Zeitschrift fur Orthopadie und Unfallchirurgie最新文献

Retraction Note: Validity and Reliability of Sensor-based Measures of Lower Limb Range of Motion in Soccer Players: a Cross-sectional Study. 撤回声明：基于传感器的足球运动员下肢活动范围测量的有效性和可靠性：一项横断面研究。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-09-16 DOI: 10.1055/a-2409-4411

Sebastian Huber, Martin Alfuth

引用次数: 0

Implantation of Reverse Shoulder Endoprothesis Using Navigation. 利用导航技术植入反向肩关节内翻术。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-09-09 DOI: 10.1055/a-2346-9916

Olaf Rolf, Andreas Blana, Philipp Hagedorn

{"title":"Implantation of Reverse Shoulder Endoprothesis Using Navigation.","authors":"Olaf Rolf, Andreas Blana, Philipp Hagedorn","doi":"10.1055/a-2346-9916","DOIUrl":"https://doi.org/10.1055/a-2346-9916","url":null,"abstract":"The implantation of a reverse shoulder arthroplasty (RSA) is a proven method for pain relief and improvement in shoulder function. Results vary, depending on the patient's age, the severity of the disease, and the experience of the surgeon. Indications for RSA are diverse, ranging from rotator cuff arthropathy to fractures. Recent studies show improved survival rates and reduced complications after primary implantation. Preoperative planning using 3D-CT or MRI is considered to be the gold standard. Patient-specific instruments (PSI) have been introduced, but are associated with costs and waiting times. Navigation with augmented reality (AR) provides a more efficient alternative. The intraoperative transfer of the plan to the patient is carried out via AR glasses, allowing real-time information without having to divert the surgeon's attention from the surgical site. This optimises the workflow and potentially yields more precise implantation results. In summary, the combination of 3D planning, navigation, and AR offers a promising method for precise and efficient RSA-implantations. Nevertheless, long-term results and functional scores are not yet available.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305418","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

Clinical Outcome after Endoscopic Facet Denervation in Patients with Chronic Low Back Pain. 慢性腰痛患者接受内窥镜面神经支配术后的临床疗效

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-26 DOI: 10.1055/a-2348-1186

Maximilian Lenz, Philipp Egenolf, Johanna Menzhausen, Vincent Heck, Akanksha Perera, Peer Eysel, Max Scheyerer, Stavros Oikonomidis

{"title":"Clinical Outcome after Endoscopic Facet Denervation in Patients with Chronic Low Back Pain.","authors":"Maximilian Lenz, Philipp Egenolf, Johanna Menzhausen, Vincent Heck, Akanksha Perera, Peer Eysel, Max Scheyerer, Stavros Oikonomidis","doi":"10.1055/a-2348-1186","DOIUrl":"https://doi.org/10.1055/a-2348-1186","url":null,"abstract":"Several studies have reported that low back pain has a high prevalence among the population, with up to 85%. Percutaneous radiofrequency facet denervation (PRFD) is the gold standard of today's rhizotomy for chronic low back pain (CLBP). However, previously published studies present controversial results for the efficacy of PRFD. Therefore, this study aimed to analyse the use of endoscopic facet joint denervation (EFJD) to treat chronic low back pain and to identify potential risk factors that could limit indications for surgery.We retrospectively included 31 eligible patients into the study with at least 24 months of CLBP. All patients underwent EFJD and had to complete ODI, COMI, EQ-5D and VRS scores postoperatively, with a minimum follow up of 12 months. Basic patient data was recorded to analyse correlations.We found a significant improvement in all clinical scores measured, such as ODI, COMI, EQ-5D and VRS scores. While the best result was found at the 3 months follow-up, a slight deterioration was found at 12 months follow-up. However, significant benefit was observed when compared to preoperative scores. 28/31 patients (93.3%) reported reduced pain at 12 months follow-up and were satisfied with the procedure. Older age and psychiatric precondition were identified as potential risk factors associated with poorer outcome. Postoperative complications such as haematoma, a sensibility disorder and temporary low extremity muscular weakness were rarely observed.EFJD showed significant improvement of the clinical outcome scores and VRS when compared to preoperative results of patients, with a minimum of 12 months of CLBP prior to surgery. Older patients and patients with a psychiatric precondition seem to benefit less from the procedure.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074919","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

