Michael Plecko

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BACKGROUND The treatment of unstable displaced proximal humeral fractures, especially in the elderly, remains controversial. The objective of the present prospective, multicenter, observational study was to evaluate the functional outcome and the complication rate after open reduction and internal fixation of proximal humeral fractures with use of a locking(More)
OBJECTIVE Stable fixation of unstable proximal humerus fractures until bony consolidation. Early mobilization of the shoulder and early active rehabilitation program to ensure a good functional outcome and a good restoration of the activities of daily living. INDICATIONS Unstable two-, three- and four-part fractures of the proximal humerus (classified(More)
BACKGROUND Locking compression plates are used in various configurations with lack of detailed information on consequent bone healing. STUDY DESIGN In this in vivo study in sheep 5 different applications of locking compression plate (LCP) were tested using a 45° oblique osteotomy simulating simple fracture pattern. 60 Swiss Alpine sheep where assigned to(More)
INTRODUCTION Insufficient primary stability is still reported for proximal humerus fractures in elderly patients. Fixation stability could be improved by aiming locking screws at bone volumes with better properties. The aims of this study were to investigate the bone regions engaged by the locking screws of a Proximal Humeral Nail (MultiLoc PHN), and to(More)
BACKGROUND AIMS Fractures with a critical size bone defect (e.g., open fracture with segmental bone loss) are associated with high rates of delayed union and non-union. The prevention and treatment of these complications remain a serious issue in trauma and orthopaedic surgery. Autologous cancellous bone grafting is a well-established and widely used(More)
BACKGROUND Obesity is a growing problem in western societies. The aim of this retrospective cohort study was to determine the association between the overweight and obese polytrauma patients and pneumonia after injury. METHODS A total of 628 patients with an Injury Severity Score (ISS) of 16 or greater and 16 years or older were included in this(More)
BACKGROUND The correction of coagulopathy with fresh frozen plasma (FFP) is one of the main issues in the treatment of multiple-injured patients. Infectious and septic complications contribute to an adverse outcome in multiple-injured patients. Here, we investigated the role of FFP in the development of inflammatory complications given within the first 48(More)
BACKGROUND Osteosynthesis of unstable proximal humerus fractures still remains challenging. The aim of this study was to investigate two intramedullary nailing techniques with different locking options in a three-part fracture model and prove whether two new fixation concepts, introducing additional locking screw-in-screws inserted through the head of the(More)
Die nach Speichenköpfchenfrakturen leider auch nach operativer Versorgung nicht immer befriedigenden Ergebnisse veranlaßten uns, die Komplikationen nach operativer Versorgung von Radiusköpfchenfrakturen unter besonderer Berücksichtigung verschiedener Kriterien näher zu betrachten. Wir haben am Unfallkrankenhaus Graz in einem Zeitraum von fünf Jahren(More)
The authors are going to report on the case of a 32-year-old female patient suffering from a non-dislocated external ankle fracture which was submitted to conservative treatment. This treatment was complicated by the occurrence of a tarsal tunnel syndrome which required surgical revision. The cause of this complication may be seen in the development of a(More)