Although newly developed computed tomography (CT)-based classifications for proximal tibial fractures could not exactly depict all fracture types, an individual treatment concept can be deduced from them. The use of these classifications enables a well-structured approach to stabilize most fracture patterns. In own studies it could be demonstrated how important it is to pay...
BackgroundInstabilities of the acromioclavicular joint and fractures of the lateral clavicle belong to the most common trauma sequelae of the shoulder girdle. A variety of surgical procedures have been described for these pathologies and a number of innovations were recently introduced. This article gives an overview about the current state of knowledge and useful tips for the...
Estimates of the worldwide incidence of spinal cord injury (SCI) are 40–80 new cases annually per million inhabitants. Historically, up to 90% of cases of SCI were of traumatic origin. The people affected by non-traumatic SCI are usually older and suffer from progressive diseases. A significant proportion of accidents leading to SCI are occupational. The need for assistive...
In the last decade there has been a clear trend towards minimally invasive stabilization techniques for the surgical treatment of unstable injuries of the posterior pelvic ring. Primarily, this involves unstable, non-dislocated B or C type injuries; however, this can also pertain to injuries with a moderate dislocation, which are either treatable by closed reduction or accessible...
Injuries of the foot and ankle can often be conservatively treated; however, an appropriately adjusted treatment should be performed. In this article injuries of the Achilles tendon, ankle fractures, injuries of the syndesmosis, lateral ankle ligament ruptures as well as ongoing functional instability and midfoot fractures of the fifth metatarsal are discussed. A current overview...
Die Therapie von Verletzungen der Brust- und Lendenwirbelsäule ist nach wie vor Gegenstand kontroverser Diskussionen. Trotz umfangreicher Veröffentlichungen mangelt es weiterhin an prospektiv randomisierten Studien zur Versorgung. Unterschiedliche Auffassungen bestehen jedoch nicht nur darüber, welche Versorgung, sondern auch welche Klassifikation der Wirbelsäulenverletzungen zu...
Während ein zeitgemäßes Entlassungsmanagement zentral gesteuert werden sollte, kann das Belegungsmanagement ebenfalls zentral, aber auch in einer Kombination mit zentralen und dezentralen Mechanismen gesteuert werden. Wesentlichen Einfluss darauf haben die Größe (Bettenzahl) und Struktur (Zahl der Fachabteilungen) des jeweiligen Krankenhauses. Bei nur einer oder wenigen...
Zum Vertrag Ärzte/Unfallversicherungsträger und zur Unfall-Gebührenordnung (UV-GOÄ) gibt es aktuelle Änderungen. So hat die Ständige Gebührenkommission nach § 52 Vertrag Ärzte/Unfallversicherungsträger eine lineare Anpassung der Gebühren der UV-GOÄ von insgesamt 18 %, verteilt über einen Zeitraum von 4 Jahren, sowie eine Neufassung des Teils D „Anästhesieleistungen“ beschlossen...
A closer look at physiotherapy as an established treatment in statutory accident insurance clearly shows that the organization and the general contents of the procedure are basically regulated. Considering possible decision-making aids and case studies, it seems to be more advisable to integrate measures into the therapeutic procedure that optimize treatment planning and control...
Using computed tomography (CT), magnetic resonance imaging (MRI) and digital volume tomography (DVT) digital data are generated and an exact spatial image of the location can be made by utilizing their 3‑dimensional presentation variations. In addition, the dataset can be used for the construction of 3‑dimensional models, such as individualized implants and for intraoperative...
In the emergency department, apart from bruises and lacerations to the head the hand is one of the most injured body parts in children with 20–25%. Various injury patterns can be found ranging from trivial injuries to complex lesions requiring difficult operative procedures. There is a significant difference in the type of injury between very young and older children. The foot is...
BackgroundFor surgeons with less experience in the treatment of pediatric fractures, the supracondylar fracture of the humerus poses a particular challenge. The main cause, apart from the lack of experience, is poor diagnosis in terms of poor X‑ray examinations, the associated difficult assessment, and the resulting inadequate treatment.Purpose of this articleTo set out and...
The loss of integrity and function of the ankle joint has severe effects on the mobility and quality of life of affected patients. The mental and physical disability associated with end-stage ankle arthrosis is at least as severe as that associated with end-stage hip arthrosis. In fact, 70–80% of cases of ankle arthritis occur in an ankle that has suffered an injury, which in...