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Erratum zu: Möglichkeiten der Nutzung von TraumaNetzwerken DGU unter Verwendung von digitalen Lösungen.
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-23 DOI: 10.1007/s00113-024-01528-9
Wolfgang Lehmann, Sabine Blaschke, Uwe Schweigkofler, Christopher Spering
{"title":"Erratum zu: Möglichkeiten der Nutzung von TraumaNetzwerken DGU unter Verwendung von digitalen Lösungen.","authors":"Wolfgang Lehmann, Sabine Blaschke, Uwe Schweigkofler, Christopher Spering","doi":"10.1007/s00113-024-01528-9","DOIUrl":"https://doi.org/10.1007/s00113-024-01528-9","url":null,"abstract":"","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026017","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
[Current surgical treatment concepts for traumatic fractures of the thoracic and lumbar spine with osteoporotic bone substance].
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-23 DOI: 10.1007/s00113-024-01525-y
Max J Scheyerer, Klaus Schnake, Bernhard Ullrich, Ulrich Spiegl
{"title":"[Current surgical treatment concepts for traumatic fractures of the thoracic and lumbar spine with osteoporotic bone substance].","authors":"Max J Scheyerer, Klaus Schnake, Bernhard Ullrich, Ulrich Spiegl","doi":"10.1007/s00113-024-01525-y","DOIUrl":"https://doi.org/10.1007/s00113-024-01525-y","url":null,"abstract":"<p><p>Osteoporosis-related vertebral fractures are among the most frequent fracture entities in geriatric patients. They are associated with far-reaching individual and socioeconomic consequences. Adequate diagnostics and treatment are therefore essential. The osteoporotic fracture (OF) score is a central element in determining the right treatment. Although the majority of fractures can be healed with conservative treatment, a change of treatment should be considered in good time in cases of failure. Isolated cement augmentation procedures are particularly suitable for reducing pain in primarily stable osteoporotic vertebral fractures with a preserved framework structure (OF types 1-3) and a largely intact posterior edge. Dorsal cement-augmented stabilization with cementing of the fractured vertebral body leads to good results in unstable OF types 3 and 4 fractures. Dorsoventral procedures with cement-augmented internal fixator from the dorsal side and vertebral body replacement from the ventral side play a more subordinate role. Purely ventral procedures should be avoided in this patient group.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030445","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
[Online resources for ankle sprains : A German language web analysis]. [踝关节扭伤的在线资源：德语网络分析]。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-16 DOI: 10.1007/s00113-024-01526-x
Sophie Maria Tengler, Mark Lenz, Gunther O Hofmann, Marianne Rosenthal, Klaus E Roth, Lena Mohr, Hazibullah Waizy, Kajetan Klos
{"title":"[Online resources for ankle sprains : A German language web analysis].","authors":"Sophie Maria Tengler, Mark Lenz, Gunther O Hofmann, Marianne Rosenthal, Klaus E Roth, Lena Mohr, Hazibullah Waizy, Kajetan Klos","doi":"10.1007/s00113-024-01526-x","DOIUrl":"https://doi.org/10.1007/s00113-024-01526-x","url":null,"abstract":"<p><strong>Background: </strong>With the Internet as the main source of information for health content, the quality of websites with medical information is of high importance.</p><p><strong>Objective: </strong>This study analysed 250 websites on acute ankle sprain (ASD), one of the most common musculoskeletal disorders, for their quality and readability. Based on the results, a guide for patients was created.</p><p><strong>Method: </strong>The quality of the websites was assessed using a 25-item content score and the EQIP36 score for medical information material. The reading level could be determined using the Flesch-Kincaid index and the calculated readability. The best three websites were evaluated in a user survey.</p><p><strong>Results: </strong>Of the 250 websites recorded 77 were included in the study. The quality of these varied significantly, with none achieving the maximum score. Sources in the healthcare system showed higher quality, while commercially influenced sites were below average in terms of completeness of content. Only 14% of the websites reached the recommended reading level. A significant negative correlation was found between completeness of content and readability. The user survey showed a mixed level of satisfaction and participants with previous medical knowledge were more critical than laypersons.</p><p><strong>Conclusion: </strong>Online resources about ASD are suboptimal and differ considerably. Deficiencies in content, readability and structure were identified, which limit the effective use by patients. Health information publishers should work harder to improve the comprehensibility and quality of the information provided.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017321","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
