Unfallchirurg最新文献_第5页

Dank an die Gutachterinnen und Gutachter 2021. 感谢 die Gutachterinnen und Gutachter 2021。

4区医学

Unfallchirurg Pub Date : 2022-01-01 DOI: 10.1007/s00113-021-01125-0

引用次数: 0

[Lesions of the triceps tendon : Diagnostics, management, treatment]. [三头肌肌腱病变:诊断、管理和治疗]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-15 DOI: 10.1007/s00113-021-01103-6

K Kirchhoff, M Beirer, C Völk, A Buchholz, P Biberthaler, C Kirchhoff

引用次数: 0

[Options and limits of arthroscopic treatment of joint empyema]. [关节镜治疗关节脓肿的选择和局限性]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-07 DOI: 10.1007/s00113-021-01111-6

Michael Osti, Martin Simkovic, Nicolas Haffner

引用次数: 0

[Common infectious challenges of the thoracic and lumbar spine : Spondylodiscitis and postoperative wound infection]. 【胸腰椎常见感染挑战：脊椎骨炎和术后伤口感染】。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-11-30 DOI: 10.1007/s00113-021-01108-1

Sebastian Decker, Bennet Mathis Schröder, Timo Stübig, Stephan Sehmisch

引用次数: 1

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-18 DOI: 10.1007/s00113-021-01117-0

Markus Rupp, Susanne Bärtl, Siegmund Lang, Nike Walter, Volker Alt

{"title":"[Fracture-related infections after intramedullary nailing : Diagnostics and treatment].","authors":"Markus Rupp, Susanne Bärtl, Siegmund Lang, Nike Walter, Volker Alt","doi":"10.1007/s00113-021-01117-0","DOIUrl":"https://doi.org/10.1007/s00113-021-01117-0","url":null,"abstract":"Intramedullary nailing is the treatment of choice for a large number of fractures requiring surgery. In cases of fracture-related infections (FRI) the treatment of nail infections requires special attention due to the closed situation of the osteosynthesis material in the intramedullary canal. This article gives an overview of the general principles and diagnostic criteria for FRI after nail fixation and discusses the treatment recommendations based on three case examples. In cases of acute implant infections, an implant-retaining procedure is principally possible for both periprosthetic joint infections and FRI; however, after intramedullary nailing the nail should also be exchanged in cases of acute nail infections as a sufficient debridement of the nail is impossible due to its intramedullary location. In chronic FRI after intramedullary nailing a one-stage or two-stage procedure can be followed. In cases of adequate soft tissue coverage, good fracture reduction and an expected bone healing without critical bony substance defects, a one-stage procedure with nail exchange should be preferred. If a chronic infection with soft tissue and bone defects develops after intramedullary nailing, a two-stage procedure analogous to the treatment of osteomyelitis should be considered. In this case a multidisciplinary team approach with specialists in plastic surgery, microbiology and infectious diseases is necessary. The use of local antibiotics and antimicrobial-coated implants is deemed to be advantageous.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39826049","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: 4

[Accidental injection of an unknown emergency antidote for acetylcholinesterase activation]. [意外注射未知的乙酰胆碱酯酶激活紧急解毒剂]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-05-25 DOI: 10.1007/s00113-021-01010-w

Sebastian Zinn, Ingo Marzi, Maren Janko

引用次数: 0

[Infections of the musculoskeletal system]. [肌肉骨骼系统的感染]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2022-01-17 DOI: 10.1007/s00113-021-01109-0

Mohamed Omar, Jan Clausen

引用次数: 0

[Management of fracture-related infections]. [骨折相关感染的处理]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-21 DOI: 10.1007/s00113-021-01116-1

Jan-Dierk Clausen, Philipp Mommsen, Tarek Omar Pacha, Marcel Winkelmann, Christian Krettek, Mohamed Omar

