Article
Orthopedics
Zhao-jie Liu, Yong-cheng Hu, Wei Tian, Xin Jin, Hao-tian Qi, Yu-xi Sun, Jian Jia
Summary: Robot-aided minimally invasive lumbopelvic fixation for traumatic spinopelvic dissociation is a safe and feasible option with advantages of less intraoperative blood loss, less radiation damage, less hospitalization time, and better functional outcome.
ORTHOPAEDIC SURGERY
(2021)
Article
Medicine, General & Internal
Po-Han Su, Yi-Hsun Huang, Chen-Wei Yeh, Chun-Yen Chen, Yuan-Shun Lo, Hsien-Te Chen, Chun-Hao Tsai
Summary: This study assessed the recovery process and radiographic parameters associated with the functional outcomes in patients with spinopelvic dissociation (SPD) treated by triangular osteosynthesis. The study found that a vertical reduction in SPD during surgery may lead to more satisfactory outcomes than a horizontal anatomical reduction. The EQ-5D-5L and EQ-VAS showed significant improvements postoperatively, with different results depending on the measurement unit.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Tarik Alp Sargut, Nils Hecht, Ran Xu, Georg Bohner, Marcus Czabanka, Julia Stein, Marcus Richter, Simon Bayerl, Johannes Woitzik, Peter Vajkoczy
Summary: The present study assessed the feasibility, safety, and accuracy of navigated spinopelvic fixation with the use of high-resolution 3D intraoperative imaging and real-time spinal navigation. The results showed successful implantation of S1 screws in 53% and S2AIS in 85% of patients, indicating that navigation technology improved accuracy and reduced surgical time.
EUROPEAN SPINE JOURNAL
(2022)
Article
Orthopedics
Moritz M. Innmann, Franz Reichel, Bibiane Schaper, Christian Merle, Paul E. Beaule, George Grammatopoulos
Summary: This prospective cohort study investigated the changes in spinopelvic characteristics post-total hip arthroplasty (THA) and their association with patient-reported outcome measures. It found that postoperative spinopelvic hypermobility was associated with worse hip function scores, and sagittal cup orientation was linked to spinopelvic characteristics. Understanding sagittal assessments is crucial for studying hip mechanics after THA.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Surgery
Ricarda Johanna Seemann, Erik Hempel, Gabriele Russow, Serafeim Tsitsilonis, Ulrich Stoeckle, Sven Maerdian
Summary: This retrospective cohort study compared the clinical outcomes, complications, and quality of life between the transiliac fixator (TIFI) and spinopelvic fixation (SPF) for dorsal pelvic ring fractures. Both methods showed relatively good post-operative results but TIFI had slightly lower complication rates and shorter cutting/suture and fluoroscopy time, while SPF was superior in pain and pelvic scores.
FRONTIERS IN SURGERY
(2021)
Article
Orthopedics
Ye Peng, Gongzi Zhang, Shuwei Zhang, Xinran Ji, Junwei Li, Chengfei Du, Wen Zhao, Lihai Zhang
Summary: This study compared the biomechanical stability of transsacral-transiliac screw fixation and lumbopelvic fixation for H- and U-type sacrum fractures with traumatic spondylopelvic dissociation using finite element models. The results showed that transsacral-transiliac screw fixation provided better bilateral balance.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2021)
Article
Multidisciplinary Sciences
Valeria Pingue, Chiara Mele, Antonio Nardone
Summary: PTS is a common complication of TBI with substantial impact on patient rehabilitation progress. EPTS increases the risk of LPTS, which in turn leads to worse neurological and rehabilitation outcomes. The use of ASM is associated with poorer rehabilitation outcome, regardless of epilepsy onset during treatment.
