Unfallchirurgie (Heidelberg, Germany)最新文献_第8页

[Traumatic TFCC lesions in childhood and adolescence-A previously neglected injury?] 儿童和青少年创伤性TFCC病变-以前被忽视的伤害？］

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-04-11 DOI: 10.1007/s00113-025-01563-0

Kristofer Wintges, Dirk Sommerfeldt, Hauke Rüther

{"title":"[Traumatic TFCC lesions in childhood and adolescence-A previously neglected injury?]","authors":"Kristofer Wintges, Dirk Sommerfeldt, Hauke Rüther","doi":"10.1007/s00113-025-01563-0","DOIUrl":"10.1007/s00113-025-01563-0","url":null,"abstract":"Although injuries to the triangular fibrocartilage complex (TFCC) are less common in children and adolescents than in adults, can lead to chronic pain and instability in the distal radioulnar joint (DRUJ), ultimately predisposing individuals to long-term osteoarthritis. A dislocated distal radius fracture with avulsion of the styloid process of the ulna following high-energy trauma is a risk factor for a TFCC injury. The diagnostics include a thorough clinical examination and imaging procedures, such as X‑ray and magnetic resonance imaging (MRI). If there is no instability of the DRUJ, conservative treatment can be successful in most cases. However, if there is instability of the DRUJ or if there is no improvement after 3 months of conservative treatment, diagnostic arthroscopy of the wrist is indicated for further diagnostics and concurrent treatment. Depending on the age and extent of the injury, various surgical techniques can be used, such as transcapsular or transosseous refixation. Early diagnosis and treatment are essential to achieve freedom from pain, a stable DRUJ and enable a return to sports activities. In our own patient collective 12 children and adolescents showed very good results with no major complications.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"425-433"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045733","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

[Tension band wiring arthrodesis of the metacarpophalangeal joint of the thumb in chronic multidirectional instability with secondary arthrosis]. [慢性多向不稳伴继发性关节病的拇指掌指关节张力带钢丝融合术]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-28 DOI: 10.1007/s00113-025-01564-z

Christian Karl Spies

引用次数: 0

[The NIPPLE trial-On the secure placement of chest drains or why men and women may sometimes be really equal : German Congress for Orthopedics and Trauma Surgery (DKOU) Science Slam 2024]. [乳头试验-关于胸部引流管的安全放置或为什么男性和女性有时可能真正平等：德国骨科和创伤外科大会（DKOU）科学大满贯2024]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-05-05 DOI: 10.1007/s00113-025-01578-7

P Beck, S Imach, J C Wagner, S Künle, H Düsing, M M Paul

引用次数: 0

[Austrian Society for Trauma Surgery Diploma-Austrian Trauma Days]. [奥地利创伤外科学会文凭-奥地利创伤日]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-05-14 DOI: 10.1007/s00113-025-01577-8

C Kammerlander, K Sahrarudi, V Smekal, A Hartmann, G Mattiassich, L Negrin

引用次数: 0

[Trauma room workload in German trauma centers : Reality of trauma care underrepresented in reform]. [德国创伤中心的创伤室工作量：改革中创伤护理不足的现实]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-02-19 DOI: 10.1007/s00113-025-01538-1

Cora R Schindler, Florian Pavlu, Philipp Faul, Philipp Störmann, Dan Bieler, Uwe Schweigkofler

{"title":"[Trauma room workload in German trauma centers : Reality of trauma care underrepresented in reform].","authors":"Cora R Schindler, Florian Pavlu, Philipp Faul, Philipp Störmann, Dan Bieler, Uwe Schweigkofler","doi":"10.1007/s00113-025-01538-1","DOIUrl":"10.1007/s00113-025-01538-1","url":null,"abstract":"Introduction: The Federal Joint Committee (G-BA) published a regulation on a staged system for emergency structures in hospitals (according to Social Security Code V) in April 2018 and therefore established the foundations for emergency care in the inpatient sector. The structural requirements for the care of potentially severely injured patients is primarily defined by the specialist society and means a high provision of personnel with a simultaneous annual increase in the burden due to increasing numbers of patients. Critics fear that the reforms do not take sufficient account of trauma care both professionally and financially. The aim of the study was to record the actual workload of the emergency trauma rooms in certified German trauma centers.Method: A nationwide online survey was performed in Germany among 619 trauma centers certified by the German Society for Trauma Surgery (DGU®) to quantify the frequency of trauma room callouts. The results were retrospectively compared with the data from the annual reports of the TraumaRegister (TR) DGU® from 2021 and 2022.Results: The 167 participating hospitals reported 22,479 trauma room callouts in 2021 and 24,366 in 2022 (response rate of the online survey 24.1%). Of these callouts 70% concerned level 1 supraregional trauma centers. The comparative analysis showed that the actual number of callouts is 3-5 times higher than the data documented in the TR-DGU® . Of the trauma rooms 80% were not included in the register due to low injury severity. The study confirms the discrepancy between the documented and actual workload of the trauma rooms in German trauma centers and emphasizes the necessity to adjust the financial and personnel consideration of the trauma centers to the actual utilization in order to ensure a continuing high quality of care.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"434-440"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461056","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

[Intraspinal subdural hematoma after polytrauma]. [多发创伤后椎管内硬膜下血肿]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1007/s00113-025-01569-8

Andreas Termer, Markus Klebingat, Philip Gierer

引用次数: 0

[Missed injuries in pediatric trauma care : Still a challenge]. [儿科创伤护理中遗漏的损伤：仍然是一个挑战]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-10 DOI: 10.1007/s00113-025-01545-2

