Search

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zeitschrift für Rheumatologie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Die Orthopädie is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Failed treatment of proximal femoral fractures leads to remarkable disability and pain, and revision surgery is frequently accompanied by higher complication and reoperation rates than primary internal fixation or primary hip arthroplasty. There is an urgent need to establish a profound strategy for the effective surgical management of these fragile patients. Salvage options are determined according to patient physiological age, functional level, life expectancy, nonunion, fracture pattern, remaining bone stock and quality, and hip joint competency. In physiologically young patients, care should be taken to preserve the vitality of the femoral head with salvage internal fixation; however, for the elderly population, conversion arthroplasty can result in early weight bearing and ambulation and eliminates the risks of delayed fracture healing. Technical challenges include a difficult surgical exposure, removal of broken implants, deformity correction, critical bone defects, poor bone quality, high perioperative fracture risk, and prolonged immobilization. The answer to all problems is still lacking -- all or part in consequence of the complication rate induced by the surgeon itself. Even though the fracture pattern indicates a specific treatment option to some extent, the patient characteristics play an important role in decision-making. In re-osteosynthesis, a change in anchorage strategies is necessary and bone graft options should be considered. To improve construct stability, cement augmentation strategies for revision implants should be evaluated critically. Infections must be either diagnosed or excluded by joint aspiration or open biopsy. Adequate reduction and stable fixation are prerequisites for uneventful healing. A meticulous operative technique can prevent iatrogenic complications. [ABSTRACT FROM AUTHOR]

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Proximal femoral fractures are one of the most common fractures, especially in the older population group. Due to increasing life expectancy and the associated morbidity, the incidence of these fractures is also increasing. In order to realize a rapid remobilization and an associated reduced mortality, it is important to achieve a clear diagnosis, recognize possible pitfalls and perform prompt and reliable surgery in an interdisciplinary, perioperative setting. A great variety of possible implants are available for the surgeon. The surgeon should know them in detail and choose the correct one to match the individual type of fracture; however, despite optimal implants and surgical techniques, mortality is very high in the short-term course. Special attention must therefore be paid to a careful transition to post-hospital care and in particular the possible underlying cause of the fracture must be clarified. [ABSTRACT FROM AUTHOR]

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Der Unfallchirurg is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Acetabular fractures are rare injuries; however, their incidence is increasing especially among elderly patients. As for all intra-articular fractures, anatomical reduction is a premise for the prevention of posttraumatic osteoarthritis. Classical approaches to the acetabulum are the ilioinguinal and the Kocher-Langenbeck approaches. Modifications of these approaches, such as the Stoppa approach or the Pararectus approach, facilitate reconstructive procedures for acetabular fractures under less invasive conditions. Only approximately 20% of all patients with acetabular fractures need hip arthroplasty at any time point after the injury. Therefore, whenever possible, reconstruction of the acetabulum should be preferred to primary total hip replacement. [ABSTRACT FROM AUTHOR]

Copyright of Obere Extremitat is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Acetabular fractures are articular fractures and should be treated by open, anatomic reduction and internal fixation. In cases of high-quality surgery, the necessity for hip replacement can be avoided in 80% of patients. In elderly patients in a good general condition and with good bone quality, open reduction and internal fixation is also recommended. The necessity for hip replacement can be avoided in up to 70%. Conservative treatment of acetabular fractures in elderly patients is associated with many complications and with poor long-term functional results. In the case of osteoporotic fractures, fracture comminution and subchondral impaction, primary endoprosthetic replacement is a good alternative. The main challenge is to achieve a strong anchorage of the artificial cup in the broken acetabulum; therefore, an additional osteosynthesis of the acetabulum may sometimes be necessary. Because the anterior column is mostly involved, the ilioinguinal and modified Stoppa approaches are suitable for osteosynthesis. The osteosynthesis and endoprosthetic replacement can be performed in one surgical intervention or two consecutively scheduled surgeries. Depending on the bone quality, the precision of reduction and stability of osteosynthesis, a non-cemented cup or a cemented cup can be inserted within a reinforcement ring. In periprosthetic acetabular fractures, reduction and fixation of the acetabular fracture has to be done prior to replacement of the loosened cup. A separate access for the osteosynthesis is generally needed. As the loosened cup may hinder reduction of the acetabular fracture, both operative steps have to be done in one surgical intervention. [ABSTRACT FROM AUTHOR]

Background: Femoral neck fractures are typical fractures of the elderly and the frequency is even expected to increase in the future because of the aging society. Due to the high number of comorbidities, there are special challenges concerning the operative treatment as well as the perioperative management of the mostly geriatric patients. Objective: The purpose of this article is to illustrate the different operative treatment options and the special requirements concerning the perioperative management of geriatric patients with femoral neck fractures. Material and methods: Based on a selective literature search, the procedures currently established in clinical practice are presented and discussed. Results and conclusion: Surgical treatment should be performed as soon as possible (within 24 h) after the trauma. In displaced fractures (Garden types III and IV) in geriatric patients implantation of a cemented prosthesis is recommended. Total endoprostheses are used in younger and active patients because of better functional results, whereas older multimorbid patients with limited mobility even before the fracture, benefit from dual head prostheses. Multidisciplinary orthogeriatric treatment during the acute inpatient treatment and orthogeriatric rehabilitation programs improve the outcome of patients. [ABSTRACT FROM AUTHOR]

Copyright of German Journal of Sports Medicine / Deutsche Zeitschrift fur Sportmedizin is the property of Verein zur Forderung der Sportmedizin Hannover e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of German Journal of Sports Medicine / Deutsche Zeitschrift fur Sportmedizin is the property of Verein zur Forderung der Sportmedizin Hannover e.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)