{"title":"[Measurement of ground reaction forces after total hip arthroplasty using different surgical approaches].","authors":"S Leuchte, A Luchs, D Wohlrab","doi":"10.1055/s-2007-960511","DOIUrl":"https://doi.org/10.1055/s-2007-960511","url":null,"abstract":"<p><strong>Aim: </strong>Benefits of less damage of soft tissues and muscles in minimally invasive hip replacement lead to expectations of better results in gait rehabilitation. The aim of the study is to evaluate post-operative walking ability in terms of different surgical approaches.</p><p><strong>Method: </strong>16 patients underwent a minimally invasive total hip replacement (MIS group) and 16 other patients got a THA using a transgluteal approach (standard group). Differences in functional indices of ground reaction forces and symmetry indices were measured one day pre-operatively as well as 8, 14 and 28 weeks post-operatively. The results were compared between the surgical approaches and to an age-matched healthy control group.</p><p><strong>Results: </strong>There are significantly reduced pain symptoms and a higher functional ability in both surgical groups 8 weeks post-operatively. There are no differences in gait parameters between the surgical groups after 28 weeks. Trends in gait velocity, temporal parameters and in functional indices of ground reaction forces show advantages for the minimally invasive group 8 and 14 weeks post-operatively. Patients do not reach the age-matched control group.</p><p><strong>Conclusion: </strong>Obviously the immediate post-operative advantages of minimally invasive hip replacement provide better chances for gait rehabilitation compared to the transgluteal approach. Due to the complexity of the problem clinical and gait analysis studies should be linked more closely.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"74-80"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-960511","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591918","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":"[Total hip replacement in the G-DRG-system].","authors":"M M Kaufmann, D Franz, C Lassahn, C H Siebert","doi":"10.1055/s-2007-960509","DOIUrl":"https://doi.org/10.1055/s-2007-960509","url":null,"abstract":"<p><strong>Aim: </strong>Due to the continuing increase in life expectancy, the ageing process of the German population in general and the high demands placed on activity levels and quality of life today, the demand for primary and secondary joint replacement surgery continues to increase. To distribute the economic and medical resources properly, while still making technical and surgical innovations available to a broad public, hospitals must be able to adequately finance these procedures with the help of the proper diagnosis related groups.</p><p><strong>Method: </strong>The development of the German DRG-system over the past years, as well as the new calculation for the year 2006 are to be reviewed and analysed in this article with this in mind.</p><p><strong>Results: </strong>An improvement in the degree of differentiation between the individual procedures can be documented.</p><p><strong>Conclusion: </strong>Whether or not these changes will ensure the long-term financial survival of the German health care system will remain to be seen.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"61-7"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-960509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591999","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":"[Guidelines in orthopedics and trauma surgery].","authors":"Michael Amling, Sebastian Seitz","doi":"10.1055/s-2007-965859","DOIUrl":"https://doi.org/10.1055/s-2007-965859","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591993","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":"[Global symposium on motion preservation technology in Berlin].","authors":"Rita Engelhardt","doi":"10.1055/s-2007-965857","DOIUrl":"https://doi.org/10.1055/s-2007-965857","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591991","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":"[Support project of the International Charité Organization in Vietnam].","authors":"Heinz-Helge Schauwecker","doi":"10.1055/s-2007-965860","DOIUrl":"https://doi.org/10.1055/s-2007-965860","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591994","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":"[Total hip replacement in high total hip dislocation by performing a Z-shaped shortening osteotomy].","authors":"D R P Neumann, U Dorn","doi":"10.1055/s-2007-960541","DOIUrl":"https://doi.org/10.1055/s-2007-960541","url":null,"abstract":"<p><strong>Aim: </strong>Total hip arthroplasty for severe chronic proximal femoral migration, most commonly seen in congenital dislocation of the hip, has been associated with high rates of complications. Placement of the acetabular component in the true acetabulum has yielded the most durable results, but leads to significant limb lengthening. In this paper six cases of a total hip arthroplasty combined with a Z-shaped osteotomy of the proximal femur are described.</p><p><strong>Method: </strong>All patients presented with a complete congenital dislocation of the hip. In all procedures the acetabular component was placed in the true acetabulum and the proximal femur was shortened according to a preoperative drawing in a Z-shaped manner.