Zeitschrift fur Orthopadie und Unfallchirurgie最新文献_第4页

A 10-Year Study of the Trend of Accidental Falls in the Elderly in a Japanese Hospital. 日本医院老年人意外跌倒趋势的十年研究

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-11 DOI: 10.1055/a-2276-0011

T. Takekawa, Kei Obuchi, Shu Watanabe, Naoki Yamada, M. Abo

{"title":"A 10-Year Study of the Trend of Accidental Falls in the Elderly in a Japanese Hospital.","authors":"T. Takekawa, Kei Obuchi, Shu Watanabe, Naoki Yamada, M. Abo","doi":"10.1055/a-2276-0011","DOIUrl":"https://doi.org/10.1055/a-2276-0011","url":null,"abstract":"Elderly people are prone to falls. We established the Falls Prevention Working Group (FPWG) at our hospital in 2015 to reduce the number of falls during hospitalization. This study compared the trend of in-hospital falls in the elderly in two time periods (2008/9 and 2018/9) and determined the effects of FPWG-implemented measures. Using medical records, we counted the monthly number of falls suffered by patients during hospitalization in April 2008-March 2009 and April 2018-March 2019. We also categorized the falls according to the severity of fall-related complications.A total of 3609 hospital falls were recorded during the 2008-2019 period (2008/9: n = 433, 2018/9: n = 324). Falls were more common in patients aged 70-79 in 2008/9 but were noted in those aged ≥ 80 in 2018/9. The mean number of falls/month (27.3 ± 6.4, range: 12-45) was stable throughout the year. The incidence of falls in 2018/9 (1.90/1000 per persons per day) was significantly lower than in 2008/9 (2.30/1000, p = 0.006). Level ≥ 3b accidents, reflecting serious accidents with complications, were encountered in 12 of 433 accidents in 2008/9 compared with significantly fewer accidents (2 of the same severity among 324 accidents) in 2018/9 (p = 0.030).Our results showed a decrease in in-hospital falls in 2018/9 and that the sufferers were older relative to 10 years earlier. A multidisciplinary team should recommend measures to prevent falls and an environment \"resilient\" to falls, and encourage patients to be aware of possible falls.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712990","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}

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Klima und Gesundheit: mehr Nachhaltigkeit in der orthopädischen Praxis. 气候与健康：提高矫形外科实践的可持续性。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2248-4278

Susanne Meinrenken

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Interview mit Dr. med. Gudula Keller zum Thema Klima und Gesundheit: mehr Nachhaltigkeit in der orthopädischen Praxis. 就气候与健康话题采访古杜拉-凯勒（Gudula Keller）博士：骨科实践中的更多可持续性。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2255-0964

Susanne Meinrenken

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[Evaluation of the Reports of the German Arthroplasty Registry (EPRD) in Consideration of EndoCert Requirements: Guidance for Hospitals Participating in the EPRD and EndoCert Experts]. [根据EndoCert要求评估德国关节成形术注册中心（EPRD）的报告：参与 EPRD 的医院和 EndoCert 专家指南]。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2230-8967

Katrin Osmanski-Zenk, Martin Ellenrieder, Oliver Melsheimer, Wolfram Mittelmeier

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[Reverse Shoulder Arthroplasty - Current Concepts]. [反向肩关节置换术 - 当前概念]。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2105-3147

Yacine Ameziane, Jan-Philipp Imiolczyk, Jörn Steinbeck, Mara Warnhoff, Philipp Moroder, Markus Scheibel

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Wie ist die Qualität von wissenschaftlicher Aktivität und Innovation zu bewerten? 如何评估科学活动和创新的质量？

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2248-4181

Dieter C Wirtz, Ulrich Stöckle

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Konservative Therapie in Orthopädie und Unfallchirurgie – Probleme und Ideen zur Einbindung in die Weiterbildungsordnung. 矫形外科和创伤外科的保守疗法--纳入进修培训规定的问题和想法。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-01 Epub Date: 2024-03-22 DOI: 10.1055/a-2248-4196

Loisa Drozdoff, Maria E Dey Hazra

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Biomechanical Stability of Femoral Neck System for Pauwels Type III Femoral Neck Fractures Based on Different Reduction Quality. 基于不同截骨质量的 Pauwels III 型股骨颈骨折股骨颈系统的生物力学稳定性

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-03-19 DOI: 10.1055/a-2255-7438

