Transverse distraction osteogenesis : New chances for limb salvage?
Unfallchirurg. 2022 Mar 17. doi: 10.1007/s00113-022-01156-1. Online ahead of print.ABSTRACTDistraction osteogenesis (DO) is a technique that can be successfully used to treat leg length discrepancies and to reconstruct long defects of bone. By gradual distraction of the bone fragments by approximately 1 mm per day, hypervascularization and an increased bone healing potential (growth stimulus) occur. So far, DO has almost exclusively been used longitudinally to generate new biologically active bone. Chronic wounds, ulcers and osteitis, especially in the region of the foot, are always a challenge for the treating surgeon, si...
Source: Der Unfallchirurg - March 18, 2022 Category: Orthopaedics Authors: P H Thaller J F ürmetz W B öcker C Ehrnthaller Source Type: research

Transverse distraction osteogenesis : New chances for limb salvage?
Unfallchirurg. 2022 Mar 17. doi: 10.1007/s00113-022-01156-1. Online ahead of print.ABSTRACTDistraction osteogenesis (DO) is a technique that can be successfully used to treat leg length discrepancies and to reconstruct long defects of bone. By gradual distraction of the bone fragments by approximately 1 mm per day, hypervascularization and an increased bone healing potential (growth stimulus) occur. So far, DO has almost exclusively been used longitudinally to generate new biologically active bone. Chronic wounds, ulcers and osteitis, especially in the region of the foot, are always a challenge for the treating surgeon, si...
Source: Der Unfallchirurg - March 18, 2022 Category: Orthopaedics Authors: P H Thaller J F ürmetz W B öcker C Ehrnthaller Source Type: research

Transverse distraction osteogenesis : New chances for limb salvage?
Unfallchirurg. 2022 Mar 17. doi: 10.1007/s00113-022-01156-1. Online ahead of print.ABSTRACTDistraction osteogenesis (DO) is a technique that can be successfully used to treat leg length discrepancies and to reconstruct long defects of bone. By gradual distraction of the bone fragments by approximately 1 mm per day, hypervascularization and an increased bone healing potential (growth stimulus) occur. So far, DO has almost exclusively been used longitudinally to generate new biologically active bone. Chronic wounds, ulcers and osteitis, especially in the region of the foot, are always a challenge for the treating surgeon, si...
Source: Der Unfallchirurg - March 18, 2022 Category: Orthopaedics Authors: P H Thaller J F ürmetz W B öcker C Ehrnthaller Source Type: research

Transverse distraction osteogenesis : New chances for limb salvage?
Unfallchirurg. 2022 Mar 17. doi: 10.1007/s00113-022-01156-1. Online ahead of print.ABSTRACTDistraction osteogenesis (DO) is a technique that can be successfully used to treat leg length discrepancies and to reconstruct long defects of bone. By gradual distraction of the bone fragments by approximately 1 mm per day, hypervascularization and an increased bone healing potential (growth stimulus) occur. So far, DO has almost exclusively been used longitudinally to generate new biologically active bone. Chronic wounds, ulcers and osteitis, especially in the region of the foot, are always a challenge for the treating surgeon, si...
Source: Der Unfallchirurg - March 18, 2022 Category: Orthopaedics Authors: P H Thaller J F ürmetz W B öcker C Ehrnthaller Source Type: research

Amputations of fingers and the hand
Unfallchirurg. 2022 Mar 15. doi: 10.1007/s00113-022-01154-3. Online ahead of print.ABSTRACTRevision amputation, ray amputation and narrowing of the hand can be indicated for pathological alterations of fingers and thumbs due to traumatic, inflammatory or vascular causes but also for functional deficits regarding mobility, sensibility, perfusion, and/or pain. Surgical amputation is considered if reconstructive options are no longer possible, not desired and are no longer meaningful with respect to effort and risks. Patients need to be informed about the expected deficits in function and esthetic appearance due to the amputa...
Source: Der Unfallchirurg - March 15, 2022 Category: Orthopaedics Authors: Marion M ühldorfer-Fodor Polina Dimitrova Karl Josef Prommersberger Source Type: research

Pipkin fractures
Unfallchirurg. 2022 Mar 14. doi: 10.1007/s00113-022-01153-4. Online ahead of print.ABSTRACTFemoral head fractures a very rare emergency situation and occur in 4-17% of hip joint dislocations. Of femoral head dislocation fractures 3.7% occur in combination with acetabular fractures. Reduction of the dislocation should be immediately performed. Decisive for whether treatment should be conservative or surgical by resection of the fragments, reconstruction of the femoral head or prosthetic joint replacement, is the grading of the fracture type using the Pipkin classification. Surgical treatment appears to give a better outcome...
Source: Der Unfallchirurg - March 14, 2022 Category: Orthopaedics Authors: Wolfgang Lehmann Christopher Spering Source Type: research

