Orthopadie (Heidelberg, Germany)最新文献_第2页

[Clinical examination and imaging in patellofemoral osteoarthritis]. 髌股骨关节炎的临床检查与影像学分析。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-04-30 DOI: 10.1007/s00132-025-04655-2

Paul Nardelli, Armin Runer

引用次数: 0

[Functional results after stabilization of operatively and non-operatively treated ankle fractures using a closed plaster cast or removable orthosis : Two-year findings of the British randomised multi-centre ankle injury rehabilitation (AIR) trial]. [使用封闭石膏石膏或可移动矫形器稳定手术和非手术治疗踝关节骨折后的功能结果：英国随机多中心踝关节损伤康复（AIR）试验两年的研究结果]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-04-24 DOI: 10.1007/s00132-025-04647-2

Jula Gierse, Dirk Stengel, Sven Y Vetter

引用次数: 0

[Why does a total hip replacement dislocate? : Diagnosis and management]. 为什么全髋关节置换术会脱臼？【诊断与管理】。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-31 DOI: 10.1007/s00132-025-04662-3

Raphael Trefzer, Franz Reichel, Mustafa Hariri, Timo Nees, Tobias Reiner, David Spranz, Tilman Walker

{"title":"[Why does a total hip replacement dislocate? : Diagnosis and management].","authors":"Raphael Trefzer, Franz Reichel, Mustafa Hariri, Timo Nees, Tobias Reiner, David Spranz, Tilman Walker","doi":"10.1007/s00132-025-04662-3","DOIUrl":"https://doi.org/10.1007/s00132-025-04662-3","url":null,"abstract":"Background: Dislocations represent one of the leading complications and the most common cause of early surgical revision in primary total hip arthroplasty (THA). Patient-, implant- and procedure-related factors can contribute causally by impairing soft tissue tension and/or impingement-free mobility.Influencing factors: Patient-specific factors, such as underlying neurological disorders or reduced spinopelvic mobility, should be carefully considered by the surgeon when selecting implants and devising a treatment strategy. Furthermore, the range of market-approved implants offers a broad spectrum of preventive measures for dislocation in both primary and revision settings.Therapy: Central to prevention is the precise and appropriate positioning of the implant, tailored to the patient's individual joint biomechanics. While tripolar acetabular systems are utilized in specific patient groups during primary surgery and revision procedures, constrained liners, should be reserved as a fallback strategy in exceptional cases. The occurrence of a THA dislocation constitutes a medical emergency, necessitating immediate radiographic evaluation and early reduction. In cases of a first-time dislocation, additional imaging may be warranted during follow-up, whereas recurrent dislocations mandate tomographic imaging to exclude malpositioning or loosening of the implant. This review summarizes the underlying causes and preventive strategies for THA instability, as well as the diagnostic and therapeutic algorithms for managing THA dislocations.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192584","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

[Periprosthetic fracture in hip replacement-risk factors and treatment]. [髋关节置换术中假体周围骨折的危险因素及治疗]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-21 DOI: 10.1007/s00132-025-04658-z

Matthias Luger, Tobias Gotterbarm, Clemens Schopper

引用次数: 0

[A stem fracture rarely comes in pairs]. [茎部骨折很少成对发生]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-19 DOI: 10.1007/s00132-025-04660-5

Hanno Schenker, Julius Michael Wolfgart, Ulf Krister Hofmann

引用次数: 0

[Traumatic epiphysiolysis of the dens axis-a 10-year follow-up]. [创伤性牙髓轴骨骺松解- 10年随访]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-14 DOI: 10.1007/s00132-025-04659-y

Sara Keimling, C-E Heyde, P Pieroh

引用次数: 0

Local antibiotic carriers in the surgical management of pyogenic spondylodiscitis : First comparative evaluation of gentamicin-loaded versus vancomycin-loaded efficacy. 化脓性脊柱炎手术治疗中的局部抗生素携带者：首次庆大霉素与万古霉素的疗效比较评价。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-13 DOI: 10.1007/s00132-025-04657-0

