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  1. Book ; Thesis: Mehrsegmentale Wirbelsäulenfusion bei Patienten in hohem Lebensalter mit degenerativ erworbener Spinalkanalstenose und begleitender Instabilität

    Aigner, Rene

    posterolaterale Fusion versus intervertebrale Fusion

    2012  

    Author's details vorgelegt von Rene Aigner
    Language German
    Size 90 S. : Ill., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Marburg, Univ., Diss., 2012
    HBZ-ID HT017632165
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2013 D 410 order for loan Magazin

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  2. Book: Alterstraumatologie

    Aigner, Rene / Ruchholtz, Steffen

    2016  

    Author's details hrsg. von Steffen Ruchholtz ... Mit Beitr. von René Aigner
    Keywords Alter ; Trauma
    Subject Alter Mensch ; Betagter ; Senioren ; Senior
    Language German
    Size 330 S. : zahlr. Ill., graph. Darst., 27 cm x 19.5 cm
    Edition 1. Aufl.
    Publisher Thieme
    Publishing place Stuttgart u.a.
    Publishing country Germany
    Document type Book
    Accompanying material Zugang zur Internetausgabe über Code
    HBZ-ID HT018797615
    ISBN 978-3-13-177191-9 ; 3-13-177191-7 ; 9783131772114 ; 9783131772213 ; 3131772115 ; 3131772212
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2016 A 688 available for loan (reading room) Lesesaal EG

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  3. Book: Spezielle Unfallchirurgie

    Aigner, Rene / Adams, Mark R. / Stannard, James P. / Schmidt, Andrew H. / Wentzensen, Andreas / Gebhard, Florian / Grützner, Paul Alfred / Ruchholtz, Steffen / Stöckle, Ulrich

    2021  

    Author's details herausgegeben von James P. Stannard, M.D., Andrew H. Schmidt, M.D., Herausgeber der deutschen Ausgabe: Andreas Wentzensen, Florian Gebhard, Paul A. Grützner, Steffen Ruchholtz, Ulrich Stöckle ; unter Mitarbeit von René Aigner ; mit Beiträgen von Mark R. Adams [und vielen weiteren]
    Keywords Orthopedic Procedures ; Wounds and Injuries - surgery ; Musculoskeletal System - surgery ; Unfallchirurgie ; Operationstechnik
    Subject Operative Technik ; Chirurgisches Verfahren ; Operationsverfahren
    Language German
    Size 1113 Seiten, 1587 Illustrationen
    Edition 2., vollständig überarbeitete und erweiterte Auflage
    Publisher Georg Thieme Verlag
    Publishing place Stuttgart ; New York
    Publishing country Germany
    Document type Book
    Note Auf dem Einband: "+ Online-Version in der eRef". - Literaturangaben
    HBZ-ID HT020653030
    ISBN 978-3-13-147352-3 ; 3-13-147352-5 ; 9783131652225 ; 9783132047327 ; 3131652225 ; 3132047325
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2021 A 1 available for loan (reading room) Lesesaal EG
    Zugang zur Online-Ausgabe über Code aus lizenzrechtlichen Gründen nicht verfügbar
    2021 A 1223 available for loan (reading room) Lesesaal EG
    Zugang zur Online-Ausgabe über Code aus lizenzrechtlichen Gründen nicht verfügbar

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  4. Conference proceedings: Hat der Schweregrad der Coxarthose Einfluss auf die proximale Femurfraktur?

    Lorenz, Sammy / Aigner, Rene / Ruchholtz, Steffen / Frink, Michael

    2023  , Page(s) AB18–2967

    Event/congress Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2023); Berlin; ; Berufsverband für Orthopädie und Unfallchirurgie; 2023
    Keywords Medizin, Gesundheit
    Publishing date 2023-10-23
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/23dkou043
    Database German Medical Science

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  5. Article: Cemented Sacroiliac Screw Fixation versus Conservative Therapy in Fragility Fractures of the Posterior Pelvic Ring: A Matched-Pair Analysis of a Prospective Observational Study.

    Aigner, Rene / Föhr, Jan / Lenz, Julia / Knauf, Tom / Bäumlein, Martin / Ruchholtz, Steffen / Oberkircher, Ludwig / Hack, Juliana

    Journal of clinical medicine

    2023  Volume 12, Issue 18

    Abstract: The aim of this study was to compare the outcome of cemented sacroiliac screw fixation to that of conservative treatment in nondisplaced fragility fractures of the sacrum during a 12-month follow-up. Therefore, matched-pair analysis including 40 patients ...

