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Author Thomas A Schildhauer

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Comparison of lumbopelvic fixation and iliosacral screw fixation for the treatment of bilateral sacral fractures.

Katharina E Wenning, Emre Yilmaz, Thomas A Schildhauer, Martin F Hoffmann,

Bilateral sacral fractures result in traumatic disruption of the posterior pelvic ring. Treatment for unstable posterior pelvic ring fractures should aim for fracture reduction and rigid fixation to facilitate early mobilization. Iliosacral screw fixation (ISF) and lumbopelvic fixation (LPF) were recommended for the treatment of these injuries. No algorithm or ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2021, 16(1):604]

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Fecal diversion does not support healing of anus-near pressure ulcers in patients with spinal cord injury-results of a retrospective cohort study.

Andreas M Pussin, Luisa C Lichtenthäler, Mirko Aach, Thomas A Schildhauer, Thorsten Brechmann,

<h4>Study design</h4>Retrospective cohort study including spinal cord injured patients with anus-near pressure ulcers.<h4>Objective</h4>The primary objective was to evaluate the impact of stool diversion via stoma on the decubital wound healing. Secondary objectives included the risk of complications and ulcer recurrence. Associations between the wound healing and potentially interfering parameters were ... Read more >>

Spinal Cord (Spinal cord)
[2021, :]

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Comparative analysis of clinical outcome and quality of life between amputations and combined bone and flap reconstructions at the lower leg.

Björn Behr, Sebastian Lotzien, Marcel Flecke, Christoph Wallner, J Maximillian Wagner, Mehran Dadras, Adrien Daigeler, Thomas A Schildhauer, Marcus Lehnhardt, Jan Geßmann,

<h4>Purpose</h4>At the lower leg, soft tissue defects with exposed bones, tendons, or hardware require flap coverage. In this retrospective study, we analyzed combined bone and soft tissue reconstructions compared to amputations of the lower leg in a civilian setting.<h4>Materials and methods</h4>Patients who underwent combined bone and flap reconstruction (LR) or ... Read more >>

Disabil Rehabil (Disability and rehabilitation)
[2021, :1-5]

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Three-stage revision arthroplasty for the treatment of fungal periprosthetic joint infection: outcome analysis of a novel treatment algorithm : a prospective study.

Hinnerk Baecker, Sven Frieler, Jan Geßmann, Stephan Pauly, Thomas A Schildhauer, Yannik Hanusrichter,

<h4>Aims</h4>Fungal periprosthetic joint infections (fPJIs) are rare complications, constituting only 1% of all PJIs. Neither a uniform definition for fPJI has been established, nor a standardized treatment regimen. Compared to bacterial PJI, there is little evidence for fPJI in the literature with divergent results. Hence, we implemented a novel treatment ... Read more >>

Bone Jt Open (Bone & joint open)
[2021, 2(8):671-678]

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Fixation Strength of Modified Iliac Screw Trajectory Compared to Traditional Iliac and S2 Alar-Iliac Trajectories: A Cadaveric Study.

Alexander Von Glinski, Clifford Pierre, Sven Frieler, Jonathan M Mahoney, Jonathan A Harris, Dhara B Amin, May Allall, Brandon S Bucklen, Thomas A Schildhauer, Rod J Oskouian, Jens R Chapman,

<h4>Objective</h4>Traditional iliac (TI) screws require extensive dissection, involve offset-connectors, and have prominent screw heads that may cause patient discomfort. S2 alar-iliac (S2AI) screws require less dissection, do not need offset connectors, and are less prominent. However, the biomechanical consequences of S2AI screws crossing the alar-iliac joint is unknown. The present ... Read more >>

World Neurosurg (World neurosurgery)
[2021, 154:e481-e487]

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Sonication in the diagnosis of fracture-related infections (FRI)-a retrospective study on 230 retrieved implants.

Petri Bellova, Veronika Knop-Hammad, Matthias Königshausen, Thomas A Schildhauer, Jan Gessmann, Hinnerk Baecker,

<h4>Background</h4>In fracture-related infections (FRI), both the diagnosis of the infection and the identification of the causative pathogen are crucial to optimize treatment outcomes. Sonication has been successfully used for periprosthetic joint infections (PJI); however, its role in FRI remains unknown. Our aim was to determine the diagnostic accuracy (sensitivity, specificity) ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2021, 16(1):310]

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Hierarchical Ceramic Coating Reduces Adherence of Cells, Blood, Bacteria, and Tissue on Titanium Microsurgical Instruments.

