H-P Springorum

Publications (7)5.6 Total impact

• Article: Einteilung und Therapie der Patellafraktur

  H.-P. Springorum, J. Siewe, J. Dargel, G. Schiffer, J.W.P. Michael, P. Eysel
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  ABSTRACT: Die Patellafraktur ist mit ca. 1% ein eher seltenes Frakturereignis. Man teilt sie ein nach der Frakturlokalisation (proximal, distal) und nach der Frakturform (quer, schräg, längs, Trümmerfraktur). Ziel der Therapie ist immer die Wiederherstellung des Streckapparats und der Gelenkoberfläche. Liegen eine Dislokation und Stufenbildung von weniger als 2mm vor, kann eine konservative Therapie eingeleitet werden. Erst bei größerer Dehiszenz oder Insuffizienz des Streckapparats ist die operative Rekonstruktion indiziert. Entsprechend der Frakturform können eine Zuggurtung, Schraubenosteosynthesen und Kombinationen aus beiden Techniken zum Einsatz kommen. Die Patellektomie hat von allen Versorgungen das schlechteste zu erwartende Ergebnis, weshalb dazu nur bei ausgedehnten Trümmerfrakturen oder als seltener Rückzugseingriff geraten wird. Während bei kindlichen Ausrissfrakturen (Avulsionsfrakturen) zumeist der Knorpelschlauch offen reponiert werden muss, kann beim alten Patienten aufgrund der mangelnden Knochendichte die Indikation zur konservativen Therapie großzügiger gestellt werden. Ist dennoch eine Operation notwendig, bietet sich hier eine Äquatorialcerclage an. Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) need exact reconstruction of the joint surface. In elderly patients conservative treatment or surgical patella-enclosing wiring techniques for stabilization are the best options due to low bone quality. SchlüsselwörterPatellafraktur–Zuggurtungsosteosynthese–Schraubenosteosynthese–Patellektomie–Äquatorialcerclage KeywordsPatella fracture–Tension band wiring–Interfragmentary screw fixation–Patellectomy–Bone-surrounding wiring
  Der Orthopäde 05/2012; 40(10):877-884. · 0.51 Impact Factor
• Article: [Classification and treatment of patella fractures].

  H-P Springorum, J Siewe, J Dargel, G Schiffer, J W P Michael, P Eysel
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  ABSTRACT: Patella fractures are rare and account for approximately 1% of all fractures. They are classified regarding their localization (proximal, distal) and appearance. The aim of any treatment is reconstruction of the extensor mechanism and joint surface. If dislocation and cartilage steps are less than 2 mm, conservative treatment may be indicated. Operative treatment is only necessary if a dislocation is more than 2 mm or when the extensor mechanism is unstable. Depending on the shape of the fracture, tension band wiring, interfragmentary screw fixation and combinations are the main techniques. Because patellectomy has functionally the worst result it should be avoided. Sleeve fractures (children) need exact reconstruction of the joint surface. In elderly patients conservative treatment or surgical patella-enclosing wiring techniques for stabilization are the best options due to low bone quality.
  Der Orthopäde 09/2011; 40(10):877-80, 882. · 0.51 Impact Factor
• Article: Acute injuries in Taekwondo.

  K Schlüter-Brust, P Leistenschneider, J Dargel, H P Springorum, P Eysel, J W-P Michael
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  ABSTRACT: Although Taekwondo is becoming an increasingly popular sport, there is a lack of reliable epidemiologic data on Taekwondo injuries. To perform an epidemiologic study on the variety of types of injury in professional and amateur Taekwondo athletes and to find a relation between Taekwondo style, skill level, weight-class and warm-up routine and the occurrence of injuries, we analysed the injury data using a 7-page questionnaire from a total of 356 Taekwondo athletes who were randomly selected. Overall, we registered a total of 2,164 injuries in 356 athletes. Most traumas were contusions and sprains in the lower extremities. Professional Taekwondo athletes have an increased risk of injury in comparison to recreational athletes. Taekwondo style, weight class and tournament frequency have an influence on the athlete's injury profile. Warm-up routines were found to have a positive effect on injury rates. Overall, Taekwondo may be considered a rather benign activity, if injuries during Taekwondo tournaments can be avoided. If not, Taekwondo can result in serious musculoskeletal problems.
  International Journal of Sports Medicine 05/2011; 32(8):629-34. · 2.43 Impact Factor
• Article: [Dynamic ultrasound examination of the shoulder of golf players].

  J W-P Michael, B Yildirim, H-P Springorum, K-St Delank, P Eysel, D P König
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  ABSTRACT: Although golf is becoming popular it can result in injury, usually from overuse and from poor technique. The shoulder is a commonly affected site, with the lead shoulder (or the left shoulder in the right-handed golfer) vulnerable to injury. With this study we tried to figure out any hyperlaxity of the lead shoulder using ultrasonography. 33 golf-players were investigated by questionnaire, clinical examination and dynamic ultrasonography. Neither clinically nor by using ultrasonography hyperlaxity of the shoulder was found. Nevertheless hyperlaxity followed by secondary impingement should be considered.
  Sportverletzung · Sportschaden 10/2006; 20(3):132-6. · 0.61 Impact Factor
• Article: Minimal-invasive Endoprothetik—kein kurzzeitiger Modetrend

  P. Eysel, D. König, H. P. Springorum, F. Popken
  Der Orthopäde 10/2004; 33(11):1227-1228. · 0.51 Impact Factor
• Article: [Effect of rotation of the femoral and tibial components on patellofemoral malalignment in knee arthroplasty].

