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Funktionelles Denken im klinischen Alltag: Ein Weg zum besseren Verständnis von Erkrankungen im Bewegungssystem? 日常生活中的实用思考——帮助了解运动系统中的疾病的方法?
4区 医学
Orthopade Pub Date : 2022-03-01 DOI: 10.1007/s00132-022-04231-y
K. Niemier, V. Liefring, L. Beyer
{"title":"Funktionelles Denken im klinischen Alltag: Ein Weg zum besseren Verständnis von Erkrankungen im Bewegungssystem?","authors":"K. Niemier, V. Liefring, L. Beyer","doi":"10.1007/s00132-022-04231-y","DOIUrl":"https://doi.org/10.1007/s00132-022-04231-y","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"325 - 332"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51707176","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
[Intra-articular injury patterns as evidence of mechanical hip disorders]. [关节内损伤模式作为机械性髋关节疾病的证据]。
4区 医学
Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-14 DOI: 10.1007/s00132-022-04217-w
Wolfram Steens, Wolfgang Zinser, Stefan Fickert
{"title":"[Intra-articular injury patterns as evidence of mechanical hip disorders].","authors":"Wolfram Steens,&nbsp;Wolfgang Zinser,&nbsp;Stefan Fickert","doi":"10.1007/s00132-022-04217-w","DOIUrl":"https://doi.org/10.1007/s00132-022-04217-w","url":null,"abstract":"<p><p>FAIS is a well-defined clinical entity with morphological alterations, whether constitutional or acquired, that can lead to damage of the labrum and acetabular cartilage following distinct injury patterns with subsequent osteoarthritis. The combination pathology of cam and pincer deformity is the most common variant. The characteristic changes of the chondrolabral complex that are caused by the dysplasia differ from these FAIS changes. Furthermore, femoral torsion also has an impact on the clinical appearance of Cam- or Pincer-FAIS.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"196-204"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39924397","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: 1
[Treatment decision for femoroacetabular impingement syndrome : Differential diagnostic considerations and the introduction of a stage concept for treatment]. [股髋臼撞击综合征的治疗决定:鉴别诊断考虑和治疗分期概念的引入]。
4区 医学
Orthopade Pub Date : 2022-03-01 Epub Date: 2022-02-14 DOI: 10.1007/s00132-022-04222-z
Joachim Grifka, Timo Schwarz
{"title":"[Treatment decision for femoroacetabular impingement syndrome : Differential diagnostic considerations and the introduction of a stage concept for treatment].","authors":"Joachim Grifka,&nbsp;Timo Schwarz","doi":"10.1007/s00132-022-04222-z","DOIUrl":"https://doi.org/10.1007/s00132-022-04222-z","url":null,"abstract":"<p><p>Anamnestic findings, clinical examination and radiological findings are presented, as well as thoughts for differential diagnosis and the introduction of a stage concept for treatment. The treatment of FAI is based on a patient's individual symptoms, the clinical examination and radiological findings. The procedure depends on a number of facts. Individual conditions have to be considered, and the procedure needs to follow principal rules. Therefore, we propose a standard for treatment, which ranges from purely conservative measurements to extensive surgery.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 3","pages":"187-195"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39925258","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
Bildgebung in der Manuellen Medizin – Notwendiges und Interessantes 妈的
4区 医学
Orthopade Pub Date : 2022-02-28 DOI: 10.1007/s00132-022-04229-6
R. Klett
{"title":"Bildgebung in der Manuellen Medizin – Notwendiges und Interessantes","authors":"R. Klett","doi":"10.1007/s00132-022-04229-6","DOIUrl":"https://doi.org/10.1007/s00132-022-04229-6","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 1","pages":"302 - 306"},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51707140","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: 1
[Perioperative management of ortho-geriatric knee or hip arthroplasty patients]. [老年膝关节或髋关节置换术患者的围手术期处理]。
4区 医学
Orthopade Pub Date : 2022-02-01 Epub Date: 2022-01-10 DOI: 10.1007/s00132-021-04207-4
Benedikt Trabold, Günther Maderbacher
