TY - GEN AU - Wiegand, Dorottya Zsuzsanna AU - Mikó-Baráth, Eszter AU - Jandó, Gábor AU - Csutak, Adrienne AU - Wiegand, Norbert AU - Patczai, Balázs TI - Időskori csípőtáji törések megelőzése mobileszközalapú látásszűréssel. PY - 2023 UR - https://m2.mtmt.hu/api/publication/34548970 ID - 34548970 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Gazsó, Gyula Tibor AU - Elmer, Diána AU - Endrei, Dóra AU - Sebestyén, Andor AU - Kajos, Luca Fanni AU - Wiegand, Norbert AU - Boncz, Imre TI - A pertrochanter törés okozta éves epidemiológiai és egészségbiztosítási betegségteher elemzése Magyarországon JF - ORVOSI HETILAP J2 - ORV HETIL VL - 162 PY - 2021 IS - Suppl 1 SP - 46 EP - 53 PG - 8 SN - 0030-6002 DO - 10.1556/650.2021.32162 UR - https://m2.mtmt.hu/api/publication/31936601 ID - 31936601 LA - Hungarian DB - MTMT ER - TY - JOUR AU - Dandé, Árpád Levente AU - Nőt, László Gergely AU - Bűcs, Gábor AU - Kocsis, Béla AU - Lőrinczy, Dénes AU - Wiegand, Norbert TI - Efficacy of microbiological culturing in the diagnostics of joint and periprosthetic infections JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 52 PY - 2021 IS - Suppl 1. SP - S48 EP - S52 PG - 5 SN - 0020-1383 DO - 10.1016/j.injury.2020.02.058 UR - https://m2.mtmt.hu/api/publication/31206257 ID - 31206257 AB - To evaluate the efficacy of conventional microbiological examinations in the diagnostics of septic joint and periprosthetic inflammations.Evidence Level IV, retrospective clinical study of case series. Patients treated with small and large joint septic inflammations or with periprosthetic joint infections (PJI) were entered into the study. Demographics, microbiological cultures and inflammatory mediators were evaluated.Between 2012 and 2016, total of 1116 hip and 241 knee surgeries were performed at our Department in relation to prostheses; including primary and revision arthroplasties and further surgeries due to PJI. During this period, 72 patients were operated with large joints infections or PJI and another 65 patients were treated due to small joint infections.The main outcome of interest was to evaluate the sensitivity of conventional microbiological cultures in the primary diagnostics of joint and periprosthetic infections.The most frequent bacteria strains were the Staphylococci: in 43 cases (22.16%) Staphylococcus aureus, in 22 cases (11.34%) coagulase-negative Staphylococcus, in 3 cases (1.54%) Staphylococcus epidermidis and in 4 cases (2.06%) methicillin-resistant S. aureus (MRSA) were detected. In 30 cases (21.88%), the primary microbiological investigation could not reveal the presence of bacteria.Based on our data, the efficacy of conventional microbiological testing in the diagnostics of different type of joint infections is questionable. Therefore, further studies are warranted to evaluate the efficacy of novel diagnostic testing tools in prospective randomized controlled trials. LA - English DB - MTMT ER - TY - JOUR AU - Burkus, Máté AU - Tömböl, Ferenc AU - Wiegand, Norbert AU - Kretzer, András TI - Physeal-sparing unreamed locked intramedullary nailing for adolescent tibial fractures JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 52 PY - 2021 IS - Suppl 1 SP - S67 EP - S73 PG - 7 SN - 0020-1383 DO - 10.1016/j.injury.2020.02.049 UR - https://m2.mtmt.hu/api/publication/31194262 ID - 31194262 AB - The first-line treatment of paediatric tibial fractures is non-operative but the number of operatively treated patients is rising. Elastic intramedullary nailing and external fixation are widely used in children while solid intramedullary nailing, the standard procedure in adults, is usually not recommended due to the open physes.Between January 2007 and October 2017, unreamed locked solid intramedullary nailing was used in 16 cases of adolescent (mean age 13.7 ± 1.25 years) tibial diaphyseal fractures with open physes. An atypical, physeal-sparing method was used in all cases. Fourteen patients were managed by the standard implant used routinely in adult trauma care. Two patients were treated by a special nail, modified specifically for paediatric care.Good functional healing was found in all cases treated by the atypical method. Partial weight bearing began immediately after surgery in 38% of the cases. Full weight bearing was allowed 7.3 ± 2.4 weeks postoperatively. The average time to fracture union was 11.5 ± 2.9 weeks. Superficial infection and wound healing complication occurred in 3 cases. Deep infection, compartment syndrome or other bone related complications did not arise.The treatment of tibial fractures in adolescents is challenging due to larger body size and significant growth potential. The atypical intramedullary nailing method presented in this study can provide optimal functional healing, early mobilization and weight bearing while completely sparing the physis. This method can serve as an alternative in the operative treatment of adolescent tibial diaphyseal fractures. LA - English DB - MTMT ER - TY - JOUR AU - Bűcs, Gábor AU - Dandé, Árpád Levente AU - Patczai, Balázs AU - Sebestyén, Andor AU - Almási, Róbert Gyula AU - Nőt, László Gergely AU - Wiegand, Norbert TI - Bipolar hemiarthroplasty for the treatment of femoral neck fractures with minimally invasive anterior approach in elderly JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 52 PY - 2021 IS - Suppl. 