U Obertacke

Orthopädisch-Chirurgische Zentrum, Cham Regen, Bavaria, Germany

Are you U Obertacke?

Claim your profile

Publications (204)233.57 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Background: Since 2006 the practical year in the Mannheim Reformed Curriculum Medicine (MaReCuM) is divided into four quarters: the two required subjects (surgery and internal medicine), one elective and one of four offered fields in ambulatory medicine. Therefore students can more intensively focus on their preferences in the practical year. In the present article we describe the provided surgical training sites, the organisation of the practical year, the surgical training itself and the quality management. We provide answers to the following questions: does dividing the practical year into quarters have a (negative) influence on the grades of final exams; how interested, motivated and satisfied are students in the different (surgical) quarters of the practical year and in which quarter(s) can new generation staff be recruited?Methods: We used results of the final exams of three cohorts of the traditional Mannheim track and three cohorts of MaReCuM, as well as the results of the Mannheim Questionnaire of Satisfaction with Training Conditions in the Practical Year of Medical Education from the regular evaluation of three practical year cohorts within two years. Conclusions: Dividing the practical year into quarters is possible and can be organised together with the new "mandatory subject" ambulatory medicine. The introduction of quarters has no negative effects on the results of final exams. The assignment in the surgical field from students' perspectives with regard to motivation, interest, knowledge and satisfaction with training is comparable to surgical electives. Therefore recruitment of new staff is possible either in the surgical elective or in the surgical area of ambulatory medicine.
    Zentralblatt für Chirurgie 10/2015; DOI:10.1055/s-0035-1546248 · 1.05 Impact Factor
  • F. Bludau · T. Reis · F. Schneider · S. Clausen · F. Wenz · U. Obertacke ·

    Der Radiologe 09/2015; DOI:10.1007/s00117-015-0018-1 · 0.43 Impact Factor
  • Source
    T. Reis · E. Sperk · G. Welzel · F. Schneider · F. Bludau · U. Obertacke · F. Wenz ·

  • K. Schüttpelz-Brauns · U. Obertacke · J. Kaden · C. I. Hagl ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Although the need for hand hygiene (HH) is generally accepted, studies continue to document inadequate compliance. Medical students are taught about the importance of HH to prevent nosocomial infections, and receive training in the correct procedures for HH. However, personality traits (social orientation and achievement orientation) may influence HH compliance. People with high social orientation feel socially responsible and act cooperatively, and people with high achievement orientation are ambitious and competitive. To evaluate the relationship between HH compliance and personality traits of medical students. The HH compliance of 155 students was observed during objective standardized clinical examinations (OSCEs). Social orientation and achievement orientation were measured using the corresponding scales of the Freiburg Personality Inventory - Revised. Social orientation did not differ between students with high HH compliance and students with low HH compliance [F(1) = 3.87, P = 0.052, η(2) = 0.045]. For achievement orientation, a moderate effect was found between low and high HH compliance [F(1) = 11.242, P = 0.001, η(2) = 0.119], and students with high HH compliance were found to be more achievement orientated than students with low HH compliance. Achievement orientation plays a major role during OSCEs, while social orientation is less emphasized. To the authors' knowledge, this is the first study to show that HH compliance is associated with achievement orientation in achievement situations. Copyright © 2014 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
    Journal of Hospital Infection 12/2014; 89(3). DOI:10.1016/j.jhin.2014.11.014 · 2.54 Impact Factor
  • D Sachse · C Beiter · F Bludau · U Obertacke · U Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: Traumatic fractures of the neck of the femur are rare injuries in younger patients between 15 and 50 years old. The short-term and long-term complications may cause substantial problems, in particular non-union and avascular necrosis (AVN) of the head of the femur. In the literature (and from some experts) the impression is occasionally given that there might be "proven" successful therapeutic procedures. Methods: For this purpose we retrospectively analysed follow-up-data from our own patients in the years 2003-2007 and compared them with the literature. We identified 23 of a total of 376 patients with a femoral neck fracture as a cohort being younger than 50 years. 17 of those 23 patients were treated with an internal fixation. We were able to collect and analyse complete clinical and radiological data of 11 of these 17 patients 4.2 years after surgery. Results: The mean interval between accident and surgery was 22 hours. Only one of the patients developed an AVN after internal fixation of the fracture and was implanted a total hip replacement 18 months postoperatively. There was no non-union of the femoral neck The clinical outcome after 4.2 years was very good. The mean Harris Hip Score was 95 points (of a max. of 100 pts.). Conclusions: The osteosynthesis of femoral neck fractures in younger patients showed good results and a low risk of AVN and non-union. Therefore the internal fixation of the femoral neck fracture should be preferred for the younger patients instead of a primary total hip replacement.