    Abstract The aim of this study was to compare the outcome of cemented sacroiliac screw fixation to that of conservative treatment in nondisplaced fragility fractures of the sacrum during a 12-month follow-up. Therefore, matched-pair analysis including 40 patients from a previously performed prospective observational study was conducted. Pain was assessed using the visual analogue scale (VAS), functional capabilities and mobility were assessed using the Barthel index, and health-related quality of life (HRQL) was assessed using the EQ-5D questionnaire at 6 weeks, 6 months, and 12 months after the fracture, respectively. No significant differences between the two groups were seen regarding pain. In the operative group, a significantly improved Barthel index was observed after 6 months. A significantly higher HRQL was identified after 6 weeks in the operative group. Their mobility was comparable between the two groups before the fracture; after 6 weeks, mobility was significantly improved in the operative group. After 12 months, no significant differences were found regarding the functional outcome, HRQL or mobility. The 1-year mortality rate was 25% in the conservative group versus 5% in the operative group (not statistically significant). The present study revealed favorable short-term outcomes concerning the functional outcome, HRQL and mobility after sacroiliac screw fixation. After 12 months, the outcomes were similar to those of the patients managed conservatively.
    Language English
    Publishing date 2023-09-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12185850
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Liberal intraoperative fluid management leads to increased complication rates in geriatric patients with hip fracture.

    Pass, Bastian / Sieben, Denis / Malek, Fahd / Hussmann, Bjoern / Maek, Teresa / Aigner, Rene / Bliemel, Christopher / Dirkmann, Daniel / Lendemans, Sven / Schoeneberg, Carsten

    European journal of trauma and emergency surgery : official publication of the European Trauma Society

    2023  Volume 49, Issue 6, Page(s) 2485–2493

    Abstract: Purpose: Fractures of the proximal femur in geriatric patients are life-changing and life-threatening events. Previous research has identified fluid volume as an independent factor contributing to trauma patients' complications. Therefore, we aimed to ... ...

    Abstract Purpose: Fractures of the proximal femur in geriatric patients are life-changing and life-threatening events. Previous research has identified fluid volume as an independent factor contributing to trauma patients' complications. Therefore, we aimed to investigate the impact of intraoperative fluid volume on outcomes in geriatric patients undergoing hip fracture surgery.
    Methods: We conducted a retrospective single-center study with data from the hospital information systems. Our study included patients aged 70 years or older who had sustained a proximal femur fracture. We excluded patients with pathologic, periprosthetic, or peri-implant fractures and those with missing data. Based on the fluids given, we divided patients into high-volume and low-volume groups.
    Results: Patients with a higher American Society of Anesthesiologists (ASA) grade and more comorbidities were more likely to receive more than 1500 ml of fluids. We observed significant differences in anesthesiologic management between the two groups, with a higher rate of invasive blood pressure management (IBP) and central venous catheter usage in the high-volume group. High-volume therapy was associated with a higher rate of complications (69.7% vs. 43.6%, p < 0.01), a higher transfusion rate (odds ratio 1.91 [1.26-2.91]), and an increased likelihood of patients being transferred to an intensive care unit (17.1% vs. 6.4%, p = 0.009). These findings were confirmed after adjusting for ASA grade, age, sex, type of fracture, Identification-of-Seniors-At-Risk (ISAR) score, and intraoperative blood loss.
    Conclusions: Our study suggests that intraoperative fluid volume is a significant factor that impacts the outcome of hip fracture surgery in geriatric patients. High-volume therapy was associated with increased complications.
    MeSH term(s) Humans ; Aged ; Retrospective Studies ; Hip Fractures/epidemiology ; Hip Fractures/surgery ; Hip Fractures/complications ; Periprosthetic Fractures ; Blood Transfusion ; Comorbidity
    Language English
    Publishing date 2023-07-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2275480-5
    ISSN 1863-9941 ; 1863-9933
    ISSN (online) 1863-9941
    ISSN 1863-9933
    DOI 10.1007/s00068-023-02326-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1221: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 607: Show issues

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  7. Article ; Online: Spinal anesthesia with better outcome in geriatric hip fracture surgery - An analysis of the Registry for Geriatric Trauma (ATR-DGU).

    Pass, Bastian / Knauf, Tom / Knobe, Matthias / Rascher, Katherine / Bliemel, Christopher / Maslaris, Alexander / Aigner, Rene / Dirkmann, Daniel / Lendemans, Sven / Schoeneberg, Carsten

    Injury

    2023  

    Abstract: Background: Literature shows conflicting results regarding spinal (SA) or general anesthesia (GA) and their influence on the outcome of elderly patients with hip fractures. We, therefore, conducted an analysis from the Registry for Geriatric Trauma (ATR- ...

