Abstract：
OBJECTIVE:Immediate two-step coverage of dorsal finger and thumb-tip soft-tissue defects with a dorsal flag flap, which can bridge over two fingers if necessary. INDICATIONS:Soft-tissue defects on the dorsal aspect of fingers between the metacarpophalangeal and the distal interphalangeal joint as well as on the tip of the thumb. CONTRAINDICATIONS:Large defects, complex hand trauma, need of a sensible thumb tip, infections, noncompliance. SURGICAL TECHNIQUE:Marking of the flap at the middle phalanx and its flagpole pedicle, containing the dorsal digital artery. The breadth should reach to the middle of the finger and the proximal pole should not cross the middle of the proximal phalanx. With tourniquet dissection of the flap above the peritendineum with respect of the dorsal digital artery and subcutaneous veins in the pedicle. Opening of the tourniquet, in the case of flap perfusion transposition of the flap into the defect. Coverage of the donor site with skin graft. POSTOPERATIVE MANAGEMENT:Palmar cast splinting in intrinsic-plus position for 1 week, followed by physiotherapy. Pedicle separation after 3 weeks. Continuation of physiotherapy and scar care. RESULTS:In 2006, ten patients were operated on, three of them for reconstruction of the thumb tip. All patients showed a survival of the flap and a good wound healing without complications. One patient developed a flexion contracture at the donor finger due to noncompliance following immobilization. The functional and aesthetic results were satisfactory in all patients, the average DASH Score ("Disabilities of the Arm, Shoulder and Hand") was 16.4, mainly due to the residuals of the overall injury.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Stang F,Rab M,van Schoonhoven J,Prommersberger KJdoi
10.1007/s00064-008-1304-0subject
Has Abstractpub_date
2008-09-01 00:00:00pages
221-7issue
3eissn
0934-6694issn
1439-0981journal_volume
20pub_type
临床试验,杂志文章abstract：OBJECTIVE:Precise adaptable fixation of a supracondylar humerus osteotomy with a radial/lateral external fixator to correct posttraumatic cubitus varus. INDICATIONS:Acquired, posttraumatic cubitus varus as a result of a malhealed and unsatisfactorily treated supracondylar humerus fracture. Idiopathic, congenital cubit...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-015-0403-y
更新日期：2015-06-01 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:Stable fixation of periprosthetic or periimplant fractures with an angular stable plate and early weight bearing as tolerated. INDICATIONS:Periprosthetic femur fractures around the hip, Vancouver type B1 or C. Periprosthetic femur and tibia fractures around the knee. Periprosthetic fractures of the humerus. ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-011-0091-1
更新日期：2013-08-01 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: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:Callus distraction of the femur or tibia with an intramedullary distractor, which lengthens mechanically through alternating rotations of at least 3 degrees. INDICATIONS:Femoral or tibial shortening between 20 and 80 mm. Angular and rotational deformities can be corrected at the osteotomy site. CONTRAINDICA...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-005-1123-5
更新日期：2005-02-01 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：: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:Safe and definitive stabilization of fully displaced, unstable fractures of the humerus which cannot be fixed conservatively; plaster cast: subcapital humerus fractures, fractures of the shaft, and supracondylar fractures. INDICATIONS:These depend on two major factors: first, on the morphology (strongly disp...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-008-1409-5
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:Stabilization of the ulnohumeral joint against rotation and shear forces, preserving flexion and extension movements, in order to safeguard the healing of the collateral ligaments. INDICATIONS:Persistent instability of the elbow joint in 90 degrees flexion following elbow dislocation, particularly in the ant...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-006-1161-7
更新日期：2006-03-01 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：OBJECTIVE:Decompression of the median nerve by complete release of the flexor retinaculum and the distal antebrachial fascia. In the case of revision surgery providing of a scar-free covering of the median nerve, if necessary. INDICATIONS:Carpal tunnel release is indicated for symptomatic patients with painful paraest...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-020-00662-y
更新日期：2020-06-01 00:00:00
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 pai...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-005-1137-7
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:Arthroscopic capsular release for refractory shoulder stiffness to recreate active and passive shoulder joint mobility. INDICATIONS:Adhesive capsulitis of the shoulder (primary and secondary frozen shoulder) after receiving at least 3 months of conservative treatment. CONTRAINDICATIONS:Boney-related stiffen...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0284-x
更新日期：2015-04-01 00:00:00
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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:Revision of loose cups of total hip arthroplasties. Implantation and solid fixation of a cementless press-fit cup to restore painless joint function. INDICATIONS:Loose cups of total hip arthroplasties. Reimplantation of a prosthetic cup after removal of an infected total hip arthroplasty. CONTRAINDICATIONS:...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-008-1238-6
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVE:Salvage of the respective extremity. Standardized approach to adequate soft-tissue coverage (isolated severe soft-tissue trauma) and preconditioning for fracture healing (in complex trauma) as a basis for functional restoration. Limitation of secondary soft-tissue loss. Prevention of infection. INDICATIONS:I...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,评审
doi：10.1007/s00064-010-8045-6
更新日期：2010-05-01 00:00:00
abstract：OBJECTIVE:Stable internal fixation of the humeral shaft by less invasive percutaneous plate insertion using two separate (proximal and distal) incisions, indirect reduction by closed manipulation and fixation to preserve the soft tissue and blood supply at the fracture zone. Early mobilization of the shoulder and elbow...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-009-2008-9
更新日期：2009-12-01 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: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: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：OBJECTIVE:Arthrodesis of the proximal interphalangeal joint of fingers in a functional and pain-free position. INDICATIONS:Primary and secondary osteoarthritis, traumatic joint destruction, posttraumatic malposition, instability, joint destruction due to infection, irreparable extensor and/or flexor tendon lesion, rec...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-016-0471-7
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:Rapid functional recovery and improved range of motion after total knee arthroplasty (TKA) without compromising implant position. INDICATIONS:Osteoarthritis of the knee requiring TKA. CONTRAINDICATIONS:Preoperative flexion < 80 degrees. Flexion contracture > 20 degrees. Body mass index > 40 kg/m(2). Fixed v...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-008-1509-2
更新日期：2008-12-01 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：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：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:Arthroscopic assisted improvement of range of motion in elbow stiffness. Detailed diagnostic evaluation including medical history and preoperative radiographs, CT and MRI scans are necessary for planning the operative treatment. INDICATIONS:Restricted range of motion < 30° in extension and/or more than 100° ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-012-0189-0
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:Full arthroscopic treatment of severe anterior shoulder instability due to glenoid bone loss, Hill-Sachs lesion and irreparable ligament damage. INDICATIONS:Recurrent anterior dislocations or subluxations, previously failed Bankart repairs; patients with anterior glenoid bone loss, Hill-Sachs defect; patient...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0052-8
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVE:Insertion of a small joint arthroscope into the proximal and distal parts of the distal radioulnar joint (DRUJ) allows visualization of the proximal pouch of the DRUJ, the joint surfaces of the sigmoid notch and the ulnar head, the convexity of the ulnar head and the proximal ulnar-sided surface of the triang...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-014-0312-5
更新日期：2014-12-01 00:00:00
abstract：OBJECTIVE:Tibial tubercle osteotomy facilitates access to the knee joint without excessive tension of the extensor apparatus with the lateral parapatellar approach and the medial parapatellar approach in case of contracture or revision arthroplasty. INDICATIONS:Inadequate exposure of the knee joint with the lateral pa...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0079-x
更新日期：2012-04-01 00:00:00