    Zeitschrift fur Orthopadie und Unfallchirurgie 02/2014; 152(1):20-5. DOI:10.1055/s-0033-1360243 · 0.49 Impact Factor
  • R. Gologan · V.M. Ginter · N. Ising · A.K. Kilian · U. Obertacke · U. Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Die Ergebnisse nach operativ behandelten dislozierten, distalen Radiusfrakturen sind begrenzt. Dabei korrelieren die radiographischen Ergebnisse nicht gut mit den funktionellen Ergebnissen. Diese Tatsache legt die Vermutung nahe, dass radiographisch nicht darstellbare, zusätzliche karpale Primärläsionen dafür verantwortlich sind. Die vorliegende Studie soll klären, inwieweit karpale begleitende Läsionen mit dislozierten distalen Radiusfrakturen assoziiert sind.Es wurde eine konsekutive Serie von 104 Patienten mit dislozierten distalen Radiusfrakturen eingeschlossen. Das verletzte Handgelenk wurde radiographisch, computertomographisch und MR-tomographisch in Hinblick auf zusätzliche Verletzungen untersucht.Radiographisch zeigten sich nach AO 51/104 Frakturen als Typ A, 10/104 als Typ B und 39 als Typ C. CT-morphologisch waren nur 5 der 51 Typ-A-Frakturen reine metaphysäre Frakturen. MR-tomographisch wiesen alle als Typ A klassifizierten Frakturen ligamentäre Verletzungen auf. Die MRT-Untersuchung ergab 77/104 akute Läsionen des TFCC und 19/104 skapholunäre Bandrupturen.Die Ergebnisse der Studie stützen die Hypothese, dass jede dislozierte distale Radiusfraktur eine zusätzliche Läsion radiographisch nicht erkennbarer karpaler Strukturen mit sich bringt.
    Der Unfallchirurg 01/2014; 117(1). · 0.65 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Introduction: The changes in medical licensing regulations introduced in Germany in 2012 require the development of specific catalogues, termed logbooks, that define the practical skills medical students should acquire in different specialties. In conjunction with another change in medical education, which allows medical students to freely select any German university hospital or academic teaching hospital for their one-year internship, these catalogues are a prerequisite for ensuring comparable training standards throughout Germany. The German licensing regulations provide no details regarding the contents or form of the logbooks but only mention a "training programme" in very general terms. A logbook is commonly understood to define clear learning objectives to be accomplished during a specified interval (4 months). The conference of German medical faculties proposed a basic logbook for compulsory training modules (surgery and internal medicine) that is intended to serve as a model (formally and contentwise) for those who develop similar catalogues for elective training modules. Here we present our logbook for an elective training module in orthopaedic surgery and traumatology. Material and method: The logbook presented here is based on the catalogue of learning outcomes in orthopaedic surgery and traumatology developed by an expert board of the medical teaching study group of the German Society of Orthopaedic Surgery and Traumatology (DGOU) in 2011. The objectives defined for the one-year internship are of necessity divided into orthopaedic surgery and traumatology skills that must be acquired by all medical students and those that are optional (compulsory and elective modules). Using a set of predefined criteria, the authors developed the catalogue of learning outcomes (logbook) presented here. The catalogue outlines the competencies to be acquired in an elective orthopaedic surgery and traumatology module, leaving it to each medical faculty to work out the details. Where applicable, comprehensive skills across a number of (compulsory and elective modules) learning objectives are arranged in such a way that they can be taught at different levels of complexity. Results: The logbook covers 15 skill domains from different specific components of orthopaedic surgery and traumatology. Where these skills overlap with those also required in compulsory modules (e.g., surgery), the required level of complexity may be lower for students in the elective module. The text is supplemented by figures with synopses of the major issues and summaries for easy reference. Conclusion: With the recent changes in German licensing regulations for physicians, it has become necessary to set up a logbook of uniform learning outcomes to assist medical students and their teachers alike. The authors have developed such a logbook of elective training modules in orthopaedic surgery and traumatology to be taught during the one-year undergraduate internship of German medical students.