{"title":"[Perioperative management of ortho-geriatric knee or hip arthroplasty patients].","authors":"Benedikt Trabold,&nbsp;Günther Maderbacher","doi":"10.1007/s00132-021-04207-4","DOIUrl":"https://doi.org/10.1007/s00132-021-04207-4","url":null,"abstract":"<p><p>Due to the changing age structure of the Western population, an increase in geriatric patients in endoprosthetic care of hip and knee joints is to be expected in the future. The age-related frailty and the existing comorbidities pose great challenges for the entire treatment team. In the preoperative phase, geriatric patients should be identified as such and adjustable risk factors should be addressed prior to surgery. The primary goals of treatment are to minimize trauma from anesthesia and endoprosthetic surgery to ensure immediate postoperative mobilization of patients. At the same time, any perioperative complications, especially intensive care treatments, should be prevented. This is achieved excellently with algorithms that are well known from fast-track surgery.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39664401","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
[Expert proof of the individual benefit in the case of a disputed prosthesis supply]. [在有争议的假肢供应情况下，个人利益的专家证明]。
4区 医学
Orthopade Pub Date : 2022-02-01 Epub Date: 2022-01-05 DOI: 10.1007/s00132-021-04203-8
M Schwarze, M Alimusaj, D W W Heitzmann, J Block, D F Hollo, M Schiltenwolf
{"title":"[Expert proof of the individual benefit in the case of a disputed prosthesis supply].","authors":"M Schwarze,&nbsp;M Alimusaj,&nbsp;D W W Heitzmann,&nbsp;J Block,&nbsp;D F Hollo,&nbsp;M Schiltenwolf","doi":"10.1007/s00132-021-04203-8","DOIUrl":"https://doi.org/10.1007/s00132-021-04203-8","url":null,"abstract":"","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"146-150"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39786679","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
[Surgical treatment of focal cartilage defects in the knee : Indications, techniques, modifications and results]. 膝关节局灶性软骨缺损的手术治疗:适应症、技术、改良和结果。
4区 医学
Orthopade Pub Date : 2022-02-01 DOI: 10.1007/s00132-022-04220-1
S Anders, J Grifka
{"title":"[Surgical treatment of focal cartilage defects in the knee : Indications, techniques, modifications and results].","authors":"S Anders,&nbsp;J Grifka","doi":"10.1007/s00132-022-04220-1","DOIUrl":"https://doi.org/10.1007/s00132-022-04220-1","url":null,"abstract":"<p><p>The treatment strategies for focal cartilage damage in the knee are multifarious. For established procedures, such as microfracturing (MFX), autologous matrix-induced chondrogenesis (AMIC), osteochondral transplantation (OCT) and autologous chondrocyte transplantation (ACT), well-founded, partly comparative long-term studies and overlapping size-dependent differential indications are available. Innovative cell sources, the utilization of biological scaffolds as well as biologic agents and various combinations, have recently become the focus of scientific attention; however, high regulatory demands are restricting their use in Germany. The success of every procedure is dependent on the appropriate indications, the treatment of comorbidities, such as axis deviations or ligamentous instability, the surgeon's experience and an adequate follow-up treatment.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"151-164"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857729","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
[Risk management in orthopedic surgery : Stratification and adjustment of patient-individual risk factors]. 骨科手术风险管理:患者-个体风险因素的分层和调整。
4区 医学
Orthopade Pub Date : 2022-02-01 Epub Date: 2022-01-07 DOI: 10.1007/s00132-021-04206-5
Matthias Meyer, Tobias Kappenschneider, Joachim Grifka, Markus Weber
