Postoperative multiprofessional comprehensive treatment
Orthopade. 2022 Jan 14. doi: 10.1007/s00132-021-04208-3. Online ahead of print.ABSTRACTBACKGROUND: In orthogeriatric centers, postoperative, multiprofessional comprehensive treatment has proven to be an effective component in the convalescence of geriatric patients. The aim of the treatment is to minimize the perioperative risk and safely achieve individual rehabilitation goals in the acute inpatient stay. To meet the needs of geriatric patients, in addition to changes in the spatial division and design, primarily adjustments to the team composition and the procedural processes are required.THERAPEUTIC STRATEGIES: An inter...
Source: Der Orthopade - January 14, 2022 Category: Orthopaedics Authors: Rainer Kretschmer Jens Tr ögner Maximilian Schindlbeck Paul Schmitz Source Type: research

Postoperative multiprofessional comprehensive treatment
Orthopade. 2022 Jan 14. doi: 10.1007/s00132-021-04208-3. Online ahead of print.ABSTRACTBACKGROUND: In orthogeriatric centers, postoperative, multiprofessional comprehensive treatment has proven to be an effective component in the convalescence of geriatric patients. The aim of the treatment is to minimize the perioperative risk and safely achieve individual rehabilitation goals in the acute inpatient stay. To meet the needs of geriatric patients, in addition to changes in the spatial division and design, primarily adjustments to the team composition and the procedural processes are required.THERAPEUTIC STRATEGIES: An inter...
Source: Der Orthopade - January 14, 2022 Category: Orthopaedics Authors: Rainer Kretschmer Jens Tr ögner Maximilian Schindlbeck Paul Schmitz Source Type: research

Sarcopenia-what should the orthopedist know?
Orthopade. 2022 Jan 13. doi: 10.1007/s00132-021-04211-8. Online ahead of print.ABSTRACTSarcopenia - the age-associated loss of muscle function and muscle mass - is of utmost importance for older patients with degenerative and traumatic diseases of the musculoskeletal system, as it closely linked to the loss of independence and quality of life in higher age. Impairments of mobility that are highly present in this patient group accelerate the age-associated decline of muscle function and muscle mass. The diagnosis of sarcopenia relies primarily on tests of strength and function like handgrip, chair-rise test and gait speed. ...
Source: Der Orthopade - January 13, 2022 Category: Orthopaedics Authors: J ürgen M Bauer Stefan Grund Klaus Hauer Source Type: research

Minimally invasive procedures in the early stages of trapeziometacarpal joint osteoarthritis : Denervation, arthroscopy and autologous fat transplantation
CONCLUSIONS: Denervation, arthroscopic procedures and autologous fat transplantation appear to be suitable methods in the early stages of thumb carpometacarpal joint osteoarthritis. Further studies, especially comparative randomised trials that report medium and long-term results, would allow further assessment of these methods.PMID:35015097 | DOI:10.1007/s00132-021-04198-2 (Source: Der Orthopade)
Source: Der Orthopade - January 11, 2022 Category: Orthopaedics Authors: B Hohendorff F Neubrech C K Spies F Unglaub L P M üller C Ries Source Type: research

Perioperative management of ortho-geriatric knee or hip arthroplasty patients
Orthopade. 2022 Jan 10. doi: 10.1007/s00132-021-04207-4. Online ahead of print.ABSTRACTDue to the changing age structure of the Western population, an increase in geriatric patients in endoprosthetic care of hip and knee joints is to be expected in the future. The age-related frailty and the existing comorbidities pose great challenges for the entire treatment team. In the preoperative phase, geriatric patients should be identified as such and adjustable risk factors should be addressed prior to surgery. The primary goals of treatment are to minimize trauma from anesthesia and endoprosthetic surgery to ensure immediate pos...
Source: Der Orthopade - January 10, 2022 Category: Orthopaedics Authors: Benedikt Trabold G ünther Maderbacher Source Type: research

Resection arthroplasty for thumb basal joint arthritis
Orthopade. 2022 Jan 10. doi: 10.1007/s00132-021-04200-x. Online ahead of print.ABSTRACTDue to the crucial role of the thumb for gripping, osteoarthritis of the first carpometacarpal joint leads to a substantial impairment of hand function. There are effective nonoperative and joint-preserving surgical treatment options for early stages of the disease. In advanced cases, after exploiting conservative treatment, carpometacarpal thumb arthrodesis or arthroplasty may be indicated in selected cases but trapeziectomy with or without interposition or suspension constitutes the gold standard surgical procedure. This reliably provi...
Source: Der Orthopade - January 10, 2022 Category: Orthopaedics Authors: Ali Ayache Christian K Spies Frank Unglaub Martin F Langer Source Type: research

Risk management in orthopedic surgery : Stratification and adjustment of patient-individual risk factors
Orthopade. 2022 Jan 7. doi: 10.1007/s00132-021-04206-5. Online ahead of print.ABSTRACTPreoperative identification of patients at risk of postoperative complications enables better patient education and surgical planning for the orthopedic surgeon. In addition to demographic and intervention-specific factors, a variety of instruments are available for individual risk assessment. The concept of frailty seems to be promising to identify patients at risk. Modifiable risk factors such as malnutrition, anemia, obesity, smoking, and insufficiently controlled diabetes mellitus are common in elective orthopedic patients. With the u...
Source: Der Orthopade - January 8, 2022 Category: Orthopaedics Authors: Matthias Meyer Tobias Kappenschneider Joachim Grifka Markus Weber Source Type: research

