Abstract：
OBJECTIVE:The aim of this study was to identify factors contributing to outcomes after severe traumatic brain injury (TBI) associated with epidural hematoma (EDH). METHODS:Between 02/2002 and 4/2010 17 Austrian centers prospectively enrolled 863 patients with moderate and severe TBI into observational studies. Data on accident, treatment, and outcomes were collected. Data sets from patients who had severe TBI (=Glasgow Coma Scale score <9) and EDH were selected. Six-month outcomes were classified as "favorable" if Glasgow Outcome Scale (GOS) scores were 5 or 4, and were classified as "unfavorable" if GOS scores were 3 or less. The Rotterdam score was used to classify computed tomography (CT) findings; the scores published by Hukkelhoven et al. (J Neurotrauma 22:1025-1039, 2005) were used to estimate predicted rates of death and of unfavorable outcomes. Univariate (Fisher's exact test, t test, Chi(2)-test) and multivariate (logistic regression) statistics were used to identify factors associated with hospital mortality and favorable outcome. RESULTS:Of the 738 patients with severe TBI 159 (21.5 %) had EDH. Of these, 49 (30.8 %) died in the hospital, 21 (13.2 %) survived with unfavorable outcome, 82 (51.6 %) with favorable outcome; long-term outcome was unknown in 7 survivors (4.4 %). Mortality rates predicted by the Rotterdam score showed good correlation with observed mortality rates. According to the Hukkelhoven scores, observed/predicted ratios for mortality and unfavorable outcome were 0.94 and 0.97, respectively. Age, severity of TBI, and neurological status were the main factors influencing outcomes after severe TBI associated with EDH. We were unable to demonstrate significant effects of treatment factors.
journal_name
Arch Orthop Trauma Surgjournal_title
Archives of orthopaedic and trauma surgeryauthors
Leitgeb J,Mauritz W,Brazinova A,Majdan M,Wilbacher Idoi
10.1007/s00402-012-1652-ysubject
Has Abstractpub_date
2013-02-01 00:00:00pages
199-207issue
2eissn
0936-8051issn
1434-3916journal_volume
133pub_type
杂志文章abstract：:The most common fracture of the proximal fifth metatarsal is the tuberosity avulsion fracture. Most of the time, the fracture is relatively undisplaced and it can be treated conservatively with a hard-soled shoe or walking cast. For painful intra-articular nonunion, internal fixation with or without bone graft is the ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-007-0556-8
更新日期：2008-11-01 00:00:00
abstract：INTRODUCTION:The direct anterior approach (DAA) is an increasingly popular technique for performing total hip arthroplasty (THA). This muscle-sparing approach may yield functional benefits. However, DAA has been associated with an increased risk incidence (RI) of intra- and postoperative complications. MATERIALS AND M...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00402-015-2258-y
更新日期：2015-08-01 00:00:00
abstract：:Tuberculous tenosynovitis is a rare manifestation of extrapulmonary tuberculosis (Tb), especially if solely the dorsal hand compartment is affected. In this report, we present the medical history of an immuno-competent 32-year-old man presented with a painful swelling of the right dorsal wrist. Initial inflammation on...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1527-2
更新日期：2012-08-01 00:00:00
abstract：:We describe a case of fracture of the axial neural arch that occurred after a dome-like cervical laminoplasty and caused dural compression. Cervical laminoplasty with dome-like laminoplasty of the axis was performed on a patient with cervical myelopathy due to ossification of the posterior longitudinal ligament extend...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
doi：10.1007/s004020050324
更新日期：1998-01-01 00:00:00
abstract：INTRODUCTION:Improved soft tissue tendon graft mechanical properties have led to their increased use for anterior cruciate ligament (ACL) reconstruction. Because they do not have an osseous component; however, there are greater concerns regarding tibial graft slippage during early postoperative rehabilitation and activ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-011-1374-6
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:Although long bone defects may be treated by callus distraction, frequent complications arise from the long duration of external fixation. To reduce such complications, bone transport over an intramedullary nail (BTON) has been done for tibial bone defect. METHODS:In 12 patients (mean age, 46.1 years) of ch...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-007-0491-8
更新日期：2008-08-01 00:00:00
abstract：INTRODUCTION:An intact distal radioulnar joint (DRUJ) is essential for normal functioning of the upper limb. Osteoarthritis of the DRUJ often leads to ulnar wrist pain, limitation of forearm rotation and reduced grip strength, all of which limit activities of daily living. Once the joint is damaged, salvage procedures ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-003-0529-5
