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Zeitschrift fur Orthopadie und Unfallchirurgie最新文献

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Ambulantisierung – mit verbesserter Finanzierung, Vergütung und Struktur sicherstellen, dass die Qualität für Patienten und Weiterbildung nicht leidet. Ambulantisation - 确保病人和进修培训的质量不会因资金、薪酬和结构的改善而受到影响。
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.1055/a-2290-7605
Matthias Manych
{"title":"Ambulantisierung – mit verbesserter Finanzierung, Vergütung und Struktur sicherstellen, dass die Qualität für Patienten und Weiterbildung nicht leidet.","authors":"Matthias Manych","doi":"10.1055/a-2290-7605","DOIUrl":"https://doi.org/10.1055/a-2290-7605","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 3","pages":"237-239"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249309","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
Ambulantisieren mit Folgen für die Weiterbildung. 门诊治疗，进一步培训的后果。
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.1055/a-2248-4553
Matthias Manych
{"title":"Ambulantisieren mit Folgen für die Weiterbildung.","authors":"Matthias Manych","doi":"10.1055/a-2248-4553","DOIUrl":"https://doi.org/10.1055/a-2248-4553","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 3","pages":"235-236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249308","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 : 2024-06-01 Epub Date: 2024-06-04 DOI: 10.1055/a-2248-4456
Ulrich Stöckle, Dieter C Wirtz
{"title":"Editorial.","authors":"Ulrich Stöckle, Dieter C Wirtz","doi":"10.1055/a-2248-4456","DOIUrl":"https://doi.org/10.1055/a-2248-4456","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 3","pages":"245-246"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249310","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
Modified Minimally Invasive Bunnell Suture Surgery with Channel-assisted Minimally Invasive Reconstruction Device for Treating Achilles Tendon Rupture. 治疗跟腱断裂的改良微创布内尔缝合术与通道辅助微创重建装置。
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-29 DOI: 10.1055/a-2294-1043
Chao Li, Fu-Chun Li
{"title":"Modified Minimally Invasive Bunnell Suture Surgery with Channel-assisted Minimally Invasive Reconstruction Device for Treating Achilles Tendon Rupture.","authors":"Chao Li, Fu-Chun Li","doi":"10.1055/a-2294-1043","DOIUrl":"https://doi.org/10.1055/a-2294-1043","url":null,"abstract":"<p><p>The aim of this study was to improve the process of microincision and endoscopic surgery for the treatment of Achilles tendon (AT) rupture using the modified minimally invasive Bunnell suture (MIBS) technique.From December 2019 to December 2021, 20 patients with AT rupture who visited the First Affiliated Hospital of Harbin Medical University (Harbin, China) underwent MIBS surgery.A total of 20 patients were included, of whom 18 (90.0%) were male and 2 (10.0%) were female. The mean age of the patients was 37.75 ± 9.94 years. In terms of the site of the AT, two (10.0%) had surgery on their left AT. The mean duration of surgery was 23.00 ± 2.47 minutes, and the mean bleeding volume was 5.00 ± 1.12 mL. All 20 patients (100%) showed complete incisional healing (stage I healing) and normal functional recovery (3-6 months postoperatively). There were no cases of abnormal functional recovery or postoperative recurrence within the 3-6 month follow-up period. The Achilles tendon Total Rupture Score (ATRS) significantly improved post-surgery (83.6 ± 5.59) compared to pretreatment (0.3 ± 0.92, p < 0.0001), indicating successful patient recovery.After the modified MIBS surgical process, the operation steps were simplified, the surgical difficulty was reduced, and the surgical trauma was alleviated, resulting in good postoperative recovery and patient satisfaction with the outcome. Therefore, the MIBS surgery has high promotability.</p>","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861446","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
Are Process Changes Measurable? An Analysis of 4136 Proximal Femur Fractures over 16 Year. 过程变化可以测量吗？对 16 年间 4136 例股骨近端骨折的分析。
Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-04-15 DOI: 10.1055/a-2276-6440
Franz Müller, Andreas Proske, Bernd Füchtmeier, Christian Wulbrand