    Zeitschrift fur Orthopadie und Unfallchirurgie 12/2013; 151(6):610-631. DOI:10.1055/s-0033-1351065 · 0.49 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Intraoperative radiotherapy (IORT) using the INTRABEAM(®) system promises a flexible use regarding radiation protection compared to other approaches such as electron treatment or HDR brachytherapy with (192)Ir or (60)Co. In this study we compared dose rate measurements of breast- and Kypho-IORT with C-arm fluoroscopy which is needed to estimate radiation protection areas. C-arm fluoroscopy, breast- and Kypho-IORTs were performed using phantoms (silicon breast or bucket of water). Dose rates were measured at the phantom's surface, at 30cm, 100cm and 200cm distance. Those measurements were confirmed during 10 Kypho-IORT and 10 breast-IORT patient treatments. The measured dose rates were in the same magnitude for all three paradigms and ranges from 20μSv/h during a simulated breast-IORT at two meter distance up to 64 mSv/h directly at the surface of a simulated Kypho-IORT. Those measurements result in a circle of controlled area (yearly doses >6 mSv) for each paradigm of about 4 m±2 m. All three paradigms show comparable dose rates which implies that the radiation protection is straight forward and confirms the flexible use of the INTRABEAM(®) system.
    Zeitschrift für Medizinische Physik 11/2013; 24(3). DOI:10.1016/j.zemedi.2013.10.006 · 2.96 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Die objektive Feststellung von Sicherheit im Krankenhaus bedarf einer eigenen Definition und ist nicht mit Parametern der Betriebssicherheit, wie in anderen Bereichen, messbar. Die Erfassung und Quantifizierung sog. vermeidbarer unerwünschter Ereignisse (VUE) macht Sicherheit messbar(er). VUE treten im Rahmen von Krankenhausbehandlungen zu 9,2 % auf, die Sterblichkeit bei diesen Ereignissen liegt bei 0,1 %. Die subjektive Bewertung und das mediale Interesse an solchen unerwünschten Ereignissen korreliert jedoch selten mit objektiv messbaren Sicherheitsparametern. VUE wie Komplikationen, Fehler, Versagen und Verstöße sollten sorgsam definiert und klar unterschieden werden. Kumulativ liegt die Komplikationshäufigkeit perioperativ (weltweit) sicher über 10 %. Die Sicherheit im Zusammenhang mit Operationen wird eingriffsbezogen am meisten durch Wundinfektionen (Sicherheit 98 %) und nosokomiale Infektionen (Sicherheit 97 %) gefährdet. Die Sicherheit vor Problemen in Anästhesie, Bluttransfusion und sog. Indexereignisse (z. B. Patienten-/Seitenverwechslung) ist deutlich höher. Objektiv kann ein Krankenhaus nach den meisten Parametern als sicher für die Patienten angesehen werden. Checklisten verbessern nachweislich die Sicherheit. Meldesysteme (für kritische Ereignisse), Schulungen und Trainings- und Verhaltensänderungen könnten die Sicherheit möglicherweise verbessern, die Effekte sind allerdings schwer messbar.
    Der Unfallchirurg 10/2013; 10(10):884-891. DOI:10.1007/s00113-013-2446-6 · 0.65 Impact Factor
  • D Eschmann · K Schüttpelz-Brauns · U Obertacke · U Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Patient safety in hospitals is difficult to define and is not measurable by operational safety parameters as in other fields. So-called adverse events (AE) are a collective of complications, failures, mistakes, errors and violations. Estimations of at least 9.2 % AEs in surgery with 0.1 % fatalities are given worldwide but there are no correlations between objective quantification of AEs and subjective or public perception of safety during the perioperative period. Patient safety during this period is mostly endangered by wound infections (safety 98 %) and nosocomial infections (safety 97 %). In spite of these facts, safety parameters for problems in anesthesia, blood transfusion, in retaining surgical instruments and so-called index events, such as patient and side identification errors are much higher. Patient safety is maintained in hospitals by objective means (surgical). Checklists have been proven to improve safety and critical incidence reporting, training and changing of attitudes could have further advantages but they are difficult to measure.