One Year of Experience in the Orthopaedic and Trauma Surgical Care of War Refugees and Soldiers from Ukraine in a Maximum Care Trauma Centre. 来自乌克兰的战争难民和士兵在创伤重症护理中心接受矫形外科和创伤外科护理的一年经验。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-15 DOI: 10.1055/a-2331-1020

Christian Prangenberg, Lisa Fiona Roder, Kristian Welle, Jonas Roos, Alberto Alfieri Zellner, Soufian Ben Amar, Christof Burger, Martin Gathen

{"title":"One Year of Experience in the Orthopaedic and Trauma Surgical Care of War Refugees and Soldiers from Ukraine in a Maximum Care Trauma Centre.","authors":"Christian Prangenberg, Lisa Fiona Roder, Kristian Welle, Jonas Roos, Alberto Alfieri Zellner, Soufian Ben Amar, Christof Burger, Martin Gathen","doi":"10.1055/a-2331-1020","DOIUrl":"https://doi.org/10.1055/a-2331-1020","url":null,"abstract":"According to the United Nations, around 8,400 people have been injured and over 5,800 killed on the Ukrainian side in the Ukraine war, which has been going on for over 14 months. Extensive humanitarian aid operations were carried out to support Ukraine, so that war-wounded people from Ukraine were also cared for in Germany. In a retrospective cohort study, 10 patients were examined who were treated in the department between February 24th 2022 and February 24th 2023, using the cloverleaf system from Ukraine.The average duration of inpatient treatment was 53.10 days. The average ISS was 23.7. The patients were operated on an average of 3.3 times in our institution. All patients received consultative psychological care. All patients were initially put into protective isolation until the results of a corona test and microbiological swabs were available. After preliminary protective isolation, further isolation had to be carried out in 5 cases due to germs requiring isolation. Eight patients were released to state accommodation. Three patients were transferred back to Ukraine at their own request.The treatment of war-injured patients from Ukraine represents a particular challenge. It absolutely requires an interdisciplinary treatment concept that, in addition to special trauma surgery and orthopaedic expertise, also requires plastic-reconstructive, microbiological and, last but not least, psychological care. Due to the high rate of infections requiring isolation, long, costly therapy with multiple revision operations is often necessary.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989874","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

Combining Innovative Techniques: Total Extraperitoneal Approach in Orthopedic Surgery (O-TEP) and Percutaneous Both Column Screw (BCS) Fixation Technique in a Geriatric Acetabular Fracture Case. 结合创新技术：骨科手术中的全腹膜外入路（O-TEP）和经皮双柱螺钉（BCS）固定技术在老年髋臼骨折病例中的应用。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-13 DOI: 10.1055/a-2370-0086

Vedat Öztürk, Mustafa Gökhan Bilgili

{"title":"Combining Innovative Techniques: Total Extraperitoneal Approach in Orthopedic Surgery (O-TEP) and Percutaneous Both Column Screw (BCS) Fixation Technique in a Geriatric Acetabular Fracture Case.","authors":"Vedat Öztürk, Mustafa Gökhan Bilgili","doi":"10.1055/a-2370-0086","DOIUrl":"https://doi.org/10.1055/a-2370-0086","url":null,"abstract":"The concepts of both column fixation corridor (BCFC) and both column screws (BCS) along with the orthopedic total extraperitoneal approach (O-TEP) are highly innovative approaches in orthopedic surgery. However, the orthopedic literature lacks sufficient studies on these topics, indicating a significant gap. This case report aims to highlight how combining these innovative techniques can facilitate the use of BCFC and BCS in the treatment of acetabular fractures with O-TEP, thereby enhancing the feasibility of endoscopic techniques. Furthermore, we aim to discuss the potential advantages of BCFC and BCS concepts when used in O-TEP.For this purpose, we present a case of a 74-year-old geriatric patient with a transverse acetabular fracture involving the posterior column. The quadrilateral surface was exposed using the O-TEP approach, and the fracture was reduced using a fully endoscopic approach. The fixation was achieved using BCS and a Magic screw through percutaneous screw placement.The patient's clinical condition was followed for at least 13 months. The clinical outcomes demonstrated the effectiveness of combining these innovative techniques in the treatment of acetabular fractures, with satisfactory healing and functional recovery observed.This case report illustrates that combining BCFC and BCS with the O-TEP approach can facilitate the treatment of acetabular fractures with minimally invasive techniques and enhance the feasibility of endoscopic procedures. These findings suggest potential advantages of using BCFC and BCS concepts in O-TEP, warranting further investigation and study.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141977613","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

