Publications by authors named "V M Heck"
[Isolated osseous tuberculosis : Differential diagnosis of treatment refractory osteomyelitis?].
Unfallchirurgie (Heidelb)
January 2025
We report the case of a 66-year-old female patient with a treatment refractory disorder of wound healing of the knee, who had already been treated several times surgically and with antibiotics for several months. The examination revealed a skin defect with a fistula in the region of the knee joint. The X‑ray imaging showed an extensive bony defect of unclear etiology.
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- The study investigates the effectiveness of tibial intramedullary nails in treating chronic osteomyelitis, specifically comparing gentamycin-coated nails (ETNs) and uncoated nails (UCNs) in a group of previously treated patients.
- Out of 56 patients analyzed, postoperative complications occurred in 45%, with a slightly higher rate in the ETN group; however, 86% achieved bony consolidation, indicating that the procedure has potential benefits despite risks.
- The authors conclude that while complications exist, the process offers significant functional advantages like stability and comfort, with an acceptable risk of reinfection, making it a viable option for treating chronic osteomyelitis. *
Background: The prevalence of osteoporosis is escalating alongside an aging global population, increasing the demand for spinal surgeries, including those necessitating cement augmentation for enhanced construct stability.
Objective: This article delves into the nuanced application of cement augmentation techniques for pedicle screws and vertebral body replacements (VBR), aimed at optimizing surgical outcomes in osteoporotic spines.
Method: Drawing from a comprehensive literature review according to important clinical and biomechanical studies and the authors' clinical experiences, we elucidate strategies to mitigate complications and improve surgical efficacy.
Several studies have reported that low back pain has a high prevalence among the population, with up to 85%. Percutaneous radiofrequency facet denervation (PRFD) is the gold standard of today's rhizotomy for chronic low back pain (CLBP). However, previously published studies present controversial results for the efficacy of PRFD.
View Article and Find Full Text PDFStudy Design: A prospective experimental study.
Purpose: This biomechanical in vitro study aimed to examine the extent to which the use of a rod persuader (RP) leads to additional mechanical stress on the screw-rod system and determine its influence on the bony anchoring of primary pedicle screws.
Overview Of Literature: Degenerative spine diseases and deformities are the most common indications for the stabilization and fusion of spinal segments.