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2. Obere Extremität

Author

Mau, Hans, primary, Breusch, Steffen, additional, Zeifang, Felix, additional, Schmidt, Hermann, additional, Schneidmüller, Dorien, additional, Clarius, Michael, additional, and Unglaub, Frank, additional

Published
2023
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3. Der operative Patient

Author

Michel, Johanna, primary, Mau, Hans, additional, Breusch, Steffen, additional, Küpper, Helmut, additional, and Clarius, Michael, additional

Published
2023
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5. Wirbelsäule

Author

Abel, Rainer, primary, Breusch, Steffen, additional, Wiedenhöfer, Bernd, additional, and Mau, Hans, additional

Published
2023
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8. Vorwort

Author

Breusch, Steffen, primary, Clarius, Michael, additional, Mau, Hans, additional, and Sabo, Desiderius, additional

Published
2023
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9. Untere Extremität

Author

Breusch, Steffen, primary, Mau, Hans, additional, Sabo, Desiderius, additional, Schneidmüller, Dorien, additional, Clarius, Michael, additional, Hofer, Kathrin, additional, and von Stillfried, Eva, additional

Published
2023
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10. Thorax

Author

Wiedenhöfer, Bernd, primary, Mau, Hans, additional, and Breusch, Steffen, additional

Published
2023
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13. Survival analysis of 3D printed acetabular implants in revision total hip arthroplasty associated with severe pelvic discontinuities.

Author

Álvarez Valdivielso, Ainhoa, Akkaya, Mustafa, Mau, Hans, Luo, T. David, Gehrke, Thorsten, and Citak, Mustafa

Subjects
PROSTHESIS-related infections, TOTAL hip replacement, THREE-dimensional printing, INDEPENDENT variables, REGRESSION analysis, JOINT infections, ACETABULUM surgery
Abstract

BACKGROUND: Surgeons still face difficulties when performing aseptic acetabular revision on patients with extensive defects. Advances in three-dimensional printing technology (3DP) have afforded to the surgeons to create a patient-specific implant matching the morphology and topography of the defect. OBJECTIVE: The aim of the current research was to determine the survivorship in the treatment of acetabular bone defects with pelvic discontinuity (PD). METHODS: In order to reconstruct Paprosky type III defects with PD, twenty-three patients underwent revision total hip arthroplasty (THA) utilizing 3D-printed implants (Mobelife). The primary outcomes were the implant-associated failure rate correlated with survivorship. As secondary variables, complications and the effect of age, sex, comorbidities, history of infections and the presence of other lower limb arthroplasties on a new revision were analyzed. RESULTS: Patients were followed out to a mean of 67.22 ± 39.44 months (range, 0.9–127 months). Mobelife implant mean survival was 102.57 ± 9.90 months (95% CI 83.17–121.96). The cohort's implant one-year survival rate was 87%; at ten years, it dropped to 78.3%. There were four revisions: three due to periprosthetic joint infection (PJI) and one case due to aseptic loosening. Cox regression analysis did not identify any variable as predictor of failure. CONCLUSION: The use of 3DP patient-specific acetabular components has shown encouraging results and it is a viable treatment option for addressing acetabular defects with combined PD in aseptic THA revision. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Utility of histopathological examination in aseptic revision total hip arthroplasty: a preliminary analysis.

Author

Rossmann, Markus, Aljawabra, Alaa, Mau, Hans, Citak, Mustafa, Gehrke, Thorsten, Klatte, Till Orla, and Abdelaziz, Hussein

Subjects
HIP joint dislocation, TOTAL hip replacement, PROSTHESIS-related infections, TREATMENT effectiveness, RETROSPECTIVE studies, DESCRIPTIVE statistics, REOPERATION, HISTOLOGICAL techniques
Abstract

Introduction: The utility of a routine histopathological examination in aseptic revision total hip arthroplasty (THA) has not been well explored. We aim to describe the approach and present the results of histopathological examination, focusing on its clinical usefulness in the setting of aseptic revision THA. Method: We retrospectively reviewed 285 performed aseptic revision THA with available histopathological reports between 2015 and 2017 at a single institution. We described histopathological requests by the surgical team. Preoperative diagnoses, intraoperative findings, as well as histopathology and culture results were analysed. Results: 13 painful THAs (4.5%) had preoperatively unknown diagnoses. In 10 of them, potential causes of pain were intraoperatively identified. Histopathology confirmed these findings in 8 THAs. 19 THAs (6.7%) revealed unexpected positive cultures (UPC). Histopathology was negative for infection in 18 of them. Among 16 consultants, 3 surgeons requested histopathology in 47% of the cases (130/285), usually to exclude infection (101/285; 35%). Documentation for tissue sample location was lacking in 51% (145/285), and for question asked by the surgeon in 47% (135/285). Conclusions: Histopathology is deemed a useful confirmatory tool in the context of ruling out infection in UPCs, and in documenting intraoperative findings in painful THAs with unknown preoperative diagnoses. Importantly, the approach to requesting histopathology should be optimised. Further large-scale studies, including cost analyses, are warranted to explore the usefulness of histopathology in routine utility. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Wirbelsäule