1 SP - S37 EP - S43 PG - 7 SN - 0020-1383 DO - 10.1016/j.injury.2020.02.053 UR - https://m2.mtmt.hu/api/publication/31190516 ID - 31190516 LA - English DB - MTMT ER - TY - JOUR AU - Patczai, Balázs AU - Juhász, Krisztina AU - Bűcs, Gábor AU - Nőt, László Gergely AU - Wiegand, Norbert AU - Sebestyén, Andor TI - Non-operative predictors for subsequent interventions after intracapsular femoral neck fractures in elderly : A comprehensive analysis of the Hungarian nationwide health insurance database JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 52 PY - 2021 IS - Suppl. 1 SP - S31 EP - S36 PG - 6 SN - 0020-1383 DO - 10.1016/j.injury.2020.02.055 UR - https://m2.mtmt.hu/api/publication/31189399 ID - 31189399 AB - To investigate the correlation between non-operative prognostic factors and non-prosthetic fracture-related treatments following internal fixation of intracapsular femoral neck fractures in elderly patients.Retrospective observational cohort study. Comprehensive analysis of the Hungarian nationwide health insurance database.Data of in-patient records with S7200 ICD-10 codes were collected from the Hungarian National Health Insurance Fund Administration (HNHIFA) and from the health care provider institutes. The patients with femoral neck fractures in the year of 2000, following reduction and internal fixation aged 60 years or older were evaluated. The secondary, non-prosthetic fracture related treatments during the 8 year follow-up period were registered.Of the prognostic factors, age, gender, type of fracture, season and day of the primary surgery, length of waiting time to the operation and the accompanied diseases were evaluated as risk factors for all type of fracture-related further interventions, with the exception of arthroplasties.A total of 2895 patients with intracapsular femoral neck fractures met the study criteria. The mean age was 77.96 years (SD: 8.54). The cohort of the patients was observed for a total of 10,077.8 person-years. The non-prosthetic fracture related treatment was performed in 265 patients (9,2%); the median of the time elapsed to the secondary definitive treatment was 3.5 months. With Cox regression analysis, significant correlation was revealed between the incidence of non-prosthetic treatment and younger age (year, HR = 0.977, p = 0.002), surgical delay (12-24 h vs 0-6 h, HR = 1.518, p = 0.023; 24h+ vs 0-6 h, HR = 1.372, p = 0.050), season of primary osteosynthesis (fall vs summer, HR = 0.636, p = 0.012), and type of femoral neck fracture (intracapsular displaced vs intracapsular undisplaced, HR = 1.340, p = 0,047). There was no significant effect of the day of primary surgery, the gender and the presence of co-morbidities on the incidence of further surgical interventions.The summertime primary surgical intervention, delay of surgery longer than 12 h and type of femoral neck fracture are independent predictors of non-prosthetic further treatment of femoral neck fractures in elderly patients.Level IV, evidence from cohort studies. LA - English DB - MTMT ER - TY - JOUR AU - Almási, Róbert Gyula AU - Rézmán, Barbara AU - Kovacs, Edina AU - Patczai, Balázs AU - Wiegand, Norbert AU - Bogár, Lajos TI - New composite scale for evaluating peripheral nerve block quality in upper limb orthopaedics surgery JF - INJURY: INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED J2 - INJURY VL - 52 PY - 2021 SP - S78 EP - S82 PG - 5 SN - 0020-1383 DO - 10.1016/j.injury.2020.02.048 UR - https://m2.mtmt.hu/api/publication/31170891 ID - 31170891 LA - English DB - MTMT ER - TY - JOUR AU - Almási, Róbert Gyula AU - Rézmán, Barbara AU - Kriszta, Zsófia AU - Patczai, Balázs AU - Wiegand, Norbert AU - Bogár, Lajos TI - Onset times and duration of analgesic effect of various concentrations of local anesthetic solutions in standardized volume used for brachial plexus blocks JF - HELIYON J2 - HELIYON VL - 6 PY - 2020 IS - 9 PG - 9 SN - 2405-8440 DO - 10.1016/j.heliyon.2020.e04718 UR - https://m2.mtmt.hu/api/publication/31406423 ID - 31406423 LA - English DB - MTMT ER - TY - JOUR AU - Patonai, Zoltán AU - Patczai, Balázs AU - Wiegand, Norbert TI - Fagyási sérültek ellátása JF - MAGYAR TRAUMATOLÓGIA ORTOPÉDIA KÉZSEBÉSZET PLASZTIKAI SEBÉSZET J2 - MAGYAR TRAUMATOLÓGIA ORTOPÉDIA KÉZSEBÉSZET PLASZTIKAI SEBÉSZET VL - 62 PY - 2019 IS - 3-4 SP - 109 EP - 117 PG - 9 SN - 1217-3231 DO - 10.21755/MTO.2019.062.0304.002 UR - https://m2.mtmt.hu/api/publication/31939373 ID - 31939373 LA - Hungarian DB - MTMT ER - TY - CHAP AU - Fekete, Károly AU - Varga, Endre AU - Wiegand, Norbert AU - Flóris, István ED - Kosztolányi, György ED - Csiba, László TI - Traumatológia és kézsebészet T2 - A hazai orvosi szakmák helyzete és perspektívái a 21. század elején I. PB - MTA V. Orvosi Tudományok Osztálya CY - Budapest SN - 9789635089215 PY - 2019 SP - 195 EP - 199 PG - 5 UR - https://m2.mtmt.hu/api/publication/31151729 ID - 31151729 LA - Hungarian DB - MTMT ER -