Die Gonarthrose ist eine der häufigsten Gelenkerkrankungen mit steigender Prävalenz im hohen Alter. Die primäre Knieendoprothetik zeigt sich seit Jahren als eine bewährte operative Therapie. Trotz vieler technischer Fortschritte und moderner Operationstechniken berichten bis zu 20% der operierten Patienten…
With the increasing number of total joint arthroplasties and the associated increase in periprosthetic infections, the further development of non-invasive examination methods to improve bacterial detection is becoming increasingly important. This is particularly important in the case of biofilm-forming…
London: Macmillan Publishers Limited, part of Springer Nature, 2025-08-26
Heterotope Ossifikation (HO) bezeichnet die pathologische Bildung von Knochengewebe außerhalb des Skeletts, z. B. in Weichteilen, Muskeln, Bändern oder periartikulären Regionen. Es gibt zwei Formen: die angeborene und die erworbene, letztere oft postoperativ nach Gelenkeingriffen. Diese Arbeit untersucht…
Bei einer zunehmenden Anzahl der durchgeführten Operationen in der Knie- und Hüftendoprothetik ist trotz effektiver Präventionsmöglichkeiten mit einem Anstieg der periprothetischen Infektionen zu rechnen. Die chirurgische Hautdesinfektion führt zur weitestgehenden Destruktion der Normalflora. Es stellt…
Empyema of the joint is an orthopedic emergency that is associated with a prolonged healing process despite adequate surgical and medical therapy. The risk of developing postinfectious osteoarthritis (OA) after successfully treated joint empyema is unknown. Both incidence and risk factors are important…
Schulteroperationen werden grundlegend in der Beach-Chair-Position (BCP) durchgeführt. Aktuelle Studien zeigen, dass die BCP einen komplikationsunabhängigen Einfluss auf den Grad der Oxygenierung im Gehirn hat. Bei Operationen an der oberen Extremität finden Regionalanästhesieverfahren, wie die interskalenäre…
Die Implantation einer Hüft-Totalendoprothese (HTEP) ist die am sechsthäufigsten durchgeführte Operation in Deutschland und wird aufgrund ihres Erfolges als „Operation des Jahrhunderts“ bezeichnet. Diese Erfolgsgeschichte hat jedoch ein eigenes Problem entwickelt. Hohe Eingriffszahlen bedeuten auch einen…
Acetabular defects are a challenging condition for surgeons in revision THA. A crucial aim is an anatomical restoration of the centre of rotation (COR) through grafts. The aim of this study was to determine the cup survival after biological restoration of acetabular defects in THA and the effect of Paprosky…
London: Macmillan Publishers Limited, part of Springer Nature, 2022-08-03
Purpose: The fixation of revision total knee arthroplasties (rTKA) tends to be difficult, leading to a reduction in implant survival. One option for achieving a more stable anchorage is to use metaphyseal cones and sleeves. The objective of the present paper is to provide a current comparative meta-analysis…
Background and Objectives: No gold standard exists for treating persistent periprosthetic knee infections. Knee arthrodesis represents one treatment concept for extensive bone defects and extensor system insufficiencies. It has already been shown that knee arthrodesis leads to a significant reduction…
Purpose: Soft tissue, bone and joint infections are severe complications in orthopedic and traumatological surgery. Lavanox (0.08% NaOCl) and Irrisept (0.05% chlorhexidine gluconate, CHG) are industrially produced antiseptic solutions commonly used in infection treatment. Regarding this clinical indication,…
Dalbavancin is a novel glycopeptide antibiotic approved for the treatment of acute bacterial skin and skin structure infections (ABSSSIs). It is characterized by a potent activity against numerous Gram-positive pathogens, a long elimination half-life and a favorable safety profile. Most recently, its…
London: Macmillan Publishers Limited, part of Springer Nature, 2021-12-06
This paper presents the technological status of robot-assisted gait self-training under real clinical environment conditions. A successful rehabilitation after surgery in hip endoprosthetics comprises self-training of the lessons taught by physiotherapists. While doing this, immediate feedback to the…
One of the most challenging complications of total knee arthroplasty (TKA) is periprosthetic joint infection (PJI). There is growing evidence of a good anti-infective effect of intrawound vancomycin powder in total joint arthroplasty. At the same time, various different locally applied substances have…
London: Macmillan Publishers Limited, part of Springer Nature, 2021-05-24
There are multiple attempts to decrease costs in the healthcare system while maintaining a high treatment quality. Digital therapies receive increasing attention in clinical practice, mainly relating to home-based exercises supported by mobile devices, eventually in combination with wearable sensors.…
Locally applied vancomycin is increasingly being used in primary hip and knee arthroplasty to reduce the risk of infection. Despite encouraging initial results, considerable debate remains on the basis of the data currently available. In particular, it has been unclear up to now whether local vancomycin…
London: Macmillan Publishers Limited, part of Springer Nature, 2020-08-03
Immunologically restricted patients such as those with autoimmune diseases or malignancies often suffer from delayed or insufficient fracture healing. In human fracture hematomas and the surrounding bone marrow obtained from immunologically restricted patients, we analyzed the initial inflammatory phase…