Unfallchirurgie (Heidelberg, Germany)最新文献_第7页

[Periprosthetic humeral fractures: practical guide for treatment : Classification, challenges and contemporary treatment strategies]. [肱骨假体周围骨折：治疗实用指南：分类、挑战和当代治疗策略]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-03-03 DOI: 10.1007/s00113-026-01691-1

Elisabeth Rimkus, Madeleine Marwosky, Konrad Mader, Anna Behrens, Till Orla Klatte

{"title":"[Periprosthetic humeral fractures: practical guide for treatment : Classification, challenges and contemporary treatment strategies].","authors":"Elisabeth Rimkus, Madeleine Marwosky, Konrad Mader, Anna Behrens, Till Orla Klatte","doi":"10.1007/s00113-026-01691-1","DOIUrl":"10.1007/s00113-026-01691-1","url":null,"abstract":"Background: Periprosthetic humeral fractures are becoming an increasingly more relevant complication due to the growing number of shoulder arthroplasties being performed. The management of these fractures is complex and influenced by multiple factors.Objective: This article provides a structured overview of current classification systems, discusses therapeutic challenges and outlines contemporary treatment strategies for periprosthetic humeral fractures.Methods: A narrative literature review was conducted focusing on the etiology, classification and treatment options of periprosthetic humeral fractures. Particular attention is given to the classification systems of Wright and Cofield and the classification system of Sanchez-Sotelo PF with an emphasis on their relevance to surgical decision making.Results: The management of periprosthetic humeral fractures requires an individualized approach. Nondisplaced fractures with a stable implant can be treated conservatively, whereas displaced fractures or those associated with implant loosening typically necessitate surgical intervention. Surgical options include open reduction and internal fixation (ORIF), revision arthroplasty and, in selected cases, the use of custom-made implants. Early mobilization combined with interdisciplinary management is critical to achieving favorable functional outcomes.Discussion: Periprosthetic humeral fractures continue to represent a demanding complication in shoulder surgery. A comprehensive understanding of classification systems and modern treatment strategies is essential for accurate treatment planning and improved patient outcomes.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"448-455"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349873","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

OMW: Gipsen – eine in Vergessenheit geratene Technik. GIMP：一种被遗忘的技术。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 DOI: 10.1007/s00113-026-01722-x

Lisa Wienhöfer, Maximilian Wolf, Lars Becker, Gerrit Matthes

引用次数: 0

[Ligamentous knee injuries in children: Focus on cruciate ligaments]. [儿童膝关节韧带损伤：以交叉韧带为主]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-04-17 DOI: 10.1007/s00113-026-01703-0

Maiti Muenchgesang, Daniel Guenther

引用次数: 0

[41/m-Swelling of the foot following a rollover injury : Preparation for the medical specialist examination: part 86]. [41/m-侧翻伤后足部肿胀：为医学专家检查做准备：第86部分]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-06-09 DOI: 10.1007/s00113-026-01717-8

Alexander Milstrey, Sabine Ochman

引用次数: 0

[Periprosthetic glenoid and acromial fractures after primary shoulder arthroplasty : Diagnosis, treatment, and revision strategies]. [原发性肩关节置换术后肩胛盂和肩峰假体周围骨折：诊断、治疗和翻修策略]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-03-17 DOI: 10.1007/s00113-026-01696-w

Lukas F Heilmann, Mara Warnhoff, Christopher Cramer, Konrad Mader, Benedikt Schliemann