    Der Unfallchirurg 10/2013; 116(10):884-891. · 0.65 Impact Factor
  • F Bludau · R Schmidt · F Schneider · T Reis · F Wenz · U Obertacke · R Kayser ·
    [Show abstract] [Hide abstract]
    ABSTRACT: The Kypho-IORT procedure is a recently developed surgical technique to combine intraoperative radiotherapy with cement augmentation of the vertebra for spinal metastases. The technical feasibility and the operation principle of this new method have been described. In the following article the refinement of the standard operation procedure and the technical development of the method are described. Not only the procedural improvements but also the learning curves of the inaugurators are pointed out. Moreover, the article presents the measures which were necessary to educate trainees during surgical master classes in this new method and to transfer the method. The learning success was quantified by recording the accuracy reached by the trainees in the key procedure during hands-on cadaver exercises. Improvements of the standard operation procedure could be successfully transferred in a second master class. The method of Kypho-IORT and the demonstrated way of postgraduate education is feasible to instruct trainees. The Kypho-IORT procedure can be learnt and performed safely by running through the surgical master class.
    Der Orthopäde 09/2013; 42(9):772-9. DOI:10.1007/s00132-013-2072-6 · 0.36 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Hintergrund Für die Behandlung von symptomatischen Wirbelkörpermetastasen stehen operative und strahlentherapeutische Verfahren zur Verfügung. Die hier vorgestellte Methode zeigt eine Kombination aus intraoperativer Radiotherapie (IORT) mit einer Kyphoplastie zur Behandlung von Wirbelkörpermetastasen. Methode und Resultate Mit der Kypho-IORT sind symptomatische Wirbelkörpermetastasen zwischen BWK3 und LWK5 behandelbar. Unter Intubationsnarkose wird ein extra- oder bipedikulärer Zugang zum Wirbelkörper wie bei einer herkömmlichen Kyphoplastie gewählt. Anschließend wird über Spezialhülsen der Bestrahlungsapplikator eingeführt und über einen Röntgengenerator (Intrabeam®, Carl Zeiss Surgical, Oberkochen, Deutschland) die intraoperative Bestrahlung durchgeführt. Die Bestrahlungsdosis beträgt je nach Studienprotokoll 8 Gy in 5–10 mm Tiefe (50 kV Röntgenstrahlung). Anschließend wird ein herkömmliches Kyphoplastieverfahren (Fa. Medtronic, USA) durchgeführt und der betroffene Wirbelkörper mit Zement stabilisiert. Schlussfolgerung Das vorgestellte Verfahren zeigt einen neuen Weg zur Behandlung von Wirbelkörpermetastasen auf und stellt eine lohnende Alternative zum bisher etablierten Vorgehen dar.
    Der Orthopäde 09/2013; DOI:10.1007/s00132-013-2071-7 · 0.36 Impact Factor
  • R Kayser · S A Ender · E Asse · E Wilhelm · F Adler · R Schmidt · F Wenz · U Obertacke · F Bludau ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Operative and radiotherapeutic procedures are available for the treatment of symptomatic vertebral metastases. The method for treatment of vertebral metastases presented in this article involves a combination of intraoperative radiotherapy (IORT) and kyphoplasty. Kyphoplasty-IORT allows treatment of symptomatic vertebral metastases between vertebrae T3 and L5. With the patient under intubation narcosis an extrapedicular or bipedicular access to the vertebra is selected as for conventional kyphoplasty. This is followed by insertion of special sheaths of the radiation applicator and radiation therapy is intraoperatively administered via a radiation generator (Intrabeam®, Carl Zeiss Surgical, Oberkochen, Germany). The radiation dose is 8 Gy at a depth of 5-10 mm depending on the study protocol (50 kV X-radiation). Following radiation a conventional kyphoplasty procedure (Medtronic, USA) is carried out and the vertebra stabilized with cement. The procedure presented demonstrates a new approach to treatment of vertebral metastases and represents a valuable alternative to previously established methods.
    Der Orthopäde 07/2013; · 0.36 Impact Factor
  • R Gologan · S Aziriu · U Obertacke · U Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: BACKGROUND: Injuries due to domestic violence are a frequent occurrence in emergency departments. Although domestic violence has been well analyzed from the sociological point of view, medical data concerning patterns of injuries are rare. METHODS: Victims of domestic violence who presented at the emergency department of a maximum care hospital were included in the study. Sociodemographic data and patterns of injuries were documented. RESULTS: Of the patients who presented at the emergency room 1.4 % suffered injuries due to domestic violence and 70 % were women who had been predominantly attacked by the (ex) partner. The male victims were predominantly attacked by friends. In 88 % the head and neck were involved. Male patients were attacked with objects (as a kind of weapon) more frequently than women. A migration background was documented in 45 % of the female and 30 % of the male patients. CONCLUSION: Patterns can be easily recognized: the victims were predominantly female and were attacked by the (ex) partner. Injuries were localized to the upper part of the body. No excessive violence with life-threatening or fatal injuries was observed.
