Abstract：
OBJECTIVE:Simultaneous arthrodesis of ankle and subtalar joints and, at the same sitting, correction of axial malalignment of hindfoot, treatment of bony defects and of sequelae of circulatory disturbances after multiple previous interventions. Internal stabilization with a short distal femur nail. Restitution of a pain-free weight bearing. INDICATIONS:Failure of arthrodesis of ankle and subtalar joint causing pain in patients with severely altered bone structures particularly at the level of the talar dome. Malalignment of hind- and/or forefoot after previous arthrodesis of ankle and subtalar joint. Failure of conservative therapy in both above-enumerated conditions. CONTRAINDICATIONS:Poor skin or soft-tissue conditions. Reflex sympathetic dystrophy. Acute osteitis/osteomyelitis. SURGICAL TECHNIQUE:Posterolateral approach. Resection of the articular cartilage and the areas of sclerosis of the ankle and of the posterior facet of the subtalar joint. Interposition of bone grafts harvested from the iliac crest. Correction of malalignment of hind- and forefoot. Locked nailing with a short distal femur nail. POSTOPERATIVE MANAGEMENT:Fitting of a flexible custom-made arthrodesis boot; weight bearing in boot not exceeding half of body weight until the 8th week. Gait training. After 12 weeks wearing of normal shoes. Radiographs after 6 and 12 weeks. RESULTS:Between February 1, 2002 and September 1, 2003 this technique was performed on 18 feet in 17 patients (three women, 14 men, average age 53 years [38.9-73.7 years]). Average duration of follow-up: 1.2 years (0.6-2.1 years). The goal of surgery was reached in all patients. Subjective assessment: 14 times good, three times satisfactory. Four complications: one loss of nail purchase, one dislocation of locking screw, one breakage of locking bolt, one prolonged bone healing.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Grass Rdoi
10.1007/s00064-005-1137-7subject
Has Abstractpub_date
2005-10-01 00:00:00pages
426-41issue
4-5eissn
0934-6694issn
1439-0981journal_volume
17pub_type
临床试验,杂志文章abstract：OBJECTIVE:Replacement of a loosened acetabular cup attended by massive bone defects involving both columns. Acetabular restoration and proof fixation of a new acetabular cup to restore a pain-free joint function. INDICATIONS:Segmental acetabular bone defects involving both columns (Paprosky type 3A, 3B) with loosened ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-010-8025-x
更新日期：2010-07-01 00:00:00
abstract：OBJECTIVE:Supine positioning of the patient taking into account - the demands of anesthesia in an emergency requiring intubation, - minimal time for sterile draping, - patient position can be adjusted by the assistants, - easier implant positioning due to the supine position. Reduction of operative trauma with earlier ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-006-1180-4
更新日期：2006-10-01 00:00:00
abstract：OBJECTIVE:Restoration of anatomy of the joint surface of the tibial plateau in posttraumatic deformity. INDICATIONS:Malunions of the tibial plateau with significant intra-articular depression and/or steps. CONTRAINDICATIONS:Local or systemic infection, critical soft tissues in the area of planned incisions; advanced ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-020-00671-x
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:Soft-tissue defect coverage with well vascularized tissue (musculocutaneous or fasciocutaneous) in the arthroplasty setting. Where arthroplasty has been removed due to infection, as a muscle flap to close infected cavities. INDICATIONS:Soft tissue defects, wound-edge necrosis in arthroplasty, and persistent ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-012-0213-4
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVES:Correction of recurrent dislocation of the patella in children using a semitendinosus tenodesis and a double breasting of the medial retinaculum. INDICATIONS:Recurrent lateral patellar sub- or dislocation in skeletally immature patient. Patella alta with recurrent subluxation of the patella. Patella disloca...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/BF02593985
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:To make a transtibial stump as long as possible, free from local and phantom pain with a maximum of terminal load bearing. In order to preserve the knee joint, an ultra-short tibial stump of 5-6 cm may be indicated. INDICATIONS:A hindfoot amputation level is not possible to achieve. CONTRAINDICATIONS:In amp...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0040-z
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:Replacement of an almost completely absent medial meniscus with a collagen implant (CMI), reconstruction of form and function of the medial meniscus, delay of the development of arthrosis deformans. INDICATIONS:Subtotal degenerative or traumatic loss of the medial meniscus, stable meniscal periphery, stable ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00064-006-1188-9
