Publications by authors named "Horst-H Aschoff"
Article Synopsis
- The biology of osseointegration for intramedullary implants depends on factors like design, press-fit anchoring, and the wear and tear on the prosthesis over time, impacting how well they bond with bone.
- Proper material and surface engineering are necessary for stimulating bone growth to ensure implants remain stable and effective, while relative movement can increase infection risk.
- A two-step implantation process for a standard Endo-Fix Stem and a single-step for custom-made implants demonstrate effective osseointegration, particularly critical for patients with severe limb loss due to trauma.
Background: Surgical reconstruction of anterior cruciate ligament ruptures is a well-established procedure, and although it is for the vast majority of patients without severe complications, total knee joint arthroplasty, arthrodesis of the knee, and finally transfemoral amputation have to be considered in the worst-case scenario.
The Case: We report a case of a patient with a 13-year history of recurrent failure after anterior cruciate ligament reconstruction. She claimed she had severely impaired mobility secondary to a knee joint arthrodesis an Ilizarov circular frame 2 years ago and chronic immobilizing pain, making a permanent medication with opioids necessary.
Article Synopsis
- After transfemoral amputation, patients can use a traditional socket prosthesis or an osseointegrated prosthesis for better mobility.
- The study aimed to objectively analyze the benefits of using an osseointegrated prosthesis (EEP) through comprehensive gait assessments before and after the switch from a socket prosthesis.
- Results showed that both patients experienced improved force transmission and gait symmetry with the EEP, highlighting its advantages over traditional methods.
Purpose: A retrospective analysis of clinical outcomes and complication rates of patients treated with the latest implant design of the so-called Endo-Exo-Femoral Prosthesis (EEFP) was performed. The aim is to gain specific information on long-term complications of this treatment-method.
Methods: In January 2019, data of all transfemoral amputees who were treated with TOPS at an acute clinic in Schleswig-Holstein from 2010 to 2016 were retrospectively analysed.
Individuals with a transfemoral amputation (TFA) may experience limitations in daily life due to reduced mobility and prosthesis-related problems. An osseointegrated prosthesis fixation (OPF) procedure in amputees might contribute to a solution for patients with short stumps or socket-related problems. To date, no study has specifically described the application of an OPF procedure in individuals with a TFA.
View Article and Find Full Text PDFIntegral-Leg-Prosthesis (ILP) is a comparatively new attachment system that allows direct skeletal docking of artificial limbs. Between January 1999 and December 2013, 69 patients with transfemoral amputation were fitted with ILPs by a single German surgeon. Device design iterations and surgical techniques evolved during these years.
View Article and Find Full Text PDFIn the evolution of cleft lip repair there has been continuous attempt to minimize local trauma, improve lip and nasal appearance and, especially, prevent conspicuous scars. The surgical technique presented meets these criteria, resulting in an appropriate scar course in children with a specific philtral ridge shape. Postoperative digital anthropometry was performed in 18 patients who underwent unilateral cleft lip repair using the equal bows/straight line advancement technique and in matched healthy control individuals.
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