OrthopadePub Date : 2022-07-01Epub Date: 2022-03-29DOI: 10.1007/s00132-022-04238-5
Stefan Hertling, Georg Matziolis, Isabel Graul
{"title":"[The role of the Internet as a source of medical information for orthopedic patients].","authors":"Stefan Hertling, Georg Matziolis, Isabel Graul","doi":"10.1007/s00132-022-04238-5","DOIUrl":"10.1007/s00132-022-04238-5","url":null,"abstract":"<p><strong>Introduction: </strong>The advance of the digital revolution in medicine and health is called \"e-health\". The Internet serves as a digital health information platform and is indispensable as a source of medical information. The aim of this work was to examine the behavior of orthopedic patients with respect to finding information on their illnesses. The role and the importance of the Internet as an informative health application for these patients are highlighted.</p><p><strong>Materials and methods: </strong>The basis of this prospective cross-sectional study was a patient survey in Germany of orthopedic patients from July 2019 to July 2020. Descriptive statistics were calculated, and regression analyses were carried out to show coherent results.</p><p><strong>Results: </strong>We analyzed the responses of 1262 orthopedic patients. Most of them used the Internet as a digital health information platform. Patients rated their Internet skills as good to very good, regardless of age or educational level. Most respondents said that they currently use the Internet at least once a week to find out about their orthopedic illnesses. Patients reported a positive change in attitude towards the Internet as a digital source of medical information, and its use has increased in the past 12 months.</p><p><strong>Conclusion: </strong>The Internet as an informative digital health application in orthopedics is used intensively and is widely accepted by patients. While mistrust of orthopedic health information from the Internet has decreased, patient confidence in meaningful digital health information platforms has increased. The Internet is seen as a useful health information platform alongside medical advice.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"521-530"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51707629","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}
OrthopadePub Date : 2022-05-01Epub Date: 2022-02-22DOI: 10.1007/s00132-022-04218-9
Daniel Schüll, Jörg Schmehl, Philipp Dalheimer
{"title":"[Surgical treatment of a symptomatic intra-articular osteoid osteoma (IAOO)].","authors":"Daniel Schüll, Jörg Schmehl, Philipp Dalheimer","doi":"10.1007/s00132-022-04218-9","DOIUrl":"https://doi.org/10.1007/s00132-022-04218-9","url":null,"abstract":"<p><p>The intra-articular osteoid osteoma (10% of cases) is a rare clinical finding. Based on atypical clinical signs and various radiological results the period to obtain a diagnosis and initiate the appropriate treatment is often very long. This case reports on a 32-year old female patient with knee pain on flexion and stress, which rarely occurred at night. Radiofrequency ablation (RFA) was contraindicated for IAOO in the trochlea femoris due to the direct subchondral location. Therefore, surgical rehabilitation by means of a cartilage-bone transplantation was carried out.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 5","pages":"410-414"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9050778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39821015","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}
OrthopadePub Date : 2022-05-01Epub Date: 2022-01-03DOI: 10.1007/s00132-021-04197-3
Benjamin Bartek, Tobias Jung, Antonia Schwiedernoch, Carsten Perka, Yannick Palmowski
{"title":"[Influence of the COVID-19 pandemic on the physiotherapeutic and medical follow-up care after reconstructions of the anterior cruciate ligament].","authors":"Benjamin Bartek, Tobias Jung, Antonia Schwiedernoch, Carsten Perka, Yannick Palmowski","doi":"10.1007/s00132-021-04197-3","DOIUrl":"https://doi.org/10.1007/s00132-021-04197-3","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to examine the influence of the COVID-19(coronavirus disease 2019) pandemic on the medical and physiotherapeutic follow-up care after reconstructions of the anterior cruciate ligament.</p><p><strong>Methods: </strong>116 patients (72 men and 44 women) who had received a reconstruction of the anterior cruciate ligament between September 2019 and December 2020 were included in this study. These patients were divided into two groups depending on the date of surgery: one group that had received surgery in 2019 before the COVID-19 pandemic and one group that had undergone surgery in 2020 and was directly affected by the COVID-19 pandemic. All patients were interviewed using a standardized questionnaire regarding the influence of the coronavirus pandemic on the medical and physiotherapeutic follow-up care, as well as the moment of return to work. In addition, the range of motion of the respective knee 3 months postoperatively was analysed based on physical examination.