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:Serious lower extremity injuries sometimes warrant emergency amputation. The goal of amputation in polytrauma patients is to increase chances of survival, while the goal of amputation in a single limb injury is to prevent further complications, e.g., infection, septic shock. INDICATIONS:Rescue from life-thre...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0043-9
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVE:Medial collateral ligament reconstruction in chronic unstable knees. INDICATIONS:Chronic instability of the medial collateral ligament (MCL) isolated or in combination with multiligament injuries. CONTRAINDICATIONS:Refixable bony avulsions, limited range of motion, arthrofibrosis, severe valgus deformity, i...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-012-0164-9
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:To stabilize the distal radioulnar joint (DRUJ) by performing dorsal capsular imbrication in patients presenting with dorsal instability. The goal was to reduce pain and prevent the occurrence of posttraumatic arthrosis. INDICATIONS:Posttraumatic dorsal instability of the DRUJ with missing block while perfor...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-012-0223-2
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:Knee flexion is increased by detachment of contracted quadriceps muscle from the pelvis and femur in combination with arthrolysis of the knee. INDICATIONS:Flexion contracture of the knee caused by extraarticular changes of quadriceps muscle (fibrosis, soft-tissue damage, infection, fracture). Failed intraart...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0286-8
更新日期：2014-08-01 00:00:00
abstract：OBJECTIVE:Reconstruction of the medial patellofemoral ligament with autologous tendon augmentation and soft tissue fixation at the patellar insertion with resorbable suture material. INDICATIONS:Patellofemoral instability due to insufficiency of the medial passive stabilizers and dysplastic trochlea. CONTRAINDICATION...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-015-0428-2
更新日期：2015-12-01 00:00:00
abstract：AIM:Treatment of periprosthetic fractures by implantation of a specially constructed, retrograde hollow nail which fits over the tip of the prosthesis and becomes locked on it. INDICATIONS:Periprosthetic femoral fractures with firmly anchored prosthesis shaft after total hip arthroplasty of types B1 and C according to...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-013-0236-5
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:Debridement and irrigation of the knee joint and the donor site to reduce the amount of bacteria and to remove bacterial enzymes and inflammatory cytokines in cases with infection after replacement of the anterior cruciate ligament (ACL). INDICATIONS:Proven infection, suspected infection. CONTRAINDICATIONS:...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0262-3
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:Restoration of extension in the metacarpophalangeal joints of the fingers as well as in the interphalangeal joint of the thumb by transfer of the superficial flexor tendons of the long and ring fingers (flexor digitorum superficialis III and IV). INDICATIONS:The indications for surgery are substantial loss ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-012-0204-5
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVE:To shift the weight-bearing axis of the lower limb medially by opening a lateral-based metaphyseal osteotomy at the distal femur. INDICATIONS:Femoral-based valgus malalignment and symptomatic lateral unicompartimental osteoarthritis, lateral hyperpression syndrome, cartilage therapy of the lateral compartmen...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-017-0503-y
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Correction of a segmental or global lumbar hypolordosis to improve a sagittal imbalance. INDICATIONS:Lumbar segments fixed in kyphosis; degenerative or posttraumatic hypolordotic deformity of the lumbar spine with sagittal imbalance. CONTRAINDICATIONS:Bechterew disease; extended adhesions in the retroperito...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,评审
doi：10.1007/s00064-018-0532-1
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVE:Reconstruction of segmental bone defects of the proximal femur following wide tumor resection or revision arthroplasty. INDICATIONS:Aggressive benign or primary malignant bone tumors of the proximal femur; destructive metastases; massive segmental bone defects of the proximal femur; periprosthetic fractures....
