Orthopadie (Heidelberg, Germany)最新文献

[Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region]. [数字化工具在初级全膝关节置换术中的应用--德语区的普及率]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-01 DOI: 10.1007/s00132-024-04575-7

Florian Pohlig, Roland Becker, Max Ettinger, Tilman Calliess, Florian Hinterwimmer, Carsten O Tibesku, Christoph Schnurr, Heiko Graichen, Peter Savov, Stefano Pagano, Ralf Bieger, Hans Gollwitzer

{"title":"[Digital tools in primary total knee arthroplasty-Prevalence in the German-speaking region].","authors":"Florian Pohlig, Roland Becker, Max Ettinger, Tilman Calliess, Florian Hinterwimmer, Carsten O Tibesku, Christoph Schnurr, Heiko Graichen, Peter Savov, Stefano Pagano, Ralf Bieger, Hans Gollwitzer","doi":"10.1007/s00132-024-04575-7","DOIUrl":"10.1007/s00132-024-04575-7","url":null,"abstract":"Background: Digital tools are being increasingly used worldwide in primary knee arthroplasty. This study aimed to analyze the utilization density of digital tools, the preferred alignment strategies, and the obstacles and benefits of implementing these technologies in German-speaking countries.Materials and methods: An online survey with 57 questions about digital tools in primary knee arthroplasty and their usage was conducted among members of the Arthroplasty Working Group (AE). The survey included questions on navigation, robotics, patient-specific instruments, individualized implants, and augmented reality.Results: The survey revealed that 18% of hospitals use navigation and 17% use robotic systems in primary total knee arthroplasty surgery. The main reasons for not implementing supportive technologies were high acquisition and ongoing costs, as well as longer surgical duration. Patient-specific instruments and individualized implants currently play a minor role. Patient-specific alignment strategies, such as kinematic (navigation: 35%; robotics: 44%) and functional alignment (navigation: 15%; robotics: 35%), are preferred in this context. With conventional instrumentation predominantly mechanical alignment was applied (79%).Discussion: The results indicate a relatively high utilization density of digital tools, which are mainly used to perform personalized alignment strategies in primary knee arthroplasty in German-speaking countries. This was particularly evident in high-volume hospitals. Economic aspects were the main reasons for not using these technologies. Future developments should aim to simplify the systems and thus achieve improved cost efficiency.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"935-944"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Endoprosthetic treatment of femoral neck fractures in Germany : Cumulative analysis of EPRD registry data from 2013 to 2020]. [德国股骨颈骨折的假体内固定治疗：2013 年至 2020 年 EPRD 登记数据累积分析]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-09-26 DOI: 10.1007/s00132-024-04568-6

Alexander Gotzler, Claudio Glowalla, Florian Hinterwimmer, Dorien Schneidmüller, Sven Hungerer

{"title":"[Endoprosthetic treatment of femoral neck fractures in Germany : Cumulative analysis of EPRD registry data from 2013 to 2020].","authors":"Alexander Gotzler, Claudio Glowalla, Florian Hinterwimmer, Dorien Schneidmüller, Sven Hungerer","doi":"10.1007/s00132-024-04568-6","DOIUrl":"10.1007/s00132-024-04568-6","url":null,"abstract":"Background: The German Arthroplasty Registry (EPRD) recorded nearly 52,000 femoral neck fractures treated with arthroplasty by 2020. This study aimed to identify survival rates and risk factors for hip prosthesis failure.Material and methods: The study included all patients with arthroplasty after hip fractures documented in the EPRD. Data were analyzed with focus on failure rate regarding implant, implantation technique, age, BMI, and comorbidities. For more complex analysis of dependencies, the machine learning algorithm (MLA) XGBoost (Extreme Gradient Boosting) was used.Results: The study included 51,938 patients. The failure rate was 3.7% for HEs and 5.6% for THA. The failure rate increased in male patients (p < 0.0001), those with higher BMI, young patients with a high Elixhauser Comorbidity Score (ECS) and a cementless technique. The timepoint of surgery, i.e. ,working day vs. weekend or holiday had no influence on the outcome. The feature importance (FI) generated by MLA demonstrated factors with the highest impact on failure, i.e., survival time (1029), BMI (722), and age (481).Conclusion: For younger patients with comorbidities, a cemented implantation technique should be considered. Failure rates of arthroplasties did not differ on workdays compared to weekends or holidays. MLA are suitable to analyze registry data for complex correlations of factors.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"945-954"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Herniated disk (part 1)]. [椎间盘突出（第一部分）]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-28 DOI: 10.1007/s00132-024-04576-6

