The revised version of the injury category list from 2013 went beyond the originally intended editorial revision and can now be described as version 2.0. As point 11 the complications, as they typically occur after months or years, were reincluded in the directory. Revised numbered lists were systematically processed and are now clearly represented by means of indentations. Newly...
Endoprosthesis after acetabular fractures represents an alternative therapy option to osteosynthesis. In both elderly and young people it is essential to exactly define the indications for both procedures and to demarcate them from each other.
Weichteilsarkome sind mit weniger als 1 % aller Krebserkrankungen selten. In Deutschland wurden in den letzten Jahren zwischen 3500 und 3750 Neuerkrankungen pro Jahr registriert. Es lassen sich grob 2 Gruppen unterteilen: Entitäten mit einzelnen, gut definierten Treibermutationen und Sarkome mit einem komplexen Genotyp. Als Risikofaktoren gelten eine genetische Prädisposition wie...
Dislocation of the knee is a rare but severe injury. Knee dislocations occur mainly in young active male patients mainly due to high velocity injury mechanisms. Combined injuries of the anterior and posterior cruciate ligaments associated with injuries of the medial or lateral collateral ligaments are typical injury patterns in these cases. The early recognition and treatment of...
Treatment of patellar instability is demanding and requires an exact approach with respect to classification, diagnostics and treatment planning. An undifferentiated approach often results in persisting instability, persistent pain and low patient satisfaction. A variety of causes and treatment approaches for patellofemoral instability are known. For a long time the medial...
The high stability of the elbow joint is provided by the congruent articular surfaces in combination with soft tissue stabilizers. The main osseous contributor of elbow stability is the coronoid, which is therefore referred to as a primary stabilizer. The radial head as a secondary stabilizer together with the medial collateral ligament assures valgus stability and together with...
Fractures of the lower extremities in children and adolescents are common injuries and the lower leg is more often affected than the upper leg. There are many more recommendations for the treatment of femoral shaft fractures than for treatment of lower leg shaft fractures. Femoral shaft fractures in young children are the domain of conservative treatment. For the upper and lower...
Unter den nekrotisierenden Haut- und Weichteilinfekten („necrotizing skin and soft tissue infections“ [NSSTIs]) wird eine Entität seltener Infektionserkrankungen zusammengefasst, die ein breites Spektrum an klinischen Erscheinungsbildern bieten. Diese reichen von oberflächlichen Hautnekrosen ohne systemische Infektzeichen bis zur klassischen nekrotisierenden Fasziitis mit...
Berufsbedingte Meniskusschäden wurden als sog. Bergmann-Meniskus 1952 in die Berufskrankheitenliste aufgenommen. Seit 1988 wurde die Berufskrankheit auf alle Berufe erweitert. Exposition und Meniskusschaden müssen vollbeweislich gesichert sein. Es müssen ein belastungskonformes Schadensbild und ein belastungskonformer Verlauf vorliegen. Bei konstant 1000 bis 1200...
The reorganization of inpatient treatment procedures by the statutory accident insurance adopted on 01.01.2013 in the form of a new medical consultant procedure in hospital (DAV), a modified injuries type procedure (VAV) and also a new severest injuries type procedure (SAV), is shortly to expire after the transitional period of 5 years. In the meantime, more than two thirds of...
BackgroundEach year an estimated 250,000 cases of mild traumatic brain injury (mTBI) occur in Germany. A TBI is defined as a result of mechanical energy to the head from external physical forces leading to malfunction and/or injury of the brain with a Glasgow Coma Scale value from 13 to 15.ObjectiveThe definition, treatment modalities and prognosis of mTBI are presented.Material...
Injuries to the major nerves in the upper extremities can result in severe disabilities as well as alternative occupations or early retirement for the patient. This talk synopsis focuses on the prerequisites and strategies to reconstruct these injuries by secondary nerve repair as well as tendon transfer.
The demographic developments in our society implicates alterations which traumatology must adjust to. In many places specialized trauma centers for the elderly have been established in recent years, in which an interdisciplinary and interprofessional cooperation is carried out for the treatment of geriatric trauma patients. Scientifically, the benefits of such centers could in...
BackgroundFor elderly patients it is often a severe problem to regain mobility following severe trauma of the knee joint. Primary total knee arthroplasty may represent an adequate therapeutic option in certain cases.ObjectiveThe aim of this study was to define the indications, risks and chances of primary total knee arthroplasty for acute knee trauma.Material and methodsA...
Die sog. Rückzugsverfahren gewinnen in der Ellenbogenprothetik zusehends an Bedeutung. Durch die Ausweitung des Indikationsspektrums mit daraus resultierend steigender Anzahl an implantierten Ellenbogenprothesen sind auch vermehrte Komplikations- und Revisionsraten zu erwarten. Lassen sich für solch komplexe Reinterventionen allgemeingültige Richtlinien definieren? Anhand von...
Hintergrund Im Zuge des demografischen Wandels der Bevölkerung sowie der Anhebung des Renteneintrittsalters ist von einer Veränderung der Patientenaltersstruktur auch im BG-Wesen auszugehen. Mit höherem Patientenalter steigt vermutlich auch die Prävalenz vieler internistischer Komorbiditäten. Hieraus stellt sich die Frage, ob die BG sich anders aufstellen muss bzw. wie sich das...
With the reorientation of the German statutory accident insurance for inpatient treatment in 2014, the patient care was reorganized. Among other things, the quality of the treatment should be improved. With the new orientation, the accident insurance providers have gained more influence in the treatment of patients. There has been an increase in bureaucracy. The extent to which...
For over 15 years, intraoperative 3‑dimensional imaging has been available for operative treatment of complex articular fractures. It allows visualization of anatomical structures in complex regions as well as 3‑dimensional imaging of bony structures in the foot and ankle joint. By means of this method, fracture reduction, implant position and position of the syndesmosis can be...
On 11 June 2009 “gonarthrosis caused by activities involving kneeling or similar strains on the knee with a cumulative duration of effect during the working life of a least 13,000h and a minimum duration of effect of a least 1h per working shift” was officially recognized as an occupational disease in Germany. The term similar activities relates to crawling, squatting and...
Primary reconstruction of peripheral nerve injury is not always possible for different reasons. However, quick reinnervation of target organs should be intended. The critical time period of motor nerve reconstruction is 18 months and up to 3 years for peripheral nerves. After 12 weeks without evidence of clinical or neurophysiological reinnervation, surgical revision should be...