Publications by authors named "D M Thiesen"
Article Synopsis
- Sacral insufficiency fractures primarily affect older women with low bone mineral density, and this study investigates the bone quality in these patients through core biopsies from the sacral region.
- The research compared biopsy samples from patients with bilateral sacral insufficiency fractures to control samples from age- and sex-matched healthy donors, revealing significant loss of trabecular microstructure and signs of chronic microfractures in the fracture cohort.
- Key findings included lower mineral content and higher levels of bone remodeling markers in the fractured samples, suggesting reduced fracture resistance and a unique phenotype in this population compared to healthy individuals.
Article Synopsis
- Proximal femur fractures (PFF) in elderly patients significantly affect mobility and have high mortality rates, necessitating effective treatment.
- Advances in surgical and intensive care have improved treatment options, but there's limited research on outcomes for very elderly patients (≥90 years) after such interventions.
- A study of 148 patients showed a 22% in-hospital mortality rate and a 44% one-year survival rate, identifying higher CCI and SOFA scores at ICU admission as predictors of all-cause mortality, and demonstrating that 53% of those living independently before admission could return home after treatment.
A clear recommendation regarding treatment strategy of fragility fractures of the pelvic ring is missing. The most typical fracture pattern is a lateral compression type injury with non-displaced fractures of the anterior pubic rami and a unilateral os sacrum fracture (FFP II). We hypothesized that operative treatment would be superior to conservative treatment.
View Article and Find Full Text PDFBackground: To evaluate the performance in activities of daily living (ADL), level of pain, mortality and rate of complications in patients with a pelvic ring fracture with sacral involvement who were treated conservatively compared to a surgically treated patient collective using percutaneous iliosacral screw fixation.
Hypothesis: Conservative treatment does not result in inferior clinical outcome compared to operative treatment.
Patients And Methods: A retrospective study of 112 conservatively (n=46) or operatively (n=66) treated patients with an isolated posterior or a combined posterior and anterior pelvic ring fracture was performed.
Since the introduction of widely available e-scooter rentals in Hamburg, Germany in June of 2019, our emergency department has seen a sharp increase in the amount of e-scooter related injuries. Despite a rising number of studies certain aspects of e-scooter mobility remain unclear. This study examines the various aspects of e-scooter associated injuries with one of the largest cohorts to date.
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