Zeitschrift fur Orthopadie und ihre Grenzgebiete最新文献

{"title":"[Treatment of congenital clubfoot with the Ponseti method].","authors":"O Eberhardt,&nbsp;K Schelling,&nbsp;K Parsch,&nbsp;T Wirth","doi":"10.1055/s-2006-942239","DOIUrl":"https://doi.org/10.1055/s-2006-942239","url":null,"abstract":"<p><strong>Aim: </strong>The primary therapy for congenital clubfoot is non-surgical involving manipulation and serial casting. With traditional casting, relatively large numbers of feet require extensive surgery to achieve full correction. The purpose of this study was to evaluate the efficacy of the Ponseti method.</p><p><strong>Methods: </strong>Between 1.1.2004 und 31.12.2005, 29 patients with 41 clubfeet were treated with the Ponseti method. Only patients without any prior treatment were included. Classification followed Pirani's score. The number of casts to full correction, tenotomies, number of posteromedial releases, dorsi-, plantarflexion and hindfoot position were documented. The follow-up time was 1-9 months, the average follow-up time was 9.1 months.</p><p><strong>Results: </strong>39 clubfeet were successfully treated with the Ponseti method. The average Pirani score was 4.9. Percutaneous tenotomies were necessary in 34 of the clubfeet. Average dorsiflexion was 19 degrees and plantarflexion 42 degrees . After failed Ponseti treatment 2 feet were treated with a posteromedial release.</p><p><strong>Conclusion: </strong>With the Ponseti method the need for extensive corrective surgery is greatly reduced. We recommend the Ponseti method as standard therapy in clubfoot management.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"497-501"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26267177","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":"[Rotator cuff tear--an occupational disease? An epidemiological analysis].","authors":"O Rolf,&nbsp;K Ochs,&nbsp;T D Böhm,&nbsp;B Baumann,&nbsp;S Kirschner,&nbsp;F Gohlke","doi":"10.1055/s-2006-942240","DOIUrl":"https://doi.org/10.1055/s-2006-942240","url":null,"abstract":"<p><strong>Background: </strong>In literature there are only few data which describe the influence of occupation on the development of rotator cuff disease.</p><p><strong>Methods: </strong>In a retrospective study, 760 open rotator cuff repairs were analysed and related to the profession and occupational load. Exclusion criteria were traumatic tears and sports injuries. All male persons were statistically analysed and the data compared with occupational patterns of the region, obtained from the Federal Statistical State Office.</p><p><strong>Results: </strong>Rotator cuff repairs were performed in 472 males who had no evidence for a traumatic origin. After statistical analysis (p < 0.001) we found significantly more patients working in agriculture and forestry (6.38% versus 1.07% in Bavaria) and in the building industry (35.11% versus 13.40% in Bavaria).</p><p><strong>Conclusions: </strong>Our data suggest that working exposure increases the risk or leads to the clinical manifestation of rotator cuff tears. Although a detailed analysis of individual physical exposure is not available yet, the statistical results indicate that rotator cuff tears must be taken into consideration as a result of ergonomic exposure.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"519-23"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26265927","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":"[Arthroscopic assistance in simultaneous anterior and posterior cruciate ligament replacement].","authors":"Markus Schofer,&nbsp;Horst-Rainer Kortmann","doi":"10.1055/s-2006-949583","DOIUrl":"https://doi.org/10.1055/s-2006-949583","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"437-9"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323873","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":"[Tertiary prevention after osteoporotic fracture--practical implementations in the clinical routine as a quality assurance measure].","authors":"M Hirschmann,&nbsp;A Müller,&nbsp;M Frank,&nbsp;M Conzelmann,&nbsp;A Tyndall,&nbsp;P Regazzoni,&nbsp;W Dick,&nbsp;M Jakob,&nbsp;N Suhm","doi":"10.1055/s-2006-954404","DOIUrl":"https://doi.org/10.1055/s-2006-954404","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"448-51"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323879","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":"[Rotationally stable, intramedullary osteosynthesis of proximal extra-articular femur fractures].","authors":"A Suckel,&nbsp;P Münst,&nbsp;U Mocke","doi":"10.1055/s-2006-942166","DOIUrl":"https://doi.org/10.1055/s-2006-942166","url":null,"abstract":"<p><strong>Aim: </strong>The proximal femur nail (PFN) and the gliding nail (GLN) are two modern procedures available for intramedullary osteosynthesis of proximal extra-articular femur fractures; they allow a rotationally stable fixation of the proximal fragment. In a comparative analysis of complications, both methods should be evaluated.</p><p><strong>Methods: </strong>A comparative analysis of both procedures is presented in a prospective clinical study design. The treatment of 240 consecutive patients (124 PFN/116 GLN) with an average follow-up term of 10.2 months is analysed.