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 and palsy of muscles innervated by the radial nerve and its roots. CONTRAINDICATIONS:The procedure is contraindicated by reversible radial palsy, palsy or substantial loss of flexors, limited passive mobility due to contracture, ankylosis or instability of the affected joints, instability of the wrist joint, palsy of the wrist flexors, ankylosis of the wrist joint in an unfavorable position, adhesions of flexor or extensor tendons, insufficient soft tissue coverage or soft tissue defects and passage of transposed tendons through scarred tissue. SURGICAL TECHNIQUE:The surgical technique involves division of the superficialis tendons of the long and ring fingers proximal to Camper's chiasm and routing of the tendons to the dorsum of the hand through separate fenestrations of the interosseus membrane. The flexor digitorum superficialis tendon III is interwoven into the tendons of the extensor pollicis longus und extensor indicis and the flexor digitorum superficialis IV is interwoven into the extensor digitorum tendons. POSTOPERATIVE MANAGEMENT:Forearm splinting in 20° wrist extension including the metacarpophalangeal joints of the fingers in extension and the thumb in the automatic stop position for 4 weeks leaving the proximal and distal interphalangeal joints free. RESULTS:From March 1999 to January 2010 a Boyes' transfer was performed in 13 patients (8 female and 5 male) and the right side was affected in 8, the left side in 5 and the dominant hand in 7 cases. The patient age at the time of surgery was an average of 47 ± 17 (13-73) years. The interval between radial palsy and tendon transfer was an average of 79 ± 144 (4-543) months. The final follow-up was performed at an average of 82 ± 35 (32-165) months. According to the Haas scoring system finger extension was excellent in 5, good in 5, fair in 3 and unfavorable in 4 cases and thumb extension was excellent in 5, good in 3, fair in 1 and unfavorable in 5 patients. The mean disabilities of the arm, shoulder and hand (DASH) score was 36 ± 24 (11-85) points. Although disability of varying degrees persisted in all patients, Boyes' transfer is considered to be a safe procedure to restore finger and thumb extension with excellent and good functional results, a high degree of patient satisfaction and few complications.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Pillukat T,Blanarsch B,Schädel-Höpfner M,Windolf J,van Schoonhoven Jdoi
10.1007/s00064-012-0204-5subject
Has Abstractpub_date
2013-08-01 00:00:00pages
340-9issue
4eissn
0934-6694issn
1439-0981journal_volume
25pub_type
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journal_title:Operative Orthopadie und Traumatologie
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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
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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
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更新日期:2010-05-01 00:00:00
abstract:OBJECTIVE:The so-called ankle block represents a local anesthesia form which enables easy performance of all surgical procedures of the foot and ankle. INDICATIONS:Interventions distal to the medial and lateral malleoli. CONTRAINDICATIONS:Acute and chronic infections in the area of injection; allergy to the local ane...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章,评审
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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
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更新日期:2011-10-01 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/s00064-009-2008-9
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Lengthening of the lower limb with or without correction of angular deformity using an intramedullary nail with new correction strategies to restore or maintain a normal mechanical axis and orientation of the joints compared to traditional strategies using external fixation. Postsurgical lengthening will occu...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-009-1709-4
更新日期:2009-06-01 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
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更新日期:2010-11-01 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:2014-08-01 00:00:00
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更新日期:2008-06-01 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
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更新日期:2013-12-01 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...
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更新日期:2019-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2008-03-01 00:00:00
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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
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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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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
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journal_title:Operative Orthopadie und Traumatologie
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更新日期:2017-08-01 00:00:00
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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:2009-11-01 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:2014-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-03-01 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:2017-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-01-01 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:2013-10-01 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/s00064-012-0180-9
更新日期:2012-11-01 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: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: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