Orthopadie (Heidelberg, Germany)最新文献_第3页

[Perioperative management in hip and knee arthroplasty].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-02-06 DOI: 10.1007/s00132-024-04600-9

Patrick Weber, Michael Müller

引用次数: 0

[Diabetes mellitus and total joint arthroplasty-What should be considered?] 糖尿病和全关节置换术-应该考虑什么？］

Orthopadie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI: 10.1007/s00132-024-04598-0

Michael Müller, Patrick Weber

引用次数: 0

[Type IV reaction after intra-articular injection of hyaluronic acid for gonarthrosis]. 【关节内注射透明质酸治疗关节病后IV型反应】。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1007/s00132-024-04599-z

Norbert Karl Mülleneisen

引用次数: 0

[Clavicular fractures : Diagnostics, treatment and management]. 锁骨骨折：诊断、治疗和管理。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI: 10.1007/s00132-024-04590-8

Marco Prillwitz, Mark Tauber, Frank Martetschläger

引用次数: 0

[The connection between back pain and obesity].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-30 DOI: 10.1007/s00132-025-04612-z

Martin Enge, Clayton N Kraft

引用次数: 0

[Pain around the first ray of the hand: differential diagnoses and treatment].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-29 DOI: 10.1007/s00132-025-04616-9

R Meier, C K Spies, U Hug, P Honigmann, A Harbrecht, C Engler

引用次数: 0

[Influence of obesity on midterm outcome after primary hip and knee arthroplasty in Germany : Analysis from the EPRD].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-28 DOI: 10.1007/s00132-025-04614-x

Jörg Lützner, Oliver Melsheimer, Alexander Grimberg, Carsten Perka, Klaus-Peter Günther, Cornelia Lützner, Arnd Steinbrück

{"title":"[Influence of obesity on midterm outcome after primary hip and knee arthroplasty in Germany : Analysis from the EPRD].","authors":"Jörg Lützner, Oliver Melsheimer, Alexander Grimberg, Carsten Perka, Klaus-Peter Günther, Cornelia Lützner, Arnd Steinbrück","doi":"10.1007/s00132-025-04614-x","DOIUrl":"https://doi.org/10.1007/s00132-025-04614-x","url":null,"abstract":"Objectives: To determine the influence of obesity on revision rates and mortality after primary elective hip and knee arthroplasty in Germany.Materials and methods: In the German Arthroplasty Registry (EPRD) there were 403,073 elective total hip arthroplasties (THA), 320,913 bicondylar total knee arthroplasties (TKA) and 48,480 unicondylar knee arthroplasties (UKA) with valid BMI available for analysis. Cumulative revision rates and 1‑year mortality was calculated for BMI groups.Results: There were increased revision rates with increasing BMI, most distinctive for septic revisions in THA during the first year after surgery (non-obese 0.7%, obesity grade 1 1.3%, grade 2 2.1%, grade 3 4.2%). In TKA and UKA this increase was generally less pronounced. Age- and gender-standardized mortality was lower than expected in most groups, but also increasing with increasing BMI.Conclusion: The risk for revisions in obese patients is more distinctive in hip arthroplasty than in knee arthroplasty and is especially high in morbidly obese patients (BMI ≥ 40 kg/m2). Nonetheless, this risk may be acceptable for affected patients. Therefore, the possible benefits and risks of an arthroplasty should be weighed against each other and individually discussed with the patient.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061715","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

[Surgical treatment for obesity - metabolic surgery].

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-22 DOI: 10.1007/s00132-024-04607-2

Maximilian Schmeding

{"title":"[Surgical treatment for obesity - metabolic surgery].","authors":"Maximilian Schmeding","doi":"10.1007/s00132-024-04607-2","DOIUrl":"https://doi.org/10.1007/s00132-024-04607-2","url":null,"abstract":"Background: Over the past 20 years, surgical treatment of obesity, or metabolic surgery, has established itself as an extremely efficient and sustainable therapy for treating severely overweight patients. Compared to non-surgical weight reduction procedures, surgical techniques have been shown to be superior in all studies, both in terms of short-term and long-term effectiveness. On the other hand, the invasiveness of the procedures is something that many patients view critically.Procedures: Many years of experience with the two most commonly used procedures, laparoscopic sleeve gastrectomy and minimally invasive gastric bypass, show that both procedures are associated with very low morbidity. The comparatively high costs of the surgical procedure are more than offset by the long-term savings in other therapeutic needs (diabetes mellitus, hepatic steatosis, arthritis, osteoarthritis, etc.). The S3 guideline for carrying out metabolic surgical procedures has clear specifications for the criteria to be met. Embedding in a multi-modal concept both pre- and post-operatively is obligatory. The following article provides an overview of the indications, treatment, and aftercare in the field of metabolic surgery.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025849","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

[Diabetes mellitus and obesity: risk optimization before surgical interventions]. 糖尿病与肥胖：手术干预前的风险优化。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-01-21 DOI: 10.1007/s00132-024-04604-5

Stephan Martin

{"title":"[Diabetes mellitus and obesity: risk optimization before surgical interventions].","authors":"Stephan Martin","doi":"10.1007/s00132-024-04604-5","DOIUrl":"https://doi.org/10.1007/s00132-024-04604-5","url":null,"abstract":"Background: The prevalence of obesity has increased significantly in recent years and is a causal risk factor for the development of type 2 diabetes. Moreover, chronic degenerative joint diseases are also triggered by obesity.Weight loss: Both obesity-related secondary diseases-type 2 diabetes and chronic degenerative joint disease-can be prevented or at least delayed by lifestyle intervention aimed at weight reduction. The progression of these diseases can also be favourably influenced by radical weight loss. Diets with a reduction in carbohydrates-a so-called \"low-carb\" or ketogenic diet-appear to be superior to a low-fat diet.Surgical treatment: If joint replacement surgery is necessary, preoperative and perioperative interdisciplinary care by a team of experienced therapists from the fields of orthopaedics and obesity/type 2 diabetes is required. The Düsseldorf TeDia model in the network of Catholic hospitals in Düsseldorf takes these requirements into account by providing interdisciplinary care for such patients at the orthopaedic centre at St. Vinzenz Hospital Düsseldorf and the West German Diabetes and Health Centre (WDGZ). Patients with pronounced obesity or diabetes mellitus are presented preoperatively at the WDGZ on an outpatient basis, and weight reduction therapy or optimization of the diabetic metabolic situation is initiated. If joint problems persist despite weight reduction or pronounced degenerative changes that require surgery, the WDGZ provides inpatient diabetology care in the orthopaedic clinic with the option of further outpatient follow-up care.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017917","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

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

Orthopadie (Heidelberg, Germany) Pub 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