[Precise sacroiliac joint screw insertion without computed tomography, digital volume tomography or navigation systems].

Objective: Improvement of sacroiliac positioning of screws by detailed preoperative planning with a DICOM (Digital Imaging and Communications in Medicine-the international standard to store and process medical imaging information) workstation in the absence of advanced technical facilities like intraoperative computer tomography (CT), digital volume tomography (DVT) or a navigation system.

Indications: Mono- or bilateral non- or minor displaced, longitudinal sacral fractures type Denis I and II and pelvic ring fractures (Orthopedic Trauma Association) OTA type B possibly in combination with a ventral procedure.

Contraindications: Displaced sacral fractures type Denis II and III, fractures with central comminution and circulatory unstable patients to be stabilized in the context of emergency care.

[Acute exacerbation of chronic CLL with multiple pathological fractures : A rarity].

Chronic lymphatic leukaemia (CLL) is one of the most common leukaemic diseases in middle Europe. Pathological fractures are rare findings in patients with CLL. The diagnosis of CLL is in most cases an incidental finding as it often stays asymptomatic for years.

Fulminant Necrotizing Fasciitis of the Thigh, Following an Infection of the Sacro-iliac Joint in an Immunosuppressed, Young Woman.

Necrotizing soft tissue infection of an extremity is a rare but life-threatening disease. The disease is an infection that involves the soft tissue layer and is characterized by rapidly spreading inflammation (especially of the fascial planes and the surrounding tissues) with a high mortality. Early diagnosis is essential for the outcome of the patients.

The use of double lumen cannula for veno-venous ECMO in trauma patients with ARDS.

Background: The use of a double lumen cannula for veno-venous extracorporeal membrane oxygenation (v.v. ECMO) offers several advantages such as cannulation with only one cannula, patient comfort and the earlier mobilization and physiotherapy.

[Surgical treatment of 3- and 4-part fractures of the humeral head using a polyaxial-locking plate: results and patient satisfaction].

Introduction: In recent years, new angle-stable plate implants with polyaxial screw direction were developed with the aim of an improved treatment of displaced 3- and 4-part fractures of the proximal humerus. There are only a few studies available about polyaxial implants in the treatment of 3- and 4-part proximal humerus fractures. Therefore, the aim of this study was to evaluate clinical results and complications of open reduction and internal fixation of displaced 3- and 4-part fractures using a polyaxial plate.