Der Unfallchirurg
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Due to the demographic trend and the rising number of implanted joint prostheses, the incidence of periprosthetic fractures is going to increase in the future. This article describes the case of an aged person with a very unusual combination of periprosthetic and interprosthetic fractures with an inlying cementless total hip replacement and total knee replacement. By complying with the treatment strategies recommended for the respective individual injuries and the use of a geriatric trauma algorithm, it is even possible to successfully treat such a case. In addition to the unusual injury constellation, especially the surgical and geriatric traumatological treatment strategy are presented.
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Severely injured patients need a qualified and seamless rehabilitation after the end of the acute treatment. This post-acute rehabilitation (phase C) places high demands on the rehabilitation facility in terms of personnel, material, organizational and spatial requirements. The working group on trauma rehabilitation of the German Society for Orthopedics and Traumatology e. V. (DGOU) and other experts have agreed on requirements for post-acute phase C rehabilitation for seriously injured people. ⋯ A seamless transition to the follow-up and further treatment of seriously injured people in the TraumaNetzwerk DGU® is ensured through a high level of qualification and the corresponding infrastructure of supraregional trauma rehabilitation centers. This also places new demands on the TraumaZentren DGU®. Only if these are met can the treatment and rehabilitation of seriously injured people be optimized.
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Transosseous reconstruction of the triceps tendon. ⋯ Authors have reported good results after surgical treatment of triceps tendon ruptures. Regardless of possible extension deficits described in the literature, in the case presented an excellent postoperative outcome with a free range of motion was achieved.