worsening of prognosis with fractures of the anterior or posterior tibial margin. In cases without marginal fractures severe late X-ray, or clinical changes remained less than 4%, in cases with small marginal fractures their number was under 20%, with great articular surface fractures however over 30%. The unfavourable trend becomes evident even in marginal fractures not extending to the articular surface or involving only a minor part of it. It is concluded, that a dislocating force in the sagittal direction is more damaging for the joint than a force acting in the lateral direction.