{"title":"Are Process Changes Measurable? An Analysis of 4136 Proximal Femur Fractures over 16 Year.","authors":"Franz Müller, Andreas Proske, Bernd Füchtmeier, Christian Wulbrand","doi":"10.1055/a-2276-6440","DOIUrl":"https://doi.org/10.1055/a-2276-6440","url":null,"abstract":"Prozessänderungen im perioperativen Setting werden selten analysiert, weil ihre Ergebnisse nicht unmittelbar fassbar sind und es einer hohen Fallzahl bedarf. Primäres Ziel war es, Prozessänderungen retrospektiv anhand proximaler Femurfrakturen (PF) zu evaluieren und deren Effekt mit verschiedenen Zielkriterien zu überprüfen. Sekundäres Ziel war die Definition möglicher Qualitätskriterien für die Versorgung von PF.Retrospektive Analyse der Datenbank eines Level-1-Traumazentrums zu PF. Eingeschlossen wurden alle osteosynthetisch und endoprothetisch versorgten PF im Behandlungszeitraum vom 01.01.2006 bis 31.12.2021. Der Zeitraum von 16 Jahren wurde für die Statistik trichotom aufgeteilt und die ersten 6 Jahre als Ausgangsbasis verwendet. Insgesamt 10 Prozessänderungen wurden in den folgenden 10 Jahren vorgenommen. Die Auswirkungen dieser Änderungen wurden anhand 1. der operativen Revisionsrate, 2. der Infektionsrate, 3. der perioperativen Transfusionsrate sowie 4. der 1-Jahres-Letalität überprüft.Insgesamt 4163 PF wurden analysiert. Hinsichtlich der Zielkriterien zeigten die Änderungen der ersten 5 Jahre (2012-2016; intramedulläres Verfahren für Osteosynthesen sowie Einwegabdeckung und Einwegkittel) den stärksten Effekt mit einer erstmaligen Senkung der operativen Revisionsrate unter 10% auf Dauer. Weitere Prozessoptimierungen der letzten 5 Jahre (2017-2021) erbrachten ebenfalls messbare Verbesserungen (Senkung der Infektions- und Transfusionsrate). Die 1-Jahres-Letalität blieb unverändert, auch während der COVID-19-Pandemie.Prozessänderungen bei PF führen nicht unmittelbar zu objektiv messbaren Verbesserungen. Rückblickend erscheint der Paradigmenwechsel von extra- auf intramedulläre Osteosynthese den höchsten Effekt erzielt zu haben, wenngleich über die letzten 10 Jahre eine schrittweise Besserung aller Zielkriterien eintrat - mit Ausnahme der Letalität. Als objektive Qualitätskontrolle sollte eine 1-Jahres-Revisionsrate unter 10% angestrebt sein.","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"42 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140701753","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
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":"12 11","pages":""},"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}
引用次数: 0
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
{"title":"Klima und Gesundheit: mehr Nachhaltigkeit in der orthopädischen Praxis.","authors":"Susanne Meinrenken","doi":"10.1055/a-2248-4278","DOIUrl":"10.1055/a-2248-4278","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 2","pages":"113-114"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190548","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 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
{"title":"Interview mit Dr. med. Gudula Keller zum Thema Klima und Gesundheit: mehr Nachhaltigkeit in der orthopädischen Praxis.","authors":"Susanne Meinrenken","doi":"10.1055/a-2255-0964","DOIUrl":"10.1055/a-2255-0964","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 2","pages":"115-117"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190547","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
[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
{"title":"[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].","authors":"Katrin Osmanski-Zenk, Martin Ellenrieder, Oliver Melsheimer, Wolfram Mittelmeier","doi":"10.1055/a-2230-8967","DOIUrl":"10.1055/a-2230-8967","url":null,"abstract":"","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 2","pages":"118-126"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190545","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
[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
{"title":"[Reverse Shoulder Arthroplasty - Current Concepts].","authors":"Yacine Ameziane, Jan-Philipp Imiolczyk, Jörn Steinbeck, Mara Warnhoff, Philipp Moroder, Markus Scheibel","doi":"10.1055/a-2105-3147","DOIUrl":"10.1055/a-2105-3147","url":null,"abstract":"<p><p>Due to first promising long term outcome data, reverse shoulder arthroplasty experienced an immense increase of usage during the past decade. Moreover, the initial Grammont concept has constantly been refined and adapted to current scientific findings. Therefore, clinical and radiological problems like scapular notching and postoperative instability were constantly addressed but do still remain an area of concern.This article summarises current concepts in reverse shoulder arthroplasty and gives an overview of actual indications like cuff tear arthropathy, severe osteoarthritis, proximal humerus fractures, tumours, fracture sequelae as well as revision surgery and their corresponding clinical and radiological results.</p>","PeriodicalId":94274,"journal":{"name":"Zeitschrift fur Orthopadie und Unfallchirurgie","volume":"162 2","pages":"211-228"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190546","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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