Abstract:
OBJECTIVE:Femoral medial closing wedge osteotomy for the correction of valgus malalignment to unload the cartilage in the lateral compartment and/or correction of symptomatic torsional malalignment. INDICATIONS:Lateral unicompartmental osteoarthritis of the knee with genu valgum in young patients. Symptomatic torsional malalignement of > 30° and < 0°. CONTRAINDICATIONS:Grade 3 and 4 cartilage damage in the medial compartment. Heavy smoking. Medial meniscectomy. Extreme obesity. Inadequate soft tissue conditions. SURGICAL TECHNIQUE:The operation begins with arthroscopy of the knee joint. In case of grade 4 lateral cartilage damage, a microfracture is performed. The distal femur is exposed via an anteromedial longitudinal incision starting 10 cm above the patella and ending in the upper third of the patella. The medial femoral cortex is exposed using Hohmann retractors and an oblique closing wedge osteotomy is performed with an oscillating saw. In case of valgus correction, the lateral cortex is left intact. In case of correction of torsional malalignment, the osteotomy plane is horizontal and the lateral cortex is cut. The wedge height is determined preoperatively based on full leg x-rays. The leg axis is controlled intraoperatively with a long metal rod and the use of an image intensifier. The osteotomy is manually closed and stabilized with a locking plate. POSTOPERATIVE MANAGEMENT:The patient is mobilized under load with 20 kg body weight for the first 6 postoperative weeks. Full range of motion is permitted. RESULTS:We treated 23 patients with lateral cartilage damage (grades 3 and 4) and genu valgum with medial closing osteotomy of the distal femur (6 men and 17 women). After 3.5-years follow-up, the KOOS increased from 48.4 points to 84.9 points. In one case, there was an early loss of correction, with subsequent revision with bone grafting and lateral osteosynthesis. No peri-or postoperative complications such as infection, thrombosis, and embolism occurred. In 5 cases a torsional osteotomy was performed. The torsional osteotomy was performed 4 times due to chronic patellofemoral instability, and once due to a medial tibiofemoral instability. Healing complications were not observed in this population. Recurrent instability was not observed.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Petersen W,Forkel Pdoi
10.1007/s00064-013-0258-zsubject
Has Abstractpub_date
2013-12-01 00:00:00pages
593-607; quiz 608issue
6eissn
0934-6694issn
1439-0981journal_volume
25pub_type
临床试验,杂志文章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:Multilevel posterior decompression of subaxial cervical spinal canal stenosis through a less-invasive unilateral approach. INDICATIONS:Degenerative cervical myelopathy due to multilevel subaxial spinal canal stenosis. CONTRAINDICATIONS:Cervical kyphosis or instability, bilateral radiculopathy due to foramin...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章,评审
doi:10.1007/s00064-017-0527-3
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:Acetabular fractures pose a great surgical challenge for orthopedic trauma surgeons. We believe that the Stoppa approach with an iliac window extension, previously described as a modified Stoppa approach is adequate for the majority of acetabular fractures excluding those with predominant posterior wall invol...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-011-0093-z
更新日期:2012-09-01 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: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: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: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: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: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: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:To regain stability of the proximal carpal row after scapholunate ligament rupture in order to avoid osteoarthritis and carpal collapse. INDICATIONS:As additional therapy in scapholunate ligament repair especially in patients with static, but reducible scapholunate malalignment. CONTRAINDICATIONS:Fixed scap...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-009-1907-0
更新日期:2009-11-01 00:00:00
abstract:OBJECTIVE:Early postoperative mobilization and restoration of pain-free joint function by implantation of a total hip replacement through a standardized, minimally invasive approach regardless of the type of implant with the patient in the supine position. INDICATIONS:Primary and secondary coxarthrosis. Femoral head n...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-007-1019-2
更新日期:2007-12-01 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: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: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:