Article
Orthopedics
Sheng Yao, Kaifang Chen, Fengzhao Zhu, Jia Liu, Yulong Wang, Lian Zeng, Yizhou Wan, Yanzhen Qu, Liang Yang, Xiaodong Guo, Xu Yang
Summary: The study confirms the success of treating displaced acetabular fractures with a limited pararectus approach and anatomical plates. It shows that this approach results in shorter operative time, less blood loss, smaller postoperative residual gap and step displacement, and good postoperative hip function outcomes.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Sebastian Lippross, Clara Wehrenpfennig, Thilo Wedel, Andreas Seekamp, Daniar Osmonov, Babak Moradi, Stefanie Fitschen-Oestern, Joerg Finn, Tim Klueter, Bodo Kurz, Ibrahim Alkatout
Summary: This study investigated a new surgical approach to the acetabulum that provides better exposure of the quadrilateral plate. The results showed that this approach is a safe and effective alternative to traditional procedures, representing an evolutionary advancement.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Guoming Liu, Jinli Chen, Chengzhi Liang, Chengdong Zhang, Xuwen Li, Yanling Hu
Summary: The Pararectus approach achieved good functional outcomes and anatomical reduction in the treatment of acetabular fractures involving the anterior column with minimal access morbidity.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Gianluca Ciolli, Domenico De Mauro, Giuseppe Rovere, Amarildo Smakaj, Silvia Marino, Lorenzo Are, Omar El Ezzo, Francesco Liuzza
Summary: The study evaluated the effectiveness of QLS plates in combination with the AIP approach for the treatment of acetabular fractures with anterior involvement. Results showed a significant relationship between radiological outcomes and clinical outcomes.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Ruyi Zou, Min Wu, Jianzhong Guan, Yuzhou Xiao, Xiaotian Chen
Summary: A retrospective analysis was conducted on 60 patients with acetabular fractures to compare the clinical efficacy of the pararectus and ilioinguinal approaches. Results showed no significant difference in intraoperative blood loss or hip function scores at the last follow-up, suggesting both approaches can achieve satisfactory surgical results with similar outcomes in terms of surgical effects and complications.
ORTHOPAEDIC SURGERY
(2021)
Article
Orthopedics
Sara Solasz, Abhishek Ganta, Kenneth A. Egol, Sanjit R. Konda
Summary: This review discusses the indications and technique for performing acute total hip arthroplasty in geriatric patients with incomplete both-column acetabular fracture.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Critical Care Medicine
Huajun Huang, Weirong Xing, Canjun Zeng, Wenhua Huang
Summary: The minimally invasive Pararectus approach for anterior fixation of unstable sacral fractures is reliable and advantageous, with pre-bent plates and 3D printing assisting in achieving satisfactory reduction and therapeutic efficacy. This new surgical strategy minimizes trauma damage and bleeding, resulting in excellent clinical outcomes for patients undergoing sacral fracture repair.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Pedro Cano-Luis, Abraham Garcia-Mendoza, Miguel Giraldez-Sanchez, Pablo Andres-Cano
Summary: This study reviewed the clinical results of treating acetabular fractures using the pararectus approach and analyzed surgical variations of the traditional approach. It found that using the pararectus approach for surgery in patients over 65 years old with acetabular fractures had positive outcomes.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2023)
Article
Orthopedics
Christian von Rueden, Andreas Brand, Mario Perl
Summary: The pararectus approach has been rediscovered as an alternative method for pelvic surgery, especially for acetabular fractures involving the quadrilateral plate. It provides optimal visualization for fractures of the anterior wall and column, as well as fractures with central impression of dome fragments.
OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE
(2023)
Article
Orthopedics
Tianlong Wang, Xiaodong Hou, Zifei Zhou, Junfeng Liu, Shaodi Zhang, Shuo Ge, Shaohua Jia, Longpo Zheng
Summary: This study evaluated the efficacy of a single pararectus approach in treating acetabular fractures involving anterior and posterior columns. The results showed that this method is convenient and effective, with a high rate of good reduction and good hip function score. There were few post-operative complications.