{"title":"[Periprosthetic glenoid and acromial fractures after primary shoulder arthroplasty : Diagnosis, treatment, and revision strategies].","authors":"Lukas F Heilmann, Mara Warnhoff, Christopher Cramer, Konrad Mader, Benedikt Schliemann","doi":"10.1007/s00113-026-01696-w","DOIUrl":"10.1007/s00113-026-01696-w","url":null,"abstract":"Background: Periprosthetic fractures of the glenoid and acromion are rare but clinically relevant complications following primary shoulder arthroplasty. Due to the increasing use of reverse shoulder arthroplasty, the incidence of these fractures is expected to increase.Objective: This review aims to summarize current evidence on the pathomechanisms, diagnosis, treatment strategies, and prognostic factors of periprosthetic glenoid and acromial fractures from a trauma and orthopedic surgery perspective.Materials and methods: A narrative review of current clinical and biomechanical literature addressing periprosthetic fractures of the glenoid, acromion, and scapular spine was conducted.Results: Periprosthetic glenoid fractures are challenging due to limited bone stock and their close relationship to implant stability. Key decision parameters include component stability, fracture morphology, and remaining bone stock. Computed tomography is essential for diagnosis and surgical planning. Acromial and scapular spine fractures mainly occur after reverse shoulder arthroplasty, which nowadays constitutes a significant proportion of implantations; they are typically insufficiency fractures and are associated with limited functional outcomes. Conservative treatment is recommended in most cases.Conclusion: A differentiated evaluation of periprosthetic glenoid and acromial fractures, taking into account their specific pathomechanisms, biomechanical conditions, and prognostic implications, is essential for appropriate therapeutic decision-making.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"431-439"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476752","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

[Knife stab injuries in Stuttgart 2014-2024: an epidemiological overview]. [2014-2024年斯图加特的刀刺伤：流行病学综述]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-05-05 DOI: 10.1007/s00113-026-01708-9

Tomás Da Silva, Sara Koja, Tobias Merkle, Christian Knop

{"title":"[Knife stab injuries in Stuttgart 2014-2024: an epidemiological overview].","authors":"Tomás Da Silva, Sara Koja, Tobias Merkle, Christian Knop","doi":"10.1007/s00113-026-01708-9","DOIUrl":"10.1007/s00113-026-01708-9","url":null,"abstract":"Background: Knife stab injuries are rare in Germany but are gaining increasing clinical, societal and political relevance. While nationwide crime statistics document a marked rise in knife attacks, there is currently a lack of robust clinical data on hospitalized cases.Objective: The aim of this study was to present the temporal development of such injuries in Stuttgart over the past 10 years.Methods: A retrospective, single-center cohort analysis was conducted of all patients hospitalized with knife stab injuries inflicted by third parties at the Klinikum Stuttgart between 2014 and 2024. Included were externally inflicted injuries occurring in Stuttgart; self-inflicted injuries, accidents without external involvement and cases treated exclusively on an outpatient basis were excluded.Results: There was a significant increase in hospitalized patients with stab injuries with a peak in 2021. Overall, this corresponds to an increase of approximately 100% over 10 years (10% per year). During the coronavirus disease 2019 (COVID-19) pandemic, around 70% more cases occurred compared to other years. The monthly distribution showed significant peaks in April, August and December. The clustering on Sundays and Mondays indicates an elevated risk during weekend nights. A total of 92% of affected individuals were male, with a mean age of 31.1 years.Conclusion: Hospitalized patients with knife stab injuries in Stuttgart significantly increased between 2014 and 2024, particularly during the COVID-19 years. The majority of the affected individuals were young men. The results confirm the clinical perception of an increasing number of severe knife stab injuries requiring hospital treatment in the Klinikum Stuttgart.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"473-480"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147847381","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

Virtual reality as classification aid for acetabular fractures : New possibilities for training and teaching. 虚拟现实作为髋臼骨折的分类辅助：训练和教学的新可能性。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-04-01 DOI: 10.1007/s00113-026-01705-y

Vincent K Schenk, Carolin Dieges, David Ackermann, Maximilian M Menger, Carolina Vogel, Tina Histing, Steven C Herath, Markus A Küper, Anna L Schiltenwolf, Christof K Audretsch

