Unfallchirurgie (Heidelberg, Germany)最新文献

Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete.

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-06 DOI: 10.1007/s00113-025-01534-5

Daniel P Berthold, Fabian Traub, Fabian Gilbert, Wolfgang Böcker, Boris Holzapfel, Markus Bormann

{"title":"Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete.","authors":"Daniel P Berthold, Fabian Traub, Fabian Gilbert, Wolfgang Böcker, Boris Holzapfel, Markus Bormann","doi":"10.1007/s00113-025-01534-5","DOIUrl":"10.1007/s00113-025-01534-5","url":null,"abstract":"This case report presents the clinical findings and management of a 32-year-old male recreational athlete who presented with ongoing knee pain for 4 months, without a history of trauma. The patient experienced intermittent pain during walking, particularly after prolonged periods of sitting, and exhibited positive findings on meniscus tests. However, he was able to participate in sports activities without pain. Magnetic resonance imaging (MRI) revealed a partial tear of the medial gastrocnemius head, confirming the diagnosis. Conservative treatment, including rest, physical therapy, and a gradual return to sports activities, led to significant symptom improvement. This case highlights the importance of considering rare injuries, such as isolated tears of the medial gastrocnemius head, in patients with persistent knee pain and meniscal symptoms, even in the absence of traumatic events. Previous reports on this specific injury are sparse, indicating its rarity and underscoring the need for further understanding and documentation.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"319-323"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257493","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

[Innovative e-learning tool for amputees in Ukraine and Germany : Digital assistance for self-help in interdisciplinary rehabilitative care].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.1007/s00113-025-01543-4

C Egen, C Gutenbrunner, J Ernst, C Sturm, J Schiller

{"title":"[Innovative e-learning tool for amputees in Ukraine and Germany : Digital assistance for self-help in interdisciplinary rehabilitative care].","authors":"C Egen, C Gutenbrunner, J Ernst, C Sturm, J Schiller","doi":"10.1007/s00113-025-01543-4","DOIUrl":"10.1007/s00113-025-01543-4","url":null,"abstract":"Background: Following the Russian war of aggression the number of people in Ukraine with amputated arms and legs rose sharply, overwhelming a fledgling rehabilitation system.Aim: This article describes the development and implementation of an e‑learning tool aimed at medical professionals, amputees and their relatives, which contains a wide range of information on rehabilitation after limb amputation and is easily accessible. It is designed to provide practical support for the rehabilitation process of affected individuals and is available free of charge in the Ukrainian and German languages.Material and methods: An interdisciplinary team of doctors, therapists, orthopedic technicians and a scientist developed the structure and outline of the learning module in a consensus process. The content was developed in small teams and, after an internal content review by two team members, linguistically synchronized and implemented on the open-source learning platform Integrated Learning, Information and Work Cooperation System (Integriertes Lern‑, Informations- und Arbeitskooperations-System, ILIAS).Results and discussion: The e‑learning tool was fully developed and implemented within 10 months. It is available free of charge in two languages at https://digitale-lehre-mhh.de . It distinguishes between rehabilitation after arm or leg amputation, after which three consecutive rehabilitation phases (postacute, intermediate and maintenance phases) can be selected. The next level gives access to the specific content, which consists of a pathway, explanatory texts, images, video sequences and audio files on treatment, self-exercises and practical tips.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"283-288"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574784","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

[Osseointegration in amputation surgery : Representative studies].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-12 DOI: 10.1007/s00113-025-01542-5

Lisa Stock, Lukas F Seyboldt, Phillip Wilkens, Frank Braatz

引用次数: 0

[Rupture of the anterior cruciate ligament : What must be born in mind in the reconstruction?]

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-19 DOI: 10.1007/s00113-025-01551-4

Christian Fink, Andrea Marchetti, Tobias Schwäblein, Mirco Herbort

引用次数: 0

[Cemented vs. uncemented modern hemi-endoprostheses for dislocated femoral neck fractures : Results of the randomized multicenter WHiTE 5 study].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1007/s00113-025-01541-6

Darius M Thiesen, Dirk Stengel, Selina Loose

引用次数: 0

[Update of the Amputation Registry Germany (AMP-Registry)].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-13 DOI: 10.1007/s00113-025-01539-0

Merkur Alimusaj, Kristina Michel, Julia Block, Urban Daub, Daniel Heitzmann, Thanh-Duc Nguyen, Maria Bisele, Sebastian I Wolf, Urs Schneider

