Orthopadie (Heidelberg, Germany)最新文献_第9页

[Conservative and surgical treatment of femoropatellar osteoarthritis]. 股髌骨关节炎的保守和手术治疗。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-06-02 DOI: 10.1007/s00132-025-04643-6

Christoph Becher, Michael T Hirschmann

引用次数: 0

[Guideline for the treatment of patellofemoral cartilage defects/arthrosis]. [髌骨股软骨缺损/关节病治疗指南]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1007/s00132-025-04644-5

Christoph Becher, Michael T Hirschmann

引用次数: 0

[Five myths around hallux valgus]. 【关于拇外翻的五个误区】。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-18 DOI: 10.1007/s00132-025-04634-7

Hazibullah Waizy, Leif Claaßen

{"title":"[Five myths around hallux valgus].","authors":"Hazibullah Waizy, Leif Claaßen","doi":"10.1007/s00132-025-04634-7","DOIUrl":"10.1007/s00132-025-04634-7","url":null,"abstract":"Hallux valgus, also known as a bunion, is one of the most frequent deformities of the forefoot. The prevalence is 23% in people between the ages of 18 and 65 years and 36% in people over 65 years of age. Hallux valgus deformity normally begins between the ages of 30 and 60 years. Women are overall more frequently affected than men. Hallux valgus is characterized by the valgus deviation of the big toe and the varus deviation of the first metatarsal bone (MT-I), also known as metatarsus primus varus. This deformity can lead to a pressure point on the medial MT‑I head due to shoe conflict and can restrict mobility. Hallux valgus is typically identifiable by a physical examination. Imaging techniques are important to assess the severity of the deformity and to rule out possible differential diagnoses, such as hallux rigidus. Hallux rigidus is a degenerative change of the first metatarsophalangeal joint (MTP‑I joint) and the second most common cause of pain in the MTP‑I joint. A combination of hallux valgus and hallux rigidus is not uncommon. The treatment of hallux valgus initially focuses on nonsurgical approaches such as wider shoes, orthoses and nocturnal splints. If conservative treatment is not effective, surgical treatment provides a proven therapeutic benefit. In recent years minimally invasive techniques have also made progress in foot surgery. In addition to the reduced soft tissue trauma, the extra-articular approach in particular shows a significant advantage. This article provides a current overview of hallux valgus by addressing five widespread myths.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"491-502"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143660015","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

[Knee arthroplasty in isolated patellofemoral osteoarthritis : A critical review of the best options]. [孤立性髌股骨关节炎的膝关节置换术：最佳选择的关键回顾]。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1007/s00132-025-04654-3

Alec Voordeckers, George Avram, Natalie Mengis, Laszlo Toth, Matthias Koch, Michael T Hirschmann, Elias Ammann

{"title":"[Knee arthroplasty in isolated patellofemoral osteoarthritis : A critical review of the best options].","authors":"Alec Voordeckers, George Avram, Natalie Mengis, Laszlo Toth, Matthias Koch, Michael T Hirschmann, Elias Ammann","doi":"10.1007/s00132-025-04654-3","DOIUrl":"10.1007/s00132-025-04654-3","url":null,"abstract":"Background: Isolated patellofemoral osteoarthritis is a degenerative disease of the knee joint that may cause disabling pain and functional limitations. When conservative therapy has failed, arthroplasty can significantly improve the quality of life and mobility of affected patients. In such cases, it is important to select the most suitable implant for the patient on an individual basis. This article discusses the decision-making process between patellofemoral arthroplasty, total knee replacement, and bicondylar replacement without patellar resurfacing.Therapeutic options: Patellofemoral arthroplasty is mainly used in younger patients and, if implanted correctly, can lead to good results and a delay in the need for total knee replacement. In older patients with isolated patellofemoral osteoarthritis, total knee replacement is usually the preferred option due to its predictable good outcomes and a lower revision rate. In selected cases, particularly with severely thinned patella, retropatellar resurfacing should not be done.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"466-472"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058816","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

[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

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

[Pharmacological therapy for subchondral pathologies of the knee joint]. 膝关节软骨下病变的药物治疗。

Orthopadie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI: 10.1007/s00132-025-04625-8

Patrick Orth, Matthias Brockmeyer, Niklas Stachel, Henning Madry

{"title":"[Pharmacological therapy for subchondral pathologies of the knee joint].","authors":"Patrick Orth, Matthias Brockmeyer, Niklas Stachel, Henning Madry","doi":"10.1007/s00132-025-04625-8","DOIUrl":"10.1007/s00132-025-04625-8","url":null,"abstract":"Background: Pathologies of the subchondral bone include both structural alterations such as osteonecrosis and bone marrow edema. Both entities are amenable to pharmacological therapy.Objective: Presentation of current recommendations for drug therapy of osteonecrosis and bone marrow edema of the knee joint based on the clinical data.Methods: The currently available literature is evaluated and discussed.Results: Antiresorptives such as bisphosphonates and denosumab and the osteoanabolic agent teriparatide therapeutically address the locally diminished bone density potentially resulting in insufficiency fractures. In contrast, vitamin K antagonists, heparin and new/direct oral anticoagulants, as well as iloprost exert their effects at the vascular and hemostatic level. All drug treatment concepts are \"off-label\" use. They are particularly promising in the early stages of primary, idiopathic osteonecrosis and bone marrow edema.Conclusion: In osteonecrosis and bone marrow edema of the knee joint, complementary drug therapy may be beneficial. However, the available data is not yet sufficiently robust for general treatment recommendations.","PeriodicalId":74375,"journal":{"name":"Orthopadie (Heidelberg, Germany)","volume":" ","pages":"354-360"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665628","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