Neue Osteosyntheseverfahren am Humerus

Köstler, WJ; Strohm, P. C.; Südkamp, Norbert P.

doi:10.1007/s00104-002-0547-9

Cited by 21 publications

(14 citation statements)

References 26 publications

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“…Fractures of these long bones are treated by IM nailing as well, [32][33][34][35][36][37] for which the RUST score is specifically applicable, as we have discussed above. Fractures of these long bones are treated by IM nailing as well, [32][33][34][35][36][37] for which the RUST score is specifically applicable, as we have discussed above.…”

Section: Application Of the Rust Score To Other Settingsmentioning

confidence: 99%

The Radiographic Union Scale in Tibial Fractures: Reliability and Validity

Kooistra¹,

Dijkman²,

Busse³

et al. 2010

Journal of Orthopaedic Trauma

142

107

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Radiographic assessment of tibial fracture healing continues to pose significant challenges to both routine fracture care and clinical research. Orthopaedic surgeons fail to achieve sufficient agreement on fracture healing when using conventional radiographic measures such as their general impression or the number of cortices bridged by callus. Moreover, the extent to which radiographic assessment of healing corresponds to patient-important outcomes is largely unknown. In an attempt to improve the former (ie, reliability) and inform the latter (ie, validity), recent studies have explored a novel radiographic assessment for tibial shaft fractures, the Radiographic Union Scale for Tibial fractures (RUST). The RUST score assesses the presence of bridging callus and that of a fracture line on each of 4 cortices seen on 2 orthogonal radiographic views. A recent study has found that RUST scores have greater inter-rater reliability when compared with surgeon's general impression or the number of cortices bridged by callus. This may increase the utility of radiographs as a standardized measure of treatment efficacy in the follow-up of tibial fractures.

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Section: Application Of the Rust Score To Other Settingsmentioning

confidence: 99%

The Radiographic Union Scale in Tibial Fractures: Reliability and Validity

Kooistra¹,

Dijkman²,

Busse³

et al. 2010

Journal of Orthopaedic Trauma

142

107

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“…17% nach der Versorgung von proximalen Humerusfrakturen mittels winkelstabiler Plattenosteosynthese beobachtet. Intraoperative Probleme wie das Fehlen einer Primärstabilität und eine ungenügende additive Fadenzuggurtung, aber auch durch eine Osteoporose oder Humeruskopfnekrose bedingte Nachsinterung einer proximalen Humerusfraktur kön-nen sekundär zum Durchschneiden von Schrauben, Fragmentdislokationen und zu weit kranialer Plattenlage mit resultierenden Schmerzen und funktionellen Beeinträchtigungen führen [96,97]. Zudem werden in bis zu 20% Schraubenlockerungen auch bei winkelstabilen Implantaten beobachtet [92,98] (.…”

Section: E Das Versagen Eines Implantats Kann Nicht Von Einer Frakturunclassified

Postoperative complications in trauma surgery

Josten

Schmidt

2009

Chirurg

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In the literature it has been unanimously reported that here is a heavy burden on operative disciplines due to the occurrence of complications and the commonly resulting accusation of an error in treatment. Most of these accusations affect the discipline of surgery and in the main aspects trauma surgery is disproportionally represented. This substantial burden and high rate of accusations against trauma surgery arises from the high transparency as complications in trauma surgery are visualizable. Dealing with complications is therefore an elementary function of trauma surgeons. The analysis of postoperative complications shows clearly that in most cases they do not only result from the postoperative course. The causes of postoperative complications in many cases are more likely to have already begun in the pre-operative and peri-operative phases. Pre-existing diseases and risk factors as well as operation planning and establishing indication status are in many cases the pre-operative and intra-operative origins of postoperative complications. In the present article the authors attempt to address the issues of new aspects of complications and therefore the quality management of trauma surgery, without making claim to completeness.

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“…Tab. 3) [1,7,16,22]. Insbesondere bei einem in Valgusposition verbleibendem Kalottenfragment sollte die Platte nicht zu weit kaudal angelegt werden, da die langen winkelstabilen Kopfschrauben nach kranial durchtreten und zu einer Varusredislokation des Kopfes führen können [7].…”

Section: Diskussionunclassified