Dorothea Daentzer, Christoph J Siepe

引用次数: 0

[Risk factors and prevention strategies for periprosthetic femoral fractures in hip arthroplasty]. [髋关节置换术中股骨假体周围骨折的风险因素和预防策略]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI: 10.1007/s00132-024-04566-8

Assil-Ramin Alimy, Pauline Julie Soltys, Jan Hubert, Christian Ries, Frank Timo Beil, Tim Rolvien

{"title":"[Risk factors and prevention strategies for periprosthetic femoral fractures in hip arthroplasty].","authors":"Assil-Ramin Alimy, Pauline Julie Soltys, Jan Hubert, Christian Ries, Frank Timo Beil, Tim Rolvien","doi":"10.1007/s00132-024-04566-8","DOIUrl":"10.1007/s00132-024-04566-8","url":null,"abstract":"Background: Periprosthetic fractures represent a major complication following joint replacement surgery, particularly total hip arthroplasty (THA). Due to demographic changes, a rising number of THAs is expected to lead to an increase in periprosthetic femoral fractures (PPF) in the coming decades. Despite the resulting high clinical relevance, there is as yet no comprehensive overview of risk factors and possible preventive approaches to PPF.Objectives: The aim of this review is to present current findings and data from various studies and to derive evidence-based recommendations for clinical practice.Methods: Narrative review.Results: Various factors, such as advanced age, female sex, and rheumatic conditions, can increase the risk of PPF. In the presence of risk factors, a comprehensive assessment of bone health, including DXA osteodensitometry, should be considered prior to surgery.Conclusions: An individualized approach is essential in the planning and execution of THAs to minimize the risk of PPF. In cases of confirmed osteoporosis or for women aged ≥ 70 years and men aged ≥ 75 years, cemented stem fixation should be chosen, as uncemented stems are associated with an increased risk of PPF. Overall, the clinical risk profile should be considered in preoperative planning and postoperative care to reduce this complication and improve patient care.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"966-973"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Conservative therapy for lumbar disc herniation]. [腰椎间盘突出症的保守疗法]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-15 DOI: 10.1007/s00132-024-04579-3

Christian Sturm, Jörg Schiller, Christoph Egen, Alexander Ranker, Christina Lemhöfer, Andrea Bökel

{"title":"[Conservative therapy for lumbar disc herniation].","authors":"Christian Sturm, Jörg Schiller, Christoph Egen, Alexander Ranker, Christina Lemhöfer, Andrea Bökel","doi":"10.1007/s00132-024-04579-3","DOIUrl":"10.1007/s00132-024-04579-3","url":null,"abstract":"Background: Herniated discs are a common cause of neurological symptoms that often lead to reduced quality of life. They affect around 20% of 45-56-year olds and, therefore, represent a correspondingly major challenge for healthcare. Conservative therapy methods are usually used as the first treatment option; surgical interventions should only be considered in special symptom constellations.Aim: This study aims to evaluate the effectiveness of conservative therapy methods in the treatment of lumbar disc herniation and to demonstrate their influence on pain reduction and functional improvement.Material and methods: The current valid AWMF guideline was analyzed, and a systematic literature search was conducted to identify relevant information on the conservative treatment of herniated discs. The therapeutic approaches analyzed included physiotherapy, drug treatment, manual therapy and injection therapies. Inclusion criteria covered reviews and meta-analyses from 2019 to 2024.Results: The analysis showed that conservative treatment methods led to a significant reduction in pain and improvement in functional abilities in the majority of patients. Not all frequently clinical used forms of therapy have been well proven.Discussion: The results of this study underline the importance of conservative treatment methods as an effective treatment option for herniated discs. In particular, the combination of different treatment approaches can improve treatment outcomes. However, further long-term studies are needed to determine the long-term effects and optimal treatment protocols.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"918-927"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effects of balance training in patients with total hip arthroplasty : A randomized controlled pilot study. 全髋关节置换术患者平衡训练的效果：随机对照试验研究。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-10-11 DOI: 10.1007/s00132-024-04570-y