Nikos Karvouniaris, Kerstin Kuminack, Jonas Strohm, Hagen Schmal

{"title":"[Missed injuries in pediatric trauma care : Still a challenge].","authors":"Nikos Karvouniaris, Kerstin Kuminack, Jonas Strohm, Hagen Schmal","doi":"10.1007/s00113-025-01545-2","DOIUrl":"10.1007/s00113-025-01545-2","url":null,"abstract":"Missed injuries (MI) in children and adolescents with multiple injuries represent a major challenge in pediatric trauma care despite the availability of standard examination protocols and imaging procedures. In the initial phase of care the primary survey is essentially important for the detection and treatment of life-threatening injuries and is well established. After stabilization of the patient in the trauma room and the first phase of treatment, a secondary survey and a tertiary survey should be carried out in order to detect initially MI in the further course and avoid longer term consequences. The majority of MI involve head, thoracic and extremity injuries. Risk factors for MI are younger patient age, the presence of multiple trauma, a higher injury severity score (ISS), a lower value on the Glasgow coma scale (GCS) and a prolonged stay in the intensive care unit. While MI are frequently described in severely or multiply injured children, a high proportion of MIs are also found in children transferred from other institutions. Therefore, two case studies from a pediatric trauma center at a maximum care hospital and a literature analysis are used to analyze typical MIs. These case examples underline the importance of adhering to a standardized treatment regimen for this patient group. It is advisable to develop a standard operating procedure (SOP) with a corresponding risk score, which regulates the tertiary survey, the times of the follow-up examinations and the corresponding (specialist) specific responsibilities.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"403-409"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588499","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

[MANSCAL(mass casualty incident) hospital alert : "The first 10 minutes"]. [曼斯卡尔（大规模伤亡事件）医院警报：“前10分钟”]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-06-01 Epub Date: 2025-03-27 DOI: 10.1007/s00113-025-01554-1

Nina Thies, P Fischer, T Kohlmann, A Bayer, V Pedersen, W Böcker, S Prückner, M Klein

{"title":"[MANSCAL(mass casualty incident) hospital alert : \"The first 10 minutes\"].","authors":"Nina Thies, P Fischer, T Kohlmann, A Bayer, V Pedersen, W Böcker, S Prückner, M Klein","doi":"10.1007/s00113-025-01554-1","DOIUrl":"10.1007/s00113-025-01554-1","url":null,"abstract":"Background: In the event of a mass casualty incident (MASCAL) decisions on the spatial, personnel and organizational restructuring of the emergency department have to be made in a very short time from the initial alert to the arrival of the first patient at the hospitals. Due to the rarity of a MASCAL this complex task is a special challenge.Aim: The aim of the study was to optimize the immediate preparation phase after a MASCAL alarm by means of concise instructions for action and to shorten the time to the automated external alerting.Material and methods: In a structured dialogue involving the departments of emergency medicine, anesthesia and surgery, the critical issues in the initial organization after a MASCAL activation were identified and a flow chart for the first relevant decision-making processes was developed. The time required for the decisions to be made was compared before and after the implementation of the instructions for action \"The first 10 minutes\" in practical simulations.Results: The compiled checklists \"The first 10 minutes\" contain a clearly structured guide to master the necessary tasks by decision-makers on site in the initial phase. By introducing the concept the duration of the initial decision-making process was reduced by an average of 14.3 min.Conclusion: The development of instructions for action optimized for the location with a structured checklist leads to a significant acceleration of the initial decision-making processes when a MASCAL is activated.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"441-448"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733536","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

[Patient specific implants and instruments in orthopaedic trauma: 3D prints and implants in perlvic and hip fractures]. [骨科创伤患者专用植入物和器械：骨盆和髋部骨折的3D打印和植入物]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI: 10.1007/s00113-025-01562-1

Valentin Clemens, David Steimer, Nico Bruns, Axel Gänsslen, Rupert Meller

{"title":"[Patient specific implants and instruments in orthopaedic trauma: 3D prints and implants in perlvic and hip fractures].","authors":"Valentin Clemens, David Steimer, Nico Bruns, Axel Gänsslen, Rupert Meller","doi":"10.1007/s00113-025-01562-1","DOIUrl":"https://doi.org/10.1007/s00113-025-01562-1","url":null,"abstract":"Modern pelvic surgery is essentially influenced by technological innovations. One of the most impressive advances in this field is the integration of 3D printing and the associated possibility for the production of 1:1 models of the pelvic skeleton. Using these models, conventional pelvic implants can preoperatively be more exactly and patient-specifically contoured. The use of this technology has the potential to substantially improve the quality of care and simultaneously to optimize the surgical results. By the use of 3D-printed implants, which are individually adapted to the anatomical conditions of the patient, operations can not only be carried out more quickly and efficiently but also with a greater accuracy and potentially fewer complications. This article presents two instructive cases. Case 1 demonstrates how a proximal femoral fracture with a pre-existing deformity of the femur can be treated with a patient-specific implant. Treatment with conventional intramedullary or extramedullary implants was not possible. Case 2 illustrates the treatment of a pelvic ring fracture and the advantage of 3D printing for the preoperative patient-specific contouring of conventional plate systems.","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":"128 5","pages":"351-358"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045562","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

[Patient-specific implants and digital implant planning in trauma surgery]. [创伤外科患者特异性种植体和数字化种植体规划]。

Unfallchirurgie (Heidelberg, Germany) Pub Date : 2025-05-01 Epub Date: 2025-04-29 DOI: 10.1007/s00113-025-01561-2

Stephan Sehmisch

引用次数: 0