{"title":"Virtual reality as classification aid for acetabular fractures : New possibilities for training and teaching.","authors":"Vincent K Schenk, Carolin Dieges, David Ackermann, Maximilian M Menger, Carolina Vogel, Tina Histing, Steven C Herath, Markus A Küper, Anna L Schiltenwolf, Christof K Audretsch","doi":"10.1007/s00113-026-01705-y","DOIUrl":"10.1007/s00113-026-01705-y","url":null,"abstract":"Background: The incidence of acetabular fractures has increased, and classification according to Judet and Letournel remains challenging. While 3D CT improves accuracy, virtual reality (VR) may enhance training. This study assessed whether a VR simulator improves classification accuracy and understanding in inexperienced users.Materials and methods: An HTC VIVE Pro headset and an Alienware m15 R4 computer were utilized. Programming was done in Unity (2021.3.4f1 LTS), and segmentation in Slicer3D. In total, 83 ninth-semester medical students, divided into a VR group (n = 44) and a 3D control group (n = 39), took part. Participants had to classify 11 acetabular fractures, supported by pictograms if needed, followed by a user survey. Accuracy was compared.Results: All participants completed the study. Overall, 68% had no prior knowledge of the classification. The control group achieved a median of 27% (interquartile range [IQR]: 14-36%) correct classifications, while the VR group reached 45% (IQR: 36-64%), showing higher accuracy (p < 0.001). In general, essential fractures were classified significantly more accurately than associated fractures (p < 0.001). The VR system was rated as more intuitive than the 3D software (p = 0.025).Conclusion: The VR simulator significantly improved acetabular fracture classification among inexperienced users. It is intuitive, easy to use, and offers strong potential for future surgical training.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"465-472"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13328152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596698","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

Revisionsendoprothetik der oberen Extremität bei periprothetischen Frakturen. 上肢修复术，修复周围骨折。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 DOI: 10.1007/s00113-026-01723-w

Konrad Mader

引用次数: 0

[Periprosthetic fractures after elbow arthroplasty]. [肘关节置换术后假体周围骨折]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-03-16 DOI: 10.1007/s00113-026-01695-x

Christopher Cramer, Amelie Friess, Fabrizio Moro, Michael Plecko, Konrad Mader

引用次数: 0

[Biomechanical aspects in the treatment of periprosthetic humeral fractures]. [肱骨假体周围骨折的生物力学治疗]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2026-07-01 Epub Date: 2026-02-27 DOI: 10.1007/s00113-026-01692-0

Sarah Isabelle Schmitz, Lukas Heilmann, Konrad Mader, Maike Müller, Till Orla Klatte, Anna Behrens

{"title":"[Biomechanical aspects in the treatment of periprosthetic humeral fractures].","authors":"Sarah Isabelle Schmitz, Lukas Heilmann, Konrad Mader, Maike Müller, Till Orla Klatte, Anna Behrens","doi":"10.1007/s00113-026-01692-0","DOIUrl":"10.1007/s00113-026-01692-0","url":null,"abstract":"Periprosthetic humeral fractures represent a relevant complication of shoulder arthroplasty and the incidence of 0.5-3% is expected to increase given current demographic trends. Biomechanical aspects are considered in therapeutic decision-making and planning, including fracture location and morphology as well as patient-specific factors. These include among others osteoporosis and age, but also other comorbidities of the patient, such as nicotine abuse or obesity. The fracture classification follows the internationally recognized system developed by Sanchez-Sotelo und Athwal. Conservative treatment is recommended for nondisplaced or minimally displaced fractures without loosening of the prosthesis. Displaced fractures with sufficient bone stock and no loosening of the prosthesis can be treated with plate osteosynthesis. In the case of loosening of the humeral component and displaced fractures with inadequate bone stock for stable fixation using plate osteosynthesis, revision arthroplasty is indicated. In revision arthroplasty, bone defects of the proximal humerus increase the bending forces and result in a substantial torsional load on the distal anchorage of the prosthesis shaft. Hence, for bone defects exceeding 5-6 cm, the additional use of an allograft has shown biomechanical superiority, however, this procedure should be reserved for specialists.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"440-447"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313094","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