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14. Epidemiologie und prädiktive Faktoren für das klinische Outcome in der Akutphase nach Major-Amputation

Author

Reiter, Alonja, Gattermeier, Katharina, Mader, Konrad, Frosch, Karl-Heinz, Schlickewei, Carsten, Berger-Groch, Josephine, and Priemel, Matthias

Subjects
Mortalität, Revision, Medicine and health, Komplikation, Amputation, Major-Amputation
Abstract

Fragestellung: Jährlich werden ca. 17.000 Major-Amputationen in Deutschland durchgeführt. Die Bandbreite der Indikationen reicht vom chronischen Schmerzsyndrom bis hin zum Polytrauma. Das klinische Outcome ist nicht immer klar vorherzusagen und hängt oftmals von der Gesamtheit der Befunde [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Published
2022
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18. Evaluation of Pelvic Circular Compression Devices in Severely Injured Trauma Patients with Pelvic Fractures.

Author

Berger-Groch, Josephine, Rueger, Johannes Maria, Czorlich, Patrick, Frosch, Karl-Heinz, Lefering, Rolf, and Hoffmann, Michael

Subjects
TRAUMATOLOGY diagnosis, PELVIC fractures, NONPARAMETRIC statistics, KRUSKAL-Wallis Test, PREDICTIVE tests, CONFIDENCE intervals, MORTALITY, MULTIVARIATE analysis, INDEPENDENT variables, RETROSPECTIVE studies, REGRESSION analysis, SEVERITY of illness index, COMPARATIVE studies, MATHEMATICAL variables, COMPRESSION therapy, QUESTIONNAIRES, DESCRIPTIVE statistics, CHI-squared test, DATA analysis software, LOGISTIC regression analysis, ODDS ratio, EVALUATION
Abstract

Background: The role of pelvic circumferential compression devices (PCCD) is to temporarily stabilize the pelvic ring, reduce its volume and to tamponade bleeding. The purpose of this study was to evaluate the effect of PCCDs on mortality and bleeding in severely injured trauma patients, using a large registry database. Methods: We performed a retrospective analysis of all patients registered in the Trauma Register DGU® between 2015 and 2016. The study was limited to directly admitted patients who were alive on admission, with an injury severity score (ISS) of 9 or higher, with an Abbreviated Injury Scale AISpelvis of 3–5, aged at least 16, and with complete status documentation on pelvic circular compression devices (PCCD) and mortality. A cohort analysis was undertaken of patients suffering from relevant pelvic fractures. Data were collected on mortality and requirements for blood transfusion. The observed outcome was compared with the expected outcome as derived from version II of the Revised Injury Severity Classification (RISC II) and adjusted accordingly. A Standardized Mortality Ratio (SMR) was also calculated. Results: A total of 9,910 patients were included. 1,103 of 9,910 patients suffered from a relevant pelvic trauma (AISpelvis = 3–5). Only 41% (454 cases) of these received a PCCD. PCCD application had no significant effect on mortality and did not decrease the need for blood transfusion in the multivariate regression analysis. However, in this cohort, the application of a PCCD is a general indicator for a critical patient with increased mortality (12.0% no PCCD applied vs. 23.2% PCCD applied prehospital vs. 27.1% PCCD applied in the emergency department). The ISS was higher in patients with PCCD (34.12 ± 16.4 vs. 27.9 ± 13.8; p < 0.001). Conclusion: PCCD was applied more often in patients with severe pelvic trauma according to ISS and AISpelvis as well with deterioration in circulatory status. PCCDs did not reduce mortality or reduce the need for blood transfusion. Trial registration: TR-DGU ID 2017-003, March 2017; German clinical trial register DRKS00024948 [ABSTRACT FROM AUTHOR]

Published
2022
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19. Hip Dysplasia in Mucopolysaccharidosis Type IVA (Morquio A Syndrome) Treated by Proximal Femoral Valgization Osteotomy: A Case Report

Author

Berger-Groch, Josephine, Rupprecht, Martin, Stuecker, Ralf, Muschol, Nicole, and Breyer, Sandra R

Subjects
valgization, shelf acetabuloplasty, Morquio, Case Report, mucopolysaccharidosis, Arthrography, hip dysplasia
Abstract

Introduction: Morquio A syndrome or mucopolysaccharidosis type IVA (MPS IVA) is a progressive lysosomal storage disorder caused by an N-acetylgalactosamine-6-sulfatase deficiency. The abnormal metabolism of glycosaminoglycans among other medical problems leads to various skeletal disorders caused by a dysfunction of endochondral ossification of epiphyseal cartilage. Severe hip dysplasia is common and can lead to pain and impaired mobility. Case Report: We report on a 15-year-old girl suffering from MPS IVA. At the age of 5 years, hip pain and a reduced walking distance were described for the 1sttime. At the age of 9 years, acetabulofemoral dysplasia associated with genuavalga was diagnosed. After pre-operative assessment of the hips including plain radiographs, magnetic resonance imaging, and arthrography with dynamic testing a valgization osteotomy of the proximal femur in combination with a shelf acetabuloplasty was performed. The patient was followed for 6 years with a stable hip joint and without any sign of redislocation. Conclusion: Some treatment strategies of hip dysplasia in patients with MPS IVA are described in the literature. The techniques used for congenital hip dysplasia, varisation of the femur in combination with Pemberton, Salter, or shelf acetabuloplasty, are widely reported. Nevertheless, resubluxations were described in some cases. The well-known surgical procedure with valgization of the proximal femur is not reported in literature for MPS IVA patients. In our opinion, dynamic testing with arthrography should strongly be considered for this particular problem before surgical intervention. Pathology-related decisions should be made under consideration of the different surgical techniques.