Henriette Jaurich, Mustafa Becerikli, Jörg Zerrer, Christoph Wallner, Johannes M Wagner, Mehran Dadras, Birger Jettkant, Thomas A Schildhauer, Marcus Lehnhardt, Ole Jung, Björn Behr,

<h4>Background</h4> Progress in the field of microsurgery allows more detailed reconstructions of the smallest tissue structures. The applied instruments are left with biological residues after coming into contact with body fluids or tissue, leading to compromised surgical precision. Designing of residue-free innovative instruments would reduce the necessity of subsidiary practices and ... Read more >>

J Reconstr Microsurg (Journal of reconstructive microsurgery)
[2021, :]

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Distinct Behavior of Traumatic versus Nontraumatic Intracerebral Hematomas: Different Biology or Impact of Age?

Konstantinos Gousias, Burkhard Pleger, Markella Markou, Martin Grözinger, Sam Sedaghat, Bogdan Pintea, Thomas A Schildhauer, Ramon Martinez, Uwe Hamsen,

<h4>Background and study aims</h4> Patients with large intracerebral hematomas (ICH) may demonstrate different demographics and underlying brain and systemic diseases, as well as different radiologic courses and distinct outcomes. It remains unclear whether their different behavior attributes to a different biology of the ICH or to the asymmetric characteristics of the ... Read more >>

J Neurol Surg A Cent Eur Neurosurg (Journal of neurological surgery. Part A, Central European neurosurgery)
[2021, :]

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An Analysis of Sport-Specific Pain Symptoms through Inter-Individual Training Differences in CrossFit.

Maria A Bernstorff, Norman Schumann, Nader Maai, Thomas A Schildhauer, Matthias Königshausen,

<h4>Background</h4>CrossFit is one of the fastest growing "high-intensity functional training" methods in recent years. Due to the very demanding motion sequences and high loads, it was initially assumed that there was an extremely high risk of injury. However, studies have shown that injury rates are given between 0.74-3.3 per 1000 ... Read more >>

Sports (Basel) (Sports (Basel, Switzerland))
[2021, 9(5):]

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Iliac Screw Fixation Revisited: Improved Clinical and Radiologic Outcomes Using a Modified Iliac Screw Fixation Technique.

Alexander von Glinski, Christopher J Elia, James G Wiginton, Darius Ansari, Clifford Pierre, Basem Ishak, Emre Yilmaz, Ronen Blecher, Joseph R Dettori, Erik Hayman, Thomas A Schildhauer, Rod J Oskouian, Jens R Chapman,

<h4>Study design</h4>A retrospective study.<h4>Objective</h4>To describe the modified iliac screw (mILS) technique and compare it to other spinopelvic fixation techniques in terms of wound healing complications, hardware prominence, and failure.<h4>Summary of background data</h4>The traditional entry point of an iliac screw often causes postoperative gluteal pain from the prominent screw head. The ... Read more >>

Clin Spine Surg (Clinical spine surgery)
[2021, :]

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Accuracy of radiographic measurement techniques for the Taylor spatial frame mounting parameters.

Jan Gessmann, Sven Frieler, Matthias Königshausen, Thomas A Schildhauer, Yannik Hanusrichter, Dominik Seybold, Hinnerk Baecker,

<h4>Aim</h4>The correction accuracy of the Taylor Spatial Frame (TSF) fixator depends considerably on the precise determination of the mounting parameters (MP). Incorrect parameters result in secondary deformities that require subsequent corrections. Different techniques have been described to improve the precision of MP measurement, although exact calculation is reportedly impossible radiologically. ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2021, 22(1):284]

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Injuries after Forklift Trucks Accidents - Injury Patterns, Therapy and Outcome in the Context of the Statutory Accident Insurance.

Christopher Ull, Hans Ehlers, Emre Yilmaz, Sebastian Lotzien, Thomas A Schildhauer, Charlotte Reinke, Christiane Kruppa,

<h4>Introduction</h4>The use of forklift trucks during work has a high accident potential. The aim of this study is to describe injury patterns, treatment and outcome after forklift truck accidents in the context of the employers' liability insurance association.<h4>Methods</h4>Retrospective data collection of all cases between 2004 and 2019. Excluded were patients ... Read more >>

Z Orthop Unfall (Zeitschrift fur Orthopadie und Unfallchirurgie)
[2021, :]

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Tibiocalcaneal arthrodesis using the Ilizarov fixator in compromised hosts: an analysis of 19 patients.

Charlotte Reinke, Sebastian Lotzien, Emre Yilmaz, Yannik Hanusrichter, Christopher Ull, Hinnerk Baecker, Thomas A Schildhauer, Jan Geßmann,

<h4>Introduction</h4>Salvage of joint destruction of the tibiotalar and subtalar joint with necrosis or infection of the talus in compromised hosts is a challenging problem. In these cases, tibiocalcaneal arthrodesis using the Ilizarov external fixator represents a possible alternative to amputation. This retrospective study presents the results and complications of this ... Read more >>

Arch Orthop Trauma Surg (Archives of orthopaedic and trauma surgery)
[2021, :]

Cited: 2 times

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Facing multidrug-resistant pathogens in periprosthetic joint infections with self-administered outpatient parenteral antimicrobial therapy-A prospective cohort study.

