Dieter Goth

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Multiple causes for the rupture of sutured tendons have been reported. At the time of exploration, loosening of the knot and breakage of the suture have been found to explain failure. A knot with four throws is frequently mentioned in various series as the smallest secure knot which can be made when employing a braided polyester suture material. Experiments(More)
Symptomatology and therapeutic measures after accidental brachial intra-arterial injection of sodium escinate were explained by means of a case report. We obtained long-acting analgesia and sympathicolysis in the upper extremity by an anaesthesia of the ganglion stellatum followed by repeated interscalene plexus brachialis blockade. Even in very severe(More)
  • D Goth
  • Handchirurgie, Mikrochirurgie, plastische…
  • 1987
This animal study is intended to give information about nerve lesions caused by operation after using different kinds of neurolysis. It can be stated that simple nerve mobilisation leads to iatrogenic damage. The more neurolysis penetrates between the fascicular structure of the nerve, the higher the risk of lesion. After experimental internal neurolysis(More)
  • D Goth
  • Handchirurgie, Mikrochirurgie, plastische…
  • 1982
Lack of caution, insufficient knowledge of anatomy, overrating of one's own abilities and operations which are carried out without restricting blood circulation and without sufficient anaesthesia are the most frequent causes of iatrogenic nerve injuries. On the one hand, the faulty treatment of pre-existing nerve injuries will be discussed; on the other(More)
The indications and the technique of implantation will be shown, and the results concerning function, pain reduction, and manual strength three years after surgery presented. Complications arose in cases with poor fixation of the cup prosthesis due to poor bone quality of the carpus. Operative salvage procedures are still possible.
This paper deals with the case of a so-called giant-cell reaction of the short tubular bones of a 31 year-old patient. Histologically, this rare benign disease falls under the category of tumor-like lesions of the bone. Clinically, the disease becomes evident through pain and swelling, and radiologically, a lytic bone process can be observed which may well(More)
  • D Goth
  • Handchirurgie, Mikrochirurgie, plastische…
  • 1993
Stable internal fixation is an important principle of treatment in hand surgery. Titanium implants have proven themselves suitable and successful. Form and variety of implants satisfy all the demands for internal fixation. A recently developed "osteo-chip-system" will simplify handling.
In the course of two years, 53 traumatic nerve severances of the upper extremity were sutured microsurgically at the Freiburg University Surgical Hospital. Continuity was restored by primary suture in 29 cases, by secondary suture in 4 cases and by transplantation in 20 cases. The first reinnervation potentials showing in the EMG served as evidence of the(More)