SCIENTIFIC REPORTS
(2021)
Article
Critical Care Medicine
Serkan Erkan, Oguzhan Cetinarslan, Guvenir Okcu
Summary: The study evaluating bilateral triangular osteosynthesis (TOS) in patients with traumatic spinopelvic dissociation showed satisfactory functional and radiological outcomes with low complication rates. Pain and mood disorders were the main factors influencing health related quality of life.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Clinical Neurology
Martha Marko, Dominika Miksova, Johanna Ebner, Marie Lang, Wolfgang Serles, Peter Sommer, Marek Sykora, Wilfried Lang, Michael Knoflach, Stefan Kiechl, Stefan Greisenegger
Summary: The study found that the frequency of favorable functional outcome in r-tPA-treated patients has been increasing over time, likely due to improved outcomes in patients with more severe strokes receiving endovascular treatment. However, some subgroups are still less likely to achieve functional independence and require particular attention.
Article
Critical Care Medicine
Yangxing Luo, Yue Li, Li He, Enzhi Yin, Meiqi Gu, Zhe Xu, Hua Chen, Zhiyong Hou, Chengla Yi
Summary: This study aimed to investigate the surgical methods and clinical effects of lumbopelvic fixation (LPF) with S2 alar-iliac (S2AI) screws for U-shaped sacral fractures. The results showed that LPF with S2AI screws for the treatment of U-shaped sacral fractures has distinct advantages, including firm fixation, a low rate of surgical site complications, and satisfactory clinical efficacy.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Clinical Neurology
Bernardo de Andrada Pereira, Jennifer N. Lehrman, Anna G. U. Sawa, Derek P. Lindsey, Scott A. Yerby, Jakub Godzik, Alexis M. Waguespack, Juan S. Uribe, Brian P. Kelly
Summary: The objective of the study was to evaluate changes in stability and strain with the integration of a sacroiliac (SI) joint fusion device, implanted through a novel posterior SI approach, supplemental to posterior long-segment fusion. The results showed that adding S2AI fixation decreased SI joint motion and increased rod strain at L5-S1 segment.
JOURNAL OF NEUROSURGERY-SPINE
(2021)
Article
Orthopedics
Norio Yamamoto, Hisanori Ikuma, Tomoyuki Noda, Tomoo Inoue, Keisuke Kawasaki, Toshifumi Ozaki
Summary: This article presents a case of treating pelvic fractures using minimally invasive spinopelvic fixation, with retention of anterior external fixation. The retention of external fixation facilitates safe and accurate reduction without major surgical complications, providing surgeons with an additional management option for such fractures.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Orthopedics
Augustine M. Saiz, Alvin K. Shieh, Kelsey Hideshima, Felix Wong, Eric O. Klineberg, Jonathan G. Eastman
Summary: Spinopelvic dissociation injuries are complex injuries that require restoration of alignment, stability, and neural decompression. Traditional fixation methods involve spanning the upper sacral fracture site, while our modified method directly manipulates the S1 body, potentially improving reduction and stability across the fracture.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Clinical Neurology
Andrew A. Hardigan, Troy Q. Tabarestani, Christopher F. Dibble, Eli Johnson, Timothy Y. Wang, Jessica Albanese, Isaac O. Karikari, Malcolm R. Debaun, Muhammad M. Abd-El-Barr
Summary: This study evaluated 7 patients with traumatic sacral fractures treated with robotic-assisted minimally invasive spinopelvic fixation, showing a mean blood loss of 85.7 mL and mean operative time of 178.4 minutes. Six patients had no complications postoperatively, while one patient experienced complications but all patients were safely discharged. Robotic-assisted minimally invasive spinopelvic fixation appears to be a safe and feasible treatment option for traumatic sacral fractures.
