Publications by authors named "P C Haefeli"
Objective: To maximize local tumor control, stabilize affected bones, and preserve or replace joints with minimal interventional burden, thereby enhancing quality of life for empowered living.
Indications: Suitable for patients with bone metastases, particularly those with severe pain and/or fractures and appropriate life expectancy.
Contraindications: In primary bone tumors, refer to the sarcoma surgery team for evaluation of wide resection.
Article Synopsis
- This text discusses a surgical technique using a 3D robot-assisted image-guided navigation system for percutaneous sacroiliac screw fixation, aimed at treating pelvic fractures in the posterior region.
- The procedure is outlined to include careful planning with CT scans, precise guidewire placement, and the use of cannulated screws, with a focus on minimizing complications and ensuring proper screw placement.
- Results from a study of 141 patients show effective outcomes, such as a median surgery time of 26 minutes and no issues with screw loosening, reinforcing the technique's safety and potential benefits over traditional methods.
Article Synopsis
- The incidence of fragility fractures of the pelvis is increasing, with unclear treatment options for type II fractures, traditionally managed conservatively, but a new trend is towards early surgical stabilization.
- A randomized clinical trial is underway to compare conservative management with early percutaneous screw fixation, focusing on mobility and pain relief in frail patients.
- The study aims to clarify the effectiveness of surgical treatment, with a target enrollment of 68 patients over a 2-year period, and the primary measure of mobility will be assessed using the DEMMI score.
Background: Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) allows objective and noninvasive assessment of cartilage quality. An interim analysis 1 year after correction of femoroacetabular impingement (FAI) previously showed that the dGEMRIC index decreased despite good clinical outcome.
Purpose: To evaluate dGEMRIC indices longitudinally in patients who underwent FAI correction and in a control group undergoing nonoperative treatment for FAI.
Background: Intraoperative fluoroscopy (IFC) is gaining popularity in total hip arthroplasty (THA), with the aim to achieve better component positioning and therefore eventually reduced revision rates. This meta-analysis investigated the benefit of IFC by comparing it to intraoperative assessment alone. The primary outcome was component positioning and the secondary outcomes included complications and revision rates.
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