Cement Leakage after Augmentation of Osteoporotic Vertebral Bodies. 骨质疏松椎体植入术后的骨水泥渗漏。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-12 DOI: 10.1055/a-2343-4100

Mina Aziz, Inga Kniep, Benjamin Ondruschka, Klaus Püschel, Christian Hessler

{"title":"Cement Leakage after Augmentation of Osteoporotic Vertebral Bodies.","authors":"Mina Aziz, Inga Kniep, Benjamin Ondruschka, Klaus Püschel, Christian Hessler","doi":"10.1055/a-2343-4100","DOIUrl":"https://doi.org/10.1055/a-2343-4100","url":null,"abstract":"Cement leakage is the most common complication of vertebral cement augmentation. The present study investigated cement leakage rates in spinal cement augmentation procedures and identified potential risk factors for cement leakage.140 cases (258 vertebrae) in 131 consecutive patients and nine postmortem cases were evaluated. A total of 258 cement-augmented vertebrae were studied. The data for this were obtained from the hospital records of 131 patients who underwent such operations in 2 orthopaedic trauma surgery clinics in the FRG and from the examinations of 9 postmortem cases at the Institute of Forensic Medicine of the University Medical Centre Hamburg-Eppendorf.Cement leaks were identified in 64 of the 140 cases (45.7%). Local cement leaks were the most common type of leak, accounting for 73.4% of leaks (n = 47). Venous leaks were evaluated in 15 cases (23.4%) and pulmonary embolisations in 2 cases (3.1%). Within the group of retrospectively studied cases (n = 131), only one patient (0.8%) suffered a symptomatic cement leak. Cement augmentation of fractures to lumbar vertebrae and application of large doses of cement were identified as risk factors for cement leakage.Both the data in the literature relevant to the topic and the results of this work demonstrate a high incidence of cement leakage after vertebral body augmentation procedures. Risk factors for cement leakage are described. Despite the low percentage of symptomatic cases, the possible factors influencing cement leakage should be considered and included in the surgical planning when planning and performing cement augmentations on vertebral bodies.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972518","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

Ist Diskriminierung ein Problem in der Orthopädie und Unfallchirurgie? 矫形外科和创伤外科是否存在歧视问题？

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2317-3979

Violetta Oesterreich, Maria E Dey Hazra

引用次数: 0

Zeitenwende im Krankenhaus – Strukturplanung NRW als Blaupause für Deutschland? 医院行业的转折点--北威州的结构规划是德国的蓝图？

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2337-7118

Dieter C Wirtz, Ulrich Stöckle

引用次数: 0

Wie Künstliche Intelligenz die Medizin verändert. 人工智能如何改变医学。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2302-6912

Frank Lichert

引用次数: 0

[Cervical Spine Injuries]. [颈椎损伤]。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2190-3115

Max J Scheyerer, Sebastian F Bigdon, Robert Gaudin, Erol Gercek, Christian Walter Müller, Georg Osterhoff, Matthias Pumberger, Yu-Mi Ryang, Christoph Scholz, Friederike Schömig, Ulrich Josef Albert Spiegl, Nima Taheri, Klaus John Schnake

引用次数: 0