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

[Patient-specific 3D-printed implants and templates for elbow and forearm]. [针对患者的3d打印肘部和前臂植入物和模板]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-03-03 DOI: 10.1007/s00113-025-01548-z

Christopher Cramer, Samuel Sperlich, Annika Hättich, Tobias Dust, Karl-Heinz Frosch, Konrad Mader

{"title":"[Patient-specific 3D-printed implants and templates for elbow and forearm].","authors":"Christopher Cramer, Samuel Sperlich, Annika Hättich, Tobias Dust, Karl-Heinz Frosch, Konrad Mader","doi":"10.1007/s00113-025-01548-z","DOIUrl":"10.1007/s00113-025-01548-z","url":null,"abstract":"The process of 3D printing has found its way into orthopedics and trauma surgery, particularly for complex interventions on the elbow and forearm. By producing patient-specific implants and surgical templates misalignments, fractures and deformities can be precisely corrected. It could be shown that this technology increases the surgical accuracy, shortens recovery times and reduces postoperative complications. Compared to conventional implants 3D-printed implants provide the advantage of individual adaptation to the anatomical situation of the patient. This is particularly relevant in complex cases, such as malunions, congenital malformations (e.g., Madelung's deformity) and tumor-related deformities. The preoperative planning with 3D models enables a detailed simulation of the procedure and optimizes the placement of the implants. Despite these advantages challenges still remain: the production of patient-specific implants is time-consuming and cost-intensive. In addition, the technology requires expertise and special resources, which limit its application in less specialized centers. Future developments, such as 4D printing with shape-changing implants, promise further progress. By combining precision, individualization and dynamic adaptability, 3D-printed implants could sustainably improve patient care in orthopedics and trauma surgery.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"342-350"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12041000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544780","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

[Finger loss during gardening : Necrotizing cellulitis of the index finger]. [园艺过程中手指丢失：食指坏死性蜂窝织炎]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-03-06 DOI: 10.1007/s00113-025-01552-3

Güner Sönmez, Jan Janzen, Claudia Brun Del Re, Christian Karl Spies

引用次数: 0

[Current concepts and treatment options for complex glenoid bone defects : Patient-specific instrumentation and custom-made implants]. [复杂肩胛骨缺损的当前概念和治疗选择：患者特异性内固定和定制植入物]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-03-05 DOI: 10.1007/s00113-025-01544-3

Roman Frederik Karkosch, Tomas Smith

引用次数: 0

Partial tear of the medial gastrocnemius head : A case report of meniscal symptoms in a 32-year-old recreational athlete. 腓肠肌内侧头部分撕裂：一例32岁休闲运动员半月板症状报告。

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]. [乌克兰和德国截肢者的创新电子学习工具：跨学科康复护理自助的数字援助]。

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]. [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

[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