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4. Complications and Outcomes of Surgically Treated Pediatric Supracondylar Humerus Fractures.

Author

Hahn, Sebastian G., Schuller, Andrea, Pichler, Lorenz, Hohensteiner, Anna, Sator, Thomas, Bamer, Oskar, Chocholka, Britta, Jaindl, Manuela, Schwendenwein, Elisabeth, Parajuli, Bikash, Rapole, Sanika, Tiefenboeck, Thomas, and Payr, Stephan

Subjects
DATA analysis, FRACTURE fixation, TREATMENT effectiveness, DESCRIPTIVE statistics, RETROSPECTIVE studies, SURGICAL complications, LONGITUDINAL method, HUMERAL fractures, MEDICAL records, ACQUISITION of data, STATISTICS, DATA analysis software, CHILDREN
Abstract

This study describes the outcome of supracondylar humerus fractures in children using crossed K-wires after closed or open reduction with the medial, lateral or bilateral approach. Patients treated between January 2000 and December 2019 were classified according to the Von Laer classification, complications were classified according to the Sink classification and clinical outcomes were classified according to modified Flynn criteria. In total, 364 patients with a mean age of 5.23 ± 2.45 years were included. The majority were type IV fractures (156; 42.9%) and 94 (60.3%) needed an open reduction for which the medial approach (53; 56.4%) was predominantly used. Overall, of 50 complications (31 using closed reduction, 19 open reduction), 17/50 (34%) needed revision surgery. An excellent clinical outcome was achieved in 348/364 (95.6%) patients. The approach used for open reduction as such had no influence on the complication rate or clinical outcome. For severely displaced fractures, the data showed that an open approach for crossed K-wires tended to result in fewer complications and better clinical outcomes than a closed reduction. If an open reduction is indicated, the required approach (medial, lateral or bilateral) should be primarily selected according to the requirements of the fracture pattern and eventual cosmetic considerations. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures.

Author

Schuller, Andrea, Payr, Stephan, Pichler, Lorenz, Sator, Thomas, Ploetzl, Anna, Chocholka, Britta, Tiefenboeck, Thomas M., and Sarahrudi, Kambiz

Subjects
CONSERVATIVE treatment, OLDER people, OLDER patients, AGE groups, TRAUMA surgery, HEMIARTHROPLASTY, VERTEBROPLASTY
Abstract

Background and Objectives: The adequate therapy of thoracolumbar fractures in the elderly population is still controversially discussed. The aim of this study was to evaluate and compare the results of conservatively and surgically treated younger (≤60a) and elderly patients (>60a) with fractures of L1. Materials and Methods: Patients (231) with isolated L1 fractures were included and treated at the University Clinic of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, during the observation period of 2012–2018. Results: Conservative treatment led to a significant increase in the vertebral and bi-segmental kyphosis angle in both age groups (young vertebral: p = 0.007; young bi-segmental: p = 0.044; old vertebral: p = 0.0001; old bis-segmental: p = 0.0001). A significant reduction in the vertebral angle in both age groups was achieved after operative treatment (young: p = 0.003, old: p = 0.007). The bi-segmental angle did not significantly improve after surgery in both age groups (≤60a: p = 0.07; >60a: p = 1.0). Conclusions: The study shows that conservative treatment does not seem to be sufficient for a correction of radiological parameters in young and elderly patients. In contrast, operative treatment led to a significant improvement of the vertebral kyphosis angle, without changing the bi-segmental kyphosis angle. These results suggest a greater benefit from operative treatment in patients ≤ 60a than in older patients. [ABSTRACT FROM AUTHOR]

Published
2023
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22. Maintaining Medical Resources to Treat Paediatric Injuries during COVID-19 Lockdown Is Essential—An Epidemiological Analysis of a Level 1 Trauma Centre in Central Europe

Author

Payr, Stephan, primary, Schuller, Andrea, additional, Dangl, Theresia, additional, Scheider, Philipp, additional, Sator, Thomas, additional, Chocholka, Britta, additional, Jaindl, Manuela, additional, Schwendenwein, Elisabeth, additional, and Tiefenboeck, Thomas M., additional

Published
2021
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26. S2_Fig.pdf

Author

Payr, Stephan

Subjects
animal structures, endocrine system diseases, embryonic structures, digestive system diseases
Abstract

minimal data set. Gene expression of chondrocytes on BMP-2 and MIA.

Published
2017
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28. Redifferentiation of aged human articular chondrocytes by combining bone morphogenetic protein-2 and melanoma inhibitory activity protein in 3D-culture

Author

Payr, Stephan, primary, Tichy, Brigitte, additional, Atteneder, Clemens, additional, Michel, Marc, additional, Tiefenboeck, Thomas, additional, Lang, Nikolaus, additional, Nuernberger, Sylvia, additional, Hajdu, Stefan, additional, Rosado-Balmayor, Elizabeth, additional, Marlovits, Stefan, additional, and Albrecht, Christian, additional

Published
2017
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