Der Unfallchirurg
-
Septic coxitis is a rare disesase which can be caused by a variety of pathogens. Primary and secondary coxitis can be differentiated depending on the etiology. ⋯ Septic coxitis is classified into four stages depending on the arthroscopic findings. The best results are usually achieved by a combination of arthroscopic lavage and antibiotic therapy.
-
Review
[Treatment of periprosthetic and peri-implant fractures : modern plate osteosynthesis procedures].
Periprosthetic fractures are increasing not only due to the demographic development with high life expectancy, the increase in osteoporosis and increased prosthesis implantation but also due to increased activity of the elderly population. The therapeutic algorithms are manifold but general valid rules for severe fractures are not available. ⋯ It is to be expected that in the mid-term further options, such as cement augmentation of cannulated polyaxial locking screws will extend the portfolio of implants for treatment of periprosthetic fractures. The aim of this review article is to present the new procedures for osteosynthesis of periprosthetic fractures.
-
This article reviews basic characteristics of road traffic crashes of heavy vehicles and the current health status of truck drivers. It summarises previous findings from research with a focus on orthopaedic diseases and injuries. ⋯ On the other hand there is a substantial lack of medical care for the drivers on the road. Therefore this article presents the"DocStop Initiative" for medical care on the road, an initiative that runs an international network of care providers (http://www.docstop-online.eu).
-
Review Case Reports
[Avulsion fracture of the patella with intra-articular dislocation : a rare form of injury to the growing skeleton].
Sleeve avulsion fractures of the patella in children are a rare condition. We present a patient history of an unusual case of an irreducible avulsion fracture with intra-articular dislocation including the surgical management and a review of the literature.