Unfallchirurgie (Heidelberg, Germany)最新文献

{"title":"Forschungsintegrität : Herausforderungen und Lösungsansätze beim wissenschaftlichen Publizieren.","authors":"Paul Herrmann","doi":"10.1007/s00113-026-01711-0","DOIUrl":"10.1007/s00113-026-01711-0","url":null,"abstract":"","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":"129 6","pages":"427-428"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045182","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}

{"title":"[Occupational options in outpatient and inpatient rehabilitation].","authors":"Christian Sturm","doi":"10.1007/s00113-025-01664-w","DOIUrl":"10.1007/s00113-025-01664-w","url":null,"abstract":"<p><p>The discipline of orthopedics and trauma surgery is very broad and offers a wide range of options. In the area of conservative treatment it also includes methods of physical medicine. Therefore, it is also possible to work in this large field of physical and rehabilitative medicine (PRM) and there is a great deal of overlap between the two. The outcome of good surgical treatment often depends on high-quality follow-up care. Conservative treatment also offers a wide range of treatment options that present a professional challenge. Experience of orthopedics and trauma surgery is a great advantage for both. Knowledge of surgery and rehabilitative care is particularly useful at the interfaces of rehabilitation. Career pathways for interested individuals can therefore vary greatly between the different fields and offer an exciting range of tasks and opportunities, especially in interprofessional collaboration and interdisciplinary cooperation.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"294-298"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795754","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}

{"title":"[Why you should not drive home in the evening with a young man on a motorbike at the weekend in summer-Traffic epidemiology with the TraumaRegister DGU® : German Congress for Orthopedics and Trauma Surgery Science Slam 2025].","authors":"Rolf Lefering, Stefan Huber, Sebastian Imach","doi":"10.1007/s00113-026-01702-1","DOIUrl":"10.1007/s00113-026-01702-1","url":null,"abstract":"<p><strong>Introduction: </strong>The TraumaRegister DGU® of the German Society for Trauma Surgery (TR-DGU) has been collecting data on seriously injured persons for decades. Based on a few key data points about the accident, far-reaching insights into accident epidemiology can be derived. The present evaluation refers to traffic accident victims, who account for about half of all seriously injured persons in the register.</p><p><strong>Method: </strong>For a 10-year period (2015-2024) information on the accident victims (age, gender), the circumstances of the accident and the time of admission to hospital (date, time) was extracted from the TR-DGU. Only patients who were primarily admitted to and treated in a German trauma center and who met the criteria of the registry's population base were considered.</p><p><strong>Results: </strong>The analysis is based on 121,534 accident victims with an average age of 47.4 years and 71% were male. Car occupants were the largest subgroup (39%), followed by motorcyclists (25%), cyclists (22%) and pedestrians (10%). The proportion of male accident victims was almost always greater than the female proportion and in the 16-71 years age group it was more than twice as high. In relation to the German population 18-year-olds have the highest incidence with 40 per 100,000 per year. On weekends, 10-20% more people are involved in accidents and during the day the rate is highest in the late afternoon (4-6 p.m.). The number of accidents is about twice as high in the summer months as in winter, which is mainly due to 2‑wheeled vehicles. Other external factors such as a full moon or Friday the 13th have no effect on the number of serious injuries. With just a few details about the person, the time and the mechanism of traffic accident victims, it is possible to identify areas that lead to more accidents. These findings can also be effectively used for prevention purposes.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"347-353"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482768","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}

{"title":"[Musculoskeletal research : Trauma surgery and space flight].","authors":"Bergita Ganse","doi":"10.1007/s00113-025-01665-9","DOIUrl":"10.1007/s00113-025-01665-9","url":null,"abstract":"<p><p>This article presents my career path, which combines trauma surgery with space medical research. I was asked to describe for young colleagues both my career path and my work as a research university professor, which combines clinical experimental trauma surgery research with human physiological research in the context of space travel. In addition to specializing in orthopedics and trauma surgery, I completed the residency in physiology at the Charité in Berlin and at the German Aerospace Center in Cologne, before completing my postdoctoral thesis on the musculoskeletal system in space flight. Together with international collaboration partners, I have been involved in experiments in international space projects for many years, for example in bed rest studies, in research in Antarctica and on the International Space Station. In this article I also reflect the advantages and disadvantages of my work and what inspires me about it.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"303-309"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851693","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}

