Zeitschrift fur Orthopadie und Unfallchirurgie最新文献_第2页

Krankenhausplan Nordrhein-Westfalen – Patientenversorgung wird neu aufgestellt. 北莱茵-威斯特法伦州医院计划-重新建立病人护理。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2025-06-04 DOI: 10.1055/a-2575-5575

Matthias Manych

引用次数: 0

Traumatic Complete Loss of Knee Extensor Mechanism and Its Reconstruction With a Fresh-frozen Patellar Allograft With Patellar and Quadriceps Tendon. 外伤性膝关节外展机制完全丧失及其与髌骨和股四头肌腱的鲜冻髌骨同种异体移植再造

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2024-11-07 DOI: 10.1055/a-2420-8106

Johannes Weber, Maximilian Kerschbaum, Silvan Klein, Florian Hitzenbichler, Markus Rupp, Volker Alt

引用次数: 0

Krankenhausplan NRW: „Jetzt muss man sich strategisch aufstellen“. 《纽约时报：战略规划》。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2025-06-04 DOI: 10.1055/a-2575-5770

Matthias Manych

引用次数: 0

Correlation Analysis Between the Geriatric Nutritional Risk Index Hip Fracture in Male: Based on the National Health and Nutrition Examination Survey Database. 男性髋部骨折老年营养风险指数相关性分析——基于全国健康与营养调查数据库。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2025-01-28 DOI: 10.1055/a-2504-4538

Fangfang Lan, Kuihong Jiang

{"title":"Correlation Analysis Between the Geriatric Nutritional Risk Index Hip Fracture in Male: Based on the National Health and Nutrition Examination Survey Database.","authors":"Fangfang Lan, Kuihong Jiang","doi":"10.1055/a-2504-4538","DOIUrl":"10.1055/a-2504-4538","url":null,"abstract":"Hip fractures (HFs) are common in elderly patients and are associated with high mortality rates and functional impairment. Malnutrition has been shown to negatively impact postoperative survival rates in HF patients. However, the relationship between the Geriatric Nutrition Risk Index (GNRI) and the risk of HF remains unclear. This study aims to evaluate the association between GNRI and HF risk, with a particular focus on the elderly male population.We conducted a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) for the periods 2007-2010, 2013-2014, and 2017-2018. Through multivariate regression analysis, we assessed the association between GNRI and HF and performed stratified and subgroup analyses to further explore this relationship. Additionally, we utilized restricted cubic splines (RCSs) to investigate the potential nonlinear relationship between GNRI and HF risk.The study found that gender significantly influenced the relationship between GNRI and HF (p for interaction = 0.002). In males, GNRI was significantly negatively associated with the risk of HF (OR < 1, p < 0.05). RCS analysis showed that the relationship between GNRI and HF risk in elderly males might be linearly negative. The critical threshold for GNRI was identified as 104.14, beyond which the risk of HF significantly decreased.This study demonstrates a linear negative correlation between GNRI and the risk of HF in elderly males, with a GNRI of 104.14 identified as the critical threshold for predicting the risk of hip fractures.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":" ","pages":"241-249"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061924","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

Editorial. 社论。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2025-06-04 DOI: 10.1055/a-2550-2814

Ulrich Stöckle, Dieter C Wirtz

引用次数: 0

Comparison of Maximum Isometric Strength of the Hip Joint Abductor and Knee Joint Extensor Muscles between Knee Osteoarthritis Patients with and without Self-reported Instability. 有或无自我报告不稳定的膝骨性关节炎患者髋关节外展肌和膝关节伸肌最大等长强度的比较。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-06-01 Epub Date: 2025-01-09 DOI: 10.1055/a-2494-8497

Martin Alfuth, Alexander Stollenwerk, Jonas Klemp, Patrick René Diel

{"title":"Comparison of Maximum Isometric Strength of the Hip Joint Abductor and Knee Joint Extensor Muscles between Knee Osteoarthritis Patients with and without Self-reported Instability.","authors":"Martin Alfuth, Alexander Stollenwerk, Jonas Klemp, Patrick René Diel","doi":"10.1055/a-2494-8497","DOIUrl":"10.1055/a-2494-8497","url":null,"abstract":"Patients with knee osteoarthritis (KOA) often have impaired muscle function of the weight-bearing muscles, particularly in the knee and hip joints. This can lead to a significant loss of strength and power and may play a role in the perceived instability of the knee joint. The purpose of this study was to compare the maximum isometric strength of the hip abductor and knee extensor muscles between patients with KOA with and without perceived instability.Nineteen patients with KOA participated in this cross-sectional study and were divided into two groups. The first group (n = 10; women = 4, men = 6, mean age = 67.4 ± standard deviation [SD] 6.4 years) consisted of patients with self-reported instability in the knee joint, and the second group (n = 9; women = 5, men = 4, mean age = 69.6 ± SD 6.7 years) consisted of patients without self-reported instability. Functional and activity limitations were quantified using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Maximum isometric strength of the hip abductors and knee extensors was measured using a belt-mounted handheld dynamometer and expressed as torque (Newton meters [Nm]) by multiplication with the determined lever arm. Torque was normalized to body weight and height.Patients with instability (median WOMAC score = 68) achieved a significantly lower mean torque in hip abduction than the patients without instability (median WOMAC score = 39) (p = 0.01; Cohen's d = 1.31). There was no significant difference in knee extension torque between the groups (p = 0.202; Cohen's d = 0.58).KOA patients with instability were able to develop significantly lower hip abductor strength than those without instability, suggesting that targeted strength training of this muscle group may be important for this group of patients.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":" ","pages":"234-240"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960992","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

