MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Der Orthopade' source. Thu, 09 Feb 2012 00:02:27 +0100 http://www.medworm.com/index.php?rid=5628814&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273700%26dopt%3DAbstract Authors: Scheithauer S, Häfner H, Lemmen SW Abstract Surgical site infections are mainly caused by bacteria from the patients' skin or gut flora representing endogenous infections. In orthopedic and trauma surgery the skin commensals dominate and as a consequence Gram-positive bacteria are the main pathogens, particularly S. aureus. Additionally and especially in the case of foreign body infections, less virulent pathogens, e.g. coagulase-negative staphylococci play an important role.Due to newer microbiological techniques in detecting pathogens the spectrum of causative organisms is steadily increasing. As known for other nosocomial infections the relevance of multidrug resistant bacteria in surgical site infections is growing and the key player is methicillin-resistant S. aureus... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628814 Sun, 01 Jan 2012 05:00:00 +0100 5628814 http://www.medworm.com/index.php?rid=5628813&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273701%26dopt%3DAbstract [Prevention of wound infections : Basic measures]. Orthopade. 2012 Jan;41(1):11-4 Authors: Lewalter K, Lemmen S Abstract Individual patient risk factors for wound infections, such as alcohol abuse, smoking or obesity can usually only be modified to a small extent. Studies have shown a reduction of surgical site infections due to the implementation of a benchmarking surveillance system. In order to prevent surgical site infections a variety of interventions are available, such as glucose control, correction of anemia and malnutrition and antibiotic therapy of infections before elective surgery. Reduction of the microbial skin flora by whole body washing procedures, avoidance of sharp razor shaving, application of antibiotic prophylaxis and correct surgical hand disinfection ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628813 Sun, 01 Jan 2012 05:00:00 +0100 5628813 http://www.medworm.com/index.php?rid=5628812&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273702%26dopt%3DAbstract [Logistic requirements and biopsy of periprosthetic infections : What should be taken into consideration?]. Orthopade. 2012 Jan;41(1):15-9 Authors: Fink B, Schäfer P, Frommelt L Abstract Preoperative diagnosis of periprosthetic infections is particularly important before revision of knee and hip arthroplasties because of the therapeutic consequences. Therefore, periprosthetic infections should be ruled out before any revision surgery is performed. Of the different diagnostic methods direct techniques which allow the direct detection of microorganisms with testing of antibiotic sensitivity are recommended. This allows microorganism-specific systemic and local antibiotic therapies and helps to reduce the risk of development of resistance. In our studies it could be shown tha... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628812 Sun, 01 Jan 2012 05:00:00 +0100 5628812 http://www.medworm.com/index.php?rid=5628811&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273703%26dopt%3DAbstract Authors: Lüring C, Lemmen S, Quack V, Beckmann J, Tingart M, Rath B Abstract Periprosthetic knee joint infection is a rare complication. However, patients as well as surgeons have to deal with severe problems. The past years have brought new knowledge on periprosthetic knee joint infections which have resulted in new classifications. The present manuscript evaluates the current literature on this topic and presents a new therapeutic algorithm. PMID: 22273703 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628811 Sun, 01 Jan 2012 05:00:00 +0100 5628811 http://www.medworm.com/index.php?rid=5628810&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273704%26dopt%3DAbstract Authors: Meyer H, Krüger A, Roessner A, Lohmann CH Abstract Metallic orthopedic devices are composed of elements known to be skin sensitizers in the general population and metal-on-metal hip prostheses in particular have the theoretical advantage of producing less abrasive wear than metal-on-polyethylene prostheses. However, there is concern about the possibility of hypersensitivity reactions with typical elicitors, such as nickel, chromium or cobalt. These materials are also used for total knee arthroplasty (TKA) and may elicit an immune response the role of which is still unclear in the outcome of arthroplasty. The immune response is dominated by perivascular T and B lymphocyte tissue infiltration around the hip replacement. The infiltrates are mostly surrounded by so-called hig... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628810 Sun, 01 Jan 2012 05:00:00 +0100 5628810 http://www.medworm.com/index.php?rid=5628809&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273705%26dopt%3DAbstract DISCUSSION: This evidence-based analysis shows that there is good evidence for the treatment of open fractures with antibiotics and surgical debridement. Vacuum treatment can be recommended if wound closure is not possible. PMID: 22273705 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628809 Sun, 01 Jan 2012 05:00:00 +0100 5628809 http://www.medworm.com/index.php?rid=5628808&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273706%26dopt%3DAbstract [Therapy of chronic osteomyelitis : Soft tissues as "key to success"]. Orthopade. 2012 Jan;41(1):43-50 Authors: Sellei RM, Kobbe P, Knobe M, Lichte P, Dienstknecht T, Lemmen SW, Pape HC Abstract Chronic osteomyelitis is a severe complication characterized by soft tissue and bone pathogenic infection resulting in osseous destruction. Surgical management is demanding and poses a challenge in achieving the goals of treatment, which are control of infection, bone healing as well as satisfactory functional outcome. Therapeutic strategies are based on a combined application of radical surgery and systemic antibiotic therapy. The bony defects which remain after extensive debridement have to be reconstructed with bone grafting after soft tissue coverage and the healing process is d... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628808 Sun, 01 Jan 2012 05:00:00 +0100 5628808 http://www.medworm.com/index.php?rid=5628807&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273707%26dopt%3DAbstract [Revision implants of the future : Trends and new developments.] Orthopade. 2012 Jan;41(1):58-65 Authors: Winkler S, Köck FX, Baier C, Springorum HR, Beifuß A, Lechler P, Grifka J, Schaumburger J Abstract According to current prognostic studies the numbers of revision operations of hip and knee arthroplasty will increase worldwide. As many patients undergo several revisions and become older at the same time, orthopedic surgeons will have to cope with vast bony defects during operations. The introduction of highly porous metals as surface layer or metal augments has facilitated primary stabilization of prostheses. Short and mid-term results of these new products are promising. New developments in coatings, such as cationic antimicrobial peptides represent new alternatives ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628807 Sun, 01 Jan 2012 05:00:00 +0100 5628807 http://www.medworm.com/index.php?rid=5628806&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273708%26dopt%3DAbstract Authors: PMID: 22273708 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628806 Sun, 01 Jan 2012 05:00:00 +0100 5628806 http://www.medworm.com/index.php?rid=5628805&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22273709%26dopt%3DAbstract Authors: Schreiner S, Ganger R, Grill F Abstract Congenital dislocation of the knee (CDK) is a rare deformity presenting itself either as an isolated idiopathic entity or in the context of syndromes like arthrogryposis, myelodysplasia or Larsen syndrome. Patients can be diagnosed clinically after childbirth based on hyperextension of the knee. Confirmation of the diagnosis is done by X-ray or sonography. Many theories concerning the pathogenesis have been proposed since CDK was described; according to recent literature fibrosis and contracture of the m. quadriceps is the most likely reason. Therapy should start as soon as possible after birth, conservatively using redressing casts or operatively in syndromal conditions aiming for reduction. The prognosis concerning re-dislocation i... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5628805 Sun, 01 Jan 2012 05:00:00 +0100 5628805 http://www.medworm.com/index.php?rid=5520580&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22179309%26dopt%3DAbstract Authors: Kraft CN, Fell M Abstract Due to a significant increase in spinal interventions and in particular spinal fusion procedures, also in elderly and immunocompromised patients, spinal surgeons are increasingly confronted with deep wound infections and/or spondylodiscitis with in situ instrumentation. This occasionally life-threatening complication can be a challenge for even the most experienced physician, not only in the initial diagnosis but also when determining the operative treatment strategy. It is not uncommon that patients must undergo several operations before a deep infection is finally under control. The aim of this article is to suggest an algorithm for the diagnostics and management of this very troubling complication. PMID: 22179309 [PubMed - as supplied by pu... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520580 Sun, 18 Dec 2011 05:00:00 +0100 5520580 http://www.medworm.com/index.php?rid=5520581&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22139393%26dopt%3DAbstract CONCLUSION: The study demonstrated that wearing a spinal orthosis introduced a reduction in double support time associated with a beneficial impact on gait stability. Furthermore, there was a positive effect on pain-related restrictions of ADL evident in women with a high level of limitations at baseline. Besides previously shown reductions in pain, improvements in back extensor strength and correction of posture, the application of a spinal orthosis may induce advantages for gait stability and physical functioning in women with postmenopausal osteoporosis. Future studies should consider a longer follow-up to evaluate possible effects on the risk of falling and fractures. PMID: 22139393 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520581 Sun, 04 Dec 2011 05:00:00 +0100 5520581 http://www.medworm.com/index.php?rid=5520587&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22109589%26dopt%3DAbstract This article gives an overview of the state of the art in revision hip arthroplasty: new techniques and trends are outlined and presented. PMID: 22109589 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520587 Thu, 01 Dec 2011 05:00:00 +0100 5520587 http://www.medworm.com/index.php?rid=5520586&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22109590%26dopt%3DAbstract Authors: Steimer O, Kusma M, Grün U Abstract Through continuous improvement and advancement of technology over the last 10 years, hip arthroscopy has developed into a standard orthopedic procedure and this has greatly expanded the range of indications. The main indications for hip arthroscopy include any disorder of the synovial membrane, damage to the labrum acetabulare, lesions of the ligament of the head of the femur, loose bodies, degenerative and traumatic cartilage lesions and especially disorders of the joint mechanism caused by femoroacetabular impingement. Increasingly, endoscopic procedures additionally allow the treatment of periarticular pathologies. Hip arthroscopy is limited in particular due to the difficult anatomy, a large distance from the skin to joint cavity an... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520586 Thu, 01 Dec 2011 05:00:00 +0100 5520586 http://www.medworm.com/index.php?rid=5520584&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22127464%26dopt%3DAbstract Authors: Lüring C, Tingart M PMID: 22127464 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520584 Thu, 01 Dec 2011 05:00:00 +0100 5520584 http://www.medworm.com/index.php?rid=5520583&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130623%26dopt%3DAbstract Authors: PMID: 22130623 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520583 Thu, 01 Dec 2011 05:00:00 +0100 5520583 http://www.medworm.com/index.php?rid=5520582&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22130624%26dopt%3DAbstract Authors: von Eisenhart-Rothe R, Toepfer A, Salzmann M, Schauwecker J, Gollwitzer H, Rechl H Abstract Among human neoplasms, primary malignant bone tumors are fairly rare. They present an incidence rate of roughly 10 cases per 1 million inhabitants per year. During childhood (<15 years), the percentage of malignant bone tumors amounts to 6% of all infantile malignancies. Only leukemia and lymphoma show a higher incidence in adolescence. Of all primary malignant bone tumors, 60% affect patients younger than 45 years and the peak incidence of all bone tumors occurs between 15 and 19 years. The most common primary malignant bone tumors are osteosarcoma (35%), chondrosarcoma (25%), and Ewing's sarcoma (16%). Less frequently (≤ 5%) occurring tumors are chordoma, malignant fibro... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520582 Thu, 01 Dec 2011 05:00:00 +0100 5520582 http://www.medworm.com/index.php?rid=5520585&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22124728%26dopt%3DAbstract CONCLUSION: As a positive consequence of the results of this study, accident victims suffering whiplash can be informed about the very good prognosis after whiplash in a more trustworthy way. Many iatrogenic injuries can thus be avoided. The expert opinion after whiplash without radiologically documented and/or neurologically confirmed significant acute traumatic injury which can cause chronic symptoms, should generally not be in favor of insurance benefits. The authors propose that all of a set of minimal criteria should be fulfilled if in exceptional cases a probable relationship between the trauma and chronic symptoms can be assumed. PMID: 22124728 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5520585 Wed, 30 Nov 2011 05:00:00 +0100 5520585 http://www.medworm.com/index.php?rid=5430241&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22095457%26dopt%3DAbstract Authors: Renkawitz T, Wörner M, Sendtner E, Weber M, Lechler P, Grifka J Abstract Combined component placement of cup and stem is closely correlated to stability, functionality and wear in total hip replacement (THA). Computer-navigated orthopedic surgery offers a reliable control method for a complex three-dimensional situation. Imageless navigation systems without the need of preoperative or intraoperative image acquisition and exposure to radiation have been proven to increase the accuracy of positioning the acetabular component and measure intraoperative leg length and offset changes precisely. A new development in this field is the noninvasive external femoral reference marker array system in conjunction with an imageless measurement technique. The future generation of imagel... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5430241 Sat, 19 Nov 2011 05:00:00 +0100 5430241 http://www.medworm.com/index.php?rid=5430240&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22095458%26dopt%3DAbstract CONCLUSIONS: Minimally invasive techniques in total hip arthroplasty are nowadays no longer seen as just cosmetically attractive but rather as a real improvement for the clinical outcome. In this respect prospective clinically controlled studies within the last 3 years showed advantages in the early postoperative period. PMID: 22095458 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5430240 Sat, 19 Nov 2011 05:00:00 +0100 5430240 http://www.medworm.com/index.php?rid=5430239&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22095459%26dopt%3DAbstract [Is shorter really better? : Philosophy of short stem prosthesis designs.] Orthopade. 2011 Nov 19; Authors: Jerosch J Abstract The presently available short hip stem designs show significant differences and can be differentiated into those containing the neck, those partially containing the neck and neck resection designs. In this article the currently available designs will be presented. Except for the Mayo stem there are no long-term results available. There are significant differences between the the systems especially with respect to reproducibility of the individual anatomy of patients therefore DEXA and DSA studies are needed in order to identify problematic stem designs early before clinical failures are produced in a large number of patients. PMID: 22095459 [Pub... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5430239 Sat, 19 Nov 2011 05:00:00 +0100 5430239 http://www.medworm.com/index.php?rid=5430242&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083422%26dopt%3DAbstract [Which hip articulation bearing for which patient? : Tribology of the future.] Orthopade. 2011 Nov 16; Authors: Morlock MM, Bishop N, Kaddick C Abstract Replacement of the hip joint has become an exceptionally successful procedure since the inauguration of the low friction principle by Charnley. Aseptic osteolysis and joint dislocation have been addressed by the development of wear-optimized materials and the introduction of larger heads. As an increase in head diameter against polyethylene causes wear increase, larger hard-on-hard bearings were introduced, which exhibit reduced wear and reduced dislocation risk with increasing head diameter. These findings were derived from standard simulator testing, not sufficiently considering the risk of fluid film breakdown under adve... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5430242 Wed, 16 Nov 2011 05:00:00 +0100 5430242 http://www.medworm.com/index.php?rid=5430243&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22072301%26dopt%3DAbstract [Update hip surgery : New trends and current operation techniques.] Orthopade. 2011 Nov 11; Authors: Renkawitz T, Grifka J PMID: 22072301 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5430243 Fri, 11 Nov 2011 05:00:00 +0100 5430243 http://www.medworm.com/index.php?rid=5385279&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22065149%26dopt%3DAbstract Authors: PMID: 22065149 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5385279 Tue, 01 Nov 2011 04:00:00 +0100 5385279 http://www.medworm.com/index.php?rid=5385280&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22033696%26dopt%3DAbstract This study evaluated results of transforaminal lumbar interbody fusion (TLIF) in patients with monosegmental DS and adjacent DDD. MATERIAL AND METHODS: A total of 28 patients with monosegmental DS and adjacent DDD were included into the study (all patients with bisegmental posterior instrumentation and fusion, 14 patients 1 level TLIF, 14 patients 2 level TLIF). Before surgery and 12 months after surgery the following measurements were made: pain (visual analog scale VAS), Oswestry disability index (ODI) and plain radiographs with radiometric analysis. In a sub-analysis patients with 1 and 2 level TLIF were compared. RESULTS: Pain reduction (average VAS from 8.7-3.1) and ODI (63% to 28%) showed significant improvements. Radi... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5385280 Fri, 28 Oct 2011 04:00:00 +0100 5385280 http://www.medworm.com/index.php?rid=5334716&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22011839%26dopt%3DAbstract Authors: Hintermann B PMID: 22011839 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334716 Fri, 21 Oct 2011 04:00:00 +0100 5334716 http://www.medworm.com/index.php?rid=5334715&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22011840%26dopt%3DAbstract Authors: Espinosa N, Wirth SH Abstract Despite recent anatomical and biomechanical improvements the longevity of current total ankle replacements remains limited. Once total ankle replacement has failed conversion into ankle arthrodesis provides a viable option and should therefore be considered. However, due to the massive bone loss, precarious soft tissues and in order to preserve leg length, this kind of surgical treatment is considered to be technically demanding with potential impairment of the quality of life and decreased global foot and ankle function as well. The present article focuses on salvage ankle arthrodesis after failed total ankle replacement and seeks to provide a usable treatment algorithm. PMID: 22011840 [PubMed - as supplied by publisher] (Source: Der Orth... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334715 Fri, 21 Oct 2011 04:00:00 +0100 5334715 http://www.medworm.com/index.php?rid=5334718&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22009496%26dopt%3DAbstract Authors: Valderrabano V, Frigg A, Leumann A, Horisberger M Abstract Ankle osteoarthritis (OA) is often associated with deformities. Valgus OA is less frequent than varus OA and causes of valgus OA include medial ligament instability, flat foot and posttraumatic situations, e.g. fractures of the fibula or lateral tibial plafond. The importance of the mechanical axis is generally accepted in orthopedic surgery. In cases of implantation of total ankle replacements the normal biomechanics need to be restored in order to have a correct and pain-free functioning total ankle replacement both in the short and long-term. The two most important criteria are (1) an anterior tibio-talar angle of about 90° and (2) a neutral hindfoot position. The hindfoot position is measured with the hindfoot... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334718 Thu, 20 Oct 2011 04:00:00 +0100 5334718 http://www.medworm.com/index.php?rid=5334717&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22009497%26dopt%3DAbstract Authors: Rippstein PF, Naal FD Abstract Rheumatoid arthritis is a systemic disease directly involving multiple joints and indirectly damages bone due to specific medicinal therapy. When deciding on the optimal surgical treatment of inflammatory ankle arthritis (fusion versus arthroplasty), specific factors have to be considered. This review discusses the advantages and disadvantages of total ankle arthroplasty for patients with rheumatoid arthritis and highlights important surgical aspects related to this disease. PMID: 22009497 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334717 Thu, 20 Oct 2011 04:00:00 +0100 5334717 http://www.medworm.com/index.php?rid=5334719&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22002209%26dopt%3DAbstract Authors: Knupp M, Bolliger L, Barg A, Hintermann B Abstract Coronal plane deformity has been found to be one of the main risk factors for poor clinical results, higher complication rates and failure of total ankle replacements. Initially, many authors considered a malalignment of more than 10° to be a contraindication for total ankle replacement, however, several publications later underlined the usefulness of the distinction of different etiologies of hindfoot malalignment. This subsequently led to suggestions for additional procedures in order to avoid early implant failure.The aim of the present article is to illustrate the different causes of varus malaligned arthritic ankles and to present procedures to balance these ankles at the time of replacement. PMID: 22002209 [PubM... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334719 Sun, 16 Oct 2011 04:00:00 +0100 5334719 http://www.medworm.com/index.php?rid=5334720&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21996936%26dopt%3DAbstract Authors: Hintermann B, Barg A, Knupp M Abstract In the last 20 years total ankle replacement has become a viable alternative to arthrodesis for end-stage osteoarthritis of the ankle. Numerous ankle prosthesis designs have appeared on the market in the past and attracted by the encouraging intermediate results reported in the literature, many surgeons have started to perform this procedure. With increased availability on the market the indications for total ankle replacement have also increased in recent years. In particular, total ankle replacement may now be considered even in younger patients. Therefore, despite progress in total ankle arthroplasty the number of failures may increase. Up to now, arthrodesis was considered to be the gold standard for salvage of failed ankle prost... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334720 Sat, 15 Oct 2011 04:00:00 +0100 5334720 http://www.medworm.com/index.php?rid=5334726&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21989687%26dopt%3DAbstract Authors: Lampert C Abstract Large defects of the talus, i.e. due to tumors, large areas of osteolysis in total ankle replacement (TAR) and posttraumatic talus body necrosis are difficult to manage. The gold standard in these circumstances is still tibiocalcaneal arthrodesis with all the negative aspects of a completely rigid hindfoot. We started 10 years ago to replace the talus by a custom-made, all cobalt-chrome implant (laser sintering). The first patient with a giant cell tumor did very well but the following patients showed all subsidence of the metal talus into the tibia due to missing bony edges. Therefore, we constructed a custom-made talus (mirrored from the healthy side) and combined it with a well functioning total ankle prosthesis (Hintegra). So far we have implanted t... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334726 Thu, 13 Oct 2011 04:00:00 +0100 5334726 http://www.medworm.com/index.php?rid=5334721&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21989688%26dopt%3DAbstract Authors: Barg A, Suter T, Zwicky L, Knupp M, Hintermann B Abstract Total ankle replacement is an increasingly recommended treatment for patients with end-stage ankle osteoarthritis. The increasing experience with this procedure explains its acceptance as a therapeutic option in complex cases as part of reconstruction surgery. However, the complication rate including failure of the prosthesis should not be underestimated. Previous studies have shown that most patients developed ankle osteoarthritis secondary to previous trauma. Patients with posttraumatic osteoarthritis often have varus or valgus misalignment of the hindfoot. In cases with incorrectly addressed hindfoot misalignment and/or incorrectly positioned prosthesis components, pain may remain postoperatively because of biome... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5334721 Thu, 13 Oct 2011 04:00:00 +0100 5334721 http://www.medworm.com/index.php?rid=5303365&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21979238%26dopt%3DAbstract Authors: Eder K, Hoffmann H Abstract In order to allow an adequate and timely restoration of physical performance with an instable patellofemoral joint within the framework of complex therapy strategies, individual post-traumatic cause-and-effect chains and their influence on the hip-leg axis of both the active and passive musculoskeletal systems must be considered as well as joint-specific aspects. For this reason selected relevant neurophysiological aspects of one and multiple joint movement stereotypes will be firstly presented. Subsequently some selected physiotherapeutic measures will be presented and their indication-specific relevance will be explained. To round up, training therapeutic measures under special consideration of tension and control-oriented aspects will be summ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5303365 Sat, 01 Oct 2011 04:00:00 +0100 5303365 http://www.medworm.com/index.php?rid=5303364&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21979239%26dopt%3DAbstract Authors: Baier C, Springorum HR, Beckmann J, Grifka J, Matussek J Abstract To address recurrent patellar instability in children and young adolescents a variety of therapeutic options exist either as non-operative or operative treatment. Recent options, such as reconstruction of the medial patellofemoral ligament have evoked a new focus of attention on this topic. The intention of this article is to present diverse therapeutic options and to evaluate them by reference to the current literature. PMID: 21979239 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5303364 Sat, 01 Oct 2011 04:00:00 +0100 5303364 http://www.medworm.com/index.php?rid=5303363&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21979240%26dopt%3DAbstract Authors: PMID: 21979240 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5303363 Sat, 01 Oct 2011 04:00:00 +0100 5303363 http://www.medworm.com/index.php?rid=5270085&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21947606%26dopt%3DAbstract [Patellofemoral pain after total knee arthroplasty : Clinical pathway and review of the literature.] Orthopade. 2011 Sep 28; Authors: Springorum HR, Rath B, Baier C, Lechler P, Lüring C, Grifka J Abstract Total knee arthroplasty (TKA) is an operation with a high gain in quality of life. However, some patients suffer from pain, limited range of motion, instability, infections or other postoperative complications. Patellofemoral pain (PFP) in particular is a common complication after TKA and is often responsible for revision surgery. In particular increasing and localized contact pressure and patella maltracking are held accountable for patellofemoral pain but the reasons are various. Diagnostics and therapy of patellofemoral pain is not easy to handle and should be treated ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5270085 Wed, 28 Sep 2011 04:00:00 +0100 5270085 http://www.medworm.com/index.php?rid=5270087&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21947571%26dopt%3DAbstract Authors: Grifka J, Springorum HR PMID: 21947571 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5270087 Sun, 25 Sep 2011 04:00:00 +0100 5270087 http://www.medworm.com/index.php?rid=5270086&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21947572%26dopt%3DAbstract [The third compartment in knee endoprosthetics : From denervation to replacement, which therapy is correct?] Orthopade. 