Nuray Elibol, Bayram Unver, Vasfi Karatosun

{"title":"The effects of balance training in patients with total hip arthroplasty : A randomized controlled pilot study.","authors":"Nuray Elibol, Bayram Unver, Vasfi Karatosun","doi":"10.1007/s00132-024-04570-y","DOIUrl":"10.1007/s00132-024-04570-y","url":null,"abstract":"Background: Total hip arthroplasty (THA) causes damage to hip joint mechanoceptors, which in turn leads to decrease in proprioception and increase in balance disorders. Few research has focused on balance training in patients with arthroplasty and none investigated the long-term effect of balance training using objective balance assessment methods in THA patients. The purpose of our study was to investigate the effects of balance training in patients with THA until 26 weeks postoperatively.Method: For this study 24 patients with hip osteoarthritis, who were candidates for THA were recruited. Of the patients with THA 16 completed the study protocol and the patients were randomized to 2 groups: conventional rehabilitation (CR, n = 8) or conventional rehabilitation plus balance training (CR + BT, n = 8). The CR group completed typical surgery-specific exercise programs, while the CR + BT group completed the CR plus balance exercises. The patients were evaluated by a hand-held dynamometer, single leg stance test (SLST), Tetrax balance system, Harris hip score, lower extremity function scale, 5 times sit to stand test and 50-foot timed walk test preoperatively and 8, 14 and 26 weeks postoperatively.Results: While the CR + BT group showed significant improvement for the right extremity eyes closed SLST score (p < 0.05), there was no significant difference for other assessment parameters between the CR and CR + BT groups (p > 0.05). There were significant improvements in both groups until 26 weeks following THA (p < 0.05).Conclusion: The results of our study indicate that there were similar improvements in the balance and functional parameters in the CR and CR + BT groups. There was no additional benefit after 26 weeks of controlled balance exercises following THA.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"955-965"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Biology and mechanobiology of the intervertebral disc : Challenges for regenerative therapies]. [椎间盘生物学和机械生物学：再生疗法面临的挑战]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-15 DOI: 10.1007/s00132-024-04577-5

Cornelia Neidlinger-Wilke, Graciosa Teixeira, Ann-Kathrin Greiner-Perth, Karin Werner, Hans-Joachim Wilke, Christian Liebsch

引用次数: 0

[Sport after disc herniation]. [椎间盘突出后的运动］

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-21 DOI: 10.1007/s00132-024-04580-w

Hauke Horstmann, Gabriel Berner, Lena Brunkhorst, Roman Karkosch

引用次数: 0

[Achondroplasia : New era of orthopedic treatment?] [软骨发育不全：矫形治疗的新时代？］

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1007/s00132-024-04581-9

Gabriel T Mindler, Natascha Ahyai, Kathrin Block, Jutta Falger, Gabriele Hartmann, Nadja Kadrnoska, Benjamin Kraler, Veronika Kranebitter, Janina M Patsch, Regina Rath-Wacenovsky, Andrea Reinprecht, Sandy Siegert, Alexandra Stauffer, Natascha Walik, Catharina Chiari

引用次数: 0

[Biomechanics of the intervertebral disc : Consequences of degenerative changes]. [椎间盘的生物力学：退行性病变的后果]。

Orthopadie (Heidelberg, Germany) Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.1007/s00132-024-04578-4

Bastian Welke, Dorothea Daentzer, Cornelia Neidlinger-Wilke, Christian Liebsch

引用次数: 0