</p><p><strong>Results: </strong>At 3 months postoperatively, patients who had undergone surgery in 2020 showed a clear trend towards a higher frequency of extension deficits of ≥ 5° (18.8% vs. 4.3%, p = 0.097) or an inability to bend the knee ≥ 120° (23.3% vs. 10%, p = 0.197) compared to those who had received surgery in 2019. Patients who had undergone surgery in 2020 reported significantly longer delays for appointments, a higher number of futile attempts to get an appointment and a higher number of cancelled appointments, regarding both medical and physiotherapeutic follow-up care. 34.9% of the patients who received surgery in 2020 indicated that they were able to reduce the duration of their sick leave due to the increased possibilities of working in a home-office situation during the pandemic. Alternative treatment options due to the pandemic were offered by 13.3% of the physiotherapists and 12.2% of the physicians.</p><p><strong>Conclusion: </strong>Although the physiotherapeutic and medical follow-up care was not directly affected by a \"lockdown\", the pandemic led to significant restrictions, which are also reflected in a clear trend towards worse clinical outcomes. Consequently, a further expansion of alternative treatment options, which were only offered by 12-13% of practices and that are presumably of comparable relevance for various other diseases, is needed.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 5","pages":"403-409"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8722411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39642371","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}
OrthopadePub Date : 2022-04-28DOI: 10.1007/s00132-022-04243-8
F. Greimel, G. Maderbacher
{"title":"Fast-Track in der Hüft- und Kniegelenkendoprothetik","authors":"F. Greimel, G. Maderbacher","doi":"10.1007/s00132-022-04243-8","DOIUrl":"https://doi.org/10.1007/s00132-022-04243-8","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"349 - 351"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51708270","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}
OrthopadePub Date : 2022-04-27DOI: 10.1007/s00132-022-04251-8
A. Mehlhorn, U. Illgner, St. Lemperle, V. Huber, Hubert Hoerterer, O. Gottschalk, M. Legrand, V. Krenn, M. Walther
{"title":"Beeinflusst die Entzündungsaktivität des Charcot-Fußes eine erfolgreiche Korrekturarthrodese?","authors":"A. Mehlhorn, U. Illgner, St. Lemperle, V. Huber, Hubert Hoerterer, O. Gottschalk, M. Legrand, V. Krenn, M. Walther","doi":"10.1007/s00132-022-04251-8","DOIUrl":"https://doi.org/10.1007/s00132-022-04251-8","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"499 - 506"},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51709061","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}
OrthopadePub Date : 2022-04-14DOI: 10.1007/s00132-022-04246-5
M. Clarius, L. Rackwitz, U. Nöth, J. Clarius, L. M. Clarius
{"title":"Prästationäres Management in der Fast-Track-Endoprothetik","authors":"M. Clarius, L. Rackwitz, U. Nöth, J. Clarius, L. M. Clarius","doi":"10.1007/s00132-022-04246-5","DOIUrl":"https://doi.org/10.1007/s00132-022-04246-5","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"352 - 357"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51708447","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}
OrthopadePub Date : 2022-04-13DOI: 10.1007/s00132-022-04250-9
M. Heinecke, G. Matziolis
{"title":"Kniegelenknahe Osteotomien beim Erwachsenen","authors":"M. Heinecke, G. Matziolis","doi":"10.1007/s00132-022-04250-9","DOIUrl":"https://doi.org/10.1007/s00132-022-04250-9","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"511-520"},"PeriodicalIF":0.0,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51708737","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}
OrthopadePub Date : 2022-04-12DOI: 10.1007/s00132-022-04248-3
F. Tetzner, Sabine Schlüter-Albrecht, L. Rackwitz, M. Clarius, U. Nöth, Stephan-Matthias Reyle-Hahn
{"title":"Schmerztherapie und anästhesiologisches Vorgehen in der Fast-Track-Endoprothetik","authors":"F. Tetzner, Sabine Schlüter-Albrecht, L. Rackwitz, M. Clarius, U. Nöth, Stephan-Matthias Reyle-Hahn","doi":"10.1007/s00132-022-04248-3","DOIUrl":"https://doi.org/10.1007/s00132-022-04248-3","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"358 - 365"},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51708616","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}
OrthopadePub Date : 2022-04-12DOI: 10.1007/s00132-022-04245-6
G. Maderbacher, M. Meyer, J. Grifka, D. Holzapfel, F. Greimel
{"title":"Erfahrungen und Ergebnisse in der Fast-Track-Endoprothetik","authors":"G. Maderbacher, M. Meyer, J. Grifka, D. Holzapfel, F. Greimel","doi":"10.1007/s00132-022-04245-6","DOIUrl":"https://doi.org/10.1007/s00132-022-04245-6","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"374 - 379"},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51708397","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}