Sven Frieler, Yannik Hanusrichter, Petri Bellova, Jan Geßmann, Thomas A Schildhauer, Hinnerk Baecker,

A key factor in the successful management of periprosthetic joint infection (PJI) besides the surgical regime is a consistent antimicrobial therapy. Recently, oral versus intravenous (IV) antibiotics for bone and joint infection trial demonstrated the noninferiority of oral antimicrobial therapy compared to IV, implying that an early transition to oral administration is ... Read more >>

J Orthop Res (Journal of orthopaedic research : official publication of the Orthopaedic Research Society)
[2021, 39(2):320-332]

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Conversion From Knee Arthrodesis Back to Arthroplasty: A Particular Challenge in Combination With Fungal Periprosthetic Joint Infection.

Sven Frieler, Emre Yilmaz, Ryan Goodmanson, Yannik Hanusrichter, Thomas A Schildhauer, Hinnerk Baecker,

A 58-year-old female treated at an outside facility with knee arthrodesis due to persistent periprosthetic joint infection fulfilled all prerequisites for a conversion back to arthroplasty, as part of a 2-stage revision. Owing to the detection of <i>Candida parapsilosis</i>, the treatment concept was converted to a three-stage procedure. A scheduled ... Read more >>

Arthroplast Today (Arthroplasty today)
[2020, 6(4):1038-1044]

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Biomechanical comparison of screw osteosyntheses and anatomical plating for coronoid shear fractures of the ulna.

Valentin Rausch, Birger Jettkant, Sebastian Lotzien, Thomas Rosteius, Eileen Mempel, Thomas A Schildhauer, Dominik Seybold, Jan Geßmann, Matthias Königshausen,

<h4>Introduction</h4>Among the few techniques described for the treatment of coronoid fractures, osteosynthesis techniques include screw osteosynthesis from anterior to posterior (AP) or from posterior to anterior (PA) and plate osteosynthesis. The aim of this study was to test the biomechanical stability of screw osteosynthesis and plate osteosynthesis using anatomical plates ... Read more >>

Arch Orthop Trauma Surg (Archives of orthopaedic and trauma surgery)
[2021, 141(9):1509-1515]

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Incidence, Time Course and Influence on Quality of Life of Intensive Care Unit-Acquired Weakness Symptoms in Long-Term Intensive Care Survivors.

Christine H Meyer-Frießem, Nathalie M Malewicz, Sabrina Rath, Melanie Ebel, Miriam Kaisler, Martin Tegenthoff, Thomas A Schildhauer, Esther M Pogatzki-Zahn, Christoph Maier, Peter K Zahn,

<h4>Purpose</h4>Intensive care unit-acquired weakness (ICUAW) can manifest as muscle weakness or neuropathy-like symptoms, with diagnosis remaining a challenge. Uncertainties surround the long-term cause and sequelae. Therefore, the purpose was to assess incidence, time course and long-term influence on quality of life (QoL) of symptoms in ICU survivors.<h4>Methods</h4>After ethical approval and ... Read more >>

J Intensive Care Med (Journal of intensive care medicine)
[2021, 36(11):1313-1322]

Cited: 3 times

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Osteology of the ilium revised: illuminating the clinical relevance.

Alexander von Glinski, Sven Frieler, Emre Yilmaz, Basem Ishak, Ryan Goodmanson, Joe Iwanaga, Thomas A Schildhauer, Jens R Chapman, Rod J Oskouian, Keith Mayo, R Shane Tubbs,

<h4>Background</h4>Several studies on anterior and posterior pelvic ring fixation have identified a fragile monocortical area located at the iliac wing. However, there are no current studies regarding this structure's dimensions and relation to known anatomic structures.<h4>Methods</h4>Eleven human ilia were dissected from 6 specimens. After debulking soft tissue, photoluminescence was used ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

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Major trauma due to suicide attempt: increased workload but not mortality.

André Nohl, Tobias Ohmann, Oliver Kamp, Christian Waydhas, Thomas A Schildhauer, Marcel Dudda, Uwe Hamsen,

<h4>Introduction</h4>Suicide attempt is a common cause for major trauma. Due to the underlying psychiatric disease, patients` compliance or even prognosis may be reduced. Modalities of discharge after surgical acute care might differ.<h4>Methods</h4>Retrospective study including trauma patients of two urban level 1 trauma centers between 2013 and 2017. Data originally collected ... Read more >>

Eur J Trauma Emerg Surg (European journal of trauma and emergency surgery : official publication of the European Trauma Society)
[2020, :]

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Spinal Cord Injury With Tetraplegia in Young Persons After Diving Into Shallow Water: What Has Changed in the Past 10 to 15 Years?

