Zeitschrift fur Orthopadie und ihre Grenzgebiete最新文献

{"title":"[Evaluation of indirect costs during postoperative disability after hip prosthesis from the perspective of the payer].","authors":"Frank Krummenauer, Claudia Wojciechowski, Heike Ranisch, Wolf-Christoph Witzleb, Klaus-Peter Günther","doi":"10.1055/s-2006-949582","DOIUrl":"https://doi.org/10.1055/s-2006-949582","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"435-7"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323872","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":"[Prediction of the location of the centre of rotation of the hip joint external landmarks].","authors":"P Reize,&nbsp;O Müller,&nbsp;S Motzny,&nbsp;N Wülker","doi":"10.1055/s-2006-942261","DOIUrl":"https://doi.org/10.1055/s-2006-942261","url":null,"abstract":"<p><strong>Aim: </strong>The object of this study was to develop a new method to predict the location of the centre of rotation of the hip joint reasonably accurately.</p><p><strong>Method: </strong>We collected the coordinates of palpable bony landmarks in 50 patients, 25 males and 25 females, using CT scans to predict the physiological location of the centre of the hip joint centre.</p><p><strong>Results: </strong>The centre of the hip was located, on average, at 12% (+/- 2.9) of the inter-ASIS (anterior superior iliac spine) distance medial, 33% (+/- 3.9) distal and 19% (+/- 2.7) posterior to the anterior superior iliac spine (ASIS).</p><p><strong>Conclusion: </strong>Knowledge of the physiological centre of rotation of the hip may be useful in navigation of the cup in total hip arthroplasty.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"492-6"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26267176","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":"[Reduction of spondylolisthesis by temporary adjacent segment distraction].","authors":"M Weisskopf,&nbsp;J A K Ohnsorge,&nbsp;D C Wirtz,&nbsp;F U Niethard","doi":"10.1055/s-2006-942162","DOIUrl":"https://doi.org/10.1055/s-2006-942162","url":null,"abstract":"<p><strong>Aim of the study: </strong>Multiple instrument systems are currently available for the reduction of spondylolisthesis, where posteriorly oriented tensile forces are directly acting on the slipped vertebra. The aim of this clinical study was to evaluate the clinical efficacy of a new indirect reduction manoeuvre applied to the lumbar spine.</p><p><strong>Method: </strong>A total number of 32 patients (14 female, 18 male) suffering of spondylolisthesis were reduced by transpedicular instrumentation during June 2001 until October 2003. The cranial adjacent vertebra was temporarily instrumented and the reduction of the slipped vertebra was facilitated by the application of traction on the instrumentation leading to tension of the longitudinal ligaments. Posterior transforaminal lumbar interbody fusion (TLIF) or anterior lumbar interbody fusion (ALIF) was then carried out according to the degree of degenerative shortening of the anterior long. spinal ligament. On the last follow up (average 32 month postoperatively; min.: 22 month) both the reduction of the spondylolisthesis and the ossification of the interbody fusion was evaluated radiologically. Physical function and patients satisfaction was measured by means of the SF 36 questionnaire.</p><p><strong>Results: </strong>The dislocation was reduced in all cases (81% on average). At the time of the last follow up bony fusion was depicted on the radiographs in all 32 patients. A distinct improvement in all categories of the SF 36 (in 5 out of 8 categories statistic significant) could be demonstrated.</p><p><strong>Conclusion: </strong>Temporary intraoperative instrumentation of the cranial adjacent segment proofs to be a simple an effective method for the sufficient reduction of spondylolisthesis.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"511-5"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26265925","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":"[Systemic spread of wear debris--an in-vivo study].","authors":"B Burian,&nbsp;M A Wimmer,&nbsp;J Kunze,&nbsp;C M Sprecher,&nbsp;P H Pennekamp,&nbsp;L V von Engelhardt,&nbsp;O Diedrich,&nbsp;C N Kraft","doi":"10.1055/s-2006-942168","DOIUrl":"https://doi.org/10.1055/s-2006-942168","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to elucidate whether there is a systemic spread of wear debris from peripherally applied stainless steel and titanium particles into the blood and subsequently to parenchymatous organs. Furthermore, we report on histological findings at the implantation site.</p><p><strong>Method: </strong>In Syrian Gold hamsters we implanted 2 mm3 wear debris of stainless steel and titanium into the dorsal skin fold chamber. Over a period of 2 weeks we took blood samples and afterwards explanted the implant area, the heart, lung, liver and spleen. One half of the organs and the implant area were used for histological analysis. The other half of the organs and the blood samples were analysed by optical emission spectrometer with inductively coupled plasma and graphite furnace atomic absorption spectrophotometry for their contents of chromium, nickel and titanium.