2011 Sep 25; Authors: Stärke C, Röpke EF, Lohmann CH Abstract Involvement of the patellofemoral compartment is common in osteoarthritis of the knee but to date there is no consensus as to the most appropriate approach concerning the patella. Both general non-selective resurfacing as well as selective or secondary resurfacing are currently accepted. However, despite abundant studies on the subject no clear conclusions can be drawn from the available evidence. There are arguments in favour of either approach. Accordingly, no strong evidence can be found to support peripatellar denervation. With the advent of new diagnostic modalities for the assessment of ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5270086 Sun, 25 Sep 2011 04:00:00 +0100 5270086 http://www.medworm.com/index.php?rid=5250833&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21938491%26dopt%3DAbstract Authors: Springorum HP, Siewe J, Dargel J, Schiffer G, Michael JW, Eysel P Abstract Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2 mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2 mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) nee... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5250833 Fri, 23 Sep 2011 04:00:00 +0100 5250833 http://www.medworm.com/index.php?rid=5250832&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21938492%26dopt%3DAbstract Authors: Steinbrück A, Milz S, Woiczinski M, Schröder C, Utzschneider S, Jansson V, Fottner A Abstract The patellofemoral joint constitutes a complex anatomical and functional entity. The tensile force of the quadriceps femoris muscle is transmitted through the patella and patellar ligament onto the tibial tuberosity. This particular three-dimensional arrangement increases the torsional moment acting on the knee joint. Dynamic alignment of the patella is determined by trochlear geometry and is supported by active muscular and passive connective tissue stabilizers. In addition to the retinaculum of the patella, the medial patellofemoral ligament is attracting increasing clinical attention. Multidirectional motion of the patella is closely connected to retropatellar pressure distri... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5250832 Fri, 23 Sep 2011 04:00:00 +0100 5250832 http://www.medworm.com/index.php?rid=5236133&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922268%26dopt%3DAbstract Authors: Kendoff D, Tomeczkowski J, Fritze J, Gombotz H, von Heymann C Abstract In a national audit of elective orthopedic surgery conducted in the US, 30% of patients were found to have hemoglobin (Hgb) levels < 13 g/dl at preadmission testing. Preoperative anemia has been associated with increased mortality and morbidity after surgery, increased allogeneic blood transfusion therapy and increased rates of postoperative infection leading to a longer length of hospital stay. Because of the risks associated with allogeneic blood transfusions according to German law patients have to be offered the option of autologous transfusion if the risk associated with allogeneic blood transfusion is > 10%. However, one of these measures, the autologous blood donation, can exaggerate a... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5236133 Sat, 17 Sep 2011 04:00:00 +0100 5236133 http://www.medworm.com/index.php?rid=5236132&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922269%26dopt%3DAbstract CONCLUSION: In view of the fact that there are almost no prospective randomized controlled trials, none of the options for treatment can be highly recommended. There is still no gold standard for the treatment of isolated patellofemoral osteoarthritis. PMID: 21922269 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5236132 Sat, 17 Sep 2011 04:00:00 +0100 5236132 http://www.medworm.com/index.php?rid=5236131&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922270%26dopt%3DAbstract Authors: Anders S, Lechler P, Grifka J, Schaumburger J Abstract Cartilage defects of the patellofemoral joint represent different entities. Results of patellofemoral cartilage repair are often variable. Concomitant pathologies, such as malalignment and instability are frequent. Currently no common treatment concept exists. Improvement of patellofemoral biomechanics, e.g. tubercle transfer, results in better outcome independent of the cartilage repair technique used. In patellofemoral instability reconstruction of the medial patellofemoral ligament (MPFL) has recently become a focus of interest. Microfracturing and osteochondral cylinder transfer/mosaicplasty are recommended for smaller defects, while comparative studies have shown advantages for autologous chondrocyte implantation ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5236131 Sat, 17 Sep 2011 04:00:00 +0100 5236131 http://www.medworm.com/index.php?rid=5199252&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21894578%26dopt%3DAbstract Authors: PMID: 21894578 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5199252 Thu, 01 Sep 2011 04:00:00 +0100 5199252 http://www.medworm.com/index.php?rid=5182430&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21874363%26dopt%3DAbstract Authors: Rechl H, Kirchhoff C, Wörtler K, Lenze U, Töpfer A, von Eisenhart-Rothe R Abstract Primary sarcoma of bone is a rare entity but nevertheless a significant cause of mortality in children and adolescents. The focus of the preoperative evaluation is to set up a histological diagnosis, define local tumor extent and develop a therapy regimen. In addition to patient history and clinical findings a radiograph in two orthogonal planes is still of great importance. MRI plays a major role in the further clarification of the diagnosis, while CT is valuable in the diagnosis of tumors of the axial skeleton as well as in systemic staging. A PET-CT can be performed to obtain an overview of further tumor sites. Open bone biopsy is the final diagnostic step and should be carried out at t... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5182430 Sat, 27 Aug 2011 23:00:00 +0100 5182430 http://www.medworm.com/index.php?rid=5167483&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21858535%26dopt%3DAbstract Authors: Götz J, Grifka J, Handel M Abstract Osteoarthritis of the first metatarsophalangeal joint is termed hallux rigidus. Clinical symptoms are expressed by a painful limitation of range of motion, finally leading to an eponymous total stiffness of the joint. Conservative treatment includes drug therapy, physical therapy and orthotic devices like insoles and footwear modification. After making use of the whole range of conservative treatment options, several surgical techniques are available, which should be considered depending on stage, patient's activity level and possible comorbid diseases. Open and arthroscopic techniques addressing the cartilage and cheilectomy can be chosen in early stages of hallux rigidus. Osteoarthritis at a higher stage requires further reaching tech... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5167483 Sat, 20 Aug 2011 23:00:00 +0100 5167483 http://www.medworm.com/index.php?rid=5146136&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21845478%26dopt%3DAbstract Authors: Ewerbeck V PMID: 21845478 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5146136 Tue, 16 Aug 2011 23:00:00 +0100 5146136 http://www.medworm.com/index.php?rid=5125900&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21837461%26dopt%3DAbstract CONCLUSION: Treatment of hip joint infections among German and Austrian university orthopedic departments is only partly carried out in a similar manner. PMID: 21837461 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5125900 Fri, 12 Aug 2011 23:00:00 +0100 5125900 http://www.medworm.com/index.php?rid=5125905&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21814883%26dopt%3DAbstract Authors: PMID: 21814883 [PubMed - in process] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5125905 Sun, 31 Jul 2011 23:00:00 +0100 5125905 http://www.medworm.com/index.php?rid=5125903&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21814884%26dopt%3DAbstract Authors: Diehl P, Gerdesmeyer L, Gollwitzer H, Sauer W, Tischer T Calcific tendinitis of the shoulder is a process involving crystal calcium deposition in the rotator cuff tendons, which mainly affects patients between 30 and 50 years of age. The etiology is still a matter of dispute. The diagnosis is made by history and physical examination with specific attention to radiologic and sonographic evidence of calcific deposits. Patients usually describe specific radiation of the pain to the lateral proximal forearm, with tenderness even at rest and during the night. Nonoperative management including rest, nonsteroidal anti-inflammatory drugs, subacromial corticosteroid injections, and shock wave therapy is still the treatment of choice. Nonoperative treatment is successful in up to 90% o... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5125903 Sun, 31 Jul 2011 23:00:00 +0100 5125903 http://www.medworm.com/index.php?rid=5077045&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21779881%26dopt%3DAbstract Authors: Akbar M, Wiedenhöfer B There is a large body of literature supporting the importance of restoring sagittal balance to the spine. The main message is this: regardless of the specific surgical strategy and treatment or pathology, rebalancing results in a positive patient outcome. Complex deformity patients need to be evaluated with attention to the global balance and the operative planning and strategy must be adapted accordingly. Spinal fusions are not always considered within the framework of sagittal balance. Unsuccessful outcome including continued pain, adjacent level disease, accelerated degenerative changes of the spine, pseudarthrosis and hip and knee changes, may then ensue. Certainly, those patients need to be re-evaluated with attention to the global balance of the s... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5077045 Fri, 22 Jul 2011 23:00:00 +0100 5077045 http://www.medworm.com/index.php?rid=5077044&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21779882%26dopt%3DAbstract Authors: Hempfing A, Zenner J, Ferraris L, Meier O, Koller H Posttraumatic kyphosis (PTK) is a possible consequence of a missed fracture, a wrong indication for conservative therapy or an inadequate surgical technique but PTK can also be a complication after adequate surgery. Avoidance of PTK is of importance because subsequent surgical therapy can be extensive. A thorough planning as well as surgical experience with anterior and posterior revision cases is necessary. The various types of osteotomy which allow correction of local as well as global deformities should also be mastered. Knowledge of the principles of sagittal balance and spinopelvic parameters are indispensable in the treatment of PTK. Our experience and results from the literature show that a good long-term outcome with ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5077044 Thu, 21 Jul 2011 23:00:00 +0100 5077044 http://www.medworm.com/index.php?rid=5028223&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21751031%26dopt%3DAbstract DISCUSSION: Both the results from the literature and own data confirm that operative correction of AIS needs a careful planning including sagittal spinopelvic parameters. Rigid thoracic hypokyphosis require additional osteotomy. PMID: 21751031 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028223 Wed, 13 Jul 2011 23:00:00 +0100 5028223 http://www.medworm.com/index.php?rid=5028224&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21748406%26dopt%3DAbstract Authors: Klöckner C, Spur R, Wiedenhöfer B Ignoring the sagittal profile in primary spinal fusion surgery is a common reason for revision surgery. Therefore, it is important that in cases of spinal revision surgery the sagittal alignment is realized. The physiological alignment of the instrumented spine should also indirectly influence the profile of the non-stabilized spine cranial and caudal to the fusion.Patients with normal C7 plumb-line and a physiological sacral inclination have a lower incidence of adjacent segment degeneration. Sagittal imbalance after revision surgery is a risk factor for recurrent pseudarthrosis. In cases of pseudarthrosis a combined approach may be more effective in realizing sagittal balance und enhancing rates of fusion. PMID: 21748406 [PubMed - as s... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028224 Tue, 12 Jul 2011 23:00:00 +0100 5028224 http://www.medworm.com/index.php?rid=5028225&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21739284%26dopt%3DAbstract Authors: Stahl S, Lotter O, Santos Stahl A, Meisner C, Luz O, Pfau M, Schaller HE Kienböck's disease (KD) leads to collapse of the lunate bone with severe consequences for the wrist function which for some patients may result in occupational invalidity. The many synonyms of KD (aseptic necrosis or avascular necrosis) insinuate that the true etiopathology remains poorly understood. This reviews aims at exploring the level of evidence which brought forward the different hypotheses on the origin of KD. The widespread theories about the origin were formed about 100 years ago but a specific therapy is still not within reach. Although the cause of the disease remains essentially unknown it is officially recognized as an occupational disease in Germany. Empirical attempts to explain the etio... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028225 Fri, 08 Jul 2011 23:00:00 +0100 5028225 http://www.medworm.com/index.php?rid=5028226&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21728059%26dopt%3DAbstract Authors: Wiedenhöfer B, Akbar M PMID: 21728059 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028226 Tue, 05 Jul 2011 23:00:00 +0100 5028226 http://www.medworm.com/index.php?rid=5028228&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21725678%26dopt%3DAbstract Authors: Akbar M, Wiedenhöfer B Thoracic and thoracolumbar kyphosis is a common deformity in pediatric and adolescent populations. Kyphotic deformation of the spine is defined as a curve which shows an increase in the dorsal convex angulation. The most common causes of kyphosis in pediatric and adolescent populations are Scheuermann's disease, postural and congenital kyphosis.The fundamental principles of treatment are analysis of the kyphotic deformity and restoration or maintenance of sagittal balance. Clinically significant sagittal deformities can lead to severe pain, substantial cosmetic alterations, spinal cord dysfunction, problems with swallowing, gastrointestinal and cardiopulmonary complications.When the kyphotic deformity exceeds a certain point and conservative therapy opt... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028228 Sat, 02 Jul 2011 23:00:00 +0100 5028228 http://www.medworm.com/index.php?rid=5028229&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21720881%26dopt%3DAbstract Authors: Kappe T, Flören M, Bieger R, Reichel H Minimally invasive approaches are increasingly being used in total knee arthroplasty. By means of a review of the literature the pros and cons of minimally invasive approaches for total knee arthroplasty were analyzed. The potential advantages of reduced postoperative pain and improved early range of motion and mobility are opposed by the risks of malpositioning of the prosthetic components and impaired wound healing. Long-term improvement of knee function and quality of life should not be compromised by techniques promising temporary or secondary advantages. PMID: 21720881 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028229 Fri, 01 Jul 2011 23:00:00 +0100 5028229 http://www.medworm.com/index.php?rid=5028230&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21717183%26dopt%3DAbstract Authors: Mendel T, Wohlrab D, Hofmann GO This case report describes an acute postoperative compartment syndrome of the lower leg following simple arthroscopy of the knee. The diagnostics as well as the time course of further therapeutic procedures are considered critically. Furthermore, the surgical workflow is analyzed for possible reasons. Retrospectively, an accumulation of irrigation fluid passing through a popliteal cyst into the superficial flexor compartment must be suspected. In summary, even with an optimal perioperative management the subsequent compartment syndrome due to knee arthroscopy cannot be avoided with any certainty. However, immediate causal therapy lies in the urgent dermatofasciotomy to prevent irreversible neuromuscular damage. PMID: 21717183 [PubMed - as su... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028230 Thu, 30 Jun 2011 23:00:00 +0100 5028230 http://www.medworm.com/index.php?rid=5028227&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21725798%26dopt%3DAbstract Orthopade. 2011 Jul;40(7):635-636 Authors: PMID: 21725798 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028227 Thu, 30 Jun 2011 23:00:00 +0100 5028227 http://www.medworm.com/index.php?rid=5028231&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21713581%26dopt%3DAbstract CONCLUSION: Despite acceptable functional results a significant pain relief, a complete preservation of bone and a lower rate of dislocations compared to the off-the-shelf Unispacer implant there were only limited indications for the customized interpositional knee implant with respect to the given contraindications due to the high 2 year revision rate. PMID: 21713581 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=5028231 Wed, 29 Jun 2011 23:00:00 +0100 5028231 http://www.medworm.com/index.php?rid=4983361&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21688056%26dopt%3DAbstract CONCLUSION: Early diagnostic of AS associated spine fractures using conventional radiographs and computed tomography scans is important for the detection and adequate treatment. A great amount of spine fractures are obviously either under diagnosed or underestimated, initially. A secondary dislocation of the fracture might result in severe neurological complications up to paraplegia. PMID: 21688056 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4983361 Sat, 18 Jun 2011 23:00:00 +0100 4983361 http://www.medworm.com/index.php?rid=4928753&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21603956%26dopt%3DAbstract Authors: Gollwitzer H, Gradinger R PMID: 21603956 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928753 Tue, 31 May 2011 23:00:00 +0100 4928753 http://www.medworm.com/index.php?rid=4928752&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21607538%26dopt%3DAbstract Authors: Schmitt-Sody M, Pilger V, Gerdesmeyer L The number of total hip replacement (THR) surgeries has increased significantly over the last few years and patients undergoing surgery are of decreasing age. In consequence the question of the influencing factors for the survival of artificial hip joints becomes more and more urgent. The expected survival time of an implant is nowadays 15-20 years and it seems that factors for a shorter lifetime are female gender, overweight, younger age and certain indications which led to surgery, such as rheumatoid arthritis or fractures. In the early phase of rehabilitation, measures against dislocation including training of the abductor muscles are most important. Starting rehabilitation programs early after surgery has positive effects on outcome... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928752 Tue, 31 May 2011 23:00:00 +0100 4928752 http://www.medworm.com/index.php?rid=4928751&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21607539%26dopt%3DAbstract Authors: Gradl G, Horn C, Postl LK, Miethke T, Gollwitzer H Advances in the perioperative and postoperative management of total joint replacement have led to a steady decrease in the infection rate, which in the case of total hip replacement presently lies between 0.25 and 1%. Unfortunately there is disparity in current practice nationally and internationally, regarding duration, time of application and choice of antibiotics. Currently there are only Level 1a recommendations for primary hip arthroplasty, whereas, due to the heterogeneity and complexity of most revision cases as well as a lack of randomized controlled trials, antibiotic prophylaxis for hip revision arthroplasty is mostly based on the surgeon's preference. In this article the current literature is reviewed and scientifi... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928751 Tue, 31 May 2011 23:00:00 +0100 4928751 http://www.medworm.com/index.php?rid=4928750&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21614600%26dopt%3DAbstract Authors: Gerdesmeyer L, Gollwitzer H, Diehl P, Fuerst M, Schmitt-Sody M Hip resurfacing in young patients has been increasingly performed within the last decade. In comparison to standard total hip arthroplasty the failure rate remains high. Age and implant size have a significant effect on the risk of revision for primary total resurfacing and the risk of revision increases with increasing age. At 7 years the cumulative revision rate for patients is 5% and females have more than twice the cumulative revision rate as males. Even in hip resurfacing arthroplasty which has been performed in a perfect manner, a certain percentage of patients suffer from persistent pain for various reasons, such as neck fracture, iliopsoas tendinopathy, metal hypersensitivity, such as aseptic lymphocytic v... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928750 Tue, 31 May 2011 23:00:00 +0100 4928750 http://www.medworm.com/index.php?rid=4928749&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21626344%26dopt%3DAbstract Orthopade. 2011 Jun;40(6):559-560 Authors: PMID: 21626344 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928749 Tue, 31 May 2011 23:00:00 +0100 4928749 http://www.medworm.com/index.php?rid=4928754&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21598048%26dopt%3DAbstract Authors: Westhoff B, Weimann-Stahlschmidt K, Krauspe R Pes equinus is the most common deformity in cerebral palsy. A primarily dynamic pes equinus without shortening of the calf muscle in many cases turns into a structural pes equinus. This is due to insufficient linear growth of the calf muscle compared to bone growth. Structural pes equinus has to be distinguished from marked, compensatory and forefoot pes equinus. Conservative as well as operative treatment options are often applied in combination or sequentially. In dynamic pes equinus botulinum toxin A is the therapy of choice. Only slight structural pes equinus may improve under botulinum toxin A injection with and without additional casting. Usually, structural pes equinus requires operative treatment or lengthening of the gastr... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4928754 Fri, 20 May 2011 23:00:00 +0100 4928754 http://www.medworm.com/index.php?rid=4830174&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21584733%26dopt%3DAbstract Authors: Gollwitzer H, Gerdesmeyer L, Gradinger R, von Eisenhart-Rothe R The present manuscript provides an overview of current evidence-based data and new clinically relevant developments in the field of hip arthroplasty. A multitude of current clinical trials have focussed on tribology with special interest on metal-on-metal implants. Large trials from implant registries have defined specific risk factors for early implant failure and pseudotumors in surface replacement. Furthermore, new ceramic liners and femoral head implants have been investigated in randomized trials. Apart from other very interesting studies, the results of large meta-analyses are now available for laboratory values in periprosthetic infection, antibiotic prophylaxis, regional anesthesia, prevention of thromboem... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830174 Tue, 17 May 2011 23:00:00 +0100 4830174 http://www.medworm.com/index.php?rid=4830173&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21584734%26dopt%3DAbstract Authors: Haenle M, Podbielski A, Ellenrieder M, Skripitz R, Arndt K, Mittelmeier W, Bader R, Gollwitzer H Implant infections remain feared and severe complications after total hip replacement. An even higher rate of periprosthetic infections can be observed after revision surgery in comparison to primary total hip replacement. An additional threat for patients with artificial joints arises from the fact that bacteria resistant to a multitude of antibiotics are encountered with increasing frequency in the hospital setting.Among these the enterobacteria producing extended spectrum β-lactamases (ESBL) are the second most frequent group of multiresistant pathogens. ESBLs are enzymes which possess the ability to hydrolyse third and fourth generation cephalosporins resulting in a distinctiv... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830173 Tue, 17 May 2011 23:00:00 +0100 4830173 http://www.medworm.com/index.php?rid=4830172&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21584735%26dopt%3DAbstract Authors: Schauwecker J, Pohlig F, Toepfer A, Gollwitzer H, von Eisenhart-Rothe R Heterotopic ossification (HO) is a frequent and occasionally severe complication after total hip arthroplasty. Clinical symptoms of this benign abnormal bone formation are loss of mobility and local pain. The etiology and pathomechanisms are not yet completely understood. Overexpression of bone morphogenetic proteins and dysregulation of prostaglandin metabolism seem to be relevant. Medication with non-steroidal anti-inflammatory drugs (NSAIDs) and perioperative single dose radiotherapy are used for prophylaxis, whereby radiotherapy should only be performed in patients with a history of HO or additionally after resection of HO. From currently available data selective cyclooxygenase-2 inhibitors seem to hav... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830172 Tue, 17 May 2011 23:00:00 +0100 4830172 http://www.medworm.com/index.php?rid=4830176&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21562859%26dopt%3DAbstract Authors: Lechler P, Grifka J, Köck FX Antecedent trauma is a major risk factor for the development of osteoarthritis of the ankle. Chronic inflammatory diseases, osteonecrosis and idiopathic arthritis are further important causes for ankle joint degeneration. Joint fusion represents the classic operative treatment of symptomatic ankle arthritis. The first attempts in total ankle replacement in the early 1970s led to high complication and revision rates. It was not until modern prosthesis designs respected the complex biomechanical conditions of the ankle joint that an alternative to joint fusion was available. Today a variety of models with specific advantages and disadvantages are available. Critical factors in ankle arthroplasty are proper patient selection and meticulous implantati... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830176 Thu, 12 May 2011 23:00:00 +0100 4830176 http://www.medworm.com/index.php?rid=4830175&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21562860%26dopt%3DAbstract Authors: Holzapfel BM, Bürklein D, Greimel F, Nöth U, Hoberg M, Gollwitzer H, Rudert M Total hip arthroplasty is the procedure of choice for most patients with advanced, symptomatic osteoarthritis due to congenital dysplasia of the hip. However, the complexity of arthroplasty is significantly increased because of anatomic abnormalities associated with dysplasia of the hip. In addition the relatively young age of patients may affect survival of the implant. From a biomechanical standpoint the primary surgical objective is reconstruction of the anatomical center of rotation. Independent of the pelvic bone stock the socket should be located as near as possible to the anatomical acetabular location. There are various operative strategies to ascertain sufficient stability of the socket. T... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830175 Thu, 12 May 2011 23:00:00 +0100 4830175 http://www.medworm.com/index.php?rid=4830179&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21556906%26dopt%3DAbstract Authors: Hoberg M, Holzapfel BM, Rudert M The number of implantations of hip prostheses in Germany is now approximately 190,000 per year. By improving the implants and the development of modern surgical techniques and instruments the revision rate has been significantly reduced. The survival rate of the implants could be further increased in recent years, however, up to 22% of patients complain about persistent pain after hip arthroplasty. The diagnosis of existing pain after total joint replacement of the hip joint to achieve a causal therapy needs a systematic approach because of the heterogeneity of the symptoms and diseases. The etiology of the pain can be joint-associated and also hip joint independent. Often the causes of pain are multifactorial so that a standardized assessment ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830179 Tue, 10 May 2011 23:00:00 +0100 4830179 http://www.medworm.com/index.php?rid=4830180&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21553138%26dopt%3DAbstract Authors: Hersche O Abductor insufficiency after hip arthroplasty is a difficult and challenging problem whereby conservative therapy is often insufficient and surgical therapy is known to have failures with re-ruptures. Alternative approaches and arthroscopic surgery are proposed but in many cases they do not fulfill the expectations of patients.Our experience with temporary explantation of implants and transosseous refixation is good resulting in a pain-free patient in a high number of cases but the method is quite demanding and needs a cooperative patient. A functionless abductor muscle is not amenable to surgical treatment but only a surgical exploration can confirm the clinical suspicion. PMID: 21553138 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830180 Sat, 07 May 2011 23:00:00 +0100 4830180 http://www.medworm.com/index.php?rid=4830181&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21544667%26dopt%3DAbstract Authors: Kirschner S, Goronzy J, Storch A, Günther KP, Hartmann A Nerve palsy following total hip arthroplasty is a rare complication. Developmental dysplasia of the hip, previous fracture treatment and medical comorbidities are characteristic risk factors. By accurate preparation of the patient and a careful operative technique nerve palsy can be avoided in most cases. Nerve palsy following poor patient positioning during the perioperative period should be avoided by close cooperation with anesthesiologists.In cases of postoperative nerve palsy correct diagnostics should be carried out immediately. Further treatment options should be considered to minimize the damage. For patients with definite nerve palsy, devices such as a foot drop splint are often necessary and should be carried ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830181 Thu, 05 May 2011 23:00:00 +0100 4830181 http://www.medworm.com/index.php?rid=4830178&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21557091%26dopt%3DAbstract Authors: Wenz W, Dreher T Tendon transfer surgery plays a central role in the treatment of pediatric foot deformities. Tendon transfers are essential for balancing in neurogenic deformities but also important for the treatment of congenital or idiopathic deformities. Furthermore tendon transfer represents an important management tool for revision surgery of failed treatment in foot deformities. Complications and pit-falls which can potentially lead to failure may occur during the indications and planning of the transfer as well as during the surgery. The identification and analysis of possible pitfalls and complications as well as their management is the central issue of this article. Knowledge about possible problems and their management are essential for successful treatment of pedia... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830178 Sat, 30 Apr 2011 23:00:00 +0100 4830178 http://www.medworm.com/index.php?rid=4830177&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21557092%26dopt%3DAbstract Orthopade. 2011 May;40(5):445-448 Authors: PMID: 21557092 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4830177 Sat, 30 Apr 2011 23:00:00 +0100 4830177 http://www.medworm.com/index.php?rid=4780006&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21503717%26dopt%3DAbstract Authors: Koller A Charcot neuroarthropathy is one of the most serious manifestations of the diabetic foot syndrome and the multifaceted disease pattern requires interdisciplinary cooperation. Problems may arise even if the diagnosis is made early and lack of pain may mislead to the assumption of an infectious or traumatic event. With respect to operative therapy the characteristics of polyneuropathy and altered bone metabolism have to be taken into account. Rehabilitation, in particular, differs from the guidelines for trauma patients. In the face of high complication risks substantial improvement of function must be the goal for operative treatment. PMID: 21503717 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780006 Tue, 19 Apr 2011 23:00:00 +0100 4780006 http://www.medworm.com/index.php?rid=4780005&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21503718%26dopt%3DAbstract Authors: Wülker N More than 150 corrective procedures for hallux valgus exist and an incorrect choice of procedure leads to insufficient correction. Distal first metatarsal osteotomy cannot correct large deformities and degenerative changes at the metatarsophalangeal joint impede functional recovery. Incongruence of the joint must be corrected during surgery. Recurrence is most often caused by insufficient correction, especially of the first metatarsal bone. Overcorrection is often due to technical problems with the initial metatarsal osteotomy. This also applies to insufficiency of the first ray due to shortening or dorsal angulation. Partial first metatarsal head necrosis occasionally occurs but complete necrosis is rare. Non-union is mostly caused by incorrect osteosynthesis. Durin... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780005 Tue, 19 Apr 2011 23:00:00 +0100 4780005 http://www.medworm.com/index.php?rid=4780004&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21503719%26dopt%3DAbstract Authors: Wülker N Soft tissue coverage of the foot is more critical than in other orthopedic operation areas. In addition, the foot bears the most mechanical load during walking. Therefore, meticulous operative techniques are of special relevance and tourniquet times must be kept as short as possible. Unnecessary soft tissue dissection must be avoided and electrocautery is not necessary and only damages tissues. Sharp retractors should not be used for the same reason. Osteotomy in three dimensions heals more reliably and inexpensive standard implants can generally be used. Capillary perfusion must be checked following the procedure. A compression dressing avoids postoperative bleeding and swelling. Usually full weight-bearing is possible in a flat postoperative shoe. Postoperative wou... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780004 Tue, 19 Apr 2011 23:00:00 +0100 4780004 http://www.medworm.com/index.php?rid=4780007&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21494757%26dopt%3DAbstract This article discusses the intraoperative and postoperative problems seen in the treatment of posterior tibial tendon dysfunction. Problems associated with tendon transposition procedures, osteotomy and arthrodesis are discussed. The preoperative, intraoperative and postoperative problems and complications and how to avoid or treat them will be addressed. The individual procedures are often part of other complex hindfoot reconstructions. For this reason the general and special aspects of treating posterior tibial dysfunction can often be transferred to avoiding and resolving problems in hindfoot surgery. PMID: 21494757 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780007 Fri, 15 Apr 2011 23:00:00 +0100 4780007 http://www.medworm.com/index.php?rid=4780008&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21487822%26dopt%3DAbstract Authors: Kunze B, Wülker N Metatarsalgia is characterized by pain under the metatarsal heads and is a very common cause of foot pain among adults. Symptoms can be isolated or in combination with accompanying deformities occurring in the forefoot and/or hindfoot. In the foreground of the treatment is the exhaustion of conservative forms of therapy to minimize the symptoms of local pressure increase and callus under the metatarsal heads. In addition, various surgical methods are available, such as corrective osteotomy of the metatarsal bone, soft tissue interventions and the correction of associated deformities. The indications for surgical intervention should be made with caution in order to avoid failures and complaints persisting after surgery. The most common problems are an inadequ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780008 Wed, 13 Apr 2011 23:00:00 +0100 4780008 http://www.medworm.com/index.php?rid=4780010&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479616%26dopt%3DAbstract Authors: Kappe T, Bieger R, Wernerus D, Reichel H Minimally invasive approaches in total hip arthroplasty are being used worldwide and continue to grow in popularity. Despite early reports of catastrophic failures, both the number of scientific publications as well as the number of orthopaedic surgeons practicing minimally invasive techniques in total hip arthroplasty are steadily increasing. By means of a systematic review of the literature, the current article weighs the potential advantages and disadvantages of minimally invasive techniques. A shorter skin incision, potentially less muscle damage, a faster rehabilitation and a clinically irrelevant lower blood loss may support the use of minimally invasive techniques. However, the potential impairment of wound cosmetics, the increas... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780010 Sat, 09 Apr 2011 23:00:00 +0100 4780010 http://www.medworm.com/index.php?rid=4780009&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21479617%26dopt%3DAbstract Authors: Wünschel M Performing an arthrodesis is a common technique to treat multiple different foot deformities. Primary osteoarthritis and post-traumatic conditions are the most frequent indications. Various complications and reasons for failure can occur like non-union, nerve damage, wound healing disorders or adjacent joint degeneration. The highest fusion rates can be achieved by compression of the joint space using modern osteosynthesis material. Postoperative care needs to be adapted to intraoperative stability, quantity and location of the fused joints and the compliance of the patient. Nerve damage and wound healing problems can be avoided by subtle soft tissue preparation and intraoperative hemostasis. Degeneration of the adjacent joints is inherent to method but can be mini... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780009 Sat, 09 Apr 2011 23:00:00 +0100 4780009 http://www.medworm.com/index.php?rid=4780018&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472421%26dopt%3DAbstract Authors: Mittag F, Wülker N Symptomatic lesser toe deformities should be corrected if conservative therapy is exhausted or no longer seems appropriate. Prevention of recurrence starts with the correct indication for the appropriate surgical procedure. The occasional difficult question of the cause of the deformity is crucial in this context. A correct surgical technique and appropriate after-care reduces the risk of recurrence. Due to tensed bony and soft-tissue conditions, revision surgery of the forefoot is challenging. If a revision becomes necessary, the cause of recurrence must be re-examined. This paper explains the appropriate indications and surgical techniques for correction of lesser toe deformities. Subsequently, specific postoperative complications and their management are... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780018 Thu, 07 Apr 2011 23:00:00 +0100 4780018 http://www.medworm.com/index.php?rid=4780017&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472422%26dopt%3DAbstract Authors: Wülker N PMID: 21472422 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780017 Thu, 07 Apr 2011 23:00:00 +0100 4780017 http://www.medworm.com/index.php?rid=4780016&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472423%26dopt%3DAbstract Authors: Stehle J, Gohlke F An elbow can become stiff for a variety of reasons, such as intra-articular or extra-articular fractures, soft-tissue trauma, prolonged immobilization, thermal injury, infection, inflammatory arthritis, osteoarthrosis and heterotopic bone formation.Elbow stiffness is usually classified into extrinsic (affecting the capsule and extra-articular soft tissues), intrinsic (affecting the synovial and intra-articular structures) and mixed forms.Indications for operative treatment have to be considered in cases of failed conservative treatment with severe functional deficits. The choice of operative treatment has to be based on a thorough analysis of the underlying cause, the affected structures, the pathogenesis and the individual needs. Options are an arthroscopic... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780016 Thu, 31 Mar 2011 23:00:00 +0100 4780016 http://www.medworm.com/index.php?rid=4780015&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472424%26dopt%3DAbstract Authors: Ditsios KT, Werner BS, Yamaguchi K Limited mobility of the elbow joint can be due to various factors, the most common of which is trauma to the elbow. In addition, limited elbow movement can be a direct cause of decreased functionality and interfere with everyday life activities. The majority of the patients can recover a functional range of motion if physical therapy is combined with a splinting regimen. However, some patients will experience continued elbow stiffness. Traditionally, open techniques have been successful in releasing the elbow joint capsule and regaining functional range of motion. Early results of arthroscopic elbow capsule release were associated with an increased rate of peripheral nerve injury. Due to technical progress and modifications, arthroscopic caps... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780015 Thu, 31 Mar 2011 23:00:00 +0100 4780015 http://www.medworm.com/index.php?rid=4780014&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472425%26dopt%3DAbstract Authors: Mansat P, Bonnevialle N, Werner B Severe extrinsic elbow contracture can be treated effectively using elbow arthrolysis to obtain satisfactory results. Preoperative planing is of prime importance to evaluate joint involvement and to decide how to approach the capsule from the lateral or medial aspect of the elbow. Most of the time because of the extensive involvement of the periarticular tissue, a combined approach is usually preferred. It is a step-by-step procedure that must be adapted to the progressive gain of motion. The ulnar nerve must be identified systematically and often anteriorly transposed. Maximum gain of motion must be obtained at surgery because loss of elbow motion after surgery is common. Postoperative management must be closely followed static splint being p... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780014 Thu, 31 Mar 2011 23:00:00 +0100 4780014 http://www.medworm.com/index.php?rid=4780013&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472426%26dopt%3DAbstract CONCLUSION: Future study research can be planned to cover all schools of MM. PMID: 21472426 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780013 Thu, 31 Mar 2011 23:00:00 +0100 4780013 http://www.medworm.com/index.php?rid=4780012&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472427%26dopt%3DAbstract Orthopade. 