@article{HolzapfelProdingerPilgeetal.2013, author = {Holzapfel, Boris Michael and Prodinger, Peter M. and Pilge, Hakan and Banke, Ingo J. and B{\"u}rklein, Dominik and Miethke, Thomas and Gradinger, Reiner}, title = {Acute Osteomyelitis of the Humerus mimicking Malignancy: Streptococcus pneumoniae as Exceptional Pathogen in an Immunocompetent Adult}, series = {BMC Infectious Diseases}, journal = {BMC Infectious Diseases}, doi = {10.1186/1471-2334-13-266}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-95790}, year = {2013}, abstract = {Background Chronic osteomyelitis due to direct bone trauma or vascular insufficiency is a frequent problem in orthopaedic surgery. In contrast, acute haematogenous osteomyelitis represents a rare entity that almost exclusively affects prepubescent children or immunodeficient adults. Case Presentation In this article, we report the case of acute pneumococcal osteomyelitis of the humerus in an immunocompetent and otherwise healthy 44-year-old male patient presenting with minor inflammation signs and misleading clinical features. Conclusions The diagnosis had to be confirmed by open biopsy which allowed the initiation of a targeted therapy. A case of pneumococcal osteomyelitis of a long bone, lacking predisposing factors or trauma, is unique in adults and has not been reported previously.}, language = {en} } @article{HolzapfelRechlLehneretal.2011, author = {Holzapfel, Boris Michael and Rechl, Hans and Lehner, Stefan and Pilge, Hakan and Gollwitzer, Hans and Steinhauser, Erwin}, title = {Alloplastic Reconstruction of the Extensor Mechanism after Resection of Tibial Sarcoma [Research Article]}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-69072}, year = {2011}, abstract = {Reconstruction of the extensor mechanism is essential for good extremity function after endoprosthetic knee replacement following tumor resection. Only a few biological methods have been able to reliably restore a functional extensor mechanism, but they are often associated with significant complication rates. Reattachment of the patellar tendon to the prosthesis using an alloplastic patellar ligament (Trevira cord) can be an appropriate alternative. In vivo and in vitro studies have already shown that complete fibrous ingrowth in polyethylene chords can be seen after a period of six months. However, until now, no biomechanical study has shown the efficacy of an alloplastic cord and its fixation device in providing sufficient stability and endurance in daily life-activity until newly formed scar tissue can take over this function. In a special test bench developed for this study, different loading regimes were applied to simulate loads during everyday life. Failure loads and failuremodes were evaluated. The properties of the cord were compared before and after physiological conditioning. It was shown that rubbing was the mode of failure under dynamic loading. Tensile forces up to 2558N did not result in material failure. Thus, using an artificial cord together with this fixation device, temporary sufficient stable fixation can be expected.}, subject = {Medizin}, language = {en} }