</p><p><strong>Results: </strong>In the group with titanium particles, histological analysis of the implant site showed moderate phagocyted wear in granulocytes but no other pathological findings. Animals treated with stainless steel wear debris had a massive inflammatory reaction, in some cases leading to necrosis. The analysis of the blood and one half of the organs showed increased levels of chromium and, already 24 hours after implantation, raised values for nickel. The result of the hamsters treated with titanium showed significantly elevated levels of titanium ions in the organs, but not in the blood samples. Histology of the organs did not reveal pathological findings.</p><p><strong>Conclusion: </strong>In this study we could show a massive inflammatory reaction for stainless steel wear debris in contrast to titanium wear debris at the implantation site. The elevated blood levels of chromium and increased values of other metals in the organs suggest the haematogenic distribution of ions from the peripherally implanted wear debris.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"539-44"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26265932","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":"[Periprosthetic fractures in older patients].","authors":"Marc Thomsen,&nbsp;Eike Jakubowitz,&nbsp;Jörn Seeger,&nbsp;Christoph Lee,&nbsp;Michael Clarius","doi":"10.1055/s-2006-949586","DOIUrl":"https://doi.org/10.1055/s-2006-949586","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"442-3"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323876","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":"[Medium-term results of the cementless femoral neck prosthesis CUT].","authors":"S A Ender,&nbsp;A Machner,&nbsp;J Hubbe,&nbsp;G Pap,&nbsp;H W Neumann","doi":"10.1055/s-2006-942265","DOIUrl":"https://doi.org/10.1055/s-2006-942265","url":null,"abstract":"<p><strong>Aim: </strong>The present work aims at evaluating the clinical and radiological midterm results of the femoral neck prosthesis CUT.</p><p><strong>Method: </strong>67 femoral neck prostheses of the type CUT were implanted in 63 patients between 4/1999 and 5/2003 (average age 56 years). At an average follow-up time of 5.1 years (min.: 2.9; max.: 6.9) 53 patients with 57 CUT prostheses were examined clinically with the Harris hip score and radiologically. All together we determined the state of 64 CUT prostheses (96%).</p><p><strong>Results: </strong>The mean Harris hip score improved from 55 points preoperatively to 90.4 points at the last follow-up and is assessed as a good result. A total of 7 CUT prostheses (11%) had been revised. 3 CUT prostheses (4.7%) had been revised because of aseptic loosening, 2 (3.1%) because of persisting postoperative thigh pain, 1 (1.6%) because of vertical migration of an unsuitable CUT prostheses a few days after the operation and 1 (1.6%) because of septic loosening. The survival rate according to Kaplan-Meier was 89.1% at 5.1 years. If the femoral neck was resected too widely there was an increased rate of horizontal migration with aseptic loosening of the CUT prostheses.</p><p><strong>Conclusion: </strong>In the midterm follow-up the CUT prosthesis shows a higher loosening rate as compared with cementless standard stems.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"477-83"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26266010","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":"[Bilateral rupture of the Achilles tendon--an unusual occurrence].","authors":"N Schikora,&nbsp;K-S Delank,&nbsp;J Gärtner,&nbsp;P Eysel","doi":"10.1055/s-2006-942229","DOIUrl":"https://doi.org/10.1055/s-2006-942229","url":null,"abstract":"<p><p>We present the clinical case of a sixty-four-year-old man with bilateral spontaneous rupture of the Achilles tendon having a multiple disseminated oesophagus carcinoma. After immobilisation due to metastases of the 2nd lumbar vertebra, there was a spontaneous, painless rupture of the Achilles tendon while the patient was mobilised wearing a Hohmann spine brace. Afterwards we carried out a thorough case history with the help of clinical examination, sonographic and magnetic resonance imaging. The bilateral rupture has been treated conservatively with the Adipromed Shoe. With regard to the 2nd lumbar vertebra fracture and metastases, a Hohmann spine brace was given to the patient. Because of the described circumstances, no surgery had been carried out. Furthermore, the patient experienced much more independence and an improved quality of life in his last couple of months. Surgery would have not been recommended and could have caused the complete immobilisation and loss of patient's quality of life. With this case report we would like to point out the consequences of an unwise therapeutic decision to a patient who only has a few more months to live. This case report is discussed with regard to the possible aetiopathology and the current literature.