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  1. Article: Fehlentwicklung bei Joggingschuhen: Ist barfuss laufen gesünder?

    Regauer, M

    MMW Fortschritte der Medizin

    2010  Volume 152, Issue 17, Page(s) 7

    Title translation Flawed construction of jogging shoes: is running barefoot healthier? (interview by Dr. Judith Neumaier).
    MeSH term(s) Ankle Joint/physiopathology ; Athletic Injuries/physiopathology ; Athletic Injuries/prevention & control ; Biomechanical Phenomena ; Foot/physiopathology ; Humans ; Jogging/injuries ; Jogging/physiology ; Shoes/adverse effects
    Language German
    Publishing date 2010-04-29
    Publishing country Germany
    Document type Interview
    ZDB-ID 1478211-x
    ISSN 1438-3276
    ISSN 1438-3276
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Operative Therapie der distalen Trizepssehnenruptur.

    Ritsch, Mathias / Regauer, Markus / Schoch, Christian

    Operative Orthopadie und Traumatologie

    2022  Volume 34, Issue 6, Page(s) 438–446

    Abstract: Objective: Restoration of the anatomy and the original length of the muscle-tendon unit in triceps tendon ruptures.: Indications: Acute and chronic triceps tendon ruptures with persisting symptoms and significant strength deficits.: ... ...

    Title translation Surgical treatment of distal triceps tendon ruptures.
    Abstract Objective: Restoration of the anatomy and the original length of the muscle-tendon unit in triceps tendon ruptures.
    Indications: Acute and chronic triceps tendon ruptures with persisting symptoms and significant strength deficits.
    Contraindications: Infections and tumors in the surgical area.
    Surgical technique: Prone position. Skin incision over the distal triceps in a lateral direction around the olecranon. Mobilization of the tendon and débridement of the olecranon. Drilling of 2 × 2.9 mm suture anchor holes medial and lateral into the footprint of the olecranon. In addition, drilling through the olecranon 12 mm distal to the tip of the olecranon and transosseous introduction of 4 sutures. Then the suture anchors (all-suture or titanium anchors) are inserted into the drill holes. Refix the deep and superficial tendons with the anchor threads. Refix the upper tendon portions with the transosseous sutures. In the case of chronic lesions, a graft interposition is necessary.
    Postoperative management: Dorsal 10 ° splint, then change to an orthosis fixed in 20 ° extension and passive mobility 0-30 ° flexion for 6 weeks. From the 7th week onwards, load-free, physiotherapeutically controlled increasing mobilization. Starting weight-loading from the 13th week on. Full load after 6 months.
    Results: In all, 34 male strength athletes with acute triceps tendon rupture underwent surgery using the hybrid technique described and were prospectively recorded. The MEPS‑G score averaged 94.7 points, there were no permanent limitations in mobility, and the postoperative strength ability averaged 94% of the original strength performance ability. The return to sport achieved 100%. The complication rate was 20.6%. Reconstruction of the distal triceps tendon using hybrid technology leads to very good functional results. Half of all patients complained of symptoms even before the rupture, which suggests previous damage to the distal triceps tendon caused by degeneration.
    MeSH term(s) Humans ; Male ; Treatment Outcome
    Language German
    Publishing date 2022-09-12
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 1007514-8
    ISSN 1439-0981 ; 0934-6694
    ISSN (online) 1439-0981
    ISSN 0934-6694
    DOI 10.1007/s00064-022-00781-8
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  3. Article ; Online: Okkulte Extremitätenfrakturen im Erwachsenen- und Kindesalter. Am Beispiel von Fuß- und Sprunggelenkverletzungen.

    Regauer, M / Mutschler, W

    Der Unfallchirurg

    2015  Volume 118, Issue 3, Page(s) 213–221

    Abstract: Background: Occult fractures in children and adults cannot by definition be diagnosed by conventional radiographs. These injuries are usually recognized as bone marrow edema by magnetic resonance imaging (MRI). There are no randomized controlled trials ... ...

    Title translation Occult fractures of extremities in adults and children. Exemplified by foot and ankle injuries.
    Abstract Background: Occult fractures in children and adults cannot by definition be diagnosed by conventional radiographs. These injuries are usually recognized as bone marrow edema by magnetic resonance imaging (MRI). There are no randomized controlled trials or prospective cohort studies concerning the correct management of occult fractures and, therefore, no evidence-based treatment guidelines can be drafted.
    Objectives: This article summarizes the current diagnostic and treatment concepts for occult fractures under special consideration of foot and ankle injuries.
    Methods: A selective search of the current literature was performed and also taking own experience into consideration.
    Results and conclusion: The clinical prognosis of occult fractures is generally good and there is no evidence that these lesions need specific treatment. Besides forensic applications and problems pursuant to insurance law, MRI examination is only indicated when conventional radiographs are unremarkable, pain persists for an unusually long period of time and when a relevant therapeutic consequence can be expected from the MRI results. Classical pitfalls are combinations of occult fractures with potentially unstable ligamentous injuries and patients with disordered pain perception as in cases of diabetic polyneuropathy, as the common therapeutic concept of weight bearing according to pain is not suitable for these patients and can lead to severe complications.
    MeSH term(s) Ankle Fractures/complications ; Ankle Fractures/diagnosis ; Ankle Fractures/therapy ; Bone Marrow Diseases/etiology ; Bone Marrow Diseases/pathology ; Bone Marrow Diseases/therapy ; Diagnosis, Differential ; Edema/diagnosis ; Edema/etiology ; Edema/prevention & control ; Foot Injuries/complications ; Foot Injuries/diagnosis ; Foot Injuries/therapy ; Fractures, Closed/complications ; Fractures, Closed/diagnosis ; Fractures, Closed/therapy ; Humans
    Language German
    Publishing date 2015-03
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 605965-x
    ISSN 1433-044X ; 0177-5537
    ISSN (online) 1433-044X
    ISSN 0177-5537
    DOI 10.1007/s00113-014-2689-x
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  4. Article: Evidence-Based Surgical Treatment Algorithm for Unstable Syndesmotic Injuries.