{"title":"[Management of fracture-related infections].","authors":"Jan-Dierk Clausen, Philipp Mommsen, Tarek Omar Pacha, Marcel Winkelmann, Christian Krettek, Mohamed Omar","doi":"10.1007/s00113-021-01116-1","DOIUrl":"https://doi.org/10.1007/s00113-021-01116-1","url":null,"abstract":"Fracture-related infections (FRI) are a major challenge in orthopedic trauma surgery. The problems in the treatment of such infections are manifold. Especially in cases with insufficient fracture consolidation the treatment not only focusses on the eradication of the infection but also on the restoration of the osseous continuity. The extent of the accompanying soft tissue damage is of particular importance as reduced vascularization leads to impairments in fracture healing. Although acute infections are frequently easy to recognize, the symptoms of chronic infections can be unspecific and evade the diagnostic procedures. This fact makes the treatment of such infections complicated and sometimes necessitates an interdisciplinary approach. For this reason, the Fracture-related Infection Consensus Group developed an algorithm, which was first published in 2017 and revised in 2018 and 2020. The FRIs are biofilm-associated infections, so that the current guidelines follow the previously established treatment algorithms for periprosthetic infections. Despite the analogies to periprosthetic infections there are also differences in the treatment as the aspects of fracture healing and bone defect restoration represent determining factors in the treatment of FRI. This article presents the special features of FRI and the classification and guidelines for the treatment are discussed.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39745546","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

[Strategic approach in periprosthetic joint infections]. [假体周围关节感染的治疗策略]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-10 DOI: 10.1007/s00113-021-01113-4

Peter Savov, Max Ettinger, Henning Windhagen, Mohamed Omar, Lars-Rene Tuecking

{"title":"[Strategic approach in periprosthetic joint infections].","authors":"Peter Savov, Max Ettinger, Henning Windhagen, Mohamed Omar, Lars-Rene Tuecking","doi":"10.1007/s00113-021-01113-4","DOIUrl":"https://doi.org/10.1007/s00113-021-01113-4","url":null,"abstract":"With rising numbers of revisions of total arthroplasty procedures of the lower extremities, the annual number of cases of implant-associated infection are also increasing. The conventional two-stage replacement strategy often leads to increased morbidity and mortality of patients; however, in the literature a one-stage exchange procedure shows equally good results if the indications are strictly defined. In addition to the correct diagnostics, the patient history, the inserted implant, the state of health and when applicable the pathogens present play an important role. If, among other factors, the pathogen is uncomplicated combined with a good bone and soft tissue situation and without a large number of previous operations, a single stage replacement of the endoprosthesis may be a suitable option. Despite existing controversies in the literature, this treatment approach seems to demonstrate a reduced hospitalization, reduced costs and improved patient satisfaction with the same re-revision rate. This review article explains the strategic approach to chronic infections of endoprostheses of the lower extremities based on clinical examples and a review of the current literature.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39801507","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: 0

[Management of joint empyema]. [关节脓胸的处理]。

4区医学

Unfallchirurg Pub Date : 2022-01-01 Epub Date: 2021-12-07 DOI: 10.1007/s00113-021-01107-2

Julian Brand, Thomas Neubauer, Mohamed Omar

{"title":"[Management of joint empyema].","authors":"Julian Brand, Thomas Neubauer, Mohamed Omar","doi":"10.1007/s00113-021-01107-2","DOIUrl":"https://doi.org/10.1007/s00113-021-01107-2","url":null,"abstract":"Joint empyema, also known as septic arthritis, is a severe disease associated with considerable morbidity and mortality. Failing to initiate immediate treatment can result in irreversible joint destruction within a short time. The knee joint is most frequently involved, followed by the shoulder and hip joints. Small joints are rarely affected. Typical risk factors include immunosuppression, renal insufficiency, diabetes mellitus and previous joint interventions. An early targeted diagnostic work-up and initiation of therapeutic steps is crucial to avoid irreversible joint destruction. Joint aspiration for diagnostic purposes is essential and should be performed immediately when a septic arthritis is suspected. An important differential diagnosis is metabolic arthritis (gout and chondrocalcinosis), which typically presents in a similar way. A differentiation from septic arthritis is important as metabolic arthritis requires a completely different treatment. After confirming the diagnosis, treatment consisting of a surgical procedure combined with antibiotics is initiated. In most cases an arthroscopic intervention is sufficient. In severe cases the arthroscopy needs to be repeated. An arthrotomy must be carried out only rarely. A pre-emptive antibiotic treatment is initially administered and is later adjusted according to the resistogram. This article gives an overview on the pathophysiology, diagnostics and general management of joint empyema.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39699378","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