Published
2018

21. Positioning of Trans-iliosacral Screws in Osteoporotic Bone

Author

Thiesen, Darius Maximilian, Prange, Felix, Hartel, Maximilian, Berger-Groch, Josephine, Ntalos, Dimitris, and Frosch, Karl-Heinz

Subjects
ddc: 610, bone density, posterior pelvic fractures, transiliosacral screws, osteoporosis related fractures, 610 Medical sciences, Medicine, 3D modeling
Abstract

Objectives: As the older population in the industrial countries will grow steadily over the next few decades, osteoporosis-related pelvic fractures will increase. In the current literature, information on osteoporosis-related fractures of the posterior pelvic ring is limited. Surgical therapy involving[for full text, please go to the a.m. URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2019)

Published
2019
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22. Die Antecurvation und der Isthmus Durchmesser des Femurs - eine 3D CT Analyse von 1232 Femura

Author

Thiesen, Darius, Prange, Felix, Berger-Groch, Josephine, Hartel, Maximilian, Petersik, Andreas, and Rueger, Johannes M.

Subjects
3D CT Knochen Anatomie, ddc: 610, Proximale Femur-Nägel, Antecurvation des Femurs, pertrochantäre Femurfraktur, 610 Medical sciences, Medicine, Anatomie des Femurs, Intramedulläre Marknagelung
Abstract

Fragestellung: Für eine optimale Therapie der Femurfraktur ist das Verständnis des Ausmaßes der Antecurvation und des Durchmessers des menschlichen Femurs essentiell. In der Literatur variieren die Angaben erheblich, sie reichen von 885 bis 1446mm, bei hauptsächlich kaukasischen [zum vollständigen Text gelangen Sie über die oben angegebene URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2018)

Published
2018

24. Femoral antecurvation—A 3D CT Analysis of 1232 adult femurs

Author

Thiesen, Darius M., primary, Prange, Felix, additional, Berger-Groch, Josephine, additional, Ntalos, Dimitris, additional, Petersik, Andreas, additional, Hofstätter, Bernhard, additional, Rueger, Johannes M., additional, Klatte, Till O., additional, and Hartel, Maximilian J., additional

Published
2018
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25. T2 relaxation times of the anterolateral femoral cartilage in patients after ACL-reconstruction with and without a deep lateral femoral notch sign

Author

Behzadi, Cyrus, primary, Welsch, Goetz H., additional, Petersen, Jan-Philipp, additional, Schoennagel, Bjoern P., additional, Bannas, Peter, additional, Kaul, Michael G., additional, Schoen, Gerhard, additional, Berger-Groch, Josephine, additional, Adam, Gerhard, additional, and Regier, Marc, additional

Published
2018
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27. Validity of Ultrasound Compared with Magnetic Resonance Imaging in Evaluation of Osteochondritis Dissecans of the Distal Femur in Children

Author

Jungesblut, Oliver D., Berger-Groch, Josephine, Meenen, Norbert M., Stuecker, Ralf, and Rupprecht, Martin

Abstract

Objective Magnetic resonance imaging (MRI) is currently the gold standard to diagnose and monitor osteochondritis dissecans (OCD) of the knee. The purpose of this study was to evaluate for the first time if ultrasound imaging can be used to visualize osteochondritis dissecans of the distal femur.Design From May 2008 to December 2013, 44 children (26 boys and 18 girls) presenting with OCD of the knee in our department were examined and evaluated by ultrasound imaging. Mean age at diagnosis was 11.8 ± 2.2 years. Two independent experienced orthopedic surgeons analyzed the localization, stage, and the size of the OCD via ultrasound and compared the results with the MRI findings.Results Ultrasonic examination has limitations in assessing the OCD stage I and therefore is not suitable for evaluating this stage of the disease. In stages II to IV, a good correlation to MRI regarding defect localization and size can be found, when the defect is localized in a region that is accessible to ultrasonic examination.Conclusion Ultrasonic scan is an appropriate tool for the screening and monitoring of OCDs stages II to IV. It provides an inexpensive and readily available alternative to MRI. In addition, the healing process of higher grade defects as well as the screening of the opposite side can also be performed by ultrasound. Detection of defects being localized close to the intercondylar notch or far posterior on the lateral condyle are limitations for the use of ultrasound.

