Search

Your search keyword '"Gruetzner, Paul"' showing total 135 results
Start Over Author "Gruetzner, Paul"
135 results on '"Gruetzner, Paul"'

20. Temporary Cast Application in Dislocated Ankle Fractures Leads to High Rates of Secondary Loss of Reduction: Does the Lauge-Hansen Injury Type Matter?

Author

Mandelka, Eric, Wikanardi, Bernhard Arya, Beisemann, Nils, Gruetzner, Paul Alfred, Franke, Jochen, and Vetter, Sven Yves

Abstract

Background: For the temporary treatment of ankle fracture dislocations (AFDs), previous studies indicate higher rates of secondary loss of reduction (LOR) with splint immobilization, prompting consideration for expanding indications for external fixation (ExFix). However, these studies did not investigate the influence of fracture morphology to further improve patient selection. The aim of this study was to investigate the influence of Lauge-Hansen injury type on the LOR rate in bimalleolar or trimalleolar AFDs for temporary cast vs ExFix immobilization. Methods: In this retrospective cohort study, patients with isolated AFD cases treated at our institution from 2011 to 2020 were reviewed. Inclusion criteria required radiographs depicting initial dislocation and appropriate reduction after Cast or ExFix immobilization. Exclusion criteria encompassed concomitant injuries, open fractures, conservative management as well as surgery performed within 48 hours or at a different facility. Patients were grouped by temporary treatment (Cast or ExFix). The primary endpoint was LOR prior to definitive surgery across various Lauge-Hansen types. Results: The LOR rate was significantly higher in the cast group (40/152, 26.3%) compared to the ExFix group (5/191, 2.6%; P <.0001). In the cast group, LOR was associated with an increase in time to definitive surgery by a mean of 3 days (P <.002). During cast treatment, LOR was significantly more likely for pronation abduction (P =.001) and supination external rotation injuries (P <.0001), whereas no significant differences were observed for pronation external rotation (P =.006), supination adduction (P >.99), and fractures not classifiable (P >.99). Conclusion: In cases of AFDs resulting from supination external rotation or pronation abduction trauma according to the Lauge-Hansen classification, especially in the setting of an additional posterior malleolar fracture, primary application of external fixation should be considered to reduce the risk for secondary loss of reduction. Level of Evidence: Level III, retrospective cohort study. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

25. Detektion chirurgischer Schrauben in 3D C-Bogen Daten

Author

Görres, Joseph, Brehler, Michael, Franke, Jochen, Wolf, Ivo, Vetter, Sven Y., Grützner, Paul A., Meinzer, Hans-Peter, Nabers, Diana, Brauer, Wilfried, Series editor, Deserno, Thomas Martin, editor, Handels, Heinz, editor, Meinzer, Hans-Peter, editor, and Tolxdorff, Thomas, editor

Published
2014
Full Text
View/download PDF

30. Fully Automatic X-Ray Image Segmentation via Joint Estimation of Image Displacements

Author

Chen, Cheng, Xie, Weiguo, Franke, Jochen, Grützner, Paul A., Nolte, Lutz-P., Zheng, Guoyan, Hutchison, David, Series editor, Kanade, Takeo, Series editor, Kittler, Josef, Series editor, Kleinberg, Jon M., Series editor, Mattern, Friedemann, Series editor, Mitchell, John C., Series editor, Naor, Moni, Series editor, Nierstrasz, Oscar, Series editor, Pandu Rangan, C., Series editor, Steffen, Bernhard, Series editor, Sudan, Madhu, Series editor, Terzopoulos, Demetri, Series editor, Tygar, Doug, Series editor, Vardi, Moshe Y., Series editor, Weikum, Gerhard, Series editor, Mori, Kensaku, editor, Sakuma, Ichiro, editor, Sato, Yoshinobu, editor, Barillot, Christian, editor, and Navab, Nassir, editor

Published
2013
Full Text
View/download PDF

32. Finding Deformable Shapes by Correspondence-Free Instantiation and Registration of Statistical Shape Models

Author

Xie, Weiguo, Schumann, Steffen, Franke, Jochen, Grützner, Paul Alfred, Nolte, Lutz-Peter, Zheng, Guoyan, Hutchison, David, editor, Kanade, Takeo, editor, Kittler, Josef, editor, Kleinberg, Jon M., editor, Mattern, Friedemann, editor, Mitchell, John C., editor, Naor, Moni, editor, Nierstrasz, Oscar, editor, Pandu Rangan, C., editor, Steffen, Bernhard, editor, Sudan, Madhu, editor, Terzopoulos, Demetri, editor, Tygar, Doug, editor, Vardi, Moshe Y., editor, Weikum, Gerhard, editor, Wang, Fei, editor, Shen, Dinggang, editor, Yan, Pingkun, editor, and Suzuki, Kenji, editor

Published
2012
Full Text
View/download PDF

33. Operation

Author

Wagner, Michael, Breusch, Steffen, Ewerbeck, Volker, Aldinger, Peter, Rudert, Maximilian, Holzapfel, Boris Michael, Günther, Klaus-Peter, Gotterbarm, Tobias, Kirschner, Peter, Halder, Andreas M., Grützner, Paul Alfred, Gebhard, Florian, Krischak, Gert, Niggemeyer, Oliver, Rüther, Wolfgang, Nöth, Ulrich, Rackwitz, Lars, Fürst, Martin, Lohmann, Christoph Hubertus, Niemeier, Andreas, Zeiler, Günther, Gradinger, Reiner, Claes, Lutz, editor, Kirschner, Peter, editor, Perka, Carsten, editor, and Rudert, Maximilian, editor

Published
2012
Full Text
View/download PDF

37. Operative Techniken zur azetabulären Rekonstruktion

Author

Bader, R., Ellenrieder, M., Gardeniers, J. W. M., Gravius, S., Grützner, Paul Alfred, Klüβ, D., Lehnigk, R., Lindner, T., Mittelmeier, Wolfram, Perka, Carsten, Schreurs, B. W., Stangl, Richard, Tohtz, S., Trieb, Klemens, Verdonschot, N., Wirtz, D. C., Wirtz, Dieter C., editor, Rader, Christof, editor, and Reichel, Heiko, editor

Published
2008
Full Text
View/download PDF

39. A CT-Free Intraoperative Planning and Navigation System for High Tibial Dome Osteotomy

Author

Wang, Gongli, Zheng, Guoyan, Grützner, Paul Alfred, von Recum, Jan, Nolte, Lutz-Peter, Hutchison, David, editor, Kanade, Takeo, editor, Kittler, Josef, editor, Kleinberg, Jon M., editor, Mattern, Friedemann, editor, Mitchell, John C., editor, Naor, Moni, editor, Nierstrasz, Oscar, editor, Pandu Rangan, C., editor, Steffen, Bernhard, editor, Sudan, Madhu, editor, Terzopoulos, Demetri, editor, Tygar, Dough, editor, Vardi, Moshe Y., editor, Weikum, Gerhard, editor, Barillot, Christian, editor, Haynor, David R., editor, and Hellier, Pierre, editor

Published
2004
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results