INTERNATIONAL ORTHOPAEDICS
(2023)
Review
Orthopedics
Tomonori Shigemura, Yohei Yamamoto, Juntaro Maruyama, Takaki Kitamura, Ryo Nakane, Hiroki Kawaguchi, Daisuke Iida, Yasuaki Murata
Summary: This study compared the pararectus (PR) approach with other approaches for the treatment of acetabular fractures. The results showed that the PR approach had significantly lower operative blood loss, but there were no significant differences in other outcomes.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Review
Orthopedics
Yusuf A. Kati, Ozkan Kose, Baver Acar, Adil Turan, Serra Ozturk, Muzaffer Sindel
Summary: This cadaveric study identified key neurovascular structures that need to be protected during the pararectus approach, providing valuable guidance for hip and trauma surgeons in performing infrapectineal plating for complex acetabular fractures.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Orthopedics
Dogan Atlihan, Mahmud Aydin, Sercan Capkin, Serkan Surucu, Fatih Gunaydin, Halil Ibrahim Acar
Summary: This study aims to visualize the windows used in the pararectus approach and modify the incision for cosmetic reasons. The study examines the potential risks associated with different anatomical structures in each window.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Zhiqiang Wang, Li Ge, Jun Liu, Hongtao Li, Dongxiao Li, Wenwen Yan, Xuecheng Sun
Summary: This study explores a minimally invasive and accurate surgical method for treating acetabular fractures involving both columns. Using a single pararectus approach combined with 3D guide-assisted percutaneous anterograde posterior column screws, the surgery achieves satisfactory reduction and functional recovery with shorter operation time and minimal invasiveness.
QUANTITATIVE IMAGING IN MEDICINE AND SURGERY
(2023)
Article
Orthopedics
Bilal Kapanci, Sarah Zahri, Jerome Valcarenghi, Tatiana Charles, Marc Jayankura
Summary: Management of anterior column acetabular fracture in the elderly is challenging. This article describes a combined surgical procedure for fracture fixation and total hip arthroplasty, with successful outcomes achieved in all five patients.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Emergency Medicine
Paul Gilbert Fairhurst, Dionysios Tsinas, Carlos Correa Shokiche, Marius Johann Baptist Keel, Klaus Arno Siebenrock, Johannes Dominik Bastian
Summary: A retrospective study on 106 patients with acetabular fractures found a complication rate of 34.9% and a mortality rate of 2.8%. Preoperative risk score and comprehensive risk score were significantly associated with postoperative morbidity and mortality rates, while surgical stress score did not correlate with complication frequency. Age was identified as the only significant independent risk factor.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2021)
Article
Emergency Medicine
Johannes Dominik Bastian, David Riccardo Naf, Jennifer Larissa Cullmann, Marius Johann Keel, Peter V. Giannoudis
Summary: This study found that the acetabular configuration affects the safety of infra-acetabulum screw insertion, with the distance between the screw and the femoral head decreasing as the depth of the acetabulum increases. Female patients, in particular, need to be aware of the risk of screw mispositioning.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2021)
Article
Orthopedics
Florian Schmaranzer, Pascal C. Haefeli, Emanuel F. Liechti, Markus S. Hanke, Moritz Tannast, Lorenz Buechler
Summary: The study found that treating acetabular cartilage flaps with subchondral drilling leads to improved cartilage quality in regions with cartilage flaps at a minimum of 5 years of follow-up, with no significant differences in overall cartilage quality. There was a strong inverse correlation between dGEMRIC indices and morphologic MRI scores.
Review
Emergency Medicine
Johannes Dominik Bastian, Malin Kristin Meier, Raphael Simon Ernst, Jochen Gieger, Andreas Ernst Stuck
Summary: Research in the field of orthogeriatric care, focused mainly in Europe, with key countries being the UK, Sweden, and Spain. The majority of articles reported therapeutic studies, with potential for widening the field to include topics such as intraoperative procedures, fractures other than hip fractures, or elective surgery.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Critical Care Medicine
Karin Villiger, Malin Kristin Meier, Rebecca Maria Hasler, Johannes Dominik Bastian, Moritz Tannast, Aristomenis Konstantinos Exadaktylos, Simon Damian Steppacher
Summary: Increasing life expectancy has led to a higher incidence of fragility fractures of the pelvis. This study found that demographic changes have resulted in a shift in fracture patterns, with a disproportionate increase in partially stable compression fractures of the pelvic ring.
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY
(2022)
Article
Multidisciplinary Sciences
Andrea D. Gloor, Laureve Chollet, Lisa A. Christ, Jennifer L. Cullmann, Harald M. Bonel, Peter M. Villiger
Summary: The study calculated the prevalence and incidence of Takayasu arteritis in Switzerland, and found that MRA can detect subclinical disease activity, while EULAR criteria may miss disease activity in cases of isolated elevation of ESR/CRP.