Published
2021
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28. Stellenwert der Osteoporose als Einflussfaktor auf Patienten mit einer Sakrumfraktur

Author

Berger-Groch, Josephine, Lüers, Marie, Rueger, Johannes M., Lehmann, Wolfgang, and Großterlinden, Lars

Subjects
ddc: 610, L5, 610 Medical sciences, Medicine, sacrum fracture, osteoporosis, Hounsfield units, CT
Abstract

Fragestellung: Die Sakrumfraktur stellt eine besondere Gruppe der Beckenringfrakturen dar. Sie kann zu schweren posterioren Instabilitäten mit chronischen Schmerzsyndromen und ausgeprägter Neurologie führen. Um den Pathomechanismus der Sakrumfraktur besser zu verstehen, stellten wir die[zum vollständigen Text gelangen Sie über die oben angegebene URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2016)

Published
2016
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29. Hüftdypsplasie bei Mukopolysaccharidose Typ IV-A (Morquio A Syndrom): Ein neues Therapiekonzept

Author

Berger-Groch, Josephine and Breyer, Sandra

Subjects
MPS, ddc: 610, Morquio, valgisation, 610 Medical sciences, Medicine, hip dysplasia
Abstract

Fragestellung: Das Morquio A Syndrom ist eine progressive lysosomale Speichererkrankung verursacht durch einen Defekt in der N-acetylgalactosamine-6-sulfatase (GALNS). Der fehlerhafte Stoffwechsel führt neben internistischen Problemen zu einer Reihe von Fehlbildungen des Bewegungsapparates. Dies[zum vollständigen Text gelangen Sie über die oben angegebene URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2016)

Published
2016
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30. Evaluation: 10 Jahre perkutan navigierte Schraubenosteosynthese bei Sakrumfrakturen

Author

Berger-Groch, Josephine, Lüers, Marie, Hartel, Maximilian, Rueger, Johannes M., Lehmann, Wolfgang, and Großterlinden, Lars

Subjects
ddc: 610, fluorscopy, 610 Medical sciences, Medicine, sacrum fracture, navigation, Pelvis, CT
Abstract

Fragestellung: Der Trauma-Mechanismus einer Fraktur des hinteren Beckenringes unterscheidet sich stark zwischen jungen und alten Patienten. Während bei jungen Patienten starke Kräfte für eine Fraktur notwendig sind, ist bei alten Patienten teilweise bereits ein Sturz aus dem Stand ausreichend.[zum vollständigen Text gelangen Sie über die oben angegebene URL], Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2016)

Published
2016

34. [Deficit of trainees in thoracic surgery : Do we need to adapt or become extinct?]

Author

Rösch RM, Griffo R, Berger-Groch J, Brendel L, Presotto MA, Metelmann I, Winter H, and Klotz LV

Subjects
Humans, Surveys and Questionnaires, Female, Male, Adult, Germany, Workforce, Thoracic Surgery education, Internship and Residency, Career Choice, Students, Medical statistics & numerical data, Students, Medical psychology
Abstract

Background: Although thoracic surgery is a challenging and versatile surgical specialty, a shortage of qualified and motivated thoracic surgery residents is expected in the coming years. In the inpatient setting, a shortage of approximately 7300 surgeons is expected. Therefore, there is an urgent need to attract more interested young medical students and improve the medical training of our next generation of surgeons., Methods: To assess the current nationwide status quo among medical students, an online survey with 39 questions on participant demographics, medical education, interest in surgical and thoracic surgery training, and attractiveness of residency was designed., Results: In all, 224 questionnaires were analyzed. Overall, there was a high level of interest in (thoracic-) surgery at the start of training. It should be noted that one third of the respondents did not know that the 'thoracic surgeon' is an independent specialist. This statement raises further questions about the presence of thoracic surgery in medical studies. When asked about typical characteristics that students associate with thoracic surgery, the majority answered 'a high level of practical activity'. The main reason they gave for not pursuing further surgical training was the unfavorable work-life balance., Conclusion: Students know exactly what they want for their future and where surgery has its weaknesses. They want transparent and practical training, a work-life balance, and recognition of their work and themselves., (© 2024. The Author(s).)

Published
2024
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35. Rare Combination of a Cuboid-navicular Tarsal Coalition with a Closed Tibialis Anterior Tendon Rupture: A Case Report and Review of the Literature.

Author

Berger-Groch J, Rueger JM, and Spiro AS

Abstract

Introduction: Tibialis anterior tendon (TAT) rupture and cuboid-navicular coalition (CNC) are rare, to the best of our knowledge, only 238 cases of TAT rupture and 34 cases of CNC are described in the past century., Case Report: A 47-year-old man came with a sudden onset of foot pain including drop foot to our department. We diagnosed a TAT rupture, which was fixed through suture. The pathologist testified degenerative changes in the tendon. In addition, a CNC was diagnosed. No extra treatment was necessary for the CNC. At the 6-year follow-up examination, the patient had no pain and went back to normal day activities (AOFAS 95/100 points)., Conclusion: We presume that, in our case, the long-term stress at the TAT through the foot deformity, caused by the CNC, may have supported the tendon rupture. CNC normally is symptom free. Therapy of a painful CNC should start with a conservative therapy. When this fails, an operation can be considered., Competing Interests: Conflict of Interest: Nil

Published
2018
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