更新日期：2003-07-01 00:00:00
abstract：INTRODUCTION:The aim of this study is to evaluate the difference in perioperative complication rate in total hip, bipolar hemiarthroplasties and total knee arthroplasty in patients with Parkinson disease in trauma and elective surgery in our Musculoskeletal Center during a period of 10 years. MATERIAL AND METHOD:Betwe...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-018-2899-8
更新日期：2018-06-01 00:00:00
abstract：INTRODUCTION AND PURPOSE:The purpose of this clinical study with a matched-pair design was to compare the functional short-term results obtained in patients with primary osteoarthritis of the shoulder treated with cementless surface replacement of the humeral head (CUP) with those obtained after total shoulder replacem...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-007-0404-x
更新日期：2008-04-01 00:00:00
abstract：INTRODUCTION:Recommendations regarding the application of primary autologous bone grafting in the surgical treatment of comminuted diaphyseal forearm fractures are conflicting. Some recent studies suggested that there is no difference in the union rate between simple and comminuted forearm fractures and that the use of...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-004-0668-3
更新日期：2004-07-01 00:00:00
abstract：:Extended thromboprophylaxis is vital in patients undergoing total hip arthroplasty (THA) because of the prolonged risk of venous thromboembolism (VTE). Despite evidence that extended prophylaxis can reduce the incidence of symptomatic VTE in this high-risk patient population and the evidence-based guideline recommenda...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-009-0930-9
更新日期：2010-05-01 00:00:00
abstract：:A prospective, randomized study was performed in 559 patients to compare two doses of oral cefadroxil with three doses of intravenous cefuorxime as antibiotic prophylaxis in intra- and subtrochanteric hip fracture surgery. Antibiotic concentrations in the wound fluid were determined at the start and at the end of the ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1007/BF00448952
更新日期：1995-01-01 00:00:00
abstract：:In 82 asymptomatic subjects aged 8-62 years we evaluated the menisci by magnetic resonance imaging (MRI). Using a 1.0-tesla imager spin-echo sequences (SE 700/20), partial-saturation sequences (500/10), and short-time inversion-recovery sequences (1600/130/30) were performed. For grading the degeneration of the menisc...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/BF00434553
更新日期：1996-01-01 00:00:00
abstract：INTRODUCTION:Correct anatomic tunnel positions are essential in anterior cruciate ligament (ACL) reconstruction. To establish recommendations for tunnel positioning based on anatomical findings and to compare tunnel positions with clinical results, different radiological measurement methods as the quadrant method exist...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-014-1931-x
更新日期：2014-04-01 00:00:00
abstract：INTRODUCTION:The treatment of extremely severe and rigid spinal deformities was a great surgical challenge. Pulmonary impairment often occurred, which increased the challenges to already daunting surgical approaches. The present study was performed to evaluate the safety and efficacy of posterior-only surgical correcti...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03720-z
更新日期：2021-01-23 00:00:00
abstract：INTRODUCTION:The occurrence of exaggerated femoral anteversion and the role of femoral derotation osteotomy in developmental dysplasia of hip, especially early walking age group are controversial. METHOD:We evaluated femoral anteversion, acetabular anteversion, acetabular index in 15 dislocated hips and 11 normal hips...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-009-1020-8
更新日期：2010-07-01 00:00:00
abstract：INTRODUCTION:Over time, the need for anatomic anterior cruciate ligament (ACL) to restore normal kinematics and postoperative function of the knee has been accepted. The purpose of this study was to compare the sagittal alignment of reconstructed ACL, which is performed between transtibial (TT) technique and accessory ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1498-3
更新日期：2012-07-01 00:00:00
abstract：INTRODUCTION:Proximal ulna fractures are common in orthopaedic surgery. Comminuted fractures require a high primary stability by the osteosynthesis, to allow an early functional rehabilitation as fast as possible, to reduce long-term limitations of range of motion. Classical dorsal plating is related to wound healing p...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-020-03473-9
更新日期：2020-05-16 00:00:00
abstract：PURPOSE:In contrast to anterior shoulder instability there seems to be no single key lesion in posterior shoulder instability. Therefore, the purpose of this study was to determine the biomechanical effect of specific posterior capsulolabral lesions. Our hypothesis was that a posterior capsule lesion will have a predom...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-010-1232-y