Yu Xiao, Vincent Heck, Long Hao, Michael Rauschmann, Andrei Slavici

{"title":"Local antibiotic carriers in the surgical management of pyogenic spondylodiscitis : First comparative evaluation of gentamicin-loaded versus vancomycin-loaded efficacy.","authors":"Yu Xiao, Vincent Heck, Long Hao, Michael Rauschmann, Andrei Slavici","doi":"10.1007/s00132-025-04657-0","DOIUrl":"https://doi.org/10.1007/s00132-025-04657-0","url":null,"abstract":"Objective: To evaluate the efficacy of intraoperative gentamicin versus vancomycin-loaded PerOssal (Osartis, Münster, Germany) carriers on interbody fusion rates and infection control in patients undergoing surgery for pyogenic spondylodiscitis.Methods: This retrospective study included 29 patients with pyogenic spondylodiscitis who underwent surgical debridement, interbody fusion, and pedicle screw fixation between February 2018 and March 2023. Patients received PerOssal carriers loaded with either gentamicin (Group A, n = 14) or vancomycin (Group B, n = 15). Clinical outcomes, including fusion rates, infection control, complications, and inflammatory markers, were analyzed.Results: Baseline characteristics between groups were comparable. Fusion rates at 3-6 months' follow-up were 92.8% (13/14) in Group A and 80.0% (12/15) in Group B, without significant differences (P > 0.05). Both groups showed significant reductions in white blood cell counts and C‑reactive protein levels postoperatively, without inter-group differences (P > 0.05). Complications included cerebrospinal fluid leakage, hematoma, pulmonary embolism, and wound infections, all managed successfully with no recurrent infections observed.Conclusion: In the short term, PerOssal carriers loaded with either gentamicin or vancomycin demonstrated effective infection control for pyogenic spondylodiscitis and high interbody fusion rates. Moreover, no apparent adverse effects on bone healing were associated with the local administration of high-concentration antibiotics.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055100","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

Effects of postoperative hand therapy in patients with Dupuytren's disease : A prospective hyperspectral imaging study. Dupuytren病患者术后手部治疗的效果：一项前瞻性高光谱成像研究。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-03-20 DOI: 10.1007/s00132-025-04631-w

F M Lorenz, E Henning, C Sicher, I Langner

{"title":"Effects of postoperative hand therapy in patients with Dupuytren's disease : A prospective hyperspectral imaging study.","authors":"F M Lorenz, E Henning, C Sicher, I Langner","doi":"10.1007/s00132-025-04631-w","DOIUrl":"10.1007/s00132-025-04631-w","url":null,"abstract":"Background: Hyperspectral imaging enables noninvasive evaluation of the microcirculation, which affects wound healing. In patients with Dupuytren's disease the microcirculation should be improved in order to achieve good clinical results and reduce the risk of recurrence. The aim of the study was to evaluate the microcirculatory effectiveness of postoperative hand therapy in patients with Dupuytren's disease after partial fasciectomy.Methods: In an inpatient hospital setting 35 patients with Dupuytren's disease were investigated before and after partial fasciectomy. Standardized hand therapy was performed after surgery. Its effects on superficial and deep oxygenation, tissue hemoglobin index and tissue water index were assessed using hyperspectral imaging at 3 regions of interest (ROI) within the first 2 postoperative days. For image evaluation, three ROIs were placed manually within the palm, the fingertip of the affected digit (fourth or fifth digit) and a fingertip of a control digit (unaffected, second digit of the same hand) using the vendor's software (TivitaTM Tissue Suite, Diaspective Vision, Germany).Results: Superficial oxygenation increased 1 day after surgery and after hand therapy. The tissue water index decreased on the second postoperative day.Conclusion: Hyperspectral Imaging demonstrates that postoperative hand therapy effectively improves perfusion and oxygenation in the hands of patients with Dupuytren's disease and additionally reduces edema.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"386-394"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Nonoperative treatment for the management of osteonecrosis and bone marrow oedema of the foot and ankle]. 【足踝骨坏死及骨髓水肿的非手术治疗】。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI: 10.1007/s00132-025-04622-x

Konstantin Horas, Annette Eidmann, Ioannis Stratos, Dominik Rak, Maximilian Rudert

引用次数: 0

Subchondral insufficiency fracture of the knee. 膝关节软骨下不全性骨折。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-01-14 DOI: 10.1007/s00132-024-04595-3

Parker Scott, Brandon Cabarcas, Louis Kang, Mario Hevesi, Aaron J Krych

引用次数: 0