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 acetabular cup or a Girdlestone situation. In case of pelvic discontinuity (Paprosky type 4) combination with reconstructive osteosynthesis plates (for example, Synthes company, Bochum, Germany). CONTRAINDICATIONS:In cases of complete absence of the posterior and especially cranioposterior column combination with structural allograft reconstruction necessary. Relative: acetabular defects, that can be reconstructed by other, smaller implants, for example, press-fit acetabular cups. SURGICAL TECHNIQUE:Exposure of the acetabulum by a conventional approach. Removal of the loosened acetabular cup. Cleaning of the acetabulum with a sharp spoon. Rebuilding of the hip center with a reamer. Choice of the size of the antiprotrusion ring using trial implants. Access chiseling for the inferior implant flange into the ischium. If necessary, adaptation of the superior and inferior flange alignment to the individual anatomy by bending. Filling of bone defects with allogenic bone chips. Knocking in of the inferior flange into the ischium. Simultaneous knocking in of both the ring in the acetabulum and the superior flange at the ischium. Screwing in of bolts from the interior of the ring into the iliac bone in the direction of hip forces. Additional positioning of screws due to the superior flange into the iliac bone. Cementing in of a polyethylene cup in the antiprotrusion ring. POSTOPERATIVE MANAGEMENT:Antithrombotic prophylaxis, physical therapy, gait training under full weight bearing of the limb. RESULTS:30 acetabular cup revisions with a new Burch-Schneider ring underwent prospective clinical and radiologic examination and were analyzed for an average follow-up of 20.6+/-7.8 months (3-36 months). The Harris Hip Score increased from preoperative 46.6 to postoperative 75.9 points. A loosening of the cage was not recorded.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Fink B,Grossmann A,Sebena Pdoi
10.1007/s00064-010-8025-xsubject
Has Abstractpub_date
2010-07-01 00:00:00pages
256-67issue
3eissn
0934-6694issn
1439-0981journal_volume
22pub_type
杂志文章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: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: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:The unicondylar prosthesis replaces the medial femerotibial compartment only, the part presenting with osteoarthritic changes. The remaining compartments of the knee present less osteoarthritic changes and thus can be preserved. INDICATIONS:Osteoarthritis of the medial femorotibial compartment is the ideal i...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-017-0486-8
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:Realignment of medially deviated lesser toes II-IV via subligamentous transfer of the extensor digitorum brevis tendon to treat painful toe disorders. INDICATIONS:Flexible medial malalignment of the lesser toes II-IV attributed to transverse instability of the metatarsophalangeal joint. CONTRAINDICATIONS:Co...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-009-1608-8
更新日期:2009-03-01 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: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:Open treatment of calcaneus fractures often has an increased risk of wound healing. Minimally invasive treatment with small incisions reduces complications. INDICATIONS:Calcaneal fractures with malalignment/comminution >1-2 mm; broadening, varus alignment of the calcaneal length axis or shortening; emergency...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章,评审
doi:10.1007/s00064-016-0478-0
更新日期:2017-04-01 00:00:00
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...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-008-1304-0
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Accessibility of any anatomical structure of the hand via surgical approach. INDICATIONS:Any surgical treatment of the hand. CONTRAINDICATIONS:Any contraindication to surgical treatment of the hand. SURGICAL TECHNIQUE:Skin incision at the hand with access to any anatomical structure. POSTOPERATIVE MANAGEM...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-019-0622-8
更新日期:2019-10-01 00:00:00
abstract::Erratum to: Oper Orthop Traumatol 2017 https://doi.org/10.1007/s00064-017-0513-9 The article was wrongly published under the article type "Review". Please note that the article is an "Original Paper".The publisher apologizes to the authors and …. ...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 已发布勘误
doi:10.1007/s00064-018-0565-5
更新日期:2018-10-01 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: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:Anatomical reconstruction of the distal radius after intra-articular fractures with special consideration of the articular surface and treatment of concomitant ligament injuries. INDICATIONS:Intra-articular distal radius fractures in adults under 65 years of age. CONTRAINDICATIONS:Osteoporotic deterioration...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-016-0448-6
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:Reconstruction of the extensor mechanism of the knee joint by stable suture of the quadriceps tendon. Early functional treatment. INDICATIONS:Acute or partial disruption of the quadriceps tendon close to the proximal patella pole with loss of extensor function of the knee joint. CONTRAINDICATIONS:Open ruptu...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-008-1229-7
更新日期:2008-03-01 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: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: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: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
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: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: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: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:One-stage procedure for gaining adequate bone stock and rotator cuff repair. INDICATIONS:Tears of the rotator cuff in combination with bony cysts or reduced bone quality at the footprint. CONTRAINDICATIONS:Allergies to contents of the bone void filler, fatty infiltration of infraspinatus and subscapularis o...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-012-0180-9
更新日期:2012-11-01 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: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: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 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:In simple pelvic osteotomy in childhood the aim is for better lateral roofing, a safe centering of the femoral head and tuning between the volumes of the acetabulum and the femoral head. By the combination of anterior modified Pemberton osteotomy with dorsal osteotomy according to Salter these objectives can ...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-013-0239-2
更新日期:2013-10-01 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