2011 Apr;40(4):351-352 Authors: PMID: 21472427 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780012 Thu, 31 Mar 2011 23:00:00 +0100 4780012 http://www.medworm.com/index.php?rid=4780011&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21472428%26dopt%3DAbstract This article describes the basic principles of biomechanics (static, passive and active factors) and their influence on the PFJ. Patients are classified into three groups (pain, instability and arthritis). This is achieved by a clinical evaluation and standard X-rays. The instability group is analysed additionally with MRI. The aim of this evaluation is to analyse the biomechanical cause of the instability. Based on a pathophysiological concept a new therapeutic algorithm is introduced. PMID: 21472428 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4780011 Thu, 31 Mar 2011 23:00:00 +0100 4780011 http://www.medworm.com/index.php?rid=4672366&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21451996%26dopt%3DAbstract Authors: Akbar M, Lehner B, Doustdar S, Fürstenberg CH, Hemmer S, Bruckner T, Carstens C, Wiedenhöfer B Despite modern diagnostic imaging options pyogenic infections of the spine are often detected tardily and therefore accompanied by a high mortality rate. To ensure an efficient and adequate therapy it is necessary to identify and treat the focus of inflammation. The recommendations for the operative strategy are still a highly controversial issue. On the other hand no classification and guidelines for surgical treatment and treatment strategies of pyogenic spinal infection have yet been published.Pyogenic spinal infections are often underestimated in frequency of occurrence and severity of symptoms. From 1994 until 2008, 269 patients suffering from an infection of the thoracic and... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672366 Thu, 31 Mar 2011 23:00:00 +0100 4672366 http://www.medworm.com/index.php?rid=4672367&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21448681%26dopt%3DAbstract Authors: Radl R, Maafe M, Ziegler S Scoliosis, a permanent abnormal curvature of the spine to the side, is divided into four forms: idiopathic (infantile, juvenile and adolescent, accounting for 80% of cases), neurogenic, congenital and adult scoliosis. Most patients with adolescent idiopathic scoliosis initially have mainly cosmetic problems. However, neurogenic, congenital and adult scoliosis can lead to severe clinical symptoms. The leading symptom is back pain caused by secondary changes. In recent years the Lenke classification has been proven to be a reliable tool for disease classification. Non-progressive scoliosis is usually treated conservatively. In the case of Cobb angles of greater than 50°, surgical therapy is recommended in patients presenting before adulthood. Technica... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672367 Wed, 30 Mar 2011 23:00:00 +0100 4672367 http://www.medworm.com/index.php?rid=4672368&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21442330%26dopt%3DAbstract CONCLUSION: Periprosthetic CT osteodensitometry has the technical ability to discriminate between cortical and cancellous bone structures with respect to strain-adapted remodeling. Progressive proximal cortical and cancellous BD loss indicates that metaphyseal fixation cannot be achieved with the analyzed C.F.P. stem design. The lack of cortical BD loss below the trochanter minor suggests diaphyseal fixation of the implanted stem. PMID: 21442330 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672368 Sun, 27 Mar 2011 00:00:00 +0100 4672368 http://www.medworm.com/index.php?rid=4672371&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424301%26dopt%3DAbstract We report the case of a patient with a squeaking THA who had undergone multiple femoral head revisions combined with a composite ceramic cup (polyurethane, ceramic). Squeaking started 6 years postoperatively and acetabular revision was necessary to resolve the issue. Secondary deformation of the inlay resulted in clamping of the femoral head and increased friction. This should be considered when assessing and advising patients with squeaking THA when composite ceramic components are involved. PMID: 21424301 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672371 Thu, 17 Mar 2011 00:00:00 +0100 4672371 http://www.medworm.com/index.php?rid=4672369&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424303%26dopt%3DAbstract This article describes the risk of nerve lesions in contracture release of the elbow and provides guidelines on how to avoid them. PMID: 21424303 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672369 Thu, 17 Mar 2011 00:00:00 +0100 4672369 http://www.medworm.com/index.php?rid=4672373&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424299%26dopt%3DAbstract Authors: Heinemann S, Gelinsky M, Worch H, Hanke T When acquired or inborn bony defects cannot heal by the natural regeneration process due to being above the critical size or to particular diseases, e.g. osteoporosis, it becomes necessary to use bone substitute materials. These are materials which replace the missing bone tissue in host tissue and stimulate the bone healing process by mechanical and structural support either alone or in combination with other substances. This supporting effect can be attended by natural as well as artificial bone substitute materials and in a variety of ways. The biological efficiency of a bone substitute material is often classified with respect to the terms osteogenic, osteoconductive and osteoinductive stimulation. In reality however there is an ov... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672373 Wed, 16 Mar 2011 00:00:00 +0100 4672373 http://www.medworm.com/index.php?rid=4672370&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424302%26dopt%3DAbstract Authors: Pennig D, Heck S, Mader K A stiff elbow is usually defined as having less than 30° in extension or less than 130° in flexion. Most activities of daily living are possible if the elbow has a range of motion of 100° (30-130° of flexion, Morrey's arc of motion). Loss of mobility of the elbow is not uncommon after trauma, burns or coma and severely impairs upper limb function. Loss of mobility may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation is of utmost importance for planning any surgical intervention for elbow stiffness. Current operative techniques, such as closed distraction with external fixation (arthroplasty), are presented and evaluated. Elbow arthrolysis is a technically demanding procedure but if the ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672370 Wed, 16 Mar 2011 00:00:00 +0100 4672370 http://www.medworm.com/index.php?rid=4672372&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21424300%26dopt%3DAbstract CONCLUSION: Minimally invasive cyst destruction is not a viable alternative to microsurgical resection considering the long-term outcome, neither in this study nor in the reviewed literature. PMID: 21424300 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4672372 Sun, 06 Mar 2011 00:00:00 +0100 4672372 http://www.medworm.com/index.php?rid=4553897&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21374098%26dopt%3DAbstract Authors: Müller S, Wilke T, Pfannkuche M, Meßer I, Kurth A, Merk H, Steinfeldt F, Ganzer D, Perka C A key element of patient care after hip and knee replacement is medication-based thrombosis prophylaxis. Due to decreasing lengths of acute hospital stays the question arises to what extent outpatients are taking responsibility thrombosis prophylaxis (patient pathway analysis).To analyze patient pathways a telephone survey of 668 patients was conducted. On average patients were interviewed 38 days following surgery with a focus on low molecular weight heparins. The analysis showed that nearly 90% of patients need to carry out thrombosis prophylaxis in an outpatient or home environment for at least 1 day and for 47.2% of patients a linking period between acute and rehabilitation stay... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553897 Sat, 05 Mar 2011 00:00:00 +0100 4553897 http://www.medworm.com/index.php?rid=4553898&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21360235%26dopt%3DAbstract Authors: Ewerbeck V PMID: 21360235 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553898 Wed, 02 Mar 2011 00:00:00 +0100 4553898 http://www.medworm.com/index.php?rid=4553899&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21350881%26dopt%3DAbstract Authors: Frank J, Howorka A, Marzi I Fractures and luxations with persistent instability of the elbow are severe injuries often followed by arthrofibrosis. The need for prolonged immobilization results in shortage of the ligaments and shrinking of the capsule. Treatment with dynamic hinged external fixation offers an option of protected early mobilization providing better results and avoiding stiffness and instability.In a retrospective study 22 patients with complex injuries of the elbow were evaluated with respect to the range of motion and subjective parameters (DASH score, DASH disabilities of the arm, shoulder and hand). PMID: 21350881 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553899 Sat, 26 Feb 2011 00:00:00 +0100 4553899 http://www.medworm.com/index.php?rid=4553902&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21347858%26dopt%3DAbstract Authors: Sendtner E, Winkler R, Grifka J Minimally invasive hip surgery is an innovative surgical technique mainly used in femoroacetabular impingement (FAI). The purpose of the surgical correction in FAI deformity is to eliminate the etiologic factor in the development of the so-called idiopathic hip osteoarthritis. Decisive for the success of joint preservation is the preoperative assessment of the deformity and the possible damage to the cartilage. The optimal intervention in the presence of substantial cartilage damage is joint replacement. The patient's history and the findings of physical examination with detailed radiographs and magnetic resonance imaging based on a sagittal oblique localizer optionally using intra-articular contrast prevent underestimation of the stage of the d... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553902 Fri, 25 Feb 2011 00:00:00 +0100 4553902 http://www.medworm.com/index.php?rid=4553901&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21347859%26dopt%3DAbstract CONCLUSION: Impaired osseointegration in osteoporotic bone because of increased micromovement is not to be expected in the investigated cementless hip cups as no relevant differences in micromovement were found between normal and osteoporotic bone stock. On the basis of the good clinical results with the Monoblock cup, the upper limit of 100 µ of micromotion for osseointegation in macerated bone is probably set too low. PMID: 21347859 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553901 Fri, 25 Feb 2011 00:00:00 +0100 4553901 http://www.medworm.com/index.php?rid=4553900&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21347860%26dopt%3DAbstract Authors: Schorn D, Steinbeck J Open release of elbow stiffness via the lateral approach has proven to be a reliable option in the treatment of elbow stiffness over the last years.For evaluation of patient outcome after this procedure the current literature and studies were reviewed and analyzed with special reference to the increase in range of motion and patient satisfaction. It appears that particularly posttraumatic elbow stiffness with contracture of the capsule and minor alterations of the joint surface can achieve improvement in mobility and patient satisfaction. Therefore careful selection of patients is important for successful therapy. PMID: 21347860 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553900 Fri, 25 Feb 2011 00:00:00 +0100 4553900 http://www.medworm.com/index.php?rid=4553903&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21344321%26dopt%3DAbstract Authors: Goebel S, Broscheit J Conservative treatment and surgical release of a stiff elbow requires correct pain management which should be oriented to the individual needs of the patient. Regional anesthesia in combination with opioids is necessary postoperatively to obtain sufficient pain relief. There is a need for prospective randomized studies to develop an optimal pain therapy concept following operations for elbow stiffness. PMID: 21344321 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4553903 Fri, 18 Feb 2011 00:00:00 +0100 4553903 http://www.medworm.com/index.php?rid=4439965&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21286910%26dopt%3DAbstract CONCLUSION: The results of this study confirm the value of resection suspension arthroplasty according to Epping for surgical treatment of rhizarthritis. Using trapezectomy with interposition of pyrocarbon spacers good or very good results can be achieved in the majority of cases. Essential points of criticism are the current material cost of 930 Euros and 4 dislocations in our collective but with good multiaxial movement and loading capacity. Comparable results using alternative procedures indicate that the results of further studies and long-term results will be decisive for establishment of this operational procedure. PMID: 21286910 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439965 Wed, 02 Feb 2011 00:00:00 +0100 4439965 http://www.medworm.com/index.php?rid=4439964&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21286911%26dopt%3DAbstract Authors: Boustani HN, Rohlmann A, Abouezzeddine O, Bergmann G, Zander T The novel transsacral fusion system AxiALIF allows stabilization of the lumbosacral junction. The system consists of a screw with two different diameters. With additional facet screws or internal fixation devices 360° fusion can be achieved. The effects of different parameters such as length, diameter combination and material of the transsacral screw, type of additional fixation and stiffness of the bone are unknown.In a probabilistic finite element analysis, the input parameters were randomly varied. The rotational angles and the axial forces in the various implants were calculated for four different load scenarios. In a subsequent sensitivity study the influences of single input parameters on the variance of the... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439964 Wed, 02 Feb 2011 00:00:00 +0100 4439964 http://www.medworm.com/index.php?rid=4439967&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21279502%26dopt%3DAbstract Authors: Muhm M, Ruffing T, Winkler H Talocalcaneal coalitions are rare but a posterior facet talocalcaneal coalition is even rarer. There are three different types: fibrous, cartilaginous and osseous coalitions. Besides conventional x-rays computed tomography is essential for assessment of the subtarsal joint. In the absence of concomitant coalitions and foot deformity resection of the coalition is advocated due to good clinical results when there is an adequate size of the talocalcaneal joint (>50%) and without osteoarthrosis. A case of a rare posterior facet talocalcaneal coalition is reported. PMID: 21279502 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439967 Sun, 30 Jan 2011 00:00:00 +0100 4439967 http://www.medworm.com/index.php?rid=4439966&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21279503%26dopt%3DAbstract CONCLUSIONS: The data confirm that the clear and sometimes significant alterations of the NZ can be an essential factor for development of adjacent segment degeneration. A dynamic conclusion of instrumentation in the sense of a topping-off would appear to be useful if pathoanatomical indications for an intervertebral disc prosthesis are present. PMID: 21279503 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439966 Sun, 30 Jan 2011 00:00:00 +0100 4439966 http://www.medworm.com/index.php?rid=4439968&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21274698%26dopt%3DAbstract Authors: Wimmer C, Pfandlsteiner T The indications for surgical treatment of thoracic, lumbar, combined and thoracolumbar scoliosis are given for a curvature of the thoracic spine with a Cobb angle more than 50° and more than 45° in the lumbar spine. The maximum Cobb angle is 90°. The aim is the correction of more than 50% in the frontal plane and correction of scoliosis is possible in flexible curvatures up to 90%. By the minimally invasive surgical technique the muscular damage is completely avoided on the convex side but on the concave side this is only partly possible. This is the first report of a muscle preserving minimally invasive surgical technique for the convex side of scoliosis. PMID: 21274698 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439968 Sat, 29 Jan 2011 00:00:00 +0100 4439968 http://www.medworm.com/index.php?rid=4439969&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21271338%26dopt%3DAbstract Authors: Pilge H, Holzapfel BM, Prodinger PM, Hadjamu M, Gollwitzer H, Rechl H Out of all skeletal metastases 30% are located in the spine as are 10% of primary bone tumors, whereby 52% of metastases occur in the lumbar region, 36% in the thoracic spine and 12% in the cervical spine. Patients suffer from local pain caused by irritation of the periosteum due to rapid growth of the tumor or subsequent pathologic fractures which may lead to compression and neurological impairment with paresthesia, paresis and paraplegia. If the diagnosis cannot be confirmed exactly by radiological imaging and laboratory tests, a biopsy should be performed. A precise diagnosis of the tumor entity as well as an estimation of the prognosis provides an important basis for further decision-making. The aim of t... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439969 Fri, 28 Jan 2011 00:00:00 +0100 4439969 http://www.medworm.com/index.php?rid=4439970&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21264463%26dopt%3DAbstract Authors: Klöckner C, Weber U PMID: 21264463 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439970 Wed, 26 Jan 2011 00:00:00 +0100 4439970 http://www.medworm.com/index.php?rid=4439972&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21258926%26dopt%3DAbstract CONCLUSIONS: Muscle trauma is demonstrably reduced using a minimally invasive access, especially in older and overweight patients. In these patients there is also a substantially higher postoperative muscular atrophy after implantation of a prosthesis than in corresponding normal weight and younger patients. The higher vulnerability and poorer capacity for regeneration of periarticular musculature means that this patient group particularly profits from a minimally invasive access route. PMID: 21258926 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439972 Sun, 23 Jan 2011 00:00:00 +0100 4439972 http://www.medworm.com/index.php?rid=4439971&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21258927%26dopt%3DAbstract CONCLUSION: Comparison of long-term results of prostheses with intramedullary fixation shows that the anchorage principle of TPP with bone-saving implantation to the proximal femur is justified especially for patients below 50 years of age. PMID: 21258927 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4439971 Sun, 23 Jan 2011 00:00:00 +0100 4439971 http://www.medworm.com/index.php?rid=4374782&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21246349%26dopt%3DAbstract Authors: Matziolis D, Perka C, Hube R, Matziolis G The purpose of this study was to evaluate the effect of tourniquet use with constant pressure until wound closure on perioperative blood loss in total knee arthroplasty (TKA). Sufficient patients were included in the study to produce statistically relevant conclusions. In this retrospective case control study 547 patients who were treated with TKA because of osteoarthritis of the knee joint were included and of these 262 patients were operated with the use of a tourniquet (300 mmHg) and 285 without. The perioperative blood loss was calculated using patient height, body weight and preoperative and postoperative hematocrit values.The patient collectives were comparable in mean age, gender distribution and ASA classification. In the gr... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374782 Thu, 20 Jan 2011 00:00:00 +0100 4374782 http://www.medworm.com/index.php?rid=4374794&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21161166%26dopt%3DAbstract Authors: Ruffing T, Muhm M, Winkler H The os intermetatarseum is an uncommon accessory bone of the foot, usually found between the bases of the first and second metatarsal bones. Two cases of a painful os intermetatarseum in athletes are reported. Surgical excision of the os intermetatarseum relieved the pain in both patients. Case reports concerning athletes with a painful os intermetatarseum are rare. An os intermetatarseum should be taken under consideration when evaluating dorsal midfoot pain. PMID: 21161166 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374794 Sat, 01 Jan 2011 00:00:00 +0100 4374794 http://www.medworm.com/index.php?rid=4374793&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21161167%26dopt%3DAbstract Authors: Lill H, Katthagen C, Voigt C Arthroscopic implant removal involves innovative minimally invasive surgical techniques which offer the advantages of minimally invasive surgery in addition to the possibility of glenohumeral inspection, arthrolysis and treatment of concomitant intraarticular pathologies compared to open surgical procedures. In the following article the surgical techniques and significance of arthroscopic implant removal from the shoulder joint will be described.The first results of a complete arthroscopic plate removal from the humeral head will be described. Compared to the open technique, greater satisfaction of the patients, more rapid pain relief and improvement of the shoulder function in the early postoperative time could be observed. During the follow-up in... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374793 Sat, 01 Jan 2011 00:00:00 +0100 4374793 http://www.medworm.com/index.php?rid=4374792&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21161168%26dopt%3DAbstract Authors: Banke IJ, Vogt S, Buchmann S, Imhoff AB Chondral or osteochondral lesions of the shoulder may lead to premature osteoarthritis of the glenohumeral joint as regeneration of damaged articular cartilage is lacking. Rising health awareness, increasingly active populations and improvements in medical techniques have increased the application of cartilage regenerative minimally invasive approaches for glenohumeral joint preservation or delayed prosthetic replacement. In contrast to the conclusive and mostly convincing mid-term results of cartilage regenerative techniques known for the knee, clinical results of innovative therapeutic approaches with glenohumeral cartilage defects are more or less absent. Current techniques include procedures for mesenchymal stem cell recruitment, suc... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374792 Sat, 01 Jan 2011 00:00:00 +0100 4374792 http://www.medworm.com/index.php?rid=4374791&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21161169%26dopt%3DAbstract Authors: Bauer G, Löbig C Shoulder pain is a common issue in orthopedic clinics and the advancement and progress in shoulder arthroscopy has brought new knowledge into the anatomy, pathology and treatment. Affection of the long head of the biceps tendon (LHBT) may be the cause of these disorders. Pathologies of the LHBT are comorbidities of rotator cuff tears or shoulder instability. The following article gives an overview of diseases of the LHBT as well as arthroscopic treatment options. PMID: 21161169 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374791 Sat, 01 Jan 2011 00:00:00 +0100 4374791 http://www.medworm.com/index.php?rid=4374790&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21170516%26dopt%3DAbstract This article describes the arthroscopic techniques of nerve decompression around the shoulder. PMID: 21170516 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374790 Sat, 01 Jan 2011 00:00:00 +0100 4374790 http://www.medworm.com/index.php?rid=4374789&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21170517%26dopt%3DAbstract Authors: Gerhardt C, Kraus N, Greiner S, Scheibel M During the past few years arthroscopic and minimal invasive techniques for stabilization of acromioclavicular (AC) joint dislocations have gained increasing interest. Well established procedures for open surgery were modified and implemented to attain an arthroscopic level. Furthermore implants were developed which enable these reconstructive techniques to be performed arthroscopically without the disadvantages of open procedures. The short to mid-term results described so far concerning the clinical and radiological outcome of arthroscopic stabilization techniques show an at least equal outcome to those presented in open surgery. PMID: 21170517 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374789 Sat, 01 Jan 2011 00:00:00 +0100 4374789 http://www.medworm.com/index.php?rid=4374788&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21174076%26dopt%3DAbstract This article describes the history, principles, indications, surgical technique and early results of the all-arthroscopic iliac crest bone block procedure. PMID: 21174076 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374788 Sat, 01 Jan 2011 00:00:00 +0100 4374788 http://www.medworm.com/index.php?rid=4374787&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21174077%26dopt%3DAbstract Authors: Nebelung W, Reichwein F The treatment of rotator cuff tears is affected by numerous factors. In addition to the patient's age, quality of blood supply, age and size of the tear and fatty infiltration, the refixation technique is important to ensure successful treatment. In recent years a trend towards arthroscopic operation techniques has been observed due to new developments in the field.The most important principles of arthroscopic refixation techniques currently used are presented. Special attention is paid to the type of suture, suture anchors and anchor arrangements used. Biomechanics and footprint coverage of double row constructions are superior to single row but clinical results do not show any clear advantages. If feasible, double row rotator cuff repair with lateral ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374787 Sat, 01 Jan 2011 00:00:00 +0100 4374787 http://www.medworm.com/index.php?rid=4374786&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21181399%26dopt%3DAbstract Authors: Ambacher T Current data show that the majority of patients in Germany with shoulder instability caused by soft tissue lesions are treated arthroscopically. The published redislocation rates in retrospective studies are less than 10%. Currently most surgeons prefer to use special strong suture materials and bioabsorbable suture anchors with a trend for knotless anchors. Some authors have published special techniques for labrum repair including double row fixation to increase the pull out force of the sutures but further prospective studies are necessary to prove whether these techniques can reduce the redislocation rate. In cases of extended anterior pouch of the capsule and in non-traumatic instability, capsular plication and interval closure can be indicated. There are still ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374786 Sat, 01 Jan 2011 00:00:00 +0100 4374786 http://www.medworm.com/index.php?rid=4374785&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21207223%26dopt%3DAbstract Authors: Agneskirchner JD, Haag M, Lafosse L Recurrent anterior shoulder instability is a frequent and severe problem for patients. The Bankart operation with reconstruction of the labrum, capsule and ligament is the established treatment method, which is usually performed arthroscopically. However, the results of the Bankart operation deteriorate if there is significant bone loss at the glenoid or humerus and also when there is structural damage to the anteroinferior glenohumeral ligament and labrum.In 1954 Latarjet described the technique of coracoid transfer to the anterior glenoid. This procedure has become popular for the treatment of anterior shoulder instability especially in France and is performed in an open technique.In this paper we describe the indications, operative techni... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374785 Sat, 01 Jan 2011 00:00:00 +0100 4374785 http://www.medworm.com/index.php?rid=4374784&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21222209%26dopt%3DAbstract Authors: Kamand AA, Warzecha J, Schneider S, Daecke W, Meurer A Benign bone tumors are neoplasms which have their origin in bone and lack criteria of malignant tumors, i.e. infiltrative growth pattern and distant metastases. They are classified according to the WHO criteria concerning the tumor matrix (osseous, cartilaginous, fibrous etc.). Traditionally there are also some non-neoplastic bone lesions which are classified as benign bone tumors and belonging to the group of tumor-like bone lesions. For the physician it is important to know those entities which are harmless, as well as those which can tend to re-occur or which ones can be locally destructive. Finally, some tumors are at risk of becoming malignant (large and proximal enchondromas or multiple tumors within a syndromal dise... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374784 Sat, 01 Jan 2011 00:00:00 +0100 4374784 http://www.medworm.com/index.php?rid=4374783&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21243465%26dopt%3DAbstract Orthopade. 