Clavicle stress fracture following reverse shoulder arthroplasty
We present a rare case of clavicle fracture following reverse shoulder arthroplasty (RSA). This complication may be caused by the higher tension of the deltoid muscle after RSA, similarly to stress fractures of the acromion. Associated bone disease, i.e. osteoporosis, may contribute. In the few case reports available, the affected patients showed significant functional impairments. In the current case, the fracture was addressed with plate fixation. Despite good intraoperative results, osteosynthesis failure with secondary dislocation of the fracture occurred.PMID:34989823 | DOI:10.1007/s00132-021-04205-6 (Source: Der Orthopade)
Source: Der Orthopade - January 6, 2022 Category: Orthopaedics Authors: Laura Elisa Streck Lothar Seefried Franca Genest Thomas Reichel Maximilian Rudert Kilian Rueckl Source Type: research

Expert proof of the individual benefit in the case of a  disputed prosthesis supply
Orthopade. 2022 Jan 5. doi: 10.1007/s00132-021-04203-8. Online ahead of print.NO ABSTRACTPMID:34985541 | DOI:10.1007/s00132-021-04203-8 (Source: Der Orthopade)
Source: Der Orthopade - January 5, 2022 Category: Orthopaedics Authors: M Schwarze M Alimusaj D W W Heitzmann J Block D F Hollo M Schiltenwolf Source Type: research

Influence of the COVID-19 pandemic on the physiotherapeutic and medical follow-up care after reconstructions of the anterior cruciate ligament
CONCLUSION: Although the physiotherapeutic and medical follow-up care was not directly affected by a "lockdown", the pandemic led to significant restrictions, which are also reflected in a clear trend towards worse clinical outcomes. Consequently, a further expansion of alternative treatment options, which were only offered by 12-13% of practices and that are presumably of comparable relevance for various other diseases, is needed.PMID:34978605 | PMC:PMC8722411 | DOI:10.1007/s00132-021-04197-3 (Source: Der Orthopade)
Source: Der Orthopade - January 3, 2022 Category: Orthopaedics Authors: Benjamin Bartek Tobias Jung Antonia Schwiedernoch Carsten Perka Yannick Palmowski Source Type: research

Chronic pain after faulty back surgery : Was needs to be considered in an expert opinion on the question of doctors' liability?
Orthopade. 2021 Dec 30. doi: 10.1007/s00132-021-04201-w. Online ahead of print.NO ABSTRACTPMID:34967912 | DOI:10.1007/s00132-021-04201-w (Source: Der Orthopade)
Source: Der Orthopade - December 30, 2021 Category: Orthopaedics Authors: M Schiltenwolf P W Gaidzik Source Type: research

Chronic pain after faulty back surgery : Was needs to be considered in an expert opinion on the question of doctors' liability?
Orthopade. 2021 Dec 30. doi: 10.1007/s00132-021-04201-w. Online ahead of print.NO ABSTRACTPMID:34967912 | DOI:10.1007/s00132-021-04201-w (Source: Der Orthopade)
Source: Der Orthopade - December 30, 2021 Category: Orthopaedics Authors: M Schiltenwolf P W Gaidzik Source Type: research

Chronic pain after faulty back surgery : Was needs to be considered in an expert opinion on the question of doctors' liability?
Orthopade. 2021 Dec 30. doi: 10.1007/s00132-021-04201-w. Online ahead of print.NO ABSTRACTPMID:34967912 | DOI:10.1007/s00132-021-04201-w (Source: Der Orthopade)
Source: Der Orthopade - December 30, 2021 Category: Orthopaedics Authors: M Schiltenwolf P W Gaidzik Source Type: research

Chronic pain after faulty back surgery : Was needs to be considered in an expert opinion on the question of doctors' liability?
Orthopade. 2021 Dec 30. doi: 10.1007/s00132-021-04201-w. Online ahead of print.NO ABSTRACTPMID:34967912 | DOI:10.1007/s00132-021-04201-w (Source: Der Orthopade)
Source: Der Orthopade - December 30, 2021 Category: Orthopaedics Authors: M Schiltenwolf P W Gaidzik Source Type: research

The influence of occupational activity on diseases of the musculoskeletal system of the upper extremity
CONCLUSION: The prevalence of RC lesions shows a statistical correlation with the occupation performed depending on the occupational branches. In addition to occupational dependency, gender-specific work factors play a role. Shoulder pain in gainful employment should be considered in a more differentiated way. This should enable preventive measures to be taken in a targeted manner.PMID:34939146 | DOI:10.1007/s00132-021-04199-1 (Source: Der Orthopade)
Source: Der Orthopade - December 23, 2021 Category: Orthopaedics Authors: Stefan Hertling Franziska Loos Georg Matziolis Isabella Kirschner Isabel Graul Source Type: research