Unfallchirurg最新文献_第4页

[Cerebral fat embolism syndrome after polytrauma : Complication after fracture treatment of several long bones of the lower extremities]. 【多发伤后脑脂肪栓塞综合征:下肢多根长骨骨折治疗后并发症】。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2021-06-10 DOI: 10.1007/s00113-021-01011-9

Philipp Georg Schnadthorst, Niklas Rieder, Martina Springer, Christoph Schulze

引用次数: 1

[Contrast-enhanced ultrasound in the diagnostics of non-unions]. [超声造影诊断骨不连]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2022-01-07 DOI: 10.1007/s00113-021-01129-w

Julian Doll, Christian Fischer

引用次数: 0

[Fibular ligament lesions-reliable ultrasound diagnostics : Tricks and tips]. [腓骨韧带病变-可靠的超声诊断:技巧和提示]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2022-01-05 DOI: 10.1007/s00113-021-01112-5

Hartmut Gaulrapp

{"title":"[Fibular ligament lesions-reliable ultrasound diagnostics : Tricks and tips].","authors":"Hartmut Gaulrapp","doi":"10.1007/s00113-021-01112-5","DOIUrl":"https://doi.org/10.1007/s00113-021-01112-5","url":null,"abstract":"In 2020 a total of 126 patients attended the practice with distortion trauma of the ankle. Based on a thorough clinical and ultrasound examination 25 ligamentous injuries of the anterior talofibular ligament (ATFL, 9.8%), 8 osseous ligament avulsions (6.3%), 7 injuries of the lateral calcaneocuboid ligament (CC ligament, 5.6%), 5 lesions of the calcaneofibular ligament (CFL) each combined with ATFL injuries (3.9%) and 1 syndesmosis injury (0.6%) were recorded. This didactic article presents a comprehensible ultrasound examination course in an instructive manner from the clinical practice. Identification of osseous and ligamentous landmarks is often difficult clinically and even in an anatomical preparation but it can easily be done using ultrasound. Hemarthrosis of the ankle has a high predictive value with respect to an associated ligament tear and is easily detectable by ultrasound. Injuries of the ATFL, the anterior syndesmosis and damage to the lateral malleolar epiphysis can easily be clearly distinguished sonographically. A positive decompression test confirms the distal avulsion of the ATFL. Sonographic stability testing of the AFTL can be carried out immediately after the clinical examination in the same position and visualized on the monitor. The talofibular advance can be measured on the monitor. Instability of the anterior syndesmosis can be visually demonstrated on the monitor using the sonographic Frick test. A final ultrasound control on the monitor confirms the structural healing and the re-establishment of ligamentous stability.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

[Medicine for people with disabilities : Special features of trauma surgical care of extremity injuries in people with severe mental and physical disabilities]. [残疾人医学:严重精神和身体残疾者肢体损伤创伤外科护理的特点]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2021-11-09 DOI: 10.1007/s00113-021-01105-4

Niklas Grüneweller, Dirk Wähnert, Nathalie Schillians, Adrian Komadinic, Thomas Vordemvenne

{"title":"[Medicine for people with disabilities : Special features of trauma surgical care of extremity injuries in people with severe mental and physical disabilities].","authors":"Niklas Grüneweller, Dirk Wähnert, Nathalie Schillians, Adrian Komadinic, Thomas Vordemvenne","doi":"10.1007/s00113-021-01105-4","DOIUrl":"https://doi.org/10.1007/s00113-021-01105-4","url":null,"abstract":"The v. Bodelschwingh Foundation Bethel can look back on a tradition of more than 150 years in the treatment of people with disabilities. The trauma patient collective is regularly characterized by the most severe mental and physical developmental disorders and (multiple) disabilities, with and without behavioral disorders and concomitant internal diseases. This special combination requires treatment and indication assessment both medically and in nursing, which must be specifically weighed up and adapted in all treatment steps. Treatment guidelines or recommendations for this patient group do not exist in the literature. Furthermore, the treatment of fractures in people with disabilities cannot always follow established concepts. Due to a high postoperative complication rate, conservative treatment plays a crucial role. The decision for surgical treatment must be made on an interdisciplinary and individual basis, taking all factors into account. Special attention must be paid to the procedure to be chosen (stability, functional needs).","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8813810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39605248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Explosion trauma part 1 : Physical principles and pathophysiology]. [爆炸创伤第1部分:物理原理和病理生理学]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2021-10-05 DOI: 10.1007/s00113-021-01073-9

Thorsten Hauer, Steffen Grobert, Helgo Wenniges, Niels Huschitt, Christian Willy

引用次数: 0

[Fracture sonography of the extremities]. [四肢骨折超声检查]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2021-12-18 DOI: 10.1007/s00113-021-01118-z

Ole Ackermann

引用次数: 5

[Sonography in musculoskeletal surgery]. [肌肉骨骼外科超声检查]。

4区医学

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2022-02-03 DOI: 10.1007/s00113-021-01131-2

Christian Tesch

引用次数: 0

[Der Unfallchirurg 2022 : A special year for our journal]. [Der Unfallchirurg 2022:我们期刊的特殊年份]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-20 DOI: 10.1007/s00113-021-01126-z

Anna Sittig, Christian Krettek, Thomas Mittlmeier

引用次数: 0

[Vascular diagnostics before microvascular tissue transfer on the lower extremities : An algorithm]. 下肢微血管组织移植前的血管诊断:一种算法。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-03-16 DOI: 10.1007/s00113-021-00988-7

Adrian Matthias Vater, Lukas Prantl, Moritz Noll, Laura Lech, Michael Jakubietz, Karsten Schmidt, Ralph Kickuth, Rainer Meffert, Rafael Jakubietz

{"title":"[Vascular diagnostics before microvascular tissue transfer on the lower extremities : An algorithm].","authors":"Adrian Matthias Vater, Lukas Prantl, Moritz Noll, Laura Lech, Michael Jakubietz, Karsten Schmidt, Ralph Kickuth, Rainer Meffert, Rafael Jakubietz","doi":"10.1007/s00113-021-00988-7","DOIUrl":"https://doi.org/10.1007/s00113-021-00988-7","url":null,"abstract":"Microsurgical free flap transfer plays a key role in soft tissue reconstruction of the lower extremities. Through close cooperation between plastic and orthopedic surgery, great progress and success in limb salvage could be achieved over the last decades. The risk for extremity malperfusion is especially high in older patients and after trauma. To maximize the success rate for free flap transfer there is need for interdisciplinary clinical examination and diagnostics. In addition to clinical methods radiological procedures are necessary to evaluate and optimize lower extremity perfusion before surgery.Vascular ultrasound provides important information about the arterial and venous status; however, DSA, CTA and MRA are well-established and exact methods to evaluate arterial inflow. The use of less invasive methods makes it much more feasible, economic and comfortable to perform preoperative selection of patients requiring interventional procedures.In the case of intraluminal stenosis without any option for PTA, a vascular surgeon can be involved at an early stage to evaluate further surgical options. In some cases, similar surgical revascularization and free flap transfer can be performed in a single surgery. The aim of this study is to implement a standardized algorithm for preoperative examination and radiological diagnostics before reconstructive surgery of the lower extremity.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-021-00988-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25482885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

[125th issue of Der Unfallchirurg and 100 years of the German Society for Trauma Surgery (1922-2022)-A mutual history]. [第125期Der Unfallchirurg和德国创伤外科学会100年(1922-2022)-共同的历史]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-21 DOI: 10.1007/s00113-021-01123-2

Hans Zwipp

引用次数: 3