Review
Emergency Medicine
Ioannis M. Stavrakakis, Evangelos Kritsotakis, Peter Giannoudis, Petros Kapsetakis, Rozalia Dimitriou, Johannes D. Bastian, Theodoros H. Tosounidis
Summary: This study investigated the incidence and outcome of post-traumatic and iatrogenic sciatic nerve palsy associated with fractures of the acetabulum, as well as the effectiveness of sciatic nerve grafting for treatment. The results showed that both post-traumatic and iatrogenic sciatic nerve palsy had favorable outcomes, while sciatic nerve grafting had poor results.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2022)
Article
Emergency Medicine
Christoph Emanuel Albers, Ivan Zderic, Philipp Kastner, Boyko Gueorguiev, Theodoros Herkules Tosounidis, Marius Johann Baptist Keel, Johannes Dominik Bastian
Summary: This study compares the construct stability of cement augmented sacroiliac screws using two different cementation sites in a biomechanical fragility fracture model of the pelvis. The results demonstrate that cement augmentation at the lateral mass of the sacroiliac screw provides less fragment and screw displacements compared to cement augmentation at the center of the vertebral body of S1.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Emergency Medicine
Sonja Haeckel, Tobias Kaempf, Heiner Baur, Arlene von Aesch, Reto Werner Kressig, Andreas Ernst Stuck, Johannes Dominik Bastian
Summary: This study aimed to investigate lower extremity loading during activities of daily living (ADLs) using the Continuous Scale of Physical Functional Performance (CS-PFP 10) test and wireless sensor insoles. Findings showed that older participants had significantly lower CS-PFP 10 scores compared to younger participants, with no significant differences in mean total forces. In the endurance walk task, older participants exhibited significantly higher maximum total forces.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Orthopedics
Johannes D. Bastian, Silviya Ivanova, Ahmed Mabrouk, Peter Biberthaler, Pedro Caba-Doussoux, Nikolaos K. Kanakaris
Summary: This article reviews the treatment methods for segmental femoral fractures, including damage control orthopaedics and definitive fixation. The study finds limited comparative evidence between different treatment methods. Additionally, advanced design nailing and plating systems offer improved fixation options.
EFORT OPEN REVIEWS
(2023)
Review
Medicine, General & Internal
Lefteris Manouras, Johannes Dominik Bastian, Nicholas Andreas Beckmann, Theodoros H. Tosounidis
Summary: Total hip arthroplasty (THA) is a highly effective surgical treatment for end-stage osteoarthritis. Despite impressive outcomes reported in the literature, there are still debatable issues surrounding the procedure, including new technology, spinopelvic mobility, and fast-track protocols. This review aims to analyze and provide contemporary clinical approaches to address these controversial issues.
MEDICINA-LITHUANIA
(2023)
Article
Orthopedics
Nicholas Andreas Beckmann, Mareike Schonhoff, Johannes Dominik Bastian, Tobias Renkawitz, Sebastian Jaeger
Summary: This study aimed to evaluate the resistance of polyethylene liners in different total hip arthroplasty systems to lever-out forces. The results showed that the Pinnacle system had the highest stability when the anti-rotation tabs were intact, but had the lowest resistance to dissociation after the removal of the tabs, indicating locking mechanism failure.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)
Article
Medicine, General & Internal
Jan Gewiess, Markus Martin Luedi, Beat Schnueriger, Theodoros Hercules Tosounidis, Marius Johann Baptist Keel, Johannes Dominik Bastian
Summary: The study aimed to investigate the effectiveness of C-clamp application in patients with unstable pelvic fractures and hemodynamic instability. The results showed that early application of C-clamp can effectively stabilize hemodynamics and reduce volume substitution. This finding is important for severely injured patients.
MEDICINA-LITHUANIA
(2022)
Article
Medicine, General & Internal
Silviya Ivanova, Nicolas Vuillemin, Onur Hapa, Klaus A. Siebenrock, Marius J. B. Keel, Theodoros H. Tosounidis, Johannes D. Bastian
Summary: This study analyzes the causes and treatment methods of intrapelvic cup protrusion following total hip arthroplasty. The results show that using Ganz reinforcement ring combined with bone graft can successfully treat the fracture and maintain the stability of the cup.
MEDICINA-LITHUANIA
(2022)
Review
Medicine, General & Internal
Gautier Beckers, Az-Eddine Djebara, Morgan Gauthier, Anne Lubbeke, Axel Gamulin, Matthieu Zingg, Johannes Dominik Bastian, Didier Hannouche
Summary: The incidence of acetabular peri-prosthetic fractures is rising due to the increased prevalence of total hip arthroplasty and the growing functional demand of an ageing population. Adequate treatment requires consideration of various factors. The literature on this subject is sparse and there is no universally recognized treatment algorithm, making their surgical management challenging for orthopaedic surgeons.
MEDICINA-LITHUANIA
(2022)