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION:Rotator cuff tears are common and good-to-excellent clinical outcome is reported after subsequent repair. However, the retear rate of rotator cuff repairs has been shown to be as high as 20%. The reasons for retear seem to be multifactorial, mainly comprised by mechanical and biological aspects. Regarding ...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-017-2823-7
更新日期：2018-02-01 00:00:00
abstract：INTRODUCTION:Currently, there is no consensus as to whether total knee replacement(TKR) following high tibial osteotomy(HTO) provides similar postoperative outcomes as compared to TKR without previous HTO. Previous studies have provided limited evidence to small sample sizes and methodological inappropriateness. METHO...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00402-013-1838-y
更新日期：2013-11-01 00:00:00
abstract：:Soft-tissue defects following calcaneal fractures can be covered in a relatively easy and safe procedure. We have modified the familiar distally based sural artery flap by lifting a part of the gastrocnemius muscle. With an inferior pedicle, this musulocutaneous flap can be rotated onto the defect on the sole of the f...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s004020000238
更新日期：2001-06-01 00:00:00
abstract：:In the setting of end-stage osteoarthritis of the knee, total knee arthroplasty is the gold-standard treatment. Recently, a minimally invasive, joint preserving treatment option in the treatment of medial osteoarthritis of the knee has been developed. It is called the KineSpring(®) (Moximed(®) International GmbH, Zuri...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-013-1830-6
更新日期：2013-11-01 00:00:00
abstract：:The occurrence of anomalous muscles in the hand is rare, and therefore the clinician frequently does not account for their existence when reaching the diagnosis and concluding the cause of carpal tunnel syndrome. This case report describes the highly unusual case of the occurrence of bilateral flexor digitorum superfi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-009-0826-8
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Dynamic hip screw (DHS) osteosynthesis represents one of the most frequently performed fixation methods in orthopedic practice. The purpose of this study was to determine the potential risk of vascular damage by DHS side-plate screws (PS) and plunging instruments for individual femoral vessels and screw posi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-018-3077-8
更新日期：2019-03-01 00:00:00
abstract：INTRODUCTION:Knee cartilage lesions are very frequent in arthroscopic surgery. This multi-center-study was aimed to evaluate the distribution and possible associated factors of these pathologies in more than 1000 patients. MATERIALS AND METHODS:The German cartilage registry (KnorpelRegister DGOU) started in 2013. In t...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,多中心研究
doi：10.1007/s00402-016-2432-x
更新日期：2016-06-01 00:00:00
abstract：INTRODUCTION:Osteopetrosis is caused by general increase in bone density and obliteration of the medullary canal. Fractures are a frequent complication and their management is considered a challenge due to increased resistance to reaming and screw positioning; reduction maneuvers have to be done more carefully to avoid...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-014-2144-z
更新日期：2015-03-01 00:00:00
abstract：:Proximal tibiofibular ganglion is a rare disorder. It may settle down in the subcutaneous tissue or may develop along the peroneal muscles and nerve. Common clinical findings are various sizes of mass, pain and hypoesthesis due to compression neuropathy. We report three cases of proximal tibiofibular ganglion and revi...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章,评审
doi：10.1007/s00402-005-0084-3
更新日期：2006-11-01 00:00:00
abstract：PURPOSE:The purpose of this study was to determine functional and subjective results of patients who received arthroscopic debridement for their TFCC Palmer 1B lesions and to compare their results with those of arthroscopic suture repair. METHODS:Between March 2007 and August 2011, 36 patients were diagnosed with Palm...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-012-1643-z
更新日期：2013-02-01 00:00:00
abstract：PURPOSE:To evaluate changes in hospital length-of-stay and time-to-operation of older hip fracture patients before and after the foundation of a co-managed Geriatric Fracture Center (GFC). METHODS:A co-managed GFC was established in a German level-1 trauma center. In a retrospective cohort study, we analyzed femoral n...
journal_title：Archives of orthopaedic and trauma surgery
pub_type： 杂志文章
doi：10.1007/s00402-013-1845-z
更新日期：2013-11-01 00:00:00
