Hip and knee replacements in patients with bone defects after infection correlates high rates of reinfection. In this vulnerable patient population, the prevention reinfection is to be considered superordinate functionality defect bridging. The use silver coating aseptic implants as an prophylaxis already proven; however, significance these coatings septic reimplantation large still not sufficiently investigated.In a retrospective analysis, 34 who have been treated modular...

Summary: Moore type I tibial plateau fracture-dislocations pose a significant challenge to the treating surgeon. The displaced posteromedial fragment is difficult reduce and adequately stabilize through traditional approaches. Lobenhoffer approach provides necessary access posterior surface of proximal tibia but has only been described in German-language literature. It involves less extensive soft tissue dissection than that required by other We provide first English-language description...

Mortality of patients with a femoral neck fracture is high, especially within the first year after surgery, but also remains elevated thereafter. The aim this study was to identify factors potentially associated long-term mortality in homogeneously treated hemiarthroplasty for fracture.

This study examined the association of 25-hydroxyvitamin D (25(OH)D) and C-reactive protein (CRP) with postoperative medical complications one year mortality elderly patients sustaining a low-energy cervical hip fracture scheduled for surgery. We hypothesized that vitamin deficiency CRP in these might be associated an increased 1-year mortality. The prospective single-center cohort included 209 medial femoral neck fracture; 164 women aged over 50 years 45 men 60 years. Referring to multiple...

Whole-body Computed Tomography (CT) scan today is considered a crucial imaging technique in the diagnostic work-up of polytrauma patients implicating potential survival benefit. Apart from prompt identification life threatening injuries this provides an additional benefit by diagnosing incidental non-trauma associated medical diseases. These findings might be also and warrant urgent therapy. The downside whole-body CT relatively high radiation exposure that result increased time cancer risk....

Pathologic fractures of the femoral intertrochanteric and subtrochanteric region require special consideration in terms biomechanically stable fixation durability implant. In addition, type surgery might also influence patient survival. We conducted this retrospective study to evaluate safety modular proximal femur replacement compared intramedullary nailing with survival being primary complications secondary endpoint.We retrospectively studied records 20 consecutive patients actual...

Complex proximal humerus fractures with metaphyseal comminution remain challenging regarding reduction and stability. In most fracture patterns the hard bone of bicipital groove remains intact. this case series, we describe a novel technique hybrid double plate osteosynthesis complex comminution. randomly chosen shoulder specimens synthetic bones, pilot studies for evaluation feasibility were performed. Between 4/2010 1/2012 10 patients underwent osteosynthesis. Seven (4 male, 3 female, mean...

Patients with ankylosing spondylitis are at significant risk for sustaining cervical spine injuries following trauma predisposed by kyphosis, stiffness and osteoporotic bone quality of the spine. The neurological deficits in this patient population is higher than average. present review article provides an outline on specific injury patterns spine, diagnostic algorithms treatment modalities dictated underlying disease patients spondylitis. An emphasis placed risks complication these rare,...

The aim of the study was to determine if differences in clinical diagnosis versus autopsy findings concerning cause death polytrauma fatalities would be detected 19 cases fatal from a Level 1 trauma centre. Clinical diagnoses determining (2007 - 2008) centre were correlated with findings. In 13 (68%), and as determined by congruent. Marginal occurred three (16%) patients while obvious interpreting found another cases. Five (three two marginal differences) remarked early (1-4 h after trauma)...

Missed foot fractures are a known problem in the care of traumatized patient. They do not usually have an influence on survival, but long-term result and quality patient's life. The aim this study is to find out how many these overlooked Level I trauma center what consequences for patients hypothesing that with delayed diagnosis will worse clinical results.Forty-seven (7.3%) could be identified 642 polytrauma patients, retrospectively. All were divided into two groups: early diagnosed...

Background: The importance of the vitamin D homeostasis in infections is already known. However, its significance periprosthetic (PPIs) after total hip arthroplasty and knee largely unexplored. aim study to precisely analyze balance patients with PPIs arthroplasty. Here, cases primary endoprosthesis implants aseptic loosening are used as comparison groups. Materials methods: In this prospective matched-pair analysis, PPI at joints were included group (SG). control groups (CGs) consisted (CG...

Fractures around the hip are known to be an indicator for fragility and associated with high mortality various complications. A special type of fractures periprosthetic femur (PPF) after Total Hip Arthroplasty (THA). The aim this study was investigate rate PPF THA identify risk factors that may increase it.

The treatment aims of periprosthetic fractures (PPF) the distal femur are a gentle stabilization, an early load-bearing capacity and rapid postoperative mobilization affected patients. For therapy planning PPF standardized classification is necessary which leads to clear safe recommendation. Despite different established classifications, there none that includes types prosthesis used in assessment. this purpose, objective work create new more extensive fracture implant-related based on...

Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an effective adjunct in hemodynamic unstable patients with uncontrolled and non-compressible torso hemorrhage promoting temporary stability during injury repair. The aim our study was to analyze real life usability REBOA based on a case report review literature respect its possibilities limitations.We present 17-years old female patient who sustained severe roll-over trauma pelvic crush as bicyclist by truck. Upon arrival...

Modular distal femur replacements originally were developed for reconstructing a full weight-bearing and functional extremity after resection of primary bone tumours with large bony defects located in proximity to joints. The aim this study was examine the use modular complex fractures severe post-traumatic sequelae context comparable studies.Fourteen patients or extensive requiring replacement analysed retrospectively. Median age at time femoral 77 years median follow-up interval 27 months....

Abstract This study aimes to determine the complication rates, possible risk factors and outcomes of emergency procedures performed during resuscitation severely injured patients. The medical records patients with an injury severity score (ISS) >15 admitted University Hospital Leipzig from 2010 2015 were reviewed. Within first 24 hours treatment, 526 had overall mechanical rate 26.2%. Multivariate analysis revealed out-of-hospital airway management (OR 3.140; 95% CI 1.963–5.023; p <...

Endotracheal intubation (ETI) is the gold standard for out-of-hospital emergency airway management in severely injured patients. Due to time-critical circumstances, poor patient presentation and hostile environments, it may be prone mechanical complications failure.In a retrospective study (January 2011 December 2013), all patients who underwent ETI before admittance level 1 trauma center were analyzed consecutively. Patients with supraglottic airways, being under cardiopulmonary...

Radiographic parameters and indices obtained from hip x-rays are a potential tool to promptly estimate bone quality in elderly fracture patients. Preoperative decision whether use cemented or cement augmented implants might be supported by this information thus improve patient safety. Subsequently, study was conducted evaluate radiographic as prescreening for quality.A retrospective analysis of 112 patients with femoral neck after low-energy trauma performed (81 % female, 19 male). Three...