Christopher Ull, Emre Yilmaz, Oliver Jansen, Sebastian Lotzien, Thomas A Schildhauer, Mirko Aach, Matthias Königshausen,

<h4>Study design</h4>Retrospective, monocentric, observational study in a tertiary health care center.<h4>Objectives</h4>To analyze prehospital and clinical findings, complications, neurological improvement and follow-up in a young person cohort with spinal cord injury (SCI) and tetraplegia according to the American Spinal Injury Association (ASIA) Impairment Scale (AIS) A to D after diving into ... Read more >>

Global Spine J (Global spine journal)
[2021, 11(8):1238-1247]

Cited: 1 time

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The iliac pillar - Definition of an osseous fixation pathway for internal and external fixation.

Alexander von Glinski, Sven Frieler, Ronen Blecher, Kajsa Mayo, Cara Beth Lee, Emre Yilmaz, Jens R Chapman, Rod J Oskouian, Shane Tubbs, Thomas A Schildhauer,

<h4>Background</h4>Increasing numbers of unstable pelvic ring fractures, due to the ongoing demographic change and improvements in the rescue of high-energy traumatic events, are challenging trauma and orthopedic surgeons. While initial installation of an external fixation device is often necessary, placement of iliac crest pins can be difficult due to the ... Read more >>

Orthop Traumatol Surg Res (Orthopaedics & traumatology, surgery & research : OTSR)
[2020, 106(5):869-875]

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The use of exoskeletons in the occupational context for primary, secondary, and tertiary prevention of work-related musculoskeletal complaints.

Benjamin Steinhilber, Tessy Luger, Peter Schwenkreis, Stefan Middeldorf, Hartmut Bork, Bernhard Mann, Alexander von Glinski, Thomas A Schildhauer, Stephan Weiler, Martin Schmauder, Kai Heinrich, Gabriele Winter, Gerhard Schnalke, Peter Frener, Ralf Schick, Sascha Wischniewski, Matthias Jäger,

OCCUPATIONAL APPLICATIONS This guideline includes 20 recommendations and four key statements that achieved consensus or strong consensus regarding the application of exoskeletons in the workplace for the prevention of musculoskeletal complaints and diseases, the general use and implementation of exoskeletons, and recommendations for risk assessment. The guideline is intended for ... Read more >>

IISE Trans Occup Ergon Hum Factors (IISE transactions on occupational ergonomics and human factors)
[2020, 8(3):132-144]

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Poor outcome of octogenarians admitted to ICU due to periprosthetic joint infections: a retrospective cohort study.

Emre Yilmaz, Alexandra Poell, Hinnerk Baecker, Sven Frieler, Christian Waydhas, Thomas A Schildhauer, Uwe Hamsen,

<h4>Background</h4>Even though surgical techniques and implants have evolved, periprosthetic joint infection (PJI) remains a serious complication leading to poor postoperative outcome and a high mortality. The literature is lacking in studies reporting the mortality of very elderly patients with periprosthetic joint infections, especially in cases when an intensive care unit ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):304]

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Secondary purulent infections of the elbow joint: a retrospective, single-center study.

Valentin Rausch, Alexander von Glinski, Thomas Rosteius, Matthias Königshausen, Thomas A Schildhauer, Dominik Seybold, Jan Gessmann,

BACKGROUND:Septic arthritis of the elbow joint is a rare condition. Limited data is available on infections of the elbow joint following trauma or prior surgery on this joint. The aim of this study was to describe the etiology, comorbidities, bacterial spectrum and therapy of secondary purulent elbow infections. METHODS:Patients treated ... Read more >>

BMC Musculoskelet Disord (BMC musculoskeletal disorders)
[2020, 21(1):38]

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Risk analysis and clinical outcomes of intraoperative periprosthetic fractures: a retrospective study of 481 bipolar hemiarthroplasties.

Petri Bellova, Hinnerk Baecker, Sebastian Lotzien, Marvin Brandt, Thomas A Schildhauer, Jan Gessmann,

BACKGROUND:Intraoperative periprosthetic fractures (IPF) are a well-described complication following hip hemiarthroplasty. Our aims were to identify risk factors that characterize IPF and to investigate postoperative mobility. METHODS:We retrospectively reviewed 481 bipolar hemiarthroplasties for displaced femoral neck fractures; of which, 421 (87.5%) were performed without cement, from January 2013 to March ... Read more >>

J Orthop Surg Res (Journal of orthopaedic surgery and research)
[2019, 14(1):432]

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