    Regauer, Markus / Mackay, Gordon / Nelson, Owen / Böcker, Wolfgang / Ehrnthaller, Christian

    Journal of clinical medicine

    2022  Volume 11, Issue 2

    Abstract: Background: Surgical treatment of unstable syndesmotic injuries is not trivial, and there are no generally accepted treatment guidelines. The most common controversies regarding surgical treatment are related to screw fixation versus dynamic fixation, ... ...

    Abstract Background: Surgical treatment of unstable syndesmotic injuries is not trivial, and there are no generally accepted treatment guidelines. The most common controversies regarding surgical treatment are related to screw fixation versus dynamic fixation, the use of reduction clamps, open versus closed reduction, and the role of the posterior malleolus and of the anterior inferior tibiofibular ligament (AITFL). Our aim was to draw important conclusions from the pertinent literature concerning surgical treatment of unstable syndesmotic injuries, to transform these conclusions into surgical principles supported by the literature, and finally to fuse these principles into an evidence-based surgical treatment algorithm.
    Methods: PubMed, Embase, Google Scholar, The Cochrane Database of Systematic Reviews, and the reference lists of systematic reviews of relevant studies dealing with the surgical treatment of unstable syndesmotic injuries were searched independently by two reviewers using specific terms and limits. Surgical principles supported by the literature were fused into an evidence-based surgical treatment algorithm.
    Results: A total of 171 articles were included for further considerations. Among them, 47 articles concerned syndesmotic screw fixation and 41 flexible dynamic fixations of the syndesmosis. Twenty-five studies compared screw fixation with dynamic fixations, and seven out of these comparisons were randomized controlled trials. Nineteen articles addressed the posterior malleolus, 14 the role of the AITFL, and eight the use of reduction clamps. Anatomic reduction is crucial to prevent posttraumatic osteoarthritis. Therefore, flexible dynamic stabilization techniques should be preferred whenever possible. An unstable AITFL should be repaired and augmented, as it represents an important stabilizer of external rotation of the distal fibula.
    Conclusions: The current literature provides sufficient arguments for the development of an evidence-based surgical treatment algorithm for unstable syndesmotic injuries.
    Language English
    Publishing date 2022-01-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11020331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Rezidivierende Schulterluxation

    Regauer, M.

    MMW - Fortschritte der Medizin

    2011  Volume 153, Issue 26/28, Page(s) 33

    Language German
    Document type Article
    ZDB-ID 1478211-x
    ISSN 1438-3276
    Database Current Contents Medicine

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  6. Article ; Online: Minimal-invasive Versorgung von Metatarsale-Serienfrakturen durch antegrade intramedulläre K‑Draht-Osteosynthesen.

    Regauer, M / Kammerlander, C / Rellensmann, K / Böcker, W / Ehrnthaller, C

    Der Unfallchirurg

    2019  Volume 122, Issue 10, Page(s) 814–819

    Abstract: Serial fractures of metatarsal bones are rare and usually caused by direct or indirect high-energy trauma; however, in cases of pre-existing diseases, such as diabetes mellitus, they also can occur spontaneously or as insidious fractures. Due to the ... ...

    Title translation Minimally invasive treatment of serial metatarsal fractures by antegrade intramedullary K‑wire osteosynthesis.
    Abstract Serial fractures of metatarsal bones are rare and usually caused by direct or indirect high-energy trauma; however, in cases of pre-existing diseases, such as diabetes mellitus, they also can occur spontaneously or as insidious fractures. Due to the substantial soft tissue swelling mostly associated with such injuries, minimally invasive osteosynthesis with intramedullary Kirschner-wires (K‑wires) is recommended. The antegrade technique for placement of the K‑wires is preferred as the technically simpler retrograde procedure has several significant disadvantages. The preferred operative approach is described in detail exemplified by two clinical cases.
    MeSH term(s) Bone Wires ; Fracture Fixation, Internal ; Fracture Fixation, Intramedullary ; Fractures, Bone ; Humans ; Metatarsal Bones
    Language German
    Publishing date 2019-07-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 605965-x
    ISSN 1433-044X ; 0177-5537
    ISSN (online) 1433-044X
    ISSN 0177-5537
    DOI 10.1007/s00113-019-0694-9
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  7. Article ; Online: Trizepssehnenruptur : Reinsertion am Olekranon in Doppelreihentechnik und Übersicht alternativer Techniken.