{"title":"[Full-time medical expert : Once university clinic and back again].","authors":"Christoph Obermeyer","doi":"10.1007/s00113-025-01663-x","DOIUrl":"10.1007/s00113-025-01663-x","url":null,"abstract":"<p><p>The field of orthopedics and trauma surgery is more than just scalpels and screws: it combines craftsmanship, thinking and attitude. My path led me from university traumatology to elective orthopedics and rehabilitation to a field that is often overlooked: medical assessment. Where medicine, law and economics converge, new perspectives emerged for me and the idea of rethinking medical assessment. My model, which combines efficiency, quality and collegiality, developed from my clinical and assessment experience, curiosity and entrepreneurial spirit. My career path is an invitation to experience medicine and cooperation beyond traditional paths and to courageously forge your own path.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"291-293"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145806412","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}

{"title":"[Injuries of the toes].","authors":"Felix M Bläsius, Frank Hildebrand, Philipp Lichte","doi":"10.1007/s00113-026-01676-0","DOIUrl":"10.1007/s00113-026-01676-0","url":null,"abstract":"<p><p>Toe injuries are common in clinical practice and cover a wide spectrum, from simple fractures and dislocations to complex tendon and soft tissue injuries. While most injuries can be conservatively treated, displaced fractures, open injuries or relevant loss of function require a differentiated surgical approach. Rare but prognostically important entities, such as décollement injuries or proximal tendon ruptures pose a particular challenge. A structured clinical examination supported, if necessary, by imaging is essential for making the correct diagnosis and deciding on the appropriate treatment. This article provides a comprehensive overview of the diagnostics, surgical and conservative treatment options as well as possible complications and their management.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"329-338"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069321","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}

{"title":"[Management of humeral shaft fractures in childhood and adolescence : Consensus report of the Pediatric Traumatology Section of the DGU].","authors":"Nikos Karvouniaris, Christian Illian, Michael Kertai, Sebastian Reineke, Hauke Rüther, Kristofer Wintges, Jörn Zwingmann","doi":"10.1007/s00113-026-01679-x","DOIUrl":"10.1007/s00113-026-01679-x","url":null,"abstract":"<p><p>Humeral shaft fractures are rare in childhood, accounting for less than 5% of all pediatric fractures. Indirect trauma predominates in younger children, whereas direct trauma is more common in older patients. To date, no uniform recommendations exist regarding diagnostic evaluation or treatment management. Therefore, during the 13th and 14th scientific meetings of the Pediatric Traumatology Section (SKT), the available evidence was reviewed, the management strategies were critically discussed within an expert panel and a consensus was formulated.The management remains predominantly conservative, although the number of surgically treated cases is increasing. Potential humeral length discrepancies are generally clinically not a problem, whereas angular deformities exceeding 10° are cosmetically relevant. Owing to the extensive range of motion of the shoulder, functional impairment is generally not expected. In conservative treatment immobilization is recommended for 3-6 weeks, depending on the fracture type and patient age. Absolute indications for operative intervention include open fractures (> type II), unstable multilevel injuries of the affected arm and severe soft tissue damage that precludes adequate immobilization. Relative indications comprise polytrauma, traumatic brain injury, multiple or bilateral injuries, simple transverse fractures due to inherent instability and prolonged healing, anticipated noncompliance and patient preference. Elastic stable intramedullary nailing (ESIN) represents the gold standard for surgical management. Typical complications include radial nerve injury, technical difficulties during fixation and nonunion.Traumatic radial nerve palsy occurs in approximately 4% of cases. The treatment approach selected based on fracture morphology should be maintained. Primary nerve exploration is not initially required. High-resolution ultrasonography of the radial nerve should be performed within 1-2 weeks in both primary and secondary palsy. Nonstructural lesions typically recover spontaneously within 3-6 months. Early physiotherapy and occupational therapy are recommended in the presence of nerve deficits. In cases of an inadequate trauma mechanism, pathological fractures or potential indicators of child abuse must be considered.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"320-328"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088317","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}