WORLD NEUROSURGERY
(2023)
Article
Orthopedics
Daniel S. Yang, Christopher L. McDonald, Kevin J. DiSilvestro, Shyam A. Patel, Neill Y. Li, Eric M. Cohen, Alan H. Daniels
Summary: This study investigated the effect of spinopelvic fixation in addition to total hip arthroplasty (THA) on dislocation/instability and revision. The results showed that THA patients with spinopelvic fixation had a greater than 3.5-fold increase in hip dislocation risk and an over 2-fold increase in THA revision risk.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Emergency Medicine
Christopher Ull, Christina Weckwerth, Uwe Hamsen, Oliver Jansen, Aileen Spieckermann, Thomas Armin Schildhauer, Robert Gaschler, Christian Waydhas
Summary: This study aimed to develop a scoring system (TWBS) to assess the impact of tracheostomy on well-being in critically ill patients. The results showed that TWBS had good reliability and internal consistency, making it a suitable tool for evaluating the effects of tracheostomy on patients.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Orthopedics
Valentin Rausch, Matthias Koenigshausen, Thomas A. Schildhauer, Jan GeBmann
Summary: Surgical treatment aims to stabilize the elbow after a ligamentous elbow dislocation. It is indicated when nonoperative therapy fails to prevent dislocation and muscle centering of the elbow fails. The surgical technique involves using polyethylene sutures to augment the collateral ligaments and fixing the flexors and extensors to the humerus. Postoperative management focuses on early functional exercise.
OPERATIVE ORTHOPADIE UND TRAUMATOLOGIE
(2023)
Letter
Emergency Medicine
Sven Frieler, Rolf Lefering, Julius Gerstmeyer, Niklas Drotleff, Thomas A. Schildhauer, Christian Waydhas, Uwe Hamsen, TraumaRegister DGU
EMERGENCY MEDICINE JOURNAL
(2023)
Article
Clinical Neurology
Mirko Aach, Thomas Armin Schildhauer, Amrei Zieriacks, Oliver Jansen, Martin Wessling, Alexis Brinkemper, Dennis Grasmuecke
Summary: The purpose of this study was to determine the safety, feasibility, and functional effectiveness of HAL (R) locomotion training in the initial rehabilitation of acute SCI patients. The results showed that HAL (R) locomotion training can improve the functional and ambulatory mobility of patients. However, the distinction between spontaneous recovery and training-related effects remains unclear.
JOURNAL OF SPINAL CORD MEDICINE
(2023)
Article
Orthopedics
Charlotte Cibura, Thomas Rosteius, Alexis Brinkemper, Christopher Ull, Silvia Hufnagel, Birger Jettkant, Periklis Godolias, Valentin Rausch, Thomas A. Schildhauer, Christiane Kruppa
Summary: This retrospective study analyzed gait kinematics and outcomes after knee arthrodesis. The results showed significant kinematic changes in gait pattern and poor subjective and functional outcomes for patients.
Article
Orthopedics
Thomas Rosteius, Valentin Rausch, Birger Jettkant, Sebastian Lotzien, Thomas Armin Schildhauer, Matthias Koenigshausen, Jan Gessmann
Summary: This study investigated the impact of different articular step-offs of the PLC segment on the contact area and stress of the tibial plateau. The results showed that increasing articular step-offs led to higher contact stress and significantly reduced contact area between 60° and 90° of knee flexion. Especially at 3mm and 5mm step-offs, there was a doubling of contact stress and a significant decrease in contact area. Therefore, it is important to address PLC segment articular step-offs greater than 1mm, especially in active patients with the need for higher knee flexion angles.
Letter
Orthopedics
Thomas Rosteius, Matthias Koenigshausen, Thomas Armin Schildhauer, Jan Gessmann
Article
Orthopedics
Charlotte Cibura, Sebastian Lotzien, Thomas Rosteius, Christopher Ull, Periklis Godolias, Thomas Armin Schildhauer, Matthias Koenigshausen
Summary: This study aimed to investigate the effectiveness of a carbon orthosis in cases of partial union or nonunion after fixator removal. Radiological data was collected from 33 patients who received a carbon orthosis after fixator removal, and was compared with imaging data from the last follow-up. The results showed that the application of a carbon orthosis can promote further consolidation, thus avoiding unnecessary revision surgeries.