Author

Abel, Rainer, primary, Breusch, Steffen, additional, Wiedenhöfer, Bernd, additional, and Mau, Hans, additional

Published
2019
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21. Untere Extremität

Author

Breusch, Steffen, primary, Mau, Hans, additional, Sabo, Desiderius, additional, Schneidmüller, Dorien, additional, and Clarius, Michael, additional

Published
2019
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22. Pädiatrie

Author

Mau, Hans, primary, Breusch, Steffen, additional, and Strobl, Walter M., additional

Published
2019
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24. Thorax

Author

Wiedenhöfer, Bernd, primary, Mau, Hans, additional, and Breusch, Steffen, additional

Published
2019
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26. Obere Extremität

Author

Mau, Hans, primary, Breusch, Steffen, additional, Zeifang, Felix, additional, Schmitt, Hermann, additional, Schneidmüller, Dorien, additional, Unglaub, Frank, additional, and Clarius, Michael, additional

Published
2019
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29. Vorwort

Author

Breusch, Steffen, primary, Clarius, Michael, additional, Mau, Hans, additional, and Sabo, Desiderius, additional

Published
2019
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34. 13 - Untere Extremität

Author

Breusch, Steffen, Mau, Hans, Sabo, Desiderius, Schneidmüller, Dorien, Clarius, Michael, Hofer, Kathrin, and von Stillfried, Eva

Published
2023
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37. 9 - Obere Extremität

Author

Mau, Hans, Breusch, Steffen, Zeifang, Felix, Schmidt, Hermann, Schneidmüller, Dorien, Clarius, Michael, and Unglaub, Frank

Published
2023
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43. Vorwort

Author

Breusch, Steffen, primary, Clarius, Michael, additional, Mau, Hans, additional, and Sabo, Desiderius, additional

Published
2017
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44. Thorax

Author

Wiedenhöfer, Bernd, primary, Mau, Hans, additional, and Breusch, Steffen, additional

Published
2017
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46. Adressen

Author

Breusch, Steffen, primary, Clarius, Michael, additional, Mau, Hans, additional, Sabo, Desiderius, additional, Abel, Rainer, additional, Ackermann, Ole, additional, Akbar, Michael, additional, Bernd, Ludger, additional, Biglari, Bahram, additional, Binder, Johannes, additional, Blank, Norbert, additional, Dormann, Arno J., additional, Ernst, Olaf, additional, Franz, Matthias, additional, Fuchs, Alfons, additional, Kloth, Jost Karsten, additional, Krämer, Philipp, additional, Küpper, Helmut J., additional, Lorenz, Hanns-Martin, additional, Maichl, Franz-Peter, additional, Michel, Johanna, additional, Mohr, Guido, additional, Nowak, Elisabeth, additional, von Reumont, Anne, additional, Scheller, Gerhard, additional, Schiltenwolf, Marcus, additional, Schmidt, Hermann, additional, Schmidt, Michael, additional, Schmitt, Holger, additional, Schneidmüller, Dorien, additional, Steinmetz, Gabriele, additional, Strobl, Walter Michael, additional, Türk, Ansgar, additional, Unglaub, Frank, additional, Weber, Marc-André, additional, Werber, Andreas, additional, Wiedenhöfer, Bernd, additional, Zeifang, Felix, additional, Hundt, Guido, additional, Bouman, Hans-Werner, additional, Ewerbeck, Volker, additional, Göttle, Beate, additional, and Riewe, Hanne Lore, additional

Published
2017
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47. Untere Extremität

Author

Breusch, Steffen, primary, Mau, Hans, additional, Sabo, Desiderius, additional, Schneidmüller, Dorien, additional, and Clarius, Michael, additional

Published
2017
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48. Der operative Patient

Author

Michel, Johanna, primary, Küpper, Helmut, additional, Clarius, Michael, additional, Mau, Hans, additional, and Breusch, Steffen, additional

Published
2017
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49. Pädiatrie

Author

Mau, Hans, primary, Breusch, Steffen, additional, and Strobl, Walter M., additional

Published
2017
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