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Validation of the Geriatrics at Risk Score (GeRi-Score) on 120-day follow-up, the influence of preoperative geriatric visits, and the time to surgery on the outcome of hip fracture patients: an analysis from the Registry for Geriatric Trauma (ATR-DGU)
A validation of the GeRi-Score on 120-day mortality, the impact of a pre-operative visit by a geriatrician, and timing of surgery on the outcome was conducted. The score has predictive value for 120-day mortal...
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Article
Knot holding capacity of two different high-strength sutures—a biomechanical analysis
The number of seven required throws per knot was previously reported as providing sufficient security against slippage. A novel high-strength suture featuring dynamic tightening may allow for throw number redu...
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Article
Sprunggelenkarthrodese über einen anterolateralen Zugang mit einer anatomischen Platte
Ziel der Operation ist die Arthrodese des Sprunggelenkes bei symptomatischer Knorpeldestruktion des oberen Sprunggelenkes.
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Article
Open AccessRelative lateral wall thickness is an improved predictor for postoperative lateral wall fracture after trochanteric femoral fracture osteosynthesis
Lateral wall thickness is a known predictor for postoperative stability of trochanteric femoral fractures and occurrence of secondary lateral wall fractures. Currently, the AO/OTA classification relies on the ...
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Article
Open AccessLower oxygen saturation with higher rates of norepinephrine in bone fractures of polytrauma patients: a pilot study
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Biomechanical analysis of helical versus straight plating of proximal third humeral shaft fractures
Proximal humeral shaft fractures are surgically challenging and plate osteosynthesis with a long straight plate is one operative treatment option in these patients although endangering the radial nerve distall...
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Open AccessTime to surgery after proximal femur fracture in geriatric patients depends on hospital size and provided level of care: analysis of the Registry for Geriatric Trauma (ATR-DGU)
Proximal femur fractures predominantly affect older patients and can mark a drastic turning point in their lives. To avoid complications and reduce mortality, expert associations recommend surgical treatment w...
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Article
Open AccessThe influence of vitamin D on handgrip strength in elderly trauma patients
The treatment of elderly patients is an increasing challenge and the long-term sequelae often affect activities of daily living and quality of life in those patients. Handgrip strength (HGS) appears as a promi...
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Article
The Geriatrics at Risk Score (GeRi-Score) for mortality prediction in geriatric patients with proximal femur fracture – a development and validation study from the Registry for Geriatric Trauma (ATR-DGU)
This study developed an easy-to-use mortality prediction tool, which showed an acceptable discrimination and no significant lack of fit. The GeRi-Score was able to predict mortality and could distinguish betwe...
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Article
Open AccessRib fractures in the elderly population: a systematic review
Multiple rib fractures are associated with significant morbidity and mortality, especially in elderly patients. There is growing interest in surgical stabilization in this subgroup of patients. This systematic...
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Article
Anatomical analysis of different helical plate designs for proximal humeral shaft fracture fixation
Helical plates are preferably used for proximal humeral shaft fracture fixation and potentially avoid radial nerve irritation.
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Article
Temporary external fixation versus direct ORIF in complete displaced intra-articular radius fractures: a prospective comparative study
In complex distal radius fractures (DRF), both direct osteosynthesis (one-stage approach) and temporary external fixation as a bridge to definitive osteosynthesis (two-stage approach) are used. Studies directl...
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Article
Inter-rater agreement in pPOSSUM scores of geriatric trauma patients: a prospective evaluation
Risk prediction models are widely used in the perioperative setting to identify high-risk patients who may benefit from additional care and to aid clinical decision-making. pPOSSUM is such a prediction model, ...
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Article
Biomechanical analysis of recently released cephalomedullary nails for trochanteric femoral fracture fixation in a human cadaveric model
Recently, two novel concepts for intramedullary nailing of trochanteric fractures using a helical blade or interlocking dual screws have demonstrated advantages as compared to standard single-screw systems. Ho...
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Article
MIPO vs. intra-medullary nailing for extra-articular distal tibia fractures and the efficacy of intra-operative alignment control: a retrospective cohort of 135 patients
Definitive treatment of distal extra-articular fractures of the tibia is challenging and both minimal invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) are considered to be feasible surgica...
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Article
Open AccessSynthetic graft for medial patellofemoral ligament reconstruction: a systematic review
This systematic review investigates the role of synthetic graft for primary medial patellofemoral ligament (MPFL) reconstruction in patients with recurrent patellofemoral instability, focusing on clinical scor...
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Response to letter to the editor on: “Open plate fixation versus nailing for humeral shaft fractures: a meta-analysis and systematic review of randomised clinical trials and observational studies”
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Article
Nonunion of traumatic rib fractures: a suitable indication for surgery?
Nonunion of traumatic rib fractures is a clinical/radiological diagnosis caused by an alteration of bone healing reparative process. Since it is a painful condition, nonunion has a significative impact on pati...
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Article
Open AccessPredictors for wound healing complications and prolonged hospital stay in patients with isolated calcaneal fractures
Surgically treated calcaneal fractures have a high risk of postoperative wound healing complications and a prolonged length of hospital stay (LOS). The aim of this study was to identify predictor variables of ...
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Article
The value of fibular fixation in patients with stabilized distal tibia fractures
There is currently no consensus regarding the need for fixation of concomitant fibula fractures in patients with surgically treated distal tibia fracture. Although studies have shown it to be beneficial for fr...