Publications by authors named "Konrad Schuetze"

Background: Geriatric comanagement has been shown to improve outcomes of older surgical inpatients. Furthermore, the choice of discharge location, that is, continuity of care, can have a fundamental impact on convalescence. These challenges and demands have led to the SURGE-Ahead project that aims to develop a clinical decision support system (CDSS) for geriatric comanagement in surgical clinics including a decision support for the best continuity of care option, supported by artificial intelligence (AI) algorithms.

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  • Hip fractures continue to have high morbidity and mortality rates, and delays in surgery often occur for patients on long-term antithrombotic therapy, but urgent surgery may not lead to severe bleeding complications.
  • A study reviewed 1142 patients who underwent surgery within 24 hours for hip fractures, with 51.1% on antithrombotics; it focused on transfusion rates, hemoglobin changes, mortality, and hematoma occurrences post-surgery.
  • The findings revealed a 10.3-hour mean surgery wait, a 25.9% blood transfusion rate influenced by surgery duration and anticoagulants, a 5.3% mortality rate primarily linked to ASA classification and surgery timing, and 3
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The current demographic development is leading to an increasing number of cases of osteoporosis-related fractures. Affected individuals are typically part of a vulnerable, predominantly geriatric patient group with limited physical resources. Additionally, the pathophysiological characteristics of osteoporotic bones with reduced bone quality and quantity, pose a significant challenge to the osteosynthesis techniques used.

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Introduction: Fragility fractures (FF) are associated with increased morbidity and mortality and reflect a dramatic turning point in the life of older adults. The scientific discourse is dominated by proximal femoral fractures, but FF affect multiple parts of the body and often precede hip fractures. Orthogeriatric co-management has multiple shown to improve patient's outcome.

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Background In the modern Western world, activities and the daily routine of children have changed over time. Detailed analyses of the mechanisms of injuries and current fracture patterns in children are rare. The aim of the study was to elicit and investigate the most dangerous leisure and sporting activities leading to fractures in children today.

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Background: Proximal humerus fractures are common injuries in the elderly. Locked plating showed high complication and reoperation rates at first. However, with second-generation implants and augmentation, minimally invasive locked plating might be a viable alternative to arthroplasty or conservative treatment.

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Background Since March 2020, increasing numbers of hospitalized patients with coronavirus disease-2019 (COVID-19) infections have been registered. The first and the second waves necessitated the extensive restructuring of hospital infrastructure with prioritization of intensive care capacity. Elective surgeries in all surgical disciplines were postponed to preserve intensive care capacity for COVID-19 patients.

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Anticoagulative medication such as antiplatelet drugs (PAI, acetylsalicylic acid and direct platelet aggregation inhibitors), vitamin-K-antagonist Warfarin (VKA) or direct oral anticoagulants (DOAC) are common among hip fracture patients, and the perioperative management of these patients is a rising challenge in orthopaedic trauma. Our objective was to determine the effect of oral anticoagulation in patients receiving early endoprosthetic treatment within 24 h after their admission. For the period from 2016 to 2020, a retrospective chart review of 221 patients (mean age 83 ± 7 years; 161 women and 60 men) who were treated either with hemi- (n = 209) or total hip arthroplasty (n = 12) within 24 h after their admission was performed.

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Article Synopsis
  • - The study evaluates the clinical outcomes of the femoral neck system (FNS) compared to the dynamic hip screw (DHS) for treating hip fractures in elderly patients, revealing promising results for FNS since its introduction in 2018.
  • - A total of 221 patients with various types of Garden fractures were analyzed, focusing on key outcomes such as implant failure rates, surgical complications, and differences in hemoglobin levels pre- and post-operation.
  • - Findings indicate that FNS resulted in lower postoperative hemoglobin loss, shorter surgery times, and reduced hospital stays compared to DHS, suggesting it may be a more efficient option for treating proximal femur fractures.
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  • TRADE is a study focused on understanding how transfers and discharges between healthcare settings affect the onset of delirium and cognitive decline in older adults, aiming to create a better intervention for caregiver involvement.
  • The research follows a structured two-step approach involving both development and feasibility testing to gather comprehensive data on delirium occurrences and caregivers' roles during patient transitions.
  • Conducted in four hospitals in southwest Germany, the study aims to analyze various outcomes, including the incidence of delirium, cognitive function, and the effectiveness of the developed intervention over time.
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Background: The treatment of fragility fractures of the pelvis is rising challenge for orthopedic trauma surgeons. Operative treatment should allow immediate full weight bearing and early mobilisation but should also be as minimal invasive as possible. Sacroiliac (SI) or transsacral transiliac screws (TSTI) alone or depending on the fracture in combination with an external fixator meets both of these criteria.

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Purpose: Operative timing, perioperative management and postoperative rehabilitation are rising challenges in orthopedic geriatric trauma. The aim of this study was to determine the outcome of patients with dementia or with a high number of comorbidities treated with hemiprosthesis after hip fracture. Literature regarding patients with high comorbidities is scarce, leaving nothing but endoprosthetic treatment for even the sickest, immobile patients.

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Background: Cement augmentation of the proximal femur nail antirotation (PFNA; Fa. DePuy Synthes) showed good biomechanical and clinical results regarding increased stability and functional outcome [Linden et al. in J Orthop Res 24:2230-2237, 2006;Kammerlander et al.

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The number of fragility fractures is rising, and treatment is a challenge for orthopaedic trauma surgeons. Various augmentation options have been developed to prevent mechanical failure. Different composites can be used based on the fracture type, patient needs, and biomechanical needs.

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Background: Iterative reconstruction is well established for CT. Plain radiography also takes advantage of iterative algorithms to reduce scatter radiation and improve image quality. First applications have been described for bedside chest X-ray.

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