    Lange, M / Regauer, M / Böcker, W / Ockert, B

    Der Unfallchirurg

    2017  Volume 120, Issue 5, Page(s) 437–441

    Abstract: Triceps tendon rupture is a rare injury. While partial tendon ruptures can be treated non-operatively, complete ruptures are an indication for surgical treatment in order to restore strength and a full range of motion. Although many different methods ... ...

    Title translation Triceps tendon rupture : Double-row repair and overview of alternative techniques.
    Abstract Triceps tendon rupture is a rare injury. While partial tendon ruptures can be treated non-operatively, complete ruptures are an indication for surgical treatment in order to restore strength and a full range of motion. Although many different methods have been published, there is no consensus on the optimal surgical technique.We report the case of a patient who suffered from a complete triceps rupture after a fall. The injury was treated by open reduction and refixation of the tendon using the double-row technique. The following article describes the technique and highlights its advantages and disadvantages in comparison to other procedures.
    Language German
    Publishing date 2017-05
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ZDB-ID 605965-x
    ISSN 1433-044X ; 0177-5537
    ISSN (online) 1433-044X
    ISSN 0177-5537
    DOI 10.1007/s00113-016-0306-x
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  8. Article: Nachgefragt. Fehlentwicklung bei Joggingschuhen: Ist barfuß laufen gesünder? Interview

    Regauer, M.

    MMW - Fortschritte der Medizin

    2010  Volume 152, Issue 17, Page(s) 7

    Language German
    Document type Article
    ZDB-ID 1478211-x
    ISSN 1438-3276
    Database Current Contents Medicine

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  9. Article: Nie ohne Handschellen aus dem Haus? : Rezidivierende Schulterluxation.

    Regauer, Markus

    MMW Fortschritte der Medizin

    2011  Volume 153, Issue 26-28, Page(s) 33–36

    Language German
    Publishing date 2011-07
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1478211-x
    ISSN 1438-3276
    ISSN 1438-3276
    DOI 10.1007/BF03368571
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  10. Article ; Online: Inkomplette Querschnittlähmung nach verzögerter Abklärung motorischer Ausfallserscheinungen. Schwerer Behandlungsfehler?

    Regauer, M / Neu, J

    Der Unfallchirurg

    2013  Volume 116, Issue 3, Page(s) 283–285

    Abstract: A 72-year-old female patient was transferred to a rehabilitation centre after surgical stabilization of a subtrochanteric femoral fracture. However, adequate mobilization was not possible there and 5 days after transfer deficits in the motor function of ... ...

    Title translation Incomplete paraplegia after delayed diagnostics of motor function deficits. Severe malpractice?.
    Abstract A 72-year-old female patient was transferred to a rehabilitation centre after surgical stabilization of a subtrochanteric femoral fracture. However, adequate mobilization was not possible there and 5 days after transfer deficits in the motor function of both lower extremities were documented for the first time and an initial paraplegia was diagnosed the following day by a neurologist. Magnetic resonance imaging (MRI) revealed the suspicion of an unstable fracture of the seventh thoracic vertebral body 8 days after the initial symptoms, which was confirmed by computed tomography after another 3 days. Surgical decompression and stabilization were performed at a department for neurosurgery 4 days later but incomplete paraplegia persisted permanently. The patient complained about insufficient diagnostic measures at the rehabilitation centre. The expert opinion concluded that it would have been mandatory to investigate the matter of the newly occurring neurological symptoms immediately but this had only been performed after undue delay, which had to be interpreted as a case of medical malpractice. The expert pointed out that it was not possible to provide clear evidence that emergent diagnosis and surgery would have enabled a significantly better outcome.The arbitration board ascertained a lack of examination and argued that prompt and adequate diagnostic measures would have revealed the relevant pathological finding and thus surgery would have been performed immediately. According to the reversal of evidence in favor of the patient it could be assumed that no permanent neurological damage existed when the first neurological symptoms occurred and that emergent surgery at least had the potential to prevent permanent paraplegia. This opinion of the arbitration board is supported by numerous references in the literature.
    MeSH term(s) Aged ; Delayed Diagnosis/legislation & jurisprudence ; Female ; Fracture Fixation, Internal/adverse effects ; Germany ; Humans ; Malpractice/legislation & jurisprudence ; Medical Errors/legislation & jurisprudence ; Paraplegia/diagnosis ; Paraplegia/etiology
    Language German
    Publishing date 2013-03-11
    Publishing country Germany
    Document type Case Reports ; English Abstract ; Journal Article
    ZDB-ID 605965-x
    ISSN 1433-044X ; 0177-5537
    ISSN (online) 1433-044X
    ISSN 0177-5537
    DOI 10.1007/s00113-012-2327-4
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