{"title":"[As a surgeon in Tanzania : Experiences from working in a Lutheran Hospital in South Tanzania].","authors":"Werner Kronenberg","doi":"10.1007/s00113-025-01648-w","DOIUrl":"10.1007/s00113-025-01648-w","url":null,"abstract":"<p><p>An overseas assignment in a rural hospital in Tanzania provides surgeons with extraordinary insights into clinical practice under completely different conditions. The injury patterns are largely determined by motorcycle accidents: open fractures, traumatic brain injuries and polytrauma dominate the spectrum. Limited resources make simple and robust techniques, such as external fixation, lag screw osteosynthesis and plaster cast treatment central to patient care. Diagnostic options and intensive care are restricted, requiring a renewed focus on clinical examination, prioritization and pragmatic solutions. In addition to clinical work, the training of young colleagues plays a key role in sustainably strengthening local structures. Such an assignment broadens professional horizons, sharpens clinical judgment and fosters a deep appreciation of the possibilities offered by modern surgery in Europe.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"299-302"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403248","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}

{"title":"(Karriere‑)Wege in der Unfallchirurgie : Vom Mut, eigene Wege zu gehen.","authors":"Marit Herbolzheimer, Stephan Sehmisch","doi":"10.1007/s00113-026-01697-9","DOIUrl":"10.1007/s00113-026-01697-9","url":null,"abstract":"","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"289-290"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438306","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}

{"title":"[Surgical stabilization of fragility fractures of the pelvis shows a good age-appropriate result regardless of the surgical procedure].","authors":"Anne Sofie Vogelsang, Mikolaj Bartosik, Eckart Mayr, Ulf Culemann","doi":"10.1007/s00113-026-01678-y","DOIUrl":"10.1007/s00113-026-01678-y","url":null,"abstract":"<p><strong>Background: </strong>The treatment of fragility fractures of the pelvis (FFP) is becoming increasingly more important due to the demographic changes. Older age and the associated multimorbidity pose a challenge for the optimal treatment of pelvic fractures.</p><p><strong>Method: </strong>A total of 36 patients were included. They were categorized according to the FFP classification with the following distribution: 44.4% FFP II, 16.7% FFP III and 38.9% FFP IV. Transiliosacral screws used unilaterally/bilaterally (cannulated 7.3 mm titanium screws with 32 mm thread, MedTech J&J, Umkirch, Germany) were compared to a continuous transiliosacral sacral rod (cannulated 7.5 mm rod, Marquardt, Spachingen, Germany) for stabilization of the posterior pelvic ring (screw vs. rod) and in combination with or without a ventral supra-acetabular external fixator (steel Schanz screws with cross-connectors classified as ⌀Fix vs. Fix). The parameters measured were the duration of surgery, complication and revision rates and functional outcomes. The quality of life on the visual analogue scale (EQ-VAS), EQ-5D-5L index and Elderly Mobility Scale (EMS) were compared 1 day, 6 weeks and 6 months postoperatively.</p><p><strong>Results: </strong>The mean age of the overall cohort was 81.5 ± 7.7 years and the overall mortality rate was 5.6%. The higher complication (29.4% vs. 17.6%, p = 0.419) and revision rates (5.9% vs. 0.0%, p = 0.310) of the screw group were not statistically significant. The EQ-VAS, EQ-5D-5L and EMS showed no significant differences between screw vs. rod. The fix group had a longer operation time (47.2 ± 9.2 min vs. 35.2 ± 20.2 min, p = 0.005) but a lower complication rate (11.1% vs. 28.0%, p = 0.306); however, their mobility was significantly reduced postoperatively and after 6 weeks (EMS day 1: 6 ± 4 vs. 11 ± 4, p = 0.003; week 6: 12 ± 2 vs. 16 ± 3, p = 0.010).</p><p><strong>Discussion: </strong>Osteoporosis treatment had not been performed prior to the injury in 64.7% of the injured patients, 29.4% received a basic treatment for osteoporosis and 5.9% received specific treatment for osteoporosis. Surgical treatment of FFP II-IV showed a good clinical outcome with age-appropriate values after 6 months. The clinical outcome was the same after 6 months regardless of the surgical procedure.</p>","PeriodicalId":75280,"journal":{"name":"Unfallchirurgie (Heidelberg, Germany)","volume":" ","pages":"310-319"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042296","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}