    Der Unfallchirurg 06/2013; · 0.65 Impact Factor
  • Dr. R. Gologan · S. Aziriu · U. Obertacke · U. Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Hintergrund Häusliche Gewalt ist eine Unterform vorkommender Gewaltformen. Die soziologischen Aspekte häuslicher Gewalt sind gut erforscht und publiziert. Im Hinblick auf körperliche Verletzungsfolgen von häuslicher Gewalt lassen sich nur wenige Daten finden. Patienten und Methode Aus dem Patientengut einer unfallchirugischen Notaufnahme eines Hauses der Maximalversorgung wurden Opfer häuslicher Gewalt identifiziert. Es wurden persönliche und soziodemographische Daten sowie Daten zum Verletzungsmuster erfasst. Ergebnisse Opfer häuslicher Gewalt waren 1,4 % der in der Notaufnahme vorstelligen Patienten; 70 % waren Frauen, die überwiegend (68 %) durch den (Ex-)Lebenspartner Gewalt erfuhren; 30 % waren Männer, welche überwiegend (46 %) von Bekannten Gewalt erfuhren. Ein Migrationshintergrund lag bei 45 % der Frauen und 38 % der Männer vor. Am häufigsten wurden der Kopf und Hals (88 %) verletzt. Zu 94 % lag eine stumpfe Gewalteinwirkung vor. Männer wurden tendentiell häufiger mit Gegenständen angegriffen. Schlussfolgerung Es sind Muster erkennbar: Betroffene sind überwiegend Frauen und häufiger Menschen mit Migrationshintergrund. Die (überwiegend stumpfe) Gewalt wird innerhalb einer Partnerschaftsbeziehung, seltener in direkter Verwandtschaftslinie verübt. Die Richtung der Gewalt zielt auf den Kopf. Exzessive Gewalt mit lebensgefährlichen Verletzungen wurde nicht beobachtet.
    Der Unfallchirurg 06/2013; DOI:10.1007/s00113-013-2365-6 · 0.65 Impact Factor

  • Orthopädie und Unfallchirurgie - Mitteilungen und Nachrichten 04/2013; 2(02):197-198. DOI:10.1055/s-0033-1345575
  • [Show abstract] [Hide abstract]
    ABSTRACT: Kompetenzorientierung in der medizinischen Ausbildung gilt als Voraussetzung, um Studierende auf die Erfordernisse des Arztberufes vorzubereiten. Die Formulierung eines verbindlichen Fachqualifikationsrahmens ist ein Meilenstein in diese Richtung. Mit dem Nationalen Kompetenzbasierten Lernzielkatalog Medizin (NKLM) schaffen der Medizinische Fakultätentag (MFT) und die Gesellschaft für Medizinische Ausbildung (GMA) die Basis für ein Kernkurrikulum bis zur Approbation zur Ärztin bzw. zum Arzt. Die Chirurgische Arbeitsgemeinschaft Lehre der Deutschen Gesellschaft für Chirurgie (DGCH – CAL) möchte mit dem Nationalen Lernzielkatalog Chirurgie eine Brücke zwischen NKLM und Lernzielkatalogen an den medizinischen Fakultäten schlagen. Er soll die Basis für ein chirurgisches Kernkurrikulum darstellen und die Sichtbarkeit unseres Faches in der studentischen Ausbildung stärken. Auf der Grundlage verschiedener Lernzielkataloge an medizinischen Fakultäten, des Lernzielkatalogs für Orthopädie-Unfallchirurgie und des Schweizer Lernzielkatalogs erfolgte mit Vertretern aller chirurgischen Fachgesellschaften ein strukturierter Selektionsprozess für Lernziel-Items sowie die Definierung von Kompetenzebenen und Kompetenzbereichen. Nach Komplettierung wird der Lernzielkatalog in elektronischer Form auf der Webseite der DGCH zugänglich gemacht werden.
    Der Chirurg 04/2013; 84(4). DOI:10.1007/s00104-012-2449-9 · 0.57 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Competency-based medical education is a prerequisite to prepare students for the medical profession. A mandatory professional qualification framework is a milestone towards this aim. The National Competency-based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) of the German Medical Faculty Association (MFT) and the German Medical Association will constitute a basis for a core curriculum of undergraduate medical training. The Surgical Working Group on Medical Education (CAL) of the German Association of Surgeons (DGCH) aims at formulating a competency-based catalogue of learning objectives for surgical undergraduate training to bridge the gap between the NKLM and the learning objectives of individual medical faculties. This is intended to enhance the prominence and visibility of the surgical discipline in the context of medical education. On the basis of different faculty catalogues of learning objectives, the catalogue of learning objectives of the German Association of Orthopedics and Orthopedic Surgery and the Swiss Catalogue of Learning Objectives representatives of all German Surgical Associations cooperated towards a structured selection process of learning objectives and the definition of levels and areas of competencies. After completion the catalogue of learning objectives will be available online on the webpage of the DGCH.
