Developmental dysplasia of the hip (DDH) is among the most common congenital musculoskeletal disorders and may lead to early hip osteoarthritis if left untreated. Modified Pemberton acetabuloplasty is an established, growth-preserving osteotomy technique for surgical correction in childhood. However, robust clinical long-term outcomes with follow-up periods exceeding two decades have not yet been published. The aim of this study was to retrospectively evaluate functional and patient-reported out...

Postoperative epidural fibrosis (PEF) is a significant complication following lumbar disc herniation surgery. It is characterised by the formation of non-physiological scar tissue that may lead to recurrent radicular pain and contribute to failed back surgery syndrome (FBSS). Despite its clinical relevance, the exact incidence and effective management strategies for LPEF have not been adequately quantified in the existing literature.

This study analyses a cohort of 2673 patients who underwent sur...

Traumatic spondyloptosis has been described as the most severe form of vertebral dislocation. It is characterised by the complete subluxation of a vertebral body by more than 100% relative to the adjacent vertebra. In general, traumatic spondyloptosis can occur in all sections of the spine. It is an extremely unstable injury that requires immediate surgical stabilisation. The aim of this study was to conduct a systematic analysis and evaluation of diagnostic procedures, therapeutic concepts, and...

With the aging population in Germany, the incidence of fragility fractures is increasing significantly. To improve the care of these patients, geriatric trauma centres (ATZ-DGU) have been established by the German Society for Trauma Surgery (DGU). These centres differ from pure orthogeriatric co-management (OGCM) by more comprehensive requirements regarding process quality, outcome quality, prevention, and continuity of care.The evidence is strongest for hip fractures: studies demonstrate signif...

Klinische Studien bzw. klinische Prüfungen bilden das Rückgrat evidenzbasierter Medizin – auch in der Orthopädie sind sie unverzichtbar, um die Wirksamkeit und Sicherheit neuer Therapien, Implantate und chirurgischer Verfahren systematisch zu bewerten. Dieser Artikel vermittelt Grundwissen zu klinischen Studien und geht insbesondere auf die Themen Studiendesign und Interpretation von klinischen Studien ein.

The adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity of unknown etiology and onset between 10 and 18 years of life. The current AWMF S2k guideline was elaborated with participation of the specialty associations in Germany aiming at improving and unifying the standard of care in AIS patients. The purpose of this review is to present a compact synopsis of the results of the expert consensus.

Die Adoleszente Idiopathische Skoliose (AIS) ist eine 3-dimensionale Wirbelsäul...