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 amputations for peripheral vascular diseases, amputations through the distal third of the tibia are not recommended. If they still heal, the level selection might have been too proximal. SURGICAL TECHNIQUE:According to Verduyn and Burgess, a long posterior muscular flap covering the stump is attached ventrally to a short anterior flap. Modifications: fibular bone bridge (Guedes), resection of the soleus muscle (Baumgartner), Myodesis (Bowker), and Brückner's procedure. Alternative: rotation plasty according to Borggreve-van Nes-Winkelmann. POSTOPERATIVE MANAGEMENT:Special diagonal elastic bandaging over the knee that must be changed daily. Early prosthetic fitting (in general after 4-6 weeks) after wound has healed. Physical therapy: gait training with 2 crutches or parallel bars with or without an inflatable "prosthesis". Isometric training of the quadriceps. A stump requires several months until it has achieved its final form. During this time, the prosthesis must be adjusted accordingly. Modifications in the home, workplace, and automobile must be made. Sport for the disabled! RESULTS:In order to preserve a maximum of stump length, wound healing problems are to be taken into consideration, requiring surgery and sometimes even reamputation through or above the knee joint. If it is possible to preserve the knee joint, the rehabilitation results, even with an ultra-short transtibial stump, are far superior to any more proximal amputation level.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Baumgartner Rdoi
10.1007/s00064-011-0040-zsubject
Has Abstractpub_date
2011-10-01 00:00:00pages
280-8issue
4eissn
0934-6694issn
1439-0981journal_volume
23pub_type
杂志文章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: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: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: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:Reconstruction of the anterior talofibular (ATFL) and calcaneofibular (CFL) ligament in patients with chronic lateral ankle instability. INDICATIONS:Symptomatic chronic lateral ankle instability. CONTRAINDICATIONS:Bony malalignment, advanced arthritic changes of the ankle joint, diabetic foot syndrome. SUR...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-011-0126-7
更新日期:2012-02-01 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: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:Indirect decompression of the spinal canal and the neuroforamina by means of interspinous process distraction and limitation of extension movements. Reduction of forces acting on the posterior joint structures of a functional spinal unit (posterior anulus, facet joints, intervertebral discs). INDICATIONS:Pri...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-010-9042-5
更新日期:2010-11-01 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: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
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: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:For chronic lateral ankle instability an anatomical repair procedure of the lateral collateral ligaments (LCL) of the ankle with augmentation by an inferior extensor retinaculum (IER) flap is proposed. INDICATIONS:To treat the mechanical parts of an instable ankle involving both LCL and subtalar joint ligame...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章,评审
doi:10.1007/s00064-019-0599-3
更新日期:2019-06-01 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: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 stable knee joint kinematics using modular axis-guided revision implants after failed knee arthroplasty surgery. INDICATIONS:Revision implant for bone defects (type Anderson Orthopaedic Research Institute [AORI] III) in case of revision arthroplasty. Primary implant in case of mediolateral ...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-020-00669-5
更新日期:2020-08-01 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: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: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:Bony fusion of the trapeziometacarpal joint. INDICATIONS:High demands concerning stability and strength of the thumb in primary or secondary osteoarthritis (e.g., posttraumatic osteoarthritis following injuries to the carpometacarpal joint of the thumb); instability in the absence of osteoarthritis due to ma...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章,评审
doi:10.1007/s00064-017-0515-7
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: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: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: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: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: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: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: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: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: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