    Der Chirurg 03/2013; · 0.57 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Medical education in Germany has undergone significant changes. The current article attempts to give an overview of final year medical education in Germany and implications for further developments. Challenges in final year medical education mainly arise from the lack of clearly defined learning objectives, the provision of structure, independent patient management and professional guidance and supervision. The abolition of the one-and-a-half-year period of pre-registration medical training in 2004 and the changes in the structure of state examinations in line with the amendment of medical licensing regulations in 2002, meant pressure on the efficiency of final year medical education on the one hand, and additional burden on final year students on the other. In this article, a broad variety of innovative models that have been implemented at different medical faculties, and which address final year students' needs, will be reported. Further challenges, such as the integration of general medicine rotations, the abolishment of the second state examination in its present form, and the integration of final year students' individual career plans will be discussed.
    Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen 12/2012; 106(2):75-84. DOI:10.1016/j.zefq.2012.01.002
  • R Gologan · V.M. Ginter · N Ising · A.K. Kilian · U Obertacke · U Schreiner ·
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: The functional outcome of surgically treated dislocated fractures of the distal radius is limited and does not correlate with radiographic results. Additional carpal lesions are assumed to be the cause. This study has evaluated which carpal lesions are associated with dislocated fractures of the distal radius. Material and methods: A total of 104 consecutive patients with dislocated fractures of the distal radius were included in the study. The injured wrist was examined by radiography, computed tomography (CT) and magnetic resonance imaging (MRI) to determine additional carpal lesions. Results: Radiographically 51 of the 104 fractures presented as type A according to the AO classification, 10 as type B and 39 as type C. The CT scan detected that only 5 of the 51 type A fractures were exclusively metaphyseal fractures. All type A fractures were associated with ligamental lesions in MRI. Conclusions: The results of the study confirm the hypothesis that every dislocated fracture of the distal radius is a combined carpal trauma associated with additional osseous and/or ligamental lesions.
    Der Unfallchirurg 10/2012; 117(1). DOI:10.1007/s00113-012-2264-2 · 0.65 Impact Factor

Publication Stats

3k Citations
233.57 Total Impact Points


  • 2005-2014
    • Orthopädisch-Chirurgische Zentrum
      Cham Regen, Bavaria, Germany
    • Klinikum Landshut
      Landshut, Bavaria, Germany
  • 2002-2014
    • Universität Heidelberg
      • • Department of General, Visceral and Transplantation Surgery
      • • Orthopedic and Trauma Surgery Center
      • • Psychosomatic and General Clinical Medicine
      • • Department of Orthopedics and Traumatology
      Heidelburg, Baden-Württemberg, Germany
  • 2010-2013
    • Universitätsmedizin Mannheim
      Mannheim, Baden-Württemberg, Germany
  • 2002-2013
    • Universität Mannheim
      Mannheim, Baden-Württemberg, Germany
  • 1987-2012
    • University Hospital Essen
      • Klinik für Unfallchirurgie
      Essen, North Rhine-Westphalia, Germany
  • 2011
    • Universitätsklinikum Freiburg
      Freiburg an der Elbe, Lower Saxony, Germany
  • 2008-2010
    • Goethe-Universität Frankfurt am Main
      • Klinik für Unfall-, Hand-, und Wiederherstellungschirurgie
      Frankfurt am Main, Hesse, Germany
  • 2004
    • University of Miami Miller School of Medicine
      • Ryder Trauma Center
      Miami, Florida, United States
  • 1989-2002
    • Justus-Liebig-Universität Gießen
      • Department of Internal Medicine
      Giessen, Hesse, Germany
  • 1987-1999
    • University of Duisburg-Essen
      Essen, North Rhine-Westphalia, Germany
  • 1996
    • Ludwig Boltzmann Institute for Experimental and Clinical Traumatology
      Wien, Vienna, Austria
  • 1992
    • Freie Universität Berlin
      • Department of Anesthesiology and Operative Intensive Care Medicine
      Berlín, Berlin, Germany