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Zeitschrift fur Orthopadie und Unfallchirurgie最新文献

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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":"<p><p>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.</p>","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":"<p><p>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.</p>","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":"<p><p>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.</p>","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
{"title":"Ist Diskriminierung ein Problem in der Orthopädie und Unfallchirurgie?","authors":"Violetta Oesterreich, Maria E Dey Hazra","doi":"10.1055/a-2317-3979","DOIUrl":"https://doi.org/10.1055/a-2317-3979","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908808","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
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
{"title":"Zeitenwende im Krankenhaus – Strukturplanung NRW als Blaupause für Deutschland?","authors":"Dieter C Wirtz, Ulrich Stöckle","doi":"10.1055/a-2337-7118","DOIUrl":"10.1055/a-2337-7118","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908811","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
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
{"title":"Wie Künstliche Intelligenz die Medizin verändert.","authors":"Frank Lichert","doi":"10.1055/a-2302-6912","DOIUrl":"https://doi.org/10.1055/a-2302-6912","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908810","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
[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
{"title":"[Cervical Spine Injuries].","authors":"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","doi":"10.1055/a-2190-3115","DOIUrl":"10.1055/a-2190-3115","url":null,"abstract":"<p><p>Around a third of all cervical spine injuries occur in the upper cervical spine in the area between the occiput and the second cervical vertebra. The latter being the most common location of the injury with around 70%. But also atlas fractures, occipital condyle fractures, traumatic spondylolisthesis of C2, atypical fractures in the corpus area as well as atlantooccipital and atlantoaxial ligamentous lesions should be mentioned in connection with injuries in this area. In many cases, conservative therapy regimen is possible. In unstable or displaced injuries, however, surgical intervention is required, with various surgical procedures being used. The frequency, diagnostics, classification, and standard therapy of the individual entities are presented in detail in this continuing medical education article.</p>","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908805","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
Die Implementierung der neuen Ärztlichen Approbationsordnung ÄApprO – Chance oder Belastung für Orthopädie und Unfallchirurgie? 新《医疗许可条例》（ÄApprO）的实施--骨科和创伤外科的机遇还是负担？
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2300-3118
Mohamed Ghanem, Ricarda Seemann, Susanne Froehlich, Christoph-Eckhard Heyde, Wolfgang Böcker, Henning Madry, Andreas Roth
{"title":"Die Implementierung der neuen Ärztlichen Approbationsordnung ÄApprO – Chance oder Belastung für Orthopädie und Unfallchirurgie?","authors":"Mohamed Ghanem, Ricarda Seemann, Susanne Froehlich, Christoph-Eckhard Heyde, Wolfgang Böcker, Henning Madry, Andreas Roth","doi":"10.1055/a-2300-3118","DOIUrl":"https://doi.org/10.1055/a-2300-3118","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908806","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
Kommentar zu: Überlebensvorteil durch operative Versorgung proximaler Humerusfrakturen? 评论：肱骨近端骨折的手术治疗能带来生存益处吗？
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2337-7185
Eric Tille
{"title":"Kommentar zu: Überlebensvorteil durch operative Versorgung proximaler Humerusfrakturen?","authors":"Eric Tille","doi":"10.1055/a-2337-7185","DOIUrl":"https://doi.org/10.1055/a-2337-7185","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908809","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
Interview mit Prof. Dr. med. Christoph-Eckhard Heyde, geschäftsführender Klinikdirektor, Bereichsleiter Wirbelsäulenchirurgie, Leiter des Kinderwirbelsäulenzentrums und Medizinischer Leiter des Zentrums zur Erforschung der Stütz- und Bewegungsorgane (ZESBO) aus Leipzig. 采访莱比锡诊所总经理、脊柱外科主任、小儿脊柱中心主任兼肌肉骨骼系统研究中心（ZESBO）医学主任克里斯托夫-埃克哈德-海德（Christoph-Eckhard Heyde）博士教授。
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1055/a-2302-6927
Frank Lichert
{"title":"Interview mit Prof. Dr. med. Christoph-Eckhard Heyde, geschäftsführender Klinikdirektor, Bereichsleiter Wirbelsäulenchirurgie, Leiter des Kinderwirbelsäulenzentrums und Medizinischer Leiter des Zentrums zur Erforschung der Stütz- und Bewegungsorgane (ZESBO) aus Leipzig.","authors":"Frank Lichert","doi":"10.1055/a-2302-6927","DOIUrl":"https://doi.org/10.1055/a-2302-6927","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908807","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
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