Pyoderma gangrenosum in a grade 3 open fracture after a forest accident : When one cannot see the wood for the trees
We describe the case of a forest worker with a Gustilo-Anderson III dislocation fracture of the ankle joint. After initial external fixation, round necrotic skin lesions with hyperemic border walls appeared on the entire lower leg. Recurrent débridements worsened the soft tissue instead of improving it. An immunoglobulin and corticosteroid treatment was initiated, which diminished the inflammatory reaction and granulation of soft tissue began. Posttraumatic pyoderma gangrenosum is a rare diagnosis. Nevertheless, it needs to be on the list of differential diagnoses if uncommon soft tissue reactions appear.PMID:35420293 | D...
Source: Der Unfallchirurg - April 14, 2022 Category: Orthopaedics Authors: Annika Hartmann Sonja Bertschy Frank J P Beeres Reto Babst Bj örn-Christian Link Source Type: research
Augmentation in the treatment of proximal humeral and femoral fractures
CONCLUSION: Augmentation seems to be a safe and valuable addition to available treatment options especially for patients with fragility fractures.PMID:35416480 | DOI:10.1007/s00113-022-01172-1 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 13, 2022 Category: Orthopaedics Authors: Nicole M van Veelen Frank Jp Beeres Bj örn-Christian Link Reto Babst Source Type: research
MRI case series shows the development of medial gonarthrosis after medial meniscus tear and partial medial meniscectomy
Unfallchirurg. 2022 Apr 13. doi: 10.1007/s00113-022-01173-0. Online ahead of print.ABSTRACTMeniscal injuries lead to changes in pressure distribution in the knee joint. The risk of developing gonarthrosis increases by the amount of resected meniscal tissue. Based on 4 MRI examinations conducted over an 8‑year time period, the present case report shows the progress of cartilage degeneration after a traumatic medial meniscus lesion and subsequent partial meniscus resection in a 46-year-old male patient. Congenital or accident-independent risk factors, such as a varus limb deformity must be considered during a medical repor...
Source: Der Unfallchirurg - April 13, 2022 Category: Orthopaedics Authors: Felix Finger Marc-Daniel Ahrend Christoph Ihle Tina Histing Steffen Schr öter Source Type: research
Change in the treatment of patellar fractures
CONCLUSION: For a good functional result after a patellar fracture, the fracture morphology must be completely understood and the optimal choice of the osteosynthesis method is crucial. Distal (or proximal) pole fractures and the increasing number of osteoporotic fractures of old patients due to the demographic change, remain a therapeutic challenge and require special consideration in the selection of the osteosynthesis procedure.PMID:35403904 | DOI:10.1007/s00113-022-01167-y (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 11, 2022 Category: Orthopaedics Authors: Markus T Berninger Karl-Heinz Frosch Source Type: research
Change in the treatment of patellar fractures
CONCLUSION: For a good functional result after a patellar fracture, the fracture morphology must be completely understood and the optimal choice of the osteosynthesis method is crucial. Distal (or proximal) pole fractures and the increasing number of osteoporotic fractures of old patients due to the demographic change, remain a therapeutic challenge and require special consideration in the selection of the osteosynthesis procedure.PMID:35403904 | DOI:10.1007/s00113-022-01167-y (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 11, 2022 Category: Orthopaedics Authors: Markus T Berninger Karl-Heinz Frosch Source Type: research
Ligament injuries in tibial plateau fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01177-w. Online ahead of print.ABSTRACTFracture dislocations of the proximal tibia are associated with a markedly high incidence of ligament ruptures. Despite knowledge on the frequency of accompanying ligament injuries, even now neither adequate diagnostics nor targeted treatment of associated ligament injuries are the gold standard in the treatment algorithm for tibial plateau fractures. To be able to assess the risk and the type of accompanying ligament injuries in tibial plateau fractures, it is recommended to decidedly analyze the fracture morphology. For example, fle...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elmar Herbst Michael J Raschke Christian Peez Thorben Briese Simon Oeckenp öhler Source Type: research
Subtrochanteric fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01175-y. Online ahead of print.ABSTRACTSubtrochanteric fractures represent a distinct entity. They are different from proximal femoral fractures as well as femoral shaft fractures. Nowadays, these fractures are mainly found in the geriatric population. Fractures in younger patients are indicative of high-energy trauma. Comorbidities are important in the geriatric population whereas accompanying injuries are most important in younger patients. Early surgical stabilization of subtrochanteric fractures is the treatment of choice, which under certain circumstances should also ...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Thomas G ösling Source Type: research
Established classification systems of posterior malleolar fractures : A systematic literature review