</p><p><strong>Results: </strong>The clinical and radiological results of the patient collective are presented in this study, the mean follow-up period was 60 months. At the last follow-up no nerve palsy, osteotomy pseudarthrosis or dislocation were detected objectively.</p><p><strong>Conclusion: </strong>The performed procedure seems to be a viable technique in the treatment of coxarthritis in high total hip dislocation.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-960541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591917","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":"[Non-infective inflammations of the vertebral spine].","authors":"K M Peters","doi":"10.1055/s-2007-965035","DOIUrl":"https://doi.org/10.1055/s-2007-965035","url":null,"abstract":"<p><p>Non-infective inflammations of the vertebral spine can be caused by seronegative spondylarthropathies or rheumatoid arthritis, respectively. Seronegative spondylarthropathies include ankylosing spondylitis, psoriatic arthritis, reactive arthritis, arthritis associated with inflammatory bowel diseases and undifferentiated arthritis. This review discusses etiology and pathogenesis, epidemiology, clinical features, diagnosis and differential diagnoses of these chronic inflammatory diseases with a special focus on vertebral involvement.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"R1-19; quiz R20-4"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-965035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591989","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":"[Knowledge transfer and student's satisfaction in orthopaedics--a survey of 476 students].","authors":"C Lüring, K Bredl, J Beckmann, F X Köck, J Grifka","doi":"10.1055/s-2007-960535","DOIUrl":"https://doi.org/10.1055/s-2007-960535","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the current study was to find out about the student's growth of knowledge and satisfaction in orthopaedics. We performed a survey among 476 students of one faculty.</p><p><strong>Method: </strong>We performed an anonymous survey in which the students had to answer a questionnaire which consisted of items according to knowledge in orthopaedics, subjective satisfaction and according to the difficulty of the asked questions.</p><p><strong>Results: </strong>74% of students disliked the so-called \"hammerexam.\" 56% believe that the transfer of knowledge is good in lectures and bedside teaching courses. 20% prefer to cancel the \"hammerexam,\" 30% would prefer to spend more time for important sections such as surgery and internal medicine and 20% would prefer it if the practical aspects of medicine were placed in the foreground. During the third and fourth semesters, the increase of knowledge is at its highest but is reduced later. 4% of all asked students are planning to become orthopaedic surgeons.</p><p><strong>Conclusion: </strong>Our study demonstrates that good knowledge transfer within the modified lectures and bedside teaching lessons is achieved. Student satisfaction is high. Only very few students are critical about their current situation.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-960535","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591262","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":"[Time interval between accident and operation in relation to long-term outcome].","authors":"Konrad Mader","doi":"10.1055/s-2007-965856","DOIUrl":"https://doi.org/10.1055/s-2007-965856","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591990","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}
B Ulmar, K Huch, T Kocak, S Catalkaya, U Naumann, S Gerstner, H Reichel
{"title":"[The prognostic influence of primary tumour and region of the affected spinal segment in 217 surgical patients with spinal metastases of different entities].","authors":"B Ulmar, K Huch, T Kocak, S Catalkaya, U Naumann, S Gerstner, H Reichel","doi":"10.1055/s-2007-960506","DOIUrl":"https://doi.org/10.1055/s-2007-960506","url":null,"abstract":"<p><strong>Aim: </strong>A retrospective study to evaluate the prognostic influence of the primary tumour and the anatomic level of spinal metastases was carried out.</p><p><strong>Material and methods: </strong>Between January 1984 and May 2005, 217 patients were surgically treated because of spinal metastases. The prognostic influence for the survival was analysed for the entity of the primary tumour and the localisation of the spinal metastases.</p><p><strong>Results: </strong>The median survival of the study group was 8.0 months (range: 0-191.5 months). Mamma carcinoma was the most frequent primary tumour with 62 cases (28.6 %). The spinal level of the metastases did not influence the postoperative survival (p = 0.9058). The entity of the primary tumour showed a significant influence for the postoperative survival (p < 0.0001).</p><p><strong>Conclusion: </strong>In spinal metastases, the entity of the primary tumour was of prognostic value; the localisation of the spinal metastases at different spinal levels did not influence the postoperative survival. Therefore, the evaluation of the primary tumour is mandatory for an estimation of the expected survival.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"145 1","pages":"31-8"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2007-960506","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26591996","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}