2011 Jan;40(1):97-98 Authors: PMID: 21243465 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4374783 Sat, 01 Jan 2011 00:00:00 +0100 4374783 http://www.medworm.com/index.php?rid=4289025&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153534%26dopt%3DAbstract Authors: Greiner S, Scheibel M Bony avulsions of the rotator cuff and isolated greater or lesser tuberosity fractures are rare injuries and a clear consensus regarding classification and therapy does not yet exist. Conservative therapy is limited, especially in injuries with displaced fragments and in these cases surgical treatment is frequently indicated. The ongoing development of arthroscopic techniques has led to quite a number of reports about arthroscopically assisted or total arthroscopic techniques in the treatment of these injuries. The advantages and disadvantages of arthroscopic concepts for the treatment of bony avulsions of the rotator cuff are presented with reference to the current literature. PMID: 21153534 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4289025 Sun, 12 Dec 2010 00:00:00 +0100 4289025 http://www.medworm.com/index.php?rid=4289024&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153535%26dopt%3DAbstract Authors: Scheibel M PMID: 21153535 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4289024 Sun, 12 Dec 2010 00:00:00 +0100 4289024 http://www.medworm.com/index.php?rid=4234809&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21103858%26dopt%3DAbstract Authors: Kieb M, Lorbach O, Engelhardt M Muscle injuries are common in sports. They are usually caused by either acute (mostly eccentric mechanisms) or chronic overloading with a lack of muscle coordination. They present in clinical practice as bruises and muscle sprains. Due to the rigours of a modern society and the high economic cost of time off work, an effective treatment needs to be employed. The key to an optimised therapy rests in the appropriate timing between immobilisation and mobilisation. The interval to muscle repair might be shortened by certain adjuvant therapies. In doing so, it is important that no physiological phases of wound healing are overlooked. Muscle healing can be accelerated by externally induced higher metabolic turnover. Surgical therapy is sometimes neces... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234809 Wed, 01 Dec 2010 00:00:00 +0100 4234809 http://www.medworm.com/index.php?rid=4234808&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21103859%26dopt%3DAbstract Authors: Grim C, Lorbach O, Engelhardt M Ruptures of the quadriceps or patellar tendon are uncommon but extremely relevant injuries. Early diagnosis and surgical treatment with a stable suture construction are mandatory for a good postoperative clinical outcome. The standard methods of repair for quadriceps and patellar tendon injuries include the placement of suture loops through transpatellar tunnels. Reinforcement with either a wire cerclage or a PDS cord is used in patellar tendon repair. The PDS cord can also be applied as augmentation in quadriceps tendon repair. In secondary patellar tendon repair an autologous semitendinosus graft can be used. For chronic quadriceps tendon defects a V-shaped tendon flap with a distal footing is recommended. The different methods of repair shoul... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234808 Wed, 01 Dec 2010 00:00:00 +0100 4234808 http://www.medworm.com/index.php?rid=4234804&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21107807%26dopt%3DAbstract Authors: Warzecha J, Kamand A, Daecke W, Meurer A For the most part soft tissue tumors are benign. However, the clinical presentation, including radiological aspects, is not always clear. Therefore, a biopsy is necessary in some cases to detect malignant tumors at an early stage. The course of even benign tumors is sometimes complicated. A not insignificant group of local, aggressive or intermediary tumors tend to recur and in exceptional cases can be fatal. Benign soft tissue tumors are subdivided according to the current WHO classification from 2002. They are classified by the tissue they mimick. In clinical practice they are additionally grouped according to aggressiveness. Some benign soft tissue tumors occur in the context of a syndrome, leading to multiple tumors. In these cases ... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234804 Wed, 01 Dec 2010 00:00:00 +0100 4234804 http://www.medworm.com/index.php?rid=4234799&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21107808%26dopt%3DAbstract Authors: Engelhardt M, Lorbach O PMID: 21107808 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234799 Wed, 01 Dec 2010 00:00:00 +0100 4234799 http://www.medworm.com/index.php?rid=4234792&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21110002%26dopt%3DAbstract Authors: Pagenstert G, Leumann A, Frigg A, Valderrabano V Achilles tendon ruptures (ATR) are becoming the most frequent tendon rupture of the lower extremity, whereas less than 100 cases of tibialis anterior tendon ruptures (TATR) have been reported. Common in both tendons are the degenerative causes of ruptures in a susceptible tendon segment, whereas traumatic transections occur at each level. Triceps surae and tibialis anterior muscles are responsible for the main sagittal ankle range of motion and ruptures lead to a distinctive functional deficit. However, diagnosis is delayed in up to 25% of ATR and even more frequently in TATR.Early primary repair provides the best functional results. With progressive retraction and muscle atrophy delayed tendon reconstruction has less favourable... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234792 Wed, 01 Dec 2010 00:00:00 +0100 4234792 http://www.medworm.com/index.php?rid=4234807&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21104226%26dopt%3DAbstract Authors: Wiedemann NA, Friederichs J, Richter U, Bühren V Synovial chondromatosis of the ankle is a rare condition, particularly secondary chondromatosis. In view of a possible traumatic pathogenesis, chondromatosis should be kept in mind in daily trauma and orthopedics practice. Diagnostic imaging gives a first indication. The key to differentiating between the primary and secondary forms is histological identification. This case shows the necessity of exact differentiation, even in cases of a causal link with a specific injury. PMID: 21104226 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4234807 Wed, 24 Nov 2010 00:00:00 +0100 4234807 http://www.medworm.com/index.php?rid=4191003&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21088955%26dopt%3DAbstract Authors: Hintermann B, Knupp M The function of the posterior tibial (PT) tendon is to stabilize the hindfoot against valgus and eversion forces. It functions as the primary invertor of the foot and assists the Achilles tendon in plantar flexion. The PT tendon is a stance phase muscle, firing from heel strike to shortly after heel lift-off. It decelerates subtalar joint pronation after heel contact. It functions as a powerful subtalar joint supinator and as a support of the medial longitudinal arch. The action of the tendon travels to the transverse tarsal joints, locking them and allowing the gastrocnemius to support heel rise. Acute injuries of the PT tendon are rare and mostly affect the active middle-aged patient or they are the result of complex injuries to the ankle joint complex.... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4191003 Sat, 20 Nov 2010 00:00:00 +0100 4191003 http://www.medworm.com/index.php?rid=4191002&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21088956%26dopt%3DAbstract Authors: Lorbach O, Kieb M, Grim C, Engelhardt M Ruptures of the biceps tendon account for a high percentage of tendon ruptures. The aetiology of proximal ruptures of the long head of the biceps tendon is often degenerative and they are frequently associated with lesions of the rotator cuff. The clinical findings are often not specific and long lasting. Distal ruptures of the biceps tendon mostly occur during eccentric contraction of the biceps muscle.Clinical tests, the associated haematoma and a distalisation or proximalisation of the muscle belly in combination with ultrasound or MRI to rule out combined diseases lead to the diagnosis. The possible options include conservative and operative treatment. Tenotomy and tenodesis lead to comparable results in the literature. Therefore, co... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4191002 Sat, 20 Nov 2010 00:00:00 +0100 4191002 http://www.medworm.com/index.php?rid=4161775&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21061115%26dopt%3DAbstract Authors: Knupp M, Hintermann B Peroneal tendon injuries are recognized with increasing frequency to be the cause of persistent lateral ankle symptoms. The lesions are frequently found in patients with concomitant anatomical or biomechanical abnormalities, such as chronic lateral instability or cavovarus deformity. The most common mechanism involves a sudden inversion injury or repetitive activities. Three categories of injuries can be distinguished: (1) tendinitis and tenosynovitis, (2) tendon subluxation and dislocation and (3) tendon tears and ruptures. Many of these conditions respond to conservative therapy. However, when left untreated, the disorders can lead to persistent lateral ankle pain and substantial functional deficits. This is particularly true in patients with an underly... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4161775 Sat, 06 Nov 2010 00:00:00 +0100 4161775 http://www.medworm.com/index.php?rid=4161776&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21057937%26dopt%3DAbstract Authors: Spiro AS, Großterlinden L, Zustin J, Rueger JM, Priemel MH A 60-year-old man presented to our institution with a singular subtrochanteric renal cell carcinoma metastasis of the right femur. Tumor resection and implantation of a cemented femoral head preserving prosthesis was considered as the best treatment option to obtain a good hip joint function. After successful surgery (R0 resection) the patient was immediately mobilized with full weight-bearing. One year postoperatively the patient presented with good joint function and absolute mobility. X-ray examinations revealed a good position of the implanted prosthesis without signs of tumor recurrence or femoral head necrosis. Implantation of a femoral head preserving prosthesis is a good option for the treatment of subtrochant... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4161776 Fri, 05 Nov 2010 00:00:00 +0100 4161776 http://www.medworm.com/index.php?rid=4143362&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052625%26dopt%3DAbstract We report about five patients who underwent operative therapy after failed conservative treatment. The operation included débridement and augmentation of the tendon. The follow-up was at least 6 months. The mean preoperative Kitaoka score was 63 (50-68) points. After 3 months follow-up the mean Kitaoka score was up to 84 (80-90) points and at the 6-month follow-up up to 96 (94-100) points. The results showed a significant reduction of pain. Operative therapy should be considered in cases of failed conservative therapy. PMID: 21052625 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143362 Fri, 05 Nov 2010 00:00:00 +0100 4143362 http://www.medworm.com/index.php?rid=4143360&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052627%26dopt%3DAbstract We present short-term results after one-stage revision of the metatarsophalangeal joint using the TOEFIT-PLUS™ prosthesis for implant revision. Clinical and radiological examinations were performed on three metatarsophalangeal joints after explantation of the Moje prosthesis and one-stage revision using the TOEFIT-PLUS™ prosthesis for implant revision. The AOFAS score and VAS were checked preoperatively and 6 and 12 months after surgery.Good to very good short-term results after one-stage revision of the metatarsophalangeal joint using the TOEFIT-PLUS™ prosthesis for implant revision could be demonstrated in this study. One-stage revision of the arthroplasty of the metatarsophalangeal joint can increase the range of motion and avoid arthrodesis entailing iliac crest bone graft morbid... Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143360 Fri, 05 Nov 2010 00:00:00 +0100 4143360 http://www.medworm.com/index.php?rid=4143359&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052628%26dopt%3DAbstract Authors: Wedemeyer C, Peppmüller R, Bredendiek T Non-union is a common and serious complication in orthopaedic surgery with high socioeconomic importance. In addition to conventional methods for the treatment of non-unions bone morphogenetic protein (BMP)-7 for the induction of bone tissue is available. The case report demonstrates successful treatment of a septic and atrophic femoral non-union by combination therapy with BMP-7 and autologous spongiosa graft after multiple revision surgeries. PMID: 21052628 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143359 Fri, 05 Nov 2010 00:00:00 +0100 4143359 http://www.medworm.com/index.php?rid=4143358&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052629%26dopt%3DAbstract Authors: Henrichs MP, Hardes J, Gosheger G, Vieth V The case of a 22-year-old man with an osteoid osteoma of the right talus neck is reported. After 2 years of pain and swelling we confirmed the diagnosis by CT and MRI scan. Afterwards we performed CT-guided thermocoagulation; 12 months afterwards the patient shows no symptoms anymore. PMID: 21052629 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143358 Fri, 05 Nov 2010 00:00:00 +0100 4143358 http://www.medworm.com/index.php?rid=4143356&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052631%26dopt%3DAbstract CONCLUSION: There is an increased surgical time required for surgical training. It is the responsibility of health care policy to ensure an appropriate financial compensation. PMID: 21052631 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143356 Fri, 05 Nov 2010 00:00:00 +0100 4143356 http://www.medworm.com/index.php?rid=4143355&cid=s_36648_31_f&fid=36648&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21052632%26dopt%3DAbstract Authors: Krüger-Franke M Ruptures of the adductor muscles, the m. rectus femoris or the m. biceps femoris are sports injuries which need quick and reliable diagnostic management. Treatment of muscle injuries is mostly conservative; complete tendon ruptures or avulsion fractures of the tendons are treated operatively according to the dislocation and the functional loss. PMID: 21052632 [PubMed - as supplied by publisher] (Source: Der Orthopade) Der Orthopade journals http://www.medworm.com/rss/comments.php?id=4143355 Fri, 05 Nov 2010 00:00:00 +0100 4143355