  H Kienapfel, H-P Springorum, A Ziegler, K-J Klose, C Georg, P Griss
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  ABSTRACT: Patellofemoral complications are among the most common causes for revision surgery in total knee arthroplasty. So far no quantitative assessment has been made of the femoral and tibial malalignment or the positioning of the patellar component and the type of patellofemoral complication or failure. In particular, no comparative studies are available that include patients with and without patellofemoral failure in respect to the above-mentioned parameters when implant material, implant design, and fixation technique were identical. Between 1985 and 1992, 171 MG I total knee arthroplasties were performed. Since 1999, 20% of all the implanted MG I knee arthroplasties (all with metal-backed patellar component) had to be revised. Of those 34 patients, 18 were pair matched with 18 control patients based on the criteria of sex, body mass index, and age. The only difference in the control group was that they did not suffer any malfunction of the patellofemoral mechanism. To assess the patella component localization, conventional AP radiographs, patellar merchant view radiographs in 30 degrees, and CT scans were performed. This study has demonstrated a significant difference for the thickness of the patellar component and a trend regarding the rotational malalignment of the tibial component. Potential causes for the malrotation and guidelines to prevent rotational malalignment are discussed.
  Der Orthopäde 05/2003; 32(4):312-8. · 0.51 Impact Factor
• Article: Der Einfluss der Femur- und Tibiakomponentenrotation auf das patellofemorale Versagen beim künstlichen Kniegelenkersatz

  H. Kienapfel, H.-P. Springorum, A. Ziegler, K.-J. Klose, C. Georg, P. Griss
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  ABSTRACT: Patellofemorale Komplikationen stellen eine der häufigsten Ursachen für das Versagen in der Knieendoprothetik dar. Es bestehen allerdings nur wenige klinische Studien, die das patellofemorale Versagen mit der Patellapositionierung bzw. der Femur- und Tibiakomponentenrotation korrelieren. Insbesondere fehlten bisher Studien, die die oben genannten Parameter bei Patienten mit bzw. ohne femoropatellarem Versagen bei ansonsten gleichen Bedingungen hinsichtlich Implantatwerkstoff, Implantatdesign und Verankerungstechnik miteinander vergleichen. Zwischen 1985 und 1992 wurden 171 Miller-Galante-I-(MG-I-)Knieprothesen implantiert.Seit 1999 mussten 20% aller implantierten MG-I-Prothesen, die eine “Metal-backed-Patellakomponente” aufwiesen, revidiert werden; 18 von diesen 34 Patienten wurden mit 18 Patienten als sog. “gematchte” Kontrollgruppe verglichen. Die Zuordnung der Kontrollgruppe erfolgte nach den Kriterien Geschlecht,Body-mass-Index (BMI) und Alter.Der einzige Unterschied in der Kontrollgruppe war, dass sie keine Probleme mit dem Streckapparat aufwiesen.Zur Bestimmung der Komponentenlokalisation wurden konventionelle Röntgenaufnahmen im a.-p.-Strahlengang,Patellatangentialaufnahmen in 30° und Computertomographien (CT's) durchgeführt. Die hier durchgeführte Studie zeigte einen signifikanten Gruppenunterschied in Hinblick auf die Höhe der Patellaersatzkomponente sowie einen Trend in Hinblick auf die Rotationsfehlstellung der Tibiakomponente. Mögliche Gründe für die Rotationsfehlstellung der femoralentibialen Prothesenkomponente wie auch Richtlinien zur Vermeidung der Rotationsfehlstellung werden diskutiert. Patellofemoral complications are among the most common causes for revision surgery in total knee arthroplasty. So far no quantitative assessment has been made of the femoral and tibial malalignment or the positioning of the patellar component and the type of patellofemoral complication or failure. In particular, no comparative studies are available that include patients with and without patellofemoral failure in respect to the above-mentioned parameters when implant material, implant design, and fixation technique were identical. Between 1985 and 1992, 171 MG I total knee arthroplasties were performed.Since 1999, 20% of all the implanted MG I knee arthroplasties (all with metal-backed patellar component) had to be revised.Of those 34 patients, 18 were pair matched with 18 control patients based on the criteria of sex, body mass index, and age.The only difference in the control group was that they did not suffer any malfunction of the patellofemoral mechanism.To assess the patella component localization, conventional AP radiographs, patellar merchant view radiographs in 30°, and CT scans were performed. This study has demonstrated a significant difference for the thickness of the patellar component and a trend regarding the rotational malalignment of the tibial component. Potential causes for the malrotation and guidelines to prevent rotational malalignment are discussed.
  Der Orthopäde 03/2003; 32(4):312-318. · 0.51 Impact Factor