Pipkin fractures
Unfallchirurg. 2022 Mar 14. doi: 10.1007/s00113-022-01153-4. Online ahead of print.ABSTRACTFemoral head fractures a very rare emergency situation and occur in 4-17% of hip joint dislocations. Of femoral head dislocation fractures 3.7% occur in combination with acetabular fractures. Reduction of the dislocation should be immediately performed. Decisive for whether treatment should be conservative or surgical by resection of the fragments, reconstruction of the femoral head or prosthetic joint replacement, is the grading of the fracture type using the Pipkin classification. Surgical treatment appears to give a better outcome...
Source: Der Unfallchirurg - March 14, 2022 Category: Orthopaedics Authors: Wolfgang Lehmann Christopher Spering Source Type: research

Pipkin fractures
Unfallchirurg. 2022 Mar 14. doi: 10.1007/s00113-022-01153-4. Online ahead of print.ABSTRACTFemoral head fractures a very rare emergency situation and occur in 4-17% of hip joint dislocations. Of femoral head dislocation fractures 3.7% occur in combination with acetabular fractures. Reduction of the dislocation should be immediately performed. Decisive for whether treatment should be conservative or surgical by resection of the fragments, reconstruction of the femoral head or prosthetic joint replacement, is the grading of the fracture type using the Pipkin classification. Surgical treatment appears to give a better outcome...
Source: Der Unfallchirurg - March 14, 2022 Category: Orthopaedics Authors: Wolfgang Lehmann Christopher Spering Source Type: research

Osteoarthritis of the ankle joint
Unfallchirurg. 2022 Mar;125(3):173-174. doi: 10.1007/s00113-021-01132-1. Epub 2022 Feb 25.NO ABSTRACTPMID:35212791 | DOI:10.1007/s00113-021-01132-1 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: T Buchhorn H Polzer Source Type: research

Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?
Unfallchirurg. 2022 Feb 25. doi: 10.1007/s00113-022-01148-1. Online ahead of print.ABSTRACTBACKGROUND: After transfemoral amputation a prosthesis is required to restore autonomous standing and bipedal locomotion. Attachment of the prosthesis can be achieved either classically via socket suspension with a shaft in the stump or directly via implantation of an intramedullary transcutaneous femoral prosthesis (osseointegrated prosthesis).AIM: A fully instrumented gait analysis should enable objectification of the anticipated advantages of the EEP with respect to the gait pattern and individual mobility.MATERIAL AND METHODS: In...
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: Katherina Richter Katharina Krause Robert Rotter Dagmar-C Fischer Horst-H Aschoff Thomas Mittlmeier Source Type: research

Osteoarthritis of the ankle joint
Unfallchirurg. 2022 Mar;125(3):173-174. doi: 10.1007/s00113-021-01132-1. Epub 2022 Feb 25.NO ABSTRACTPMID:35212791 | DOI:10.1007/s00113-021-01132-1 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: T Buchhorn H Polzer Source Type: research

Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?
Unfallchirurg. 2022 Feb 25. doi: 10.1007/s00113-022-01148-1. Online ahead of print.ABSTRACTBACKGROUND: After transfemoral amputation a prosthesis is required to restore autonomous standing and bipedal locomotion. Attachment of the prosthesis can be achieved either classically via socket suspension with a shaft in the stump or directly via implantation of an intramedullary transcutaneous femoral prosthesis (osseointegrated prosthesis).AIM: A fully instrumented gait analysis should enable objectification of the anticipated advantages of the EEP with respect to the gait pattern and individual mobility.MATERIAL AND METHODS: In...
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: Katherina Richter Katharina Krause Robert Rotter Dagmar-C Fischer Horst-H Aschoff Thomas Mittlmeier Source Type: research

Osteoarthritis of the ankle joint
Unfallchirurg. 2022 Mar;125(3):173-174. doi: 10.1007/s00113-021-01132-1. Epub 2022 Feb 25.NO ABSTRACTPMID:35212791 | DOI:10.1007/s00113-021-01132-1 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: T Buchhorn H Polzer Source Type: research

Functional rehabilitation after transfemoral amputation : Shaft prosthesis or endo-exo prosthesis?
Unfallchirurg. 2022 Feb 25. doi: 10.1007/s00113-022-01148-1. Online ahead of print.ABSTRACTBACKGROUND: After transfemoral amputation a prosthesis is required to restore autonomous standing and bipedal locomotion. Attachment of the prosthesis can be achieved either classically via socket suspension with a shaft in the stump or directly via implantation of an intramedullary transcutaneous femoral prosthesis (osseointegrated prosthesis).AIM: A fully instrumented gait analysis should enable objectification of the anticipated advantages of the EEP with respect to the gait pattern and individual mobility.MATERIAL AND METHODS: In...
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: Katherina Richter Katharina Krause Robert Rotter Dagmar-C Fischer Horst-H Aschoff Thomas Mittlmeier Source Type: research

Osteoarthritis of the ankle joint
Unfallchirurg. 2022 Mar;125(3):173-174. doi: 10.1007/s00113-021-01132-1. Epub 2022 Feb 25.NO ABSTRACTPMID:35212791 | DOI:10.1007/s00113-021-01132-1 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - February 25, 2022 Category: Orthopaedics Authors: T Buchhorn H Polzer Source Type: research