Der Unfallchirurg
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Modern strategies for postoperative care of patients with hip fractures include early discharge from the acute care hospital to inpatient interdisciplinary rehabilitation facilities. Whether these programs are effective for the patients and improve their long-term outcomes or if they simply transfer costs, with a reduction of the inpatient days in the acute care hospital, is currently under discussion. ⋯ Postoperative inpatient rehabilitation programs enhance short-term activities of daily living. In particular, patients who lived at home before the trauma and were reintegrated back home benefited in perpetuity from geriatric rehabilitation. A policy for early discharge to geriatric rehabilitation is associated with extension of overall hospital stay. This association along with the related increased health care costs should be weighed against the sociofunctional effectiveness of these programs.
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The management of patients with sport-related injuries of the spine is a challenging issue with regard to the ability to resume former sport activities. The current study analyses the rate of resumption of sports participation after conservative and operative treatment. ⋯ The current management of injuries of the spine effectuates a high rate of resumption of sports activity following conservative or operative treatment.
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Epiphysiolysis of the dens axis at the infant age is a rare injury, which must be surely clarified at car accidents with frontal application of force at medium high speed. We report of a small patient sitting in a child seat, who suffered a epiphysiolysis of the dens axis, which was initially not diagnosed, due to a abrupt deceleration in the context of a car accident. The epiphysiolysis of the dens axis could be secured with the aid of conventional radiography, MRT and CT. The delayed conservative treatment due to the anamnesis was then complicationless.
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The best treatment of a combined rupture of the anterior and posterior cruciate ligaments is still unclear. ⋯ The treated patients were able to carry out their activities of everyday life. However, none of them returned to their preinjury activity level.
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This study investigated the progression and clinical relevance of biochemical resorption marker values during fracture healing in osteoporosis. ⋯ Bone resorption markers can diagnostically point to osteoporosis and are significant parameters in fracture healing.