</p><p><strong>Results: </strong>Both PFN and GLN give rise to head perforations (4.8% and 2.6%), dislocations of material (0.8% and 0%), intraoperative femoral shaft fractures (0.8% and 2.6%), pseudarthrosis (0% and 0.9%) and fractures of material (0.8% and 0%) in the way of complications as well as wound-healing impairments (9.7 % and 5.2 %) and iatrogenic complications such as false placement of the osteosynthesis material and errors in reposition (0.8% and 4.3%).</p><p><strong>Conclusion: </strong>The gliding nail osteosynthesis yields a more favourable complication profile with regard to specific osteosynthesis-caused complications (6.0%) and wound-healing impairments (5.2%) in comparison with the PFN osteosynthesis (7.3% and 9.7%, respectively). Especially the cut-out rate of the GLN (2.6%) is lower than that of the PFN (4.8%).</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"532-8"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26265931","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":"[Comparative analysis of patient-centered outcome of total hip and knee arthroplasty].","authors":"N Wollmerstedt,&nbsp;M Glatzel,&nbsp;S Kirschner,&nbsp;J Schneider,&nbsp;H Faller,&nbsp;A König","doi":"10.1055/s-2006-942241","DOIUrl":"https://doi.org/10.1055/s-2006-942241","url":null,"abstract":"<p><strong>Aim: </strong>The aim of the present study was a comparative investigation of the functional improvement reported by patients suffering from primary osteoarthritis of the knee or hip undergoing total joint replacement and assessed at 3 months.</p><p><strong>Method: </strong>In a prospective, controlled clinical trial, 56 patients with primary osteoarthritis of the hip and 59 patients with primary osteoarthritis of the knee undergoing total joint replacement were assessed at two measuring times (day of admission = t1 and 3-month follow-up = t2) using the XSMFA-D (Extra Short Musculoskeletal Function Assessment Questionnaire--German version), WOMAC (Western Ontario and McMasters Universities) arthrosis index and FFb-H OA (Function Assessment Questionnaire Hannover Osteoarthritis). The statistical analysis included effect sizes as standardised response mean, t-test and covariance analysis.</p><p><strong>Results: </strong>Both groups of patients demonstrated significant improvements of the musculoskeletal functions measured. The effect sizes between baseline scores and 3-month follow-up scores range from 0.4 to 2.0 and can be considered as large effects. The covariance analysis showed significant differences between patients with osteoarthritis of the hip and knee for almost every score examined. Patients with hip replacement showed large improvements. A significant influence of the presurgery baseline score on the 3-month score was found consistently. Further analysis showed that patients with medium or strong degrees of disability according to the Function index of the XSMFA-D showed the strongest effects of change at 3 months. However, their scores at t2 were less than the scores of the less disabled patients at t1.</p><p><strong>Conclusion: </strong>We conclude that patients with hip replacement show more improvement 3 months after the surgery than patients with knee replacement. Furthermore, it was seen that patients who were more disabled before surgery achieved more improvement than the less-disabled patients. However, they did not achieve the level of the less disabled patients. Thus, the recommendation that total joint replacement should be performed as late as possible should be reviewed.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"464-71"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26266008","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":"[Failure after impingement of the first toe joint--an analysis of the common causes].","authors":"Heino Arnold,&nbsp;Jutta Weber","doi":"10.1055/s-2006-949584","DOIUrl":"https://doi.org/10.1055/s-2006-949584","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"439-41"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323874","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":"[Acute need for action by tissue banks--action guidelines of the German Society for Surgery (DGCh) on the background for standards of the tissue extraction and processing under the established sanctions of 13 AMG].","authors":"Christoph Gaissmaier, A Pannenbecker","doi":"10.1055/s-2006-954405","DOIUrl":"10.1055/s-2006-954405","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"451-5"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323880","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":"[An algorithm for reconstruction of soft tissue defects of the distal lower leg, ankle and heel].","authors":"A Eisenschenk,&nbsp;N Noack,&nbsp;M Lautenbach,&nbsp;B Hartmann,&nbsp;M V Küntscher","doi":"10.1055/s-2006-942263","DOIUrl":"https://doi.org/10.1055/s-2006-942263","url":null,"abstract":"Studienziel: Methode: Ergebnisse: Schlussfolgerung: Aim: Method: Results: Conclusion:","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"524-31"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942263","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26265929","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":"[Results of reconstructive surgery of the anterior cruciate ligament as the result of a severe injury].","authors":"Peter C Strohm,&nbsp;Jörg Mauch,&nbsp;Norbert P Südkamp","doi":"10.1055/s-2006-949587","DOIUrl":"https://doi.org/10.1055/s-2006-949587","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"444-5"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323877","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}