Der Unfallchirurg
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Photographic documentation of wounds, decubitus ulcers, tumors, open fractures and infections is an important part of digital patient files. It is unclear whether the photographic documentation has an effect on medical accounting with health insurance companies. ⋯ The use of Smartphone based photographic documentation can improve the overall quality of patient files and thus avoid loss of revenue. The implementation of digital devices with corresponding software is an important component of the digital structural change in hospitals.
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Since their approval in Germany in June 2019 e‑scooters have become increasingly more popular; however, with growing popularity and easy access for everybody the number of accidents has increased, sometimes even resulting in severe injuries. ⋯ Due to the growing popularity of e‑scooter use more injuries have been registered. The head was the most affected body region, therefore emphasis should be put on wearing a helmet. Furthermore, strict rules and more police controls should take place to identify and reduce the number of accident victims under the influence of alcohol.
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The case of a 56-year-old male patient with locking of the knee in extension without trauma is presented. Patient history, clinical examination and radiographs confirmed a superior dislocation of the patella. ⋯ Knowledge of this uncommon cause of a locked knee joint leads to immediate treatment avoiding complex imaging modalities, such as computed tomography (CT) or magnetic resonance imaging (MRI). No further treatment was necessary in the majority of the cases published in the literature.
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We report the case of a 28-year-old man who developed nonunion with complex deformity after treatment of a distal femoral fracture with an antegrade femoral nail. The resulting deformity was as follows: 10° varus, 21° external torsion, 1.8 cm of foreshortening and translation malalignment. After resection of the pseudarthrosis, a retrograde segmental transport nail was implanted. ⋯ The segment transport was performed using a magnetically driven internal transport nail. Seven months after surgery, bony consolidation of the distraction section and the docking site was observed. The leg axis was straight and the rotational movement ranges of the knee and hip corresponded the dimensions of the contralateral side.
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Intensive care and ventilator capacities are essential for treatment of COVID-19 patients. Severely injured patients are often in continuous need of intensive care and ventilator treatment. The question arises, whether restrictions related to COVID-19 have led to a decrease in severely injured patients and thus to an increase in intensive care unit (ICU) capacity. ⋯ Restrictions related to COVID-19 did not lead to a reduction in seriously injured patients needing ICU care. Due to the monocentric data analysis there is room for misinterpretation. In general, intensive care and operating capacities should be managed with adequate consideration for seriously injured patients even in times of crisis, such as the COVID-19 pandemic. Confirmation through the German Trauma Register is pending.