CONCLUSION: None of the three classifications examined has become established in the literature. Most of the classifications are weak or should not be used with respect to a derivable treatment algorithm or a prognosis with respect to the outcome. Only the classification according to Bartonicek/Rammelt is suitable to become established in the literature and in clinical practice due to its derivable treatment algorithm.PMID:35394158 | DOI:10.1007/s00113-022-01162-3 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elena M üller Julia Terstegen Holger Kleinertz Hanneke Weel Karl-Heinz Frosch Alexej Barg Carsten Schlickewei Source Type: research
Ligament injuries in tibial plateau fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01177-w. Online ahead of print.ABSTRACTFracture dislocations of the proximal tibia are associated with a markedly high incidence of ligament ruptures. Despite knowledge on the frequency of accompanying ligament injuries, even now neither adequate diagnostics nor targeted treatment of associated ligament injuries are the gold standard in the treatment algorithm for tibial plateau fractures. To be able to assess the risk and the type of accompanying ligament injuries in tibial plateau fractures, it is recommended to decidedly analyze the fracture morphology. For example, fle...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elmar Herbst Michael J Raschke Christian Peez Thorben Briese Simon Oeckenp öhler Source Type: research
Subtrochanteric fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01175-y. Online ahead of print.ABSTRACTSubtrochanteric fractures represent a distinct entity. They are different from proximal femoral fractures as well as femoral shaft fractures. Nowadays, these fractures are mainly found in the geriatric population. Fractures in younger patients are indicative of high-energy trauma. Comorbidities are important in the geriatric population whereas accompanying injuries are most important in younger patients. Early surgical stabilization of subtrochanteric fractures is the treatment of choice, which under certain circumstances should also ...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Thomas G ösling Source Type: research
Established classification systems of posterior malleolar fractures : A systematic literature review
CONCLUSION: None of the three classifications examined has become established in the literature. Most of the classifications are weak or should not be used with respect to a derivable treatment algorithm or a prognosis with respect to the outcome. Only the classification according to Bartonicek/Rammelt is suitable to become established in the literature and in clinical practice due to its derivable treatment algorithm.PMID:35394158 | DOI:10.1007/s00113-022-01162-3 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elena M üller Julia Terstegen Holger Kleinertz Hanneke Weel Karl-Heinz Frosch Alexej Barg Carsten Schlickewei Source Type: research
Ligament injuries in tibial plateau fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01177-w. Online ahead of print.ABSTRACTFracture dislocations of the proximal tibia are associated with a markedly high incidence of ligament ruptures. Despite knowledge on the frequency of accompanying ligament injuries, even now neither adequate diagnostics nor targeted treatment of associated ligament injuries are the gold standard in the treatment algorithm for tibial plateau fractures. To be able to assess the risk and the type of accompanying ligament injuries in tibial plateau fractures, it is recommended to decidedly analyze the fracture morphology. For example, fle...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elmar Herbst Michael J Raschke Christian Peez Thorben Briese Simon Oeckenp öhler Source Type: research
Subtrochanteric fractures
Unfallchirurg. 2022 Apr 8. doi: 10.1007/s00113-022-01175-y. Online ahead of print.ABSTRACTSubtrochanteric fractures represent a distinct entity. They are different from proximal femoral fractures as well as femoral shaft fractures. Nowadays, these fractures are mainly found in the geriatric population. Fractures in younger patients are indicative of high-energy trauma. Comorbidities are important in the geriatric population whereas accompanying injuries are most important in younger patients. Early surgical stabilization of subtrochanteric fractures is the treatment of choice, which under certain circumstances should also ...
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Thomas G ösling Source Type: research
Established classification systems of posterior malleolar fractures : A systematic literature review
CONCLUSION: None of the three classifications examined has become established in the literature. Most of the classifications are weak or should not be used with respect to a derivable treatment algorithm or a prognosis with respect to the outcome. Only the classification according to Bartonicek/Rammelt is suitable to become established in the literature and in clinical practice due to its derivable treatment algorithm.PMID:35394158 | DOI:10.1007/s00113-022-01162-3 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 8, 2022 Category: Orthopaedics Authors: Elena M üller Julia Terstegen Holger Kleinertz Hanneke Weel Karl-Heinz Frosch Alexej Barg Carsten Schlickewei Source Type: research
Radiation exposure of the eye lens in orthopedics and trauma surgery : A pilot study
CONCLUSION: By complying with the common radiation protection measures in the context of operative interventions in orthopedics and trauma surgery, the legal limit value of 20 mSv/year is generally not expected to be exceeded.PMID:35384465 | DOI:10.1007/s00113-022-01163-2 (Source: Der Unfallchirurg)
Source: Der Unfallchirurg - April 6, 2022 Category: Orthopaedics Authors: F Kellermann H H ödlmoser I Leister M Seidenbusch M Treitl F Wagner M Militz F Stuby Source Type: research