[Treatment of geriatric odontoid fractures]. 老年人齿状突骨折的治疗。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-15 DOI: 10.1007/s00113-024-01522-1
Andreas Sommer, Lukas Klein, Peter Obid
{"title":"[Treatment of geriatric odontoid fractures].","authors":"Andreas Sommer, Lukas Klein, Peter Obid","doi":"10.1007/s00113-024-01522-1","DOIUrl":"https://doi.org/10.1007/s00113-024-01522-1","url":null,"abstract":"<p><p>The treatment of odontoid fractures in geriatric patients, particularly type II fractures, remains controversial. In biologically young patients, studies suggest advantages of surgical treatment in terms of mortality; however, this advantage is not observed in geriatric patients. While the mortality appears to be higher after conservative treatment in patients aged 65-80 years, there are studies that have shown no differences in mortality for patients aged 80 years or older and even showed advantages of conservative treatment in this age group. The complication rates of both surgical and conservative approaches are comparable. Although conservative treatment is associated with a higher rate of pseudarthrosis, healing in a \"rigid\" pseudarthrosis is associated with a good clinical outcome and can therefore be considered a treatment success. The central problem with the currently available literature, including the present prospective but nonrandomized data, is selection bias, which significantly limits the comparability of the patient cohorts. So far, no clear superiority of either treatment method has been demonstrated. Therefore, conservative treatment retains its importance in the geriatric patient population and the majority of these patients achieve a very good functional outcome with conservative treatment.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017645","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
[Isolated osseous tuberculosis : Differential diagnosis of treatment refractory osteomyelitis?] 孤立性骨结核：难治性骨髓炎的鉴别诊断？］
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-08 DOI: 10.1007/s00113-024-01527-w
Hendrik Schöllmann, M Glombitza, V Heck, M Dudda, E Steinhausen
{"title":"[Isolated osseous tuberculosis : Differential diagnosis of treatment refractory osteomyelitis?]","authors":"Hendrik Schöllmann, M Glombitza, V Heck, M Dudda, E Steinhausen","doi":"10.1007/s00113-024-01527-w","DOIUrl":"https://doi.org/10.1007/s00113-024-01527-w","url":null,"abstract":"<p><p>We report the case of a 66-year-old female patient with a treatment refractory disorder of wound healing of the knee, who had already been treated several times surgically and with antibiotics for several months. The examination revealed a skin defect with a fistula in the region of the knee joint. The X‑ray imaging showed an extensive bony defect of unclear etiology. After specific diagnostics for acid-resistant rod-shaped bacteria, it was possible to identify Mycobacterium tuberculosis as the causative pathogen. After antitubercular drug treatment complete healing of the lesions was observed. The bony defect could be filled with bone substitute. There was neither a history of primary foci nor of a potentially infectious environment.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960197","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
[Pilon fractures : Treatment principles and surgical therapy strategy]. [皮隆骨折：治疗原则及手术治疗策略]。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-08 DOI: 10.1007/s00113-024-01511-4
Christian Michelitsch, Philipp Florian Stillhard, Christoph Sommer
{"title":"[Pilon fractures : Treatment principles and surgical therapy strategy].","authors":"Christian Michelitsch, Philipp Florian Stillhard, Christoph Sommer","doi":"10.1007/s00113-024-01511-4","DOIUrl":"https://doi.org/10.1007/s00113-024-01511-4","url":null,"abstract":"<p><p>Pilon fractures typically result from high-energy trauma combined with axial compression. The surrounding soft tissues are often severely compromised, complicating treatment. These fractures are best classified according to the Working Group for Osteosynthesis Issues/Orthopedic Trauma Association (AO/OTA) classification system. Even with anatomical reduction of the joint surface there remains a high risk of suboptimal outcome. Advances in implant technology, minimally invasive surgical techniques and strategic management have successfully reduced complication rates in recent years. Despite several adaptations, the principles of Rüedi and Allgöwer remain valid today: correct reconstruction of the fibula (for simple fractures) facilitates subsequent joint reduction. Autologous bone grafts are beneficial in metaphyseal bone defects. Access routes tailored to the soft tissue conditions and fracture pattern enable stabilization, usually with angle stable plates.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960199","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
