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Open AccessThe effect of a collar on primary stability of standard and undersized cementless hip stems: a biomechanical study
Aseptic loosening and periprosthetic fractures are main reasons for revision after THA. Quite different from most other stem systems, Corail cementless hip stems show better survival rates than their cemented ...
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Hohe Revisionsraten und Mortalität nach Versorgung periprothetischer distaler Femurfrakturen mit einem distalen Femurersatz
Periprothetische distale Femurfrakturen (PDFF) betreffen überwiegend geriatrische Patienten mit sehr ausgeprägtem Risikoprofil. Bei sehr distaler Fraktur, schlechter Knochenqualität und/oder gelockerter Knieen...
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Open AccessHigh revision rates and mortality after distal femoral replacement for periprosthetic distal femoral fractures: analysis from the German Arthroplasty Registry (EPRD)
This study was initiated to analyze the outcome after distal femoral replacement (DFR) for periprosthetic distal femoral fractures (PDFF).
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Aseptische Revisionen und Lungenembolien nach operativer Behandlung von Schenkelhalsfrakturen mittels zementierten und zementfreien Hemiprothesen in Deutschland
Schenkelhalsfrakturen (SHF) gehören zu den häufigsten Frakturen in Deutschland und werden oft mittels Hemiarthroplastik (HA) behandelt. Ziel dieser Studie war es, das Auftreten von aseptischen Revisionen nach ...
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Open Access10 Jahre Endoprothesenregister Deutschland (EPRD): was wurde erreicht?
Seit 10 Jahren erfasst und verfolgt das Endoprothesenregister Deutschland (EPRD) endoprothetische Eingriffe an Hüft- und Kniegelenk. Trotz der Freiwilligkeit des Registers konnten so bereits mehr als 2 Mio. Op...
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Standard- und Spezialinlays in primärer Hüftendoprothetik
Die Instabilität ist eine der Hauptursachen für Revisionen von Hüftendoprothesen. Durch spezielle Polyethyleninlays soll die Gelenkstabilität des Hüftgelenkersatzes verbessert werden. Im Juli 2022 wurde im The Bo...
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Open AccessAseptic revisions and pulmonary embolism after surgical treatment of femoral neck fractures with cemented and cementless hemiarthroplasty in Germany: an analysis from the German Arthroplasty Registry (EPRD)
Femoral neck fractures (FNF) are among the most common fractures in Germany and are often treated by hemiarthroplasty (HA). The aim of this study was to compare the occurrence of aseptic revisions after cement...
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Article
Impact of femoro-tibial size combinations and TKA design on kinematics
The variability in patients’ femoral and tibial anatomy requires to use different tibia component sizes with the same femoral component size. These size combinations are allowed by manufacturers, but the clini...
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Registerforschung
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Realitätsnahe Finite-Elemente-Simulation in der präklinischen Testung von Knie- und Hüftimplantaten
In der Entwicklung eines Implantates dient die Computersimulation mittels der Finiten-Elemente(FE)-Methode der frühzeitigen Identifikation designbedingter Schwachstellen, wodurch sich Entwicklungsschleifen auf...
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Article
TKA design-integrated trochlea groove rotation reduces patellofemoral pressure
Total knee arthroplasty (TKA) leaves 11–25% of the patients unsatisfied, and patellofemoral joint pain is one cause. This study aimed to compare the differences between kinematics and load transfer in the same...
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Article
Quantitative analysis of individual cell-free DNA concentration before and after penetrating trauma
Cell-free DNA (cfDNA) elevations were remarked in the blood of trauma patients. Published increases refer to comparative values of a healthy control group, ignoring thereby inter- and intra-individual differen...
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Article
Periprosthetic bone remodelling of short-stem total hip arthroplasty: a systematic review
Short-stem hip arthroplasty (SHA) was designed to preserve bone stock and provide an improved load transfer. To gain more evidence regarding the load transfer, this review analysed the periprosthetic bone remo...
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Medial stabilized and posterior stabilized TKA affect patellofemoral kinematics and retropatellar pressure distribution differently
Patellofemoral kinematics and retropatellar pressure distribution change after total knee arthroplasty (TKA). It was hypothesized that different TKA designs will show altered retropatellar pressure distributio...
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Article
A lateral retinacular release during total knee arthroplasty changes femorotibial kinematics: an in vitro study
Lateral retinacular release (LRR) is a common procedure during total knee arthroplasty (TKA), especially if patellar maltracking is observed intraoperatively. The impact of LRR on patellofemoral kinematics is ...
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Article
Can the metaphyseal anchored Metha short stem safely be revised with a standard CLS stem? A biomechanical analysis
Short stem total hip arthroplasty (SHA) has gained increasing popularity as it conserves bone stock and is supposed to allow revision with a conventional stem. However, no study has evaluated whether the revis...
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Mediolateral femoral component position in TKA significantly alters patella shift and femoral roll-back
Increased retropatellar pressure and altered kinematics are associated with anterior knee pain and unsatisfied patients after total knee arthroplasty (TKA). Since malposition of the implant is believed to cont...
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Influence of mediolateral tibial baseplate position in TKA on knee kinematics and retropatellar pressure
Anterior knee pain is a major reason for unsatisfied patients after total knee arthroplasty (TKA). Since malposition and increased retropatellar peak pressure are supposed to contribute to pain, we conducted t...
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Performance of bioactive PMMA-based bone cement under load-bearing conditions: an in vivo evaluation and FE simulation
In the past, bioactive bone cement was investigated in order to improve the durability of cemented arthroplasties by strengthening the bone-cement interface. As direct bone–cement bonding may theoretically lea...
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Influence of tibial rotation in total knee arthroplasty on knee kinematics and retropatellar pressure: an in vitro study
Although continuous improvements have been made, there is still a considerable amount of unsatisfied patients after total knee arthroplasty (TKA). A main reason for this high percentage is anterior knee pain,...