Is the conservative treatment of sacral insufficiency fractures still up to date? Retrospective clinical observational study in 46 patients.

Background: According to current forecasts, our society will grow older and older, so that the proportion of 6% of the German population from 2017 who were 80 years or older will increase further. The frequency of falls in this patient population lead to a further increase of sacral insufficiency fractures.

Hypothesis: The aim of this study is to evaluate the multimodal interdisciplinary conservative therapy regime for sacral insufficiency fractures in geriatric patients, especially on the basis of mobility and the need for assistance.

CT scan and conventional x-ray in multiple injured patient care: diagnostic strategies and outcomes analysed from the TraumaRegister DGU®.

Purpose: To evaluate the current practice regarding the prevalence and sequence of x-ray and CT scan in diagnostic algorithms for multiple injured patients.

Methods: All primarily treated patients with ISS ≥ 9 were selected from the TraumaRegister DGU® (years 2008-2015; n = 109,257). Four subgroups of diagnostic algorithm were defined: CT only (group C; n = 63,763), CT before x-ray (group CX; n = 3711), x-ray followed by CT (group XC; n = 33,590), and x-ray only (group X, n = 8193).

Existence and role of standard operating procedures in the emergency department : A national online survey.

Background: In recent years, increases in the number of patients in emergency departments (ED) have led to continuous work intensification. To handle this problem, the treatment effectiveness has to be maximized. One strategy that may help to optimize workflow is the use of standard operating procedures (SOPs).

Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care.

To evaluate the clinical use and economic aspects of negative pressure wound therapy (NPWT) after dorsal stabilisation of spinal fractures. This study is a prospective randomised evaluation of NPWT in patients with large surgical wounds after surgical stabilisation of spinal fractures by internal fixation. Patients were randomised to either standard wound dressing treatment (group A) or NPWT (group B).

Incisional negative pressure wound therapy after hemiarthroplasty for femoral neck fractures - reduction of wound complications.

The aim of the study was to evaluate the use of incisional negative pressure wound therapy (iNPWT) in wound healing after femoral neck fracture (FNF) treated with hip hemiarthroplasty (HA) and its influence on postoperative seromas, wound secretion, as well as time and material consumption for dressing changes. The study is a prospective randomised evaluation of iNPWT in patients with large surgical wounds after FNF. Patients were randomised either to be treated by iNPWT (group A) or a standard wound dressing (group B).

Contractures of the lower extremities in spinal muscular atrophy type II. Descriptive clinical study with retrospective data collection.

Background: Early development of contractures and progressive scoliosis with pelvic obliquity are the most significant orthopaedic problems for children with the intermediate form of spinal muscular atrophy, SMA type II. This study deals with the restrictions of the passive range of motion and the development of contractures of the lower extremities in these patients.

Patients And Methods: We followed up 143 patients, 74 female and 69 male, with SMA type II for an average of 5.

Contractures of the upper extremities in spinal muscular atrophy type II. Descriptive clinical study with retrospective data collection.

Background: The most significant orthopaedic problem for patients with the intermediate form of spinal muscular atrophy, SMA type II, is the appearance of contractures in addition to progressive scoliosis and pelvic obliquity with increasing loss of sitting stability. This study deals with restrictions of the passive range of motion and the development of contractures in the joints of the upper extremities in these patients.

Material And Methods: We followed up 143 patients, 74 female and 69 male, with SMA type II for an average of 5.

Use of orthoses and orthopaedic technical devices in proximal spinal muscular atrophy. Results of survey in 194 SMA patients.

Purpose: The purpose of this study is to determine the use of orthopaedic and assistive devices for Spinal muscular atrophy (SMA) patients, following a survey of 194 patients.

Method: The use of wheelchairs, corsets and orthoses was evaluated in 194 SMA patients whose mean age was 12.6 (SD 7.

Fractures in proximal spinal muscular atrophy.

Introduction: Fractures are a common problem for patients with spinal muscular atrophy (SMA).

Patients: A total of 131 patients with proximal SMA with an average age of 13.2 +/- 9.