IBRA Training Center Series #5

Welcome to the IBRA Training Center series #5

IBRA is a network that focuses on global research and education in the field of bones, with a particular emphasis on surgeries related to the head, upper limbs, and lower limbs. Our dedication lies in advancing knowledge and techniques in these areas.

Training Center Series?#5: Universit?tsklinikum K?ln - Klinik und Poliklinik für Orthop?die und Unfallchirurgie, Cologne, Germany

Willkommen!

A message from Fellowship Director Univ.-Prof. Dr. med. Lars Peter Müller

Dear future scholars,

Trauma and orthopedic surgery of the upper extremity is one of the most exciting aspects in our field of surgery. The hand is our most important tool, and its perfect functioning as part of the upper limb is the goal of every operation. In addition to hand surgery, this also includes surgery of the shoulder and elbow.

At our clinic, this surgery can be experienced up close. Complex operations from the shoulder to the elbow to the fingers are performed in high quality. In addition, we cover the entire spectrum of general trauma surgery in a vibrant city of 1 million inhabitants.

Our team is innovative, inquisitive, and open to international exchange. We look forward to your application and the opportunity to welcome you to Cologne.

The scholar is completely integrated in our clinical expertise. Visits to the Operations rooms with active participation as wells as interesting talks and exchange of experiences during our consultation hours are part of each scholarship. The scholar will be able to experience the clinical expertise of a level 1 trauma center in a city of millions with an internationally renowned specialty of upper extremity surgery.

The scholar will be fully integrated in our clinical routine and experience an inquisitive and open-minded staff with the opportunity to sharpen his surgical profile as well as broaden his scientific horizons.

Introduce your training center and areas of expertise

Our clinic provides 28 beds in addition to an Intensive Care Unit. 2 operating rooms are routinely used. Our staff consists of 48 surgeons.

Upper extremity surgeries are frequently performed each week. Indications for the upper limb include proximal humerus and clavicle fractures, rotator cuff tears, shoulder instability, fractures of the distal humerus, radial head, proximal ulna (Monteggia injuries), stiff elbow, elbow deformities as a trauma sequelae, elbow instability, forearem fractures (Galeazzi), distal radius fractures, hand fractures, SL-lesions and so forth. Reconstruction as well as prosthetic replacement are performed on the shoulder and elbow.

We cover all general traumatology of the upper and lower extremities as well as the pelvis and spine. Minimally invasive procedures and arthroscopic surgery are frequently used to generate the best clinical outcome possible.

Main focus of the clinic is the surgery of the upper extremity from the shoulder to the elbow to the hand.

Shadowing day to day running

Our day starts with morning briefing at 07:30 a.m. Afterwards the scholar has the opportunity on each day to visit the operation rooms and actively assist in surgeries. 2 times a week on Monday and Friday we offer a special consultation for shoulder and elbow pathologies. On Tuesday Prof. Müller shares interesting insights during his special consultation of upper extremity pathologies. Special consultation for the hand is on Thursdays. In addition to our exciting clinical routine our lab is open every day and operative techniques as well as scientific research can be obtained on human cadaveric specimens.

In addition to exciting mentoring and active participation in our daily clinical routine, guided by experienced surgeons, we offer numerous opportunities for further interaction in our clinic.

We offer weekly training sessions and provide an excellent equipped biomechanical lab, which invites to the development of scientific ideas in our creative environment.

Research Project

Our researchers are among the top researchers of the upper extremity in the world. Recent publications include:

• Optimal K-Wire Placement for Indirect Cannulated Screw Fixation of Coronoid Process Fractures: A Radiology-Based Guide. Egenolf P, Hackl M, Leschinger T, Harbrecht A, Ott N, Müller LP, Wegmann K. J Hand Surg Am. 2022 Nov 15:S0363-5023(22)00608-6. doi: 10.1016/j.jhsa.2022.10.007
• Screw placement in arthroscopically assisted osteosynthesis of radial head fractures using a reference k-wire in the radiocapitellar joint: a cadaveric study. Camenzind RS, Cucchi D, Leschinger T, Hackl M, Müller LP, Wegmann K. Arch Orthop Trauma Surg. 2022 Oct 5. doi: 10.1007/s00402-022-04605-z
• Interposition arthroplasty for post-traumatic osteoarthritis of the elbow: a systematic review. Lanzerath F, Hackl M, Pucher CJ, Leschinger T, Uschok S, Müller LP, Wegmann K. Int Orthop. 2022 Nov;46(11):2603-2610. doi: 10.1007/s00264-022-05562-3.
• Focus on stability: biomechanical evaluation of external fixation technique versus locking plate osteosynthesis in 3-part proximal humeral fractures. Harbrecht A, Hackl M, Leschinger T, Müller LP, Wegmann K. J Shoulder Elbow Surg. 2022 Aug;31(8):1666-1673. doi: 10.1016/j.jse.2022.01.144.
• The effect of long calcar screws on the primary stability of 3-part, varus impacted proximal humeral fractures compared to short calcar screws: a real fracture simulation study. Ott N, Hackl M, Prescher A, Scaal M, Lanzerath F, Müller LP, Wegmann K. Arch Orthop Trauma Surg. 2022 May 30. doi: 10.1007/s00402-022-04473-7.
• A "Comma Sign"-Directed Subscapularis Repair in Anterosuperior Rotator Cuff Tears Yields Biomechanical Advantages in a Cadaveric Model. Hackl M, Buess E, Kammerlohr S, Nacov J, Staat M, Leschinger T, Müller LP, Wegmann K. Am J Sports Med. 2021 Oct;49(12):3212-3217. doi: 10.1177/03635465211031506.

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