Analysis of Isolated Patella Fractures: Do they Affect Walking? 孤立性髌骨骨折分析：是否影响行走？

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-05-28 DOI: 10.1055/a-2605-9644

Erdi Imre, Menekse Karahan, Mert Özcan, Enis Uluçam, Ali Yilmaz

{"title":"Analysis of Isolated Patella Fractures: Do they Affect Walking?","authors":"Erdi Imre, Menekse Karahan, Mert Özcan, Enis Uluçam, Ali Yilmaz","doi":"10.1055/a-2605-9644","DOIUrl":"https://doi.org/10.1055/a-2605-9644","url":null,"abstract":"The patella is an important part of the extensor mechanism of the knee. Due to its subcutaneous location, it can be easily exposed to trauma. In this study, we aimed to clarify the effect of patella fractures on walking by examining the results of gait analysis of patients with patella fractures.Patients who were treated due to a patella fracture in the last 10 years were selected from the hospital archive. A total of 18 patients and 36 healthy control subjects were included. Clinical, radiological, and functional results were collected for the fracture group retrospectively, and gait analysis was performed for all patients and control subjects. Results were evaluated statistically.The mean follow-up time for the fracture group was 64.9 ± 47.02 months. Foot rotation (p = 0.026), step width (SW; p < 0.001), lateral symmetry (LSIM; p < 0.001,) and anterior-posterior variability (p = 0.012) were found to be statistically increased on the injured sides of the fracture group compared to the control group.In this study, it was found that patellar fractures resulted in increased foot rotation, and it was thought that this result might be related to the compensatory mechanism of knee joint arthrosis to reduce the knee adduction moment and the lateral-medial shear force. Multivariate analyses showed that LSIM and FR were associated with patella fracture. A multicenter study with a greater number of patients is needed for more accurate results.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176303","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

MPFL Reconstruction with Soft Tissue Femoral Fixation Technique in a Case of Congenital Patellar Dislocation with Long-term Follow-up: a Case Report. 软组织股骨内固定技术重建先天性髌骨脱位1例并长期随访。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-05-28 DOI: 10.1055/a-2605-9327

Mustafa Alper Incesoy, Gökçer Uzer

引用次数: 0

Orthosis in the Treatment of Osteoporosis-associated Fractures and Chronic Symptoms in the Spine - a Systematic Review. 骨科治疗骨质疏松相关骨折和脊柱慢性症状的系统综述

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-05-26 DOI: 10.1055/a-2566-1049

John Fitzgerald Tipton, Christoph Schulze, Philipp Georg Schnadthorst

{"title":"Orthosis in the Treatment of Osteoporosis-associated Fractures and Chronic Symptoms in the Spine - a Systematic Review.","authors":"John Fitzgerald Tipton, Christoph Schulze, Philipp Georg Schnadthorst","doi":"10.1055/a-2566-1049","DOIUrl":"https://doi.org/10.1055/a-2566-1049","url":null,"abstract":"Osteoporosis is a systemic skeletal disease of multi-aetiological origin and is a major factor in health economics. The reduction in bone mass and disruption of the microarchitecture lead to an increased risk of fracture. The therapy is versatile, with orthoses being used in the treatment of acute vertebral fractures as well as chronic pain.The aim of this work is to formulate evidence-based recommendations for the use of orthoses in osteoporotic vertebral fractures and chronic symptoms.The literature search was conducted according to the PRISMA protocol at PubMed, ScienceDirect, Cochrane and Google Scholar. The risk of bias of the studies was assessed using RoB2 for randomised studies and ROBINS-I for non-randomised studies. The level of evidence was determined according to AHCPR.A total of 18 studies were identified, with 11 studies focussing on the treatment of chronic back pain in osteoporosis and 7 studies on pain therapy for acute osteoporotic vertebral fractures. The non-RCTs matched 5× to evidence levels IIa. The risk of bias was 10× moderate, 4× severe and 3× critical. The RCTs could be divided by the following evidence levels: 10× Ib, 1× IIb, 1× III and 1× IV. The risk of bias was 10× moderate and 3× critical.In the case of chronic back pain, the use of orthoses leads to a reduction in pain and has a positive effect on back extensor strength, but a significant reduction in pain cannot be achieved in osteoporosis-associated vertebral body fractures. The currently available literature do not support the superiority of a specific type of orthosis.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152324","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

Extracorporeal Shock Wave Therapy (ESWT) as Part of the Treatment of Delayed Healing of Bone Fracture. 体外冲击波治疗（ESWT）作为骨折延迟愈合治疗的一部分。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2025-05-26 DOI: 10.1055/a-2596-8811

Patrick Vetterling, Frank Bätje, Jörg Schmidt

引用次数: 0