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-011-0061-7
更新日期：2012-07-01 00:00:00
abstract：OBJECTIVE:Correction of all kind of deformities at the distal part of the femur (supracondylar). INDICATIONS:Flexion, extension osteotomies, and varus or valgus, and external or internal rotation osteotomies, and shortening osteotomies of the distal femur or combined surgical procedures (e.g., extension and de-rotatio...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-015-0401-0
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:Pain reduction in the affected proximal interphalangeal joint (PIP joint) by synovectomy, loose body extraction, dorsal arthrolysis. INDICATIONS:Therapy-resistant synovitis in rheumatoid arthritis (RA), early stage primary and secondary degenerative arthritis, loose bodies, capsular contracture. CONTRAINDIC...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-017-0506-8
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Early diagnosis and rapid closed reduction under arthrographic control to initiate retention in a new position during the interval of maximum subsequent maturation power. This allows a (nearly) physiological ripening of the femoral head and acetabulum (AC) with restoration of the congruence of the joint partn...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0237-4
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:Reduction and stabilization of unstable spinal injuries with reconstruction of the anterior column resulting in a permanent restitution of the physiologic spinal alignment, stability and load-bearing capacity. INDICATIONS:Unstable injuries and lesions of the spine from T4 to L5 resulting in a reduced load-be...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-005-1132-4
更新日期：2005-09-01 00:00:00
abstract：:The planning analysis of leg deformities around the knee joint is based on a standardized clinical examination and on long leg standing anteroposterior (AP) radiographs, which may be complemented by spot-film radiographs and stress radiographs. The principles of true-nominal analysis in six steps are used to character...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-006-1175-1
更新日期：2006-09-01 00:00:00
abstract：OBJECTIVE:Anatomical reconstruction and recovery to complete range of function of the upper ankle joint. Therefore, the most stable but least invasive osteosynthesis is required to enable the patient early functional mobilization. INDICATION:Supination and pronation fracture with luxation mechanism of the upper ankle ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-015-0412-x
更新日期：2015-08-01 00:00:00
abstract：OBJECTIVE:Reduction and retention of an acromioclavicular (AC) joint dislocation with a button/suture augmentation cerclage (Flip tack, Karl Storz, Tuttlingen, Germany). INDICATIONS:Dislocation of the AC joint (Rockwood III and V). Chronic instabilities in combination with autogenous replacement of the coracoclavicula...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-010-3004-4
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:Biological augmentation and stabilization of high-grade bone defects with structural allografts from donor femur halfs. INDICATIONS:Severe bone defects with aseptic loosening of hip prosthesis, periprosthetic femoral fracture or non-union, possibly even in cases of a healed infection. CONTRAINDICATIONS:Loca...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-013-0274-z
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:Restoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for early functional aftercare. Maintaining mobility of knee joint. Bone healing in closed and open fractures. INDICATIONS:Closed and open isolated proximal tibia and lower leg fractures (AO 42). Ex...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0127-6
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:Reliable fusion and optimal correction of the alignment of the ankle joint using a 2-incision, 3-screw technique. INDICATIONS:Symptomatic osteoarthritis of the ankle joint after insufficient other treatment, severe deformity of the osteoarthritic ankle joint, or salvation procedure after failed arthroplasty....
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0015-0
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:An anatomically preformed approach to the posterior tibial plateau is described. In avulsion fractures of the posterior cruciate ligament (PCL), the aim is to restore stability of the knee joint with functional treatment, while in posterior shearing tibial plateau fractures the aim is to restore anatomical do...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0255-2
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE:To perform minimally invasive periosteum-preserving osteotomy using a Gigli saw. INDICATIONS:Lengthening and deformity correction of any long bone. CONTRAINDICATIONS:Local sepsis or very poor soft-tissue condition at the desired site of osteotomy. SURGICAL TECHNIQUE:The desired site is selected, and two 1–...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-010-9007-8
更新日期：2010-10-01 00:00:00
