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Die Fragestellung der retrospektiven Arbeit war, ob Patienten mit Hüftarthrose, die sich beidseitig zu zwei unterschiedlichen Zeitpunkten eine Hüft-TEP einbauen ließen einen geringeren Arthrosegrad auf der zweiten Seite aufweisen. Gezeigt werden konnte, dass Patienten mit beidseitiger Coxarthrose, die zweite Seite in einem geringer fortgeschrittenem Grad der Arthrose nach dem Score von Kellgren und Lawrence einbauen ließen. The aim of the retrospective study was to compare the level of osteoarthritis (OA) in patients receiving consecutive total hip arthroplasty (THA) at both hip joints and to identify if patients underwent the second surgery in a minor state of OA compared to the first surgery. We could demonstrate that patients suffering from bilateral OA that underwent consecutive THA at two different dates got the second surgery done in a less advanced grade of the OA and Kellgren and Lawrence score.

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Allergic rhinitis (AR) is the most common form of atopic disease, comprising 50% of atopic diseases. Recently, this disease has increasingly been the focus of intensive research. Previous work has shown that AR has a significant impact on sleep quality. To date there are no published studies demonstrating a quantitative association between the extent of control of AR and the severity of compromised sleep quality.Patients with AR were prospectively recruited into our cross-sectional study. Sleep quality was assessed using five of the sleep subdomain questions from the 22-item Sinonasal Outcome Test (SNOT-22). Control of AR was assessed using the Rhinitis Control Assessment Test (RCAT). Association was sought between the degree of allergic rhinitis control (RCAT) as independent variable and sleep quality as dependent variable using linear regression.A total of 104 patients (54.8% female and 45.2% male) with an average age of 41.4 years (SD: 15.9 years) were included in the study. There were statistically significant associations between the RCAT score and the score of each of the five SNOT-22 questions used to assess decreased sleep quality (p 0.001). These associations remained significant (p 0.001) even after controlling participants' clinical and demographic characteristics.This is the first study showing that level of control of AR correlates with the severity of subjectively perceived sleep quality detriment. These results indicate that an improvement in AR control could lead to improved subjective sleep quality but a prospective interventional study is needed to confirm these results.

Einleitung: Die Allergische Rhinitis gilt mit einem Anteil von über 50% als die häufigste Manifestation der Erkrankungen aus dem atopischen Firmenkreis. Die Allergische Rhinitis hat unter anderem Auswirkung auf das Schlafverhalten und kann die Schlafqualität beeinträchtigen.[zum vollständigen Text gelangen Sie über die oben angegebene URL], 88. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie

We report a case of a 63 year old woman with progressive small red spots that can not be diminished with pressure. They appeared on the feet first and spread out to the legs, trunk and arms. This was accompanied with non-bloody diarrhoea and the laboratory diagnostics showed minor impairment of the kidney. The biopsy of the skin showed deposits of immunoglobulin A and C3 complement in the stratum papillare of the small vessels and a necrosis of the wall, which made the diagnosis of the Schönlein-Henoch purpura clear. It was accompanied by a systemic participation of the gastrointestinal tract. The quick reversible renal insufficiency was rather interpreted as a prerenal cause, than as an origin of the Schönlein-Henoch purpura. We further discussed the diagnostic methods, the aetiology and the possible therapy options.Wir berichten über eine 63-jährige Patientin mit progredienten Petechien an den Füssen, die im Verlauf an beiden Beinen, am Stamm und später an den Armen auftraten. Begleitend bestanden nicht-blutige Durchfälle. Laborchemisch fiel eine Nierenbeeinträchtigung auf. Die Hautbiopsie zeigte in den Gefässen des Stratum papillare Immunglobulin-A- und Komplementfaktor-C3-Ablagerungen, sowie eine Wandnekrose, gut vereinbar mit einer Purpura Schönlein-Henoch. Systemisch mitbeteiligt war der Gastrointestinaltrakt. Wir diskutieren die diagnostischen Methoden, die Ätiologie und mögliche Therapieoptionen bei Purpura Schönlein-Henoch.

« Ma grande orientation : mettre progressivement l’Université au centre de notre dispositif de recherche » : voilà l’idée-force du discours programme de Nicolas Sarkozy consacré à la recherche, une idée plusieurs fois reprise et argumentée dans son discours du 28 janvier 2008 en l’honneur du prix Nobel Albert Fert. Il ajoutait : « les systèmes de recherche les plus performants au monde sont construits sur la force des universités ». A la première lecture, les propositions émises dans ce disco...

La canicule de 2003 s'est traduite par un pic de décès au début du mois d'août. La chaleur extrême a constitué un événement, d'autant plus souligné par les médias qu'il intervenait dans une période de "creux" habituel et venait combler un certain vide d'actualité. Mais l'ampleur (et l'orchestration) de la canicule a été telle qu'elle est devenue également par ses conséquences un événement politique, allant jusqu'à la mise en cause des plus hauts responsables gouvernementaux. Comment expliquer...

Osteosynthesis is the preferred method of treatment in fractures of the neck of the femur in children. Operative technique requires attention to be paid to a few special features due to the problems caused by the neighbourhood of the joint of the femoral neck. Nine cases of fractures of the neck of the femur in children were treated by the authors during 1971 to 1978. Diagnosis of such lesions, which are no longer a rare occurrence, requires accurate x-ray films on two levels, because infractions are easily overlooked. The dreaded complications of necrosis of the femoral head can best be counteracted by immediate anatomical repositioning and exercise-stable osteosynthesis, as well as by temporary relief. The authors discuss the therapeutic procedure in detail, basing on the experience with their own patients, and the results are communicated.

After a short description of the microsurgical technique for operations of periphere nerves and small vessels, the possibilities for reconstructive operations in orthopedic surgery are demonstrated. The actual experiences allow a critical but also cautious prospective statement.

With two chosen examples we point out the applications of the microvascular surgery in orthopedics and traumatology. The technique of anastomosing the vessels from a diameter of 0.5-1.5 mm was explained, and the main principles for the success were pointed out.

In this report, 16 cases of peripheral replantation are described, in which osteosynthesis was carried out by means of AO-mini or small-fragment plates with the obvious advantage of allowing early mobilisation. A disadvantage of this method is that it is necessary to dissect the soft tissue to a greater extent and to elevate the periosteum more than in using Kirschner wires, this dissection to permit sufficient fixation of the plate and screws. As a result, primary technical difficulties in the venous anastomosis may occur and there is a risk of adhesions developing between the extensor apparatus and the bone (two cases). Difficulties occur when using plates and screws for comminuted and juxtaarticular fractures. In these cases Kirschner wire osteosynthesis is preferred. For injuries in zones 1 and 2 in the majority of the cases an osteosynthesis with wire is indicated. Only in cases of replantation in zone 2, where the DIP joint is destroyed, can an arthrodesis be performed by means of a screw. When using the above mentioned osteosynthesis for peripheral replantations, we have achieved good to very good end results in the majority of the cases.

[Joh. Gaudin]