Daoqiang Huang, Xiaoping Wang, Bingze Chen, Zhiqiang Hu, Weili Feng

{"title":"Biomechanical Stability of Femoral Neck System for Pauwels Type III Femoral Neck Fractures Based on Different Reduction Quality.","authors":"Daoqiang Huang, Xiaoping Wang, Bingze Chen, Zhiqiang Hu, Weili Feng","doi":"10.1055/a-2255-7438","DOIUrl":"https://doi.org/10.1055/a-2255-7438","url":null,"abstract":"To further investigate the biomechanics of a femoral neck system (FNS) for Pauwels type III femoral fractures based on three different reductions.We constructed three different reduction (anatomical reduction, negative buttress reduction, and positive buttress reduction) models of Pauwels type III femoral neck fractures. Then, three cannulated screws (3CS), dynamic hip screws (DHS), dynamic hip screws combined with an anti-rotation screw (DHS + ARS), one-hole femoral neck system (1HFNS), and two-hole femoral neck system (2HFNS) were assembled with the reduction models, respectively, to simulate the internal fixation surgical procedure. All models had a load of 2100 N in line with the femoral mechanical axis applied. The implant stress, the head and implant displacements, and the rotational angles of all models were recorded and analyzed.Compared to 3CS and 2HFNS, 1HFNS had higher implant stress (higher than 92.5 MPa and 46.3 MPa, respectively) and displacement (higher than 0.9 mm and 0.8 mm, respectively) in the anatomical reduction. 2HFNS exhibited the highest stress values (225.5 MPa) in the anatomical reduction but the lowest values (159.8 MPa) in the positive buttress reduction when compared to the other implants. 2HFNS showed the best rotational stability in the negative and positive buttress reduction (rotational angels of 0.8° and 0.6°, respectively).Based on the outcome of this computational study, it might be concluded that 2HFNS was an alternative fixation for the treatment of Pauwels type III femoral neck fracture, especially when anatomical reduction cannot be perfectly attained. More relevant clinical and biomechanical studies are needed in the future.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178531","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}

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An Updated Overview of Risk Factors for Shoulder Stiffness. 肩关节僵硬风险因素的最新概述。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-03-08 DOI: 10.1055/a-2245-4896

Suncana van Hattem, Eva-Maria Regener, Christian Prangenberg, Andreas Christian Strauss, Laura de Girolamo, Christof Burger, Dieter Christian Wirtz, Davide Cucchi

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Salvage Algorithm for Deep Surgical Site Infections after HTO with Unstable Bone Situation Using a Hexapod System - Primary Results. 使用六足系统治疗骨质不稳定的 HTO 后深部手术部位感染的抢救算法 - 初步结果。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-03-06 DOI: 10.1055/a-2249-0129

Heiko Baumgartner, Felix Finger, Marc-Daniel Ahrend, Tina Histing, Leonard Grünwald

{"title":"Salvage Algorithm for Deep Surgical Site Infections after HTO with Unstable Bone Situation Using a Hexapod System - Primary Results.","authors":"Heiko Baumgartner, Felix Finger, Marc-Daniel Ahrend, Tina Histing, Leonard Grünwald","doi":"10.1055/a-2249-0129","DOIUrl":"https://doi.org/10.1055/a-2249-0129","url":null,"abstract":"The incidence of deep surgical site infections following high tibial osteotomy (HTO) ranges between 0.4 to 4.7%. It is a severe complication with a high risk for poor clinical outcome. The aim of this study was to proof that a salvage algorithm for infected HTO with unstable bone situation leads to an infection-free status and bone union of the osteotomy and that correct limb alignment can be restored with good knee function.The study included seven patients with peri-implant infections following HTO. Infections occurred 83 ± 58.9 days (range: 24-191) after HTO. All patients underwent the \"RESTORE\" algorithm: patients received (1) REmoval of the HTO hardware and extensive debridement; (2) the osteotomy was STabilized with a hexapod external fixator (Taylor Spatial Frame, TSF); (3) the osteotomy gap was Opened; and (4) the alignment was REconstructed using the TSF, aiming for the intended limb alignment of the initial HTO. Patient-reported outcomes were assessed 22-36 months after removal of the TSF.After 24 weeks (range: 11-35), an infection-free status and bone healing were achieved. In all cases, the limb was saved, and the previously targeted mechanical axis of the lower limb was restored. All patients reached full extension of the knee joint and at least 110° of flexion. For KOOS: Symptoms 67.86 ± 18.1, Pain 73.41 ± 16.58, ADL 78.99 ± 21.32, Sports 52.14 ± 25.96, and QoL 41.96 ± 24.66. OKS 35.71 ± 8.8, SF-12 Physical Health 38.89 ± 10.3, and SF-12 Mental Health 46.86 ± 13.76.The \"RESTORE\" algorithm is a safe and effective salvage procedure. The concept allows for saving the limb and obtaining the previously planned limb alignment. Patient-reported outcome measures showed slightly lowered values than healthy samples, but substantially better values than patients awaiting HTO. Due to the possibility of initial full weight-bearing, the risk of higher morbidity caused by immobilization is minimized.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051433","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}

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