Thomas Gösling

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OBJECTIVE The aim of the study was to assess the feasibility and benefit of the intraoperative use of a mobile C-arm with 3-dimensional imaging (ISO-C-3D). DESIGN Prospective consecutive clinical study. SETTING University hospital, level I trauma center. METHODS The ISO-C-3D was used for intraoperative visualization in foot and ankle trauma care.(More)
Femoral nail removal has been suggested as a routine procedure for symptomatic and asymptomatic patients. The aim of this study was to evaluate whether asymptomatic patients have long-term complaints after femoral nail removal. Additionally, factors that might extend operation time and effect soft tissue healing negatively were analyzed. A retrospective(More)
Reduction is a crucial step in fracture treatment. We determined intraoperative peak forces and torques during fracture reduction in seven patients with eight fractures of the femoral shaft. All fractures were temporarily stabilized by external fixation. Force and torque measurements were performed during the subsequent intramedullary nailing procedure. A(More)
OBJECTIVE To compare the vertical subsidence in a bicondylar tibial plateau fracture model stabilized either by a unilateral locked screw plate (LSP) or by double plating. DESIGN Biomechanical cadaver study. INTERVENTION A 41-C1 fracture model was created in eight pairs of fresh-frozen human cadaver tibiae. Stabilization was performed either by open(More)
The difficulty in assessing femoral rotation during intramedullary nailing is well-established. Navigation systems allow the surgeon to detect and set the version of the injured leg at the desired angle. We report the first cases of navigated femoral nailing using noninvasive registration of the contralateral uninjured leg to determine the patient's(More)
Rupture of the patellar tendon is a rare injury requiring acute repair to reestablish knee extensor continuity and to allow early motion. Different pathomechanisms have been postulated, and multiple techniques for repair have been described in the literature. Firstly, the current study reviews the epidemiology, pathomechanism, and risk factors. Secondly, we(More)
BACKGROUND Tibial nail removal has been suggested as a routine procedure for both symptomatic and asymptomatic patients. The aim of this study was to define guidelines for the removal of tibial nails. PATIENTS AND METHODS A retrospective study on the isolated removal of 69 tibial nails after fracture consolidation was done. A review of the patient charts(More)
Injury cause, treatment, and long-term results [American Orthopaedic Foot and Ankle Society (AOFAS) Midfoot Score, Hannover Scoring System, Hannover Outcome Questionnaire] of patients with Chopart joint dislocations or fracture-dislocations were evaluated. Between 1972 and 1997, 100 patients with 110 Chopart joint dislocations were treated in the authors'(More)
Durch intraoperative dreidimensionale (3D-)Bildgebung können notwendige Revisionen bereits intraoperativ durchgeführt werden, eine 2. Operation wird vermieden. Ziel der vorliegenden Untersuchung war es, eine Kosten- und Nutzenanalyse im 1. Jahr der Anwendung durchzuführen, um unter dem DRG-System für den Anwender eine größere Transparenz zu erzeugen. Auf(More)
Following the development of the Less Invasive Sabilization System for Distal Femur a similar system for proximal tibia fractures (LISS PLT) was designed. Anatomical studies were carried out to define the shape of the plate and the position and orientation of the screws. Standard mechanical tests were performed to ensure that the LISS PLT fixation provides(More)