JOURNAL OF FOOT AND ANKLE RESEARCH
(2023)
Article
Orthopedics
Martin F. F. Hoffmann, Kristina Kuhlmann, Thomas A. A. Schildhauer, Katharina E. E. Wenning
Summary: Utilization of an additional reduction tool during posterior stabilization of vertebral body fractures in a suitable collective of young patients with good bone quality and severe fracture deformity may lead to better reduction in the ventral column of the fractured vertebral body and angle correction, preventing the need for additional anterior stabilization or vertebral body replacement.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Medicine, General & Internal
Ralf Henkelmann, Pierre Hepp, Bastian Mester, Marcel Dudda, Philipp-Johannes Braun, Sebastian Kleen, Johannes Zellner, Michael Galler, Matthias Koenigshausen, Thomas A. Schildhauer, Tim Saier, Inga Trulson, Rony-Orijit Dey Hazra, Helmut Lill, Richard Glaab, Basil Bolt, Marcus Wagner, Michael J. Raschke, Jan Christoph Katthagen
Summary: The predictability of risk factors for complications after the treatment of proximal humeral fractures (PHFs) in a large clinical cohort was evaluated in this study. A total of 4019 patients from 9 hospitals were included in the retrospective analysis. The results identified fracture complexity, cigarette smoking, age over 65 years, and female sex as predictable individual risk factors for local complications, as well as specific combinations of these factors.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cell Biology
Johannes M. Wagner, Annalena Wille, Maria Fueth, Sarah Weske, Sebastian Lotzien, Felix Reinkemeier, Christoph Wallner, Alexander Sogorski, Stephanie Dittfeld, Mustafa Becerikli, Thomas A. Schildhauer, Marcus Lehnhardt, Bodo Levkau, Bjorn Behr
Summary: This study found that inhibition of S1P lyase can increase S1P levels and enhance osteogenesis and angiogenesis in a model of posttraumatic osteomyelitis, promoting bone regeneration, which may be a potential therapeutic target for treating posttraumatic osteomyelitis.
JOURNAL OF CELLULAR AND MOLECULAR MEDICINE
(2023)
Article
Orthopedics
Periklis Godolias, Zachary L. Tataryn, Sven Frieler, Ravi Nunna, Kaarina Charlot, Angela Tran, Jonathan Pluemer, Charlotte Cibura, Hamzah Al-Awadi, Zeyad Daher, Marcel Dudda, Thomas A. Schildhauer, Jens Chapman, Rod Oskouian
Summary: The purpose of this study was to analyze and report the complications of stand-alone lateral lumbar interbody fusions. The results showed that lateral interbody fusion is a safe surgical intervention with relatively low complication and revision rates.
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
(2023)
Article
Orthopedics
Periklis Godolias, Zachary L. Tataryn, Jonathan Pluemer, Charlotte Cibura, Yevgeniy Freyvert, Hansjoerg Heep, Marcel Dudda, Thomas A. Schildhauer, Jens R. Chapman, Rod J. Oskouian
Summary: This retrospective study investigated the relationship between cage subsidence and different approaches in thoracolumbar interbody fusion surgeries. The study found that smaller surface area and lower expandability of the cages were associated with increased risk of subsidence.
Article
Orthopedics
Ole Somberg, Yannik Hanusrichter, Sven Frieler, Jan Gessmann, Thomas A. Schildhauer, Dominik Seybold, Matthias Koenigshausen
Summary: Shoulder arthrodesis and resection arthroplasty are salvage procedures for severe complications after shoulder prosthesis failure. Strict patient selection and careful treatment planning are crucial for both procedures. Shoulder arthrodesis is suitable for young patients with chronic neuromuscular dysfunction, while resection arthroplasty is mostly reserved for multimorbid patients with chronic infection. Thorough debridement and systemic antibiotic treatment are essential for successful bacterial eradication.
Article
Emergency Medicine
Christiane Kruppa, Sebastian Benner, Alexis Brinkemper, Mirko Aach, Christoph Reimertz, Thomas A. Schildhauer
Summary: The development of complex computer and electromotor technologies has enabled the use of robot-assisted systems in trauma surgery rehabilitation. Different technological approaches, such as exoskeletal systems and functional electrical stimulation, are used to facilitate rehabilitation. Currently, exoskeletal systems have the most evidence for their use in gait and stance rehabilitation, but their use in fractures and joint injuries is still limited.