{"title":"[Risk management in orthopedic surgery : Stratification and adjustment of patient-individual risk factors].","authors":"Matthias Meyer,&nbsp;Tobias Kappenschneider,&nbsp;Joachim Grifka,&nbsp;Markus Weber","doi":"10.1007/s00132-021-04206-5","DOIUrl":"https://doi.org/10.1007/s00132-021-04206-5","url":null,"abstract":"<p><p>Preoperative identification of patients at risk of postoperative complications enables better patient education and surgical planning for the orthopedic surgeon. In addition to demographic and intervention-specific factors, a variety of instruments are available for individual risk assessment. The concept of frailty seems to be promising to identify patients at risk. Modifiable risk factors such as malnutrition, anemia, obesity, smoking, and insufficiently controlled diabetes mellitus are common in elective orthopedic patients. With the use of screening protocols, modifiable risk factors can be identified and optimized preoperatively in order to reduce the individual risk of complications. Recommendations regarding preoperative risk stratification and modification prior to elective hip replacement have meanwhile been incorporated in national guidelines.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"81-90"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39795419","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: 1
[Delirium-an interdisciplinary challenge]. [谵妄-跨学科的挑战]。
4区 医学
Orthopade Pub Date : 2022-02-01 Epub Date: 2022-01-17 DOI: 10.1007/s00132-021-04209-2
Tobias Kappenschneider, Matthias Meyer, Günther Maderbacher, Lukas Parik, Franziska Leiss, Loreto Pulido Quintana, Joachim Grifka
{"title":"[Delirium-an interdisciplinary challenge].","authors":"Tobias Kappenschneider,&nbsp;Matthias Meyer,&nbsp;Günther Maderbacher,&nbsp;Lukas Parik,&nbsp;Franziska Leiss,&nbsp;Loreto Pulido Quintana,&nbsp;Joachim Grifka","doi":"10.1007/s00132-021-04209-2","DOIUrl":"https://doi.org/10.1007/s00132-021-04209-2","url":null,"abstract":"<p><strong>Background: </strong>Delirium is a common and potentially life-threatening disease that often poses major problems for hospitals in terms of care. It mainly affects older patients and is multifactorial, especially in older people. Permanent functional and cognitive impairments after delirium are not uncommon in geriatric patients.</p><p><strong>Diagnostic: </strong>Often, delirious syndromes are not recognized or are misinterpreted. This is especially the case with the hypoactive form of delirium. Various screening and test procedures are available for the detection of delirium, the routine use of which is essential.</p><p><strong>Treatment: </strong>In many cases, delirium can be avoided with suitable preventive measures. Above all, nondrug prevention strategies and multidimensional approaches play an important role here. For the drug treatment of delirium in geriatric patients, low-potency, classic and atypical neuroleptics, as well as dexmedetomidine for severe courses are recommended.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"106-115"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39703973","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: 1
[Organizational and hospital structure for the integrated care of orthogeriatic patients]. [骨科病人综合护理的组织和医院结构]。
4区 医学
Orthopade Pub Date : 2022-02-01 Epub Date: 2022-01-20 DOI: 10.1007/s00132-021-04210-9
Hendrik Kohlhof, Gisela Marquardt, Dieter Christian Wirtz
{"title":"[Organizational and hospital structure for the integrated care of orthogeriatic patients].","authors":"Hendrik Kohlhof,&nbsp;Gisela Marquardt,&nbsp;Dieter Christian Wirtz","doi":"10.1007/s00132-021-04210-9","DOIUrl":"https://doi.org/10.1007/s00132-021-04210-9","url":null,"abstract":"<p><p>Numerous studies have shown that geriatric cooperation models in traumatology lead to significantly reduced morbidity and mortality rates. Even though national and international orthopedic and trauma societies recommend expanding these concepts to include nontrauma-related musculoskeletal diseases, unfortunately, to date only a few of these projects have been implemented. The present article deals with the necessary personnel and infrastructural implementation of a so-called orthogeriatric concept and puts the special features of this new type of treatment in direct comparison with known traumatological cotreatment concepts.</p>","PeriodicalId":54669,"journal":{"name":"Orthopade","volume":"51 2","pages":"122-130"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39845516","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: 1
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