[Which diagnostic tests are indicated in the emergency department after trauma to the cervical spine?] [颈椎外伤后急诊科需要哪些诊断检查？]］
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-06 DOI: 10.1007/s00113-024-01520-3
Oliver Riesenbeck, Michael J Raschke
{"title":"[Which diagnostic tests are indicated in the emergency department after trauma to the cervical spine?]","authors":"Oliver Riesenbeck, Michael J Raschke","doi":"10.1007/s00113-024-01520-3","DOIUrl":"https://doi.org/10.1007/s00113-024-01520-3","url":null,"abstract":"<p><p>Injuries to the cervical spine are a diagnostic challenge as, although they are rare in relation to the overall population, they should not be overlooked under any circumstances. This article presents the diagnostic procedure in the emergency department, starting with the patient's medical history and subsequently clinical and neurological examinations. As a result, the clinical decision tools national emergency X‑radiography utilization study (NEXUS) criteria and the Canadian C‑spine rule (CCR) are discussed. Finally, the current literature is reviewed considering the diagnostic examination options, taking the clinically relevant key questions into account.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933842","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
[Fatal course of a fulminant gas gangrene of the right hemithorax]. [右半胸暴发性气性坏疽的致命病程]。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1007/s00113-024-01490-6
Christoph J Neumann, Matthias Unterberg, Daniel Mesbah, Mark Sandfort, Rüdiger Smektala
{"title":"[Fatal course of a fulminant gas gangrene of the right hemithorax].","authors":"Christoph J Neumann, Matthias Unterberg, Daniel Mesbah, Mark Sandfort, Rüdiger Smektala","doi":"10.1007/s00113-024-01490-6","DOIUrl":"10.1007/s00113-024-01490-6","url":null,"abstract":"<p><p>The full clinical picture of a gas gangrene infection is an absolute rarity. The mechanism of development can be either traumatic or spontaneous (e.g., hematogenous seeding in occult colon carcinoma). In particular, the rare pathogen Clostridium septicum appears to be associated with spontaneously occurring gas gangrene. Diabetes mellitus is a significant risk factor. The mortality rate of the disease is around 50%, even with maximum therapeutic efforts, and the course of the disease is fulminant in the majority of cases. Initial symptoms are unspecific and make early diagnosis difficult. Treatment consists of high-dose antibiotics in combination with radical surgical debridement and, if necessary, supplementary hyperbaric oxygen therapy.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402306","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
[Specialized in trauma surgery-Not a simple way]. [专攻创伤外科--不是简单的方法]。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1007/s00113-024-01509-y
Marie Samland
{"title":"[Specialized in trauma surgery-Not a simple way].","authors":"Marie Samland","doi":"10.1007/s00113-024-01509-y","DOIUrl":"10.1007/s00113-024-01509-y","url":null,"abstract":"<p><p>The question of the need for generalists and specialists in trauma surgery is controversially discussed concerning the challenges in the healthcare system, the interdisciplinary nature of the discipline, and the consequences of increasing specialization. The hospital reform as well as the availability of personnel and financing are discussed as central points. For high-quality patient care it is essential that the balancing act between generalists and specialists is successful. Effective interdisciplinary collaboration and holistic thinking are crucial to overcome the challenges in the healthcare system and to fulfil the needs of patients.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"25-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803834","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
Dank an die Gutachterinnen und Gutachter 2024. “2017年评估师”。
Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-01-01 DOI: 10.1007/s00113-024-01515-0
{"title":"Dank an die Gutachterinnen und Gutachter 2024.","authors":"","doi":"10.1007/s00113-024-01515-0","DOIUrl":"https://doi.org/10.1007/s00113-024-01515-0","url":null,"abstract":"","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":"128 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985614","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
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