    Abstract Background: Literature shows conflicting results regarding spinal (SA) or general anesthesia (GA) and their influence on the outcome of elderly patients with hip fractures. We, therefore, conducted an analysis from the Registry for Geriatric Trauma (ATR-DGU).
    Methods: A retrospective, multicenter registry study including patients aged 70 years or above with hip fractures requiring surgery from 131 Centers for Geriatric Trauma (AltersTraumaZentrum DGU®) from 2016 to 2021. Patients with SA or GA were compared using matched-pair analysis and linear and logistic regression models.
    Results: A total of 43,714 patients were included, of whom 3,242 received SA. The median age was 85 (SA) and 84 years (GA). Adjustments for the American Society of Anesthesiologists (ASA) grade, sex, age, additional injuries, and anticoagulation resulted in a higher in-hospital (odds ratio (OR) 1.31; 95% confidence interval [CI], 1.07 - 1.61, p = 0.009) and 120 days mortality (OR 1.47; 95% CI, 1.1 - 1.95, p = 0.009) in the GA group. GA had a significant negative influence on walking ability seven days after surgery and on the quality of life (QoL). The length of hospital stay (LoS) was significantly shorter in the SA group.
    Conclusions: SA is associated with a higher survival rate, a better walking ability seven days after surgery, a higher QoL, and a shorter LoS.
    Language English
    Publishing date 2023-04-05
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2023.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 778: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 10: Show issues

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  8. Article ; Online: Auswirkungen der COVID-19-Pandemie auf den Verlauf von alterstraumatologischen Patienten mit proximaler Femurfraktur.

    Knauf, Tom / Eschbach, Daphne / Bücking, Benjamin / Knobe, Matthias / Rascher, Katherine / Schoeneberg, Carsten / Bliemel, Christopher / Ruchholtz, Steffen / Aigner, Rene / Bökeler, Ulf

    Unfallchirurgie (Heidelberg, Germany)

    2023  Volume 127, Issue 3, Page(s) 228–234

    Abstract: Background/objective: In 2020 the COVID-19 pandemic posed a major challenge to the healthcare system. The hypothesis is that the COVID-19 pandemic in 2020 had an impact on the care of older adults with proximal femoral fractures due to resource scarcity, ...

    Title translation Effects of the COVID-19 pandemic on the course of geriatric trauma patients with proximal femoral fractures.
    Abstract Background/objective: In 2020 the COVID-19 pandemic posed a major challenge to the healthcare system. The hypothesis is that the COVID-19 pandemic in 2020 had an impact on the care of older adults with proximal femoral fractures due to resource scarcity, regardless of whether or not the patient was infected.
    Material and methods: This study analyzed the data of 87 hospitals which entered 15,289 patients in the Geriatric Trauma Register ("AltersTraumaRegister DGU®", ATR-DGU) in Germany in 2019 and 2020. In this study we analyzed the influence of the COVID-19 pandemic on the inpatient treatment of hip fractures as well as the mid-term follow-up during the first 120 days. For the main analysis, we compared patients documented during the COVID-19 pandemic in 2020 (April-December) with a control group in 2019 (April-December). Additionally, we performed a subgroup analysis of the periods with high COVID-19 incidence rates.
    Results: Between 2019 and 2020 a total of 11,669 patients (2020: n = 6002 patients vs. 2019: n = 5667 patients) were included in this study. Only minor differences were found between the patients treated during the pandemic; however, when the COVID-19 incidence in Germany was greater than 50/100,000 residents, significantly fewer patients (p < 0.001) were discharged to a geriatric rehabilitation ward (27.2% vs. 36.3%) and an increased mortality rate during inpatient treatment was determined (8.4% vs. 4.6%) (p < 0.001).
    Discussion: The healthcare system was able to respond to the pandemic and patients' clinical courses were not impaired as long as the incidences were low. Nevertheless, the healthcare system reached its limits in times of higher incidence, which was also directly reflected in the patient outcome, mortality and place of discharge.
    MeSH term(s) Humans ; Aged ; COVID-19/epidemiology ; Pandemics ; Proximal Femoral Fractures ; Hip Fractures/epidemiology ; Delivery of Health Care
    Language German
    Publishing date 2023-11-23
    Publishing country Germany
    Document type English Abstract ; Journal Article
    ISSN 2731-703X
    ISSN (online) 2731-703X
    DOI 10.1007/s00113-023-01384-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Conference proceedings: Besteht ein Bedarf an standardisierten postoperativen Röntgenaufnahmen nach Plattenosteosynthese von distalen Radiusfrakturen?

    Ketter, Vanessa / Lenz, Julia / Kiehne, Charlotte / Frink, Michael / Aigner, Rene / Ruchholtz, Steffen

    2023  , Page(s) AB88–3160

    Event/congress Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2023); Berlin; ; Berufsverband für Orthopädie und Unfallchirurgie; 2023
    Keywords Medizin, Gesundheit
    Publishing date 2023-10-23
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/23dkou510
    Database German Medical Science

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  10. Conference proceedings: Die plattenosteosynthestische Versorgung periprothetischer Humerusfrakturen – retrospektive Fallserie von 13 Patienten

    Pavlovic, Melina / Lang, Nils / Dworschak, Philipp / Föhr, Jan / Aigner, Rene / Ruchholtz, Steffen

    2023  , Page(s) AB84–2995

    Event/congress Deutscher Kongress für Orthopädie und Unfallchirurgie (DKOU 2023); Berlin; ; Berufsverband für Orthopädie und Unfallchirurgie; 2023
    Keywords Medizin, Gesundheit ; periprothetische Fraktur ; Humerus ; Worland
    Publishing date 2023-10-23
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/23dkou470
    Database German Medical Science

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