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° in flexion related to intraarticular causes (loose bodies, osteophytes or contracture of the capsule). CONTRAINDICATIONS:Extension deficit > 30°, extraarticular causes (e.g., heterotopic ossifications), nerve irritation, incongruity of joint surfaces, acute joint infection. SURGICAL TECHNIQUE:Prone position, filling of the joint with irrigation fluid, arthroscopic examination of the anterior and posterior compartment. Partial synovectomy, debridement and capsular release, removal of loose bodies and resection of osteophytes. POSTOPERATIVE MANAGEMENT:Intensive physiotherapy, continuous passive motion. Plexus anesthesia and nonsteroidal antiphlogistic medication. RESULTS:A total of 29 patients who underwent arthroscopic arthrolysis of the elbow joint were evaluated after a mean follow up of 15.4 months after surgery. Average preoperative extension deficit improved from 23° to 5°. Mean preoperative flexion improved from 115° to 131°. Improvement of range of motion was 34° on average. No vascular or neurologic complications were noted. Infection was not observed. In one case, stiffness persisted and early arthroscopic revision was needed. Postoperative patient satisfaction on the VAS Scale was 8.9. The Mayo Elbow Performance Index was 92.9 points on average.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Achtnich A,Forkel P,Metzlaff S,Petersen Wdoi
10.1007/s00064-012-0189-0subject
Has Abstractpub_date
2013-04-01 00:00:00pages
205-14issue
2eissn
0934-6694issn
1439-0981journal_volume
25pub_type
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journal_title:Operative Orthopadie und Traumatologie
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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
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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...
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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: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
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更新日期:2014-02-01 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/s00064-011-0061-7
更新日期:2012-07-01 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 ...
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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...
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pub_type: 杂志文章
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更新日期:2006-09-01 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2012-11-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2018-06-01 00:00:00
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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
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pub_type: 杂志文章,评审
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更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2009-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s00064-012-0164-9
更新日期:2012-09-01 00:00:00
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journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
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更新日期:2015-04-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
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更新日期:2013-10-01 00:00:00
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journal_title:Operative Orthopadie und Traumatologie
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更新日期:2011-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2006-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-02-01 00:00:00
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journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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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: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
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pub_type: 杂志文章
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更新日期:2017-10-01 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
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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: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
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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