Unfallchirurgie (Heidelberg, Germany)最新文献_第4页

[Osseointegration in amputation surgery : Representative studies]. [截肢手术中的骨整合：代表性研究]。

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?] 前交叉韧带断裂：重建时应注意什么？］

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]. [骨水泥与非骨水泥现代半内假体治疗脱位股骨颈骨折：WHiTE 5随机多中心研究的结果]。

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

[Reconstruction of the anterior cruciate ligament with the quadriceps tendon and a rectangular femoral bone tunnel]. 用股四头肌肌腱和矩形股骨隧道重建前交叉韧带。

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

[Agonist-antagonist myoneural interface (AMI) : Innovative treatment option for lower limb amputees?] 激动剂-拮抗剂肌神经界面（AMI）：下肢截肢患者的创新治疗选择？］

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

[Update of the Amputation Registry Germany (AMP-Registry)]. [德国截肢登记处（AMP-Registry）的更新]。

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

[Motion analysis in Orthopaedic technology research]. 运动分析在骨科技术研究中的应用

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

[Treatment of ankle osteoarthritis : Analysis of a German nationwide survey]. [踝关节骨关节炎的治疗：德国全国调查分析]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-01-29 DOI: 10.1007/s00113-024-01524-z

Dariusch Arbab, Julia Wollweber, Philipp Lichte, Natalia Gutteck, Ralph Akoto, Bertil Bouillon

{"title":"[Treatment of ankle osteoarthritis : Analysis of a German nationwide survey].","authors":"Dariusch Arbab, Julia Wollweber, Philipp Lichte, Natalia Gutteck, Ralph Akoto, Bertil Bouillon","doi":"10.1007/s00113-024-01524-z","DOIUrl":"10.1007/s00113-024-01524-z","url":null,"abstract":"Background: In most cases osteoarthritis of the ankle is of posttraumatic origin. Younger people are more frequently affected, which makes treatment a particular challenge. In addition to conservative treatment numerous surgical procedures are available for the treatment of advanced arthrosis. The aim of this nationwide survey was to document the current status of the diagnostics and treatment of ankle arthritis in Germany.Material and methods: Members of the German Society for Orthopedics and Trauma Surgery (DGOU) were invited to participate in an anonymous online survey on the treatment of ankle joint osteoarthritis. The survey included 69 questions on the person, on the diagnostic and treatment approaches as well as 3 clinical and radiological patient cases. The evaluation of the results of the survey included differences in the subgroups of participants based on the discipline, the location of activity, position and certification.Results: From November 2019 to February 2020 a total of 343 members participated in the survey. For the diagnostics 96% requested conventional radiographs in a standing position and in 2 levels. Other native radiographs were considered necessary by less than half of respondents. Less than one third of participants sometimes (n = 87) or always (n = 18) use an outcome score. The therapeutic repertoire included supramalleolar osteotomy (n = 106), ankle arthroplasty (n = 100) and arthrodesis (n = 248). Open arthrodesis using screws through an anterior approach was the most frequently used surgical procedure.Conclusion: Diagnostic standards were regularly used in the treatment of ankle arthrosis. With respect to the surgical treatment there was a wide heterogeneity due to the pathological anatomy and preferences of the participants. Open arthrodesis was the most frequently selected procedure.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"289-296"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069673","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

[Overview of current prosthesis socket technologies for transfemoral amputees]. [目前经股截肢者假体窝技术综述]。

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

[Innovations in amputation medicine]. [截肢医学的创新]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-04-01 Epub Date: 2025-03-24 DOI: 10.1007/s00113-025-01550-5

Jennifer Ernst

引用次数: 0