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"507-10"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942229","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26267179","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":"[Triple pelvic osteotomy (according to Tönnis and Kalchschmidt) in the treatment of acetabular dysplasia--medium-term results].","authors":"R von Bremen-Kühne,&nbsp;H de la Vega-Salgado,&nbsp;R Steffen","doi":"10.1055/s-2006-942167","DOIUrl":"https://doi.org/10.1055/s-2006-942167","url":null,"abstract":"<p><strong>Aim: </strong>The triple pelvic osteotomy according to Tönnis and Kalchschmidt has gained major significance in the surgical treatment of acetabular dysplasia in adolescents and adults. The curative and prophylactic potentials of this operative procedure are reviewed in this study by means of a clinical and radiological follow-up trial.</p><p><strong>Methods: </strong>34 patients/38 hip joints treated by the triple pelvic osteotomy between 1996 and 2005 were reviewed clinically and radiologically with an average follow-up of 3.5 years. The radiological classification into grades of deviation was done according to Tschauner et al., clinically the preoperative Harris hip score was determined, as well as common epidemiologic parameters. At follow-up, the preoperatively determined radiological and clinical parameters were controlled and subjected to statistical analysis using Student's t-test for the comparison of means between two paired groups. Finally, the subjective assessment of the operation's result by the patients was registered.</p><p><strong>Results: </strong>A statistically highly significant amelioration of the Harris hip score, relevant radiological angles and grades of deviation could be demonstrated at follow-up. This fact coincided with a high or very high patient satisfaction in 81.7% of the cases. The conversion rate to alloarthroplasty was 2.6%. The complication profile was within the scope of similar elective hip surgeries.</p><p><strong>Conclusion: </strong>The triple pelvic osteotomy according to Tönnis and Kalchschmidt has shown in the present study a high and constant potential with regard to reduction/absence of disorders as well as a statistically highly significant amelioration of clinical scores and relevant radiological angles. In our experience, this surgical method can be regarded as the joint-preserving method of choice in the cardinal indication of adolescent and adult acetabular dysplasia.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"484-91"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26267175","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":"[Retrospective analysis of march fractures in the german armed forces in the years 1998 to 2000].","authors":"A Henningsen,&nbsp;P Hinz,&nbsp;R Lüdde,&nbsp;A Ekkernkamp,&nbsp;D Rosenbaum","doi":"10.1055/s-2006-942262","DOIUrl":"https://doi.org/10.1055/s-2006-942262","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to determine the incidence/frequency of march fractures in the German Armed Forces in the years from 1998 to 2000. In particular, the age, length of service, distribution of the metatarsals and the occurrence of anthropometric risk factors were considered.</p><p><strong>Methods: </strong>At the Medicostatistical Institute of the German Armed Forces the records of soldiers, 191 cases with 204 fractures, with diagnosed \"march fractures\" were selected and analyzed.</p><p><strong>Results: </strong>82% of the affected soldiers were between 19 and 22 years old. More than 50% of the fractures occurred within the first eight weeks of service. In about 64% the 3rd metatarsal was affected, in 25% the 2nd metatarsal and in only 11% of all cases the 4th, 5th, and 1st metatarsals. Soldiers were exempted from duty for an average of 26.5 days. No specific anthropometric risk factors were found to be connected with the occurrence of march fractures.</p><p><strong>Conclusion: </strong>March fractures in the German Armed Forces are non-predictable injuries of young and physically fit individuals; youth is not a protective factor. There is an increased risk for march fractures during the first weeks of military service. There appears to be no possibility for a screening.</p>","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"502-6"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2006-942262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26267178","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":"[The para-shoulder: lesions of the anterior-superior complex (Labrum, SGHL, SSC) and their arthroscopic treatment].","authors":"Jacek Krzycki,&nbsp;J Krzycki,&nbsp;T Tischer,&nbsp;A B Imhoff","doi":"10.1055/s-2006-954403","DOIUrl":"https://doi.org/10.1055/s-2006-954403","url":null,"abstract":"","PeriodicalId":76855,"journal":{"name":"Zeitschrift fur Orthopadie und ihre Grenzgebiete","volume":"144 5","pages":"446-8"},"PeriodicalIF":0.0,"publicationDate":"2006-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26323878","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}