Authors:
Finn Siegel
1
;
Christian Buj
1
;
Ralf Schwanbeck
2
;
Andreas Petersik
2
;
Ulrich Hoffmann
2
;
Jakob Kemper
2
;
Frank Hildebrand
3
;
Philipp Kobbe
3
;
Jörg Eschweiler
3
;
Johannes Greven
3
;
Ricarda Merfort
3
;
Christian Freimann
4
;
Astrid Schwaiger
4
and
Frerk Aschwege
1
Affiliations:
1
OFFIS e.V. – Institute for Information Technology, Escherweg 2, Oldenburg, Germany
;
2
Stryker, Schönkirchen, Germany
;
3
Universitätsklinikum Aachen, Aachen, Germany
;
4
OnCare GmbH, München, Germany
Keyword(s):
Femur Fracture, Intramedullary Nailing, Intraoperative, Malrotation, Rehabilitation, Medical Data Security.
Abstract:
The gold standard for femoral shaft fracture treatment is intramedullary (IM) nailing. This principle has gained acceptance because of the good fracture healing rate and the rapid return to full weight-bearing of the leg. Nevertheless, a significant number of patients suffer from impairments in everyday life years after treatment. This paper discusses various causes and presents possible solutions: a) Improving the IM nailing procedure by developing a new intraoperative assistance system to precisely restore length and rotation angle of the injured femur. b) Improving rehabilitation after IM nailing treatment, through home monitoring. c) Increasing data safety, standardization, and centralization along the entire patient pathway, enabling analytics to statistically verify improvements in IM nailing treatments.