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Perioperative Antibiotikaprophylaxe bei aseptischen Knochen- und Gelenkeingriffen
TLDR
The efficacy of both, intravenous single-shot and shorttime prophylaxis (24 h), has been proven by meta-analyses and additional placebo-controlled, randomized clinical trials that were not considered in the aggregated estimates (level Ib evidence).
„damage control surgery“ bei schweren abdominellen Verletzungen
TLDR
Damage control surgery is indicated when evidence of AHC syndrome, meaning the combination of acidosis, hypothermia and coagulopathy, is found and the preferred surgical approach is the median laparotomy.
Operative Therapie abdomineller Verletzungen
TLDR
Vertical laparotomy should be favored for the initial surgical therapy of abdominal injury and principles of “damage control surgery” should be applied.
Sonographische Diagnostik im Schockraum bei stumpfem Bauchtrauma: Metaanalyse Update 2003
TLDR
Emergency ultrasound provides high specificity but insufficient sensitivity to reliably rule out intraabdominal injury, but if test characteristics will be maintained including recent studies is investigated.
Evidenzbasierte Medizin (EBM) in der Unfallchirurgie
TLDR
Implementation of evidence-based medicine in its actual sense – as an innovative way to improve individual patient care by synthesizing the best available external evidence – into trauma surgery has not yet been adequately achieved.
Frakturen der BWS und LWS
TLDR
The operative approach of posterior fixation, combined with a cylindrical interbody fusion cage or autologous bone grafting yields good outcome in fusion rates and postoperative stability.
Frakturen des oberen Sprunggelenkes
TLDR
The aim of this work is to provide a thorough understanding of the anatomy, biomechanics, mechanism of injury, diagnostic and operative procedures of ankle joint fractures.
Unfallchirurgische Interventionsstudien: randomisiert oder nicht-randomisiert?
TLDR
Diese Kontrolle gelingt am besten durch Randomisierung, bei der bekannte and unbekannte biologische Störgrößen zufällig auf Behandlungsarme verteilt werden, der Größe des Unterschiedes zwischen den zu untersuchenden Interventionen.
Verletzungen bei polytraumatisierten Patienten
TLDR
Multisclice computed tomography has become the mainstay of diagnostic imaging in the multiply injured patient and in the hands of a well-trained trauma radiologist standardized CT scanning of the head and neck, chest and abdomen with intravenous contrast and reconstructions can diagnose most life-threatening injuries and thus guide specific treatment.
Frakturversorgung des Zeige-, Mittel-, Ring- und Kleinfingers
Fractures of the index, middle, ring and little finger are common but still undervalued injuries that bear a high risk of unsatisfactory functional outcomes if missed, neglected, or inappropriately
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