{"title":"[Update of the Amputation Registry Germany (AMP-Registry)].","authors":"Merkur Alimusaj, Kristina Michel, Julia Block, Urban Daub, Daniel Heitzmann, Thanh-Duc Nguyen, Maria Bisele, Sebastian I Wolf, Urs Schneider","doi":"10.1007/s00113-025-01539-0","DOIUrl":"10.1007/s00113-025-01539-0","url":null,"abstract":"Background: Medical registries are used to collect valuable patient data in order to check and control the quality and effectiveness of treatment approaches. National registries in the field of amputation and patient care, such as the Swedish Amputation and Prosthetics Registry (SwedeAmp) and the Limb Loss and Preservation Registry (LLPR) in the USA, gather information on prosthetic devices, materials, procedures and patient-related outcomes such as mobility and quality of life. Since 2011 SwedeAmp could generate significant insights into long-term outcomes after amputations and improve prosthetic care in Sweden. In the USA the LLPR collects data on aspects ranging from clinical to psychosocial aspects, enabling international comparisons and the optimization of care.Material and methods: In Germany the AMP Registry makes significant contributions by documenting data on prosthetic fit, wearing comfort and the reasons for revisions. The aim of the AMP Registry is to create an evidence base through systematic data collection. The project includes the development of a user-friendly IT structure, a pilot phase for application evaluation and close collaboration with experts. Standardized datasets aim to identify deficits in care and develop evidence-based approaches. Data collection and storage are carried out in compliance with the General Data Protection Regulation (DSGVO) and secured through technical measures.Results and discussion: Initial results from the Heidelberg Study Center demonstrate the potential of the AMP Registry. Subgroup analyses support optimization of care and highlight the importance of regular assessments to improve long-term care.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"240-247"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412062","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

[Agonist-antagonist myoneural interface (AMI) : Innovative treatment option for lower limb amputees?]

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-06 DOI: 10.1007/s00113-025-01536-3

M N Kalff, V Hoursch, N Kirsten, L A Pardo, K Kasprzak, M Egger, S N Schmidt, S Sehmisch, J Ernst

{"title":"[Agonist-antagonist myoneural interface (AMI) : Innovative treatment option for lower limb amputees?]","authors":"M N Kalff, V Hoursch, N Kirsten, L A Pardo, K Kasprzak, M Egger, S N Schmidt, S Sehmisch, J Ernst","doi":"10.1007/s00113-025-01536-3","DOIUrl":"10.1007/s00113-025-01536-3","url":null,"abstract":"The agonist-antagonist myoneural interface (AMI) is an innovative approach to restoring proprioception and achieving more intuitive motor control following limb loss. This cutting-edge technique replicates the natural biomechanical relationship between agonist and antagonist muscles, enabling bidirectional communication between a prosthesis and the user's peripheral nervous system. Through the transposition of neurovascularly pedicled agonist-antagonist muscle pairs, which are reconnected via an adapted tendon suture and positioned within a gliding mechanism, AMI generates proprioceptive feedback during movement. Changes in tension within these muscle pairs produce signals that are transmitted to the central nervous system via afferent nerve pathways, enabling users to perceive the joint position of the limb that was originally governed by the muscle pair. This enhanced sensory input significantly facilitates control of the prosthesis. The AMI appears to enable an integration of the prosthesis into the body's existing neural networks and improve motor control of the prosthesis and the sensory discrimination. Compared to traditional surgical techniques (myodesis or myoplasty) with a purely mechanical transposition of residual stump muscles, AMI reduces the cognitive burden during the use of the prosthesis and delivers a more natural sense of movement, fostering a profound sense of embodiment. In summary, AMI represents a significant leap forward in human-machine integration. By enhancing both the functionality and user experience of prosthetic devices, it provides a very promising transformative solution for sustainable improvement of the quality of life for individuals living with limb loss.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"256-263"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574835","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

[Reconstruction of the anterior cruciate ligament with the quadriceps tendon and a rectangular femoral bone tunnel].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-05 DOI: 10.1007/s00113-025-01547-0

Christian Fink, Andrea Marchetti, Tobias Schwäblein, Mirco Herbort, Elisabeth Abermann

引用次数: 0

[Motion analysis in Orthopaedic technology research].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-04 DOI: 10.1007/s00113-025-01549-y

Bastian Welke, Eike Jakubowitz

引用次数: 0

[Overview of current prosthesis socket technologies for transfemoral amputees].

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-02-28 DOI: 10.1007/s00113-025-01540-7

Andreas Samson

{"title":"[Overview of current prosthesis socket technologies for transfemoral amputees].","authors":"Andreas Samson","doi":"10.1007/s00113-025-01540-7","DOIUrl":"10.1007/s00113-025-01540-7","url":null,"abstract":"When exploring innovations in amputation medicine and the technical aids required for care, the thought of prosthetic socket technologies might not immediately come to mind. Yet, these attachment systems, commonly referred to as quivers or similar in everyday language, that connect prostheses to the user's body, are an essential component of prosthetic care for individuals with leg amputations. Based on the principles of modern amputation surgery, where surgeons aim to create the best possible fit between prosthesis and residual limb stump, this approach requires prosthetic technology to provide treatment that aligns with current technical standards. When the patient and stump conditions are compatible, a full contact must be created in which the stump surface is in full contact with the complete inner surface of the shaft. This ensures the best possible distribution of pressure and strain loading during the standing and momentum phases. The challenge for orthopedic technicians lies in creating a secure and reliable interface for the individual user's everyday prosthesis, one that supports the daily activities as effectively as possible and ideally for 365 days a year and for many hours each day. Therefore, the socket is a crucial link between the wearer and the prosthesis. If the socket does not properly fit or hold, the wearer cannot utilize the prosthesis functions or stand and walk safely. In light of these problems, evolving user requirements, scientific advances, technological progress and the overarching goal of further improving the mobility and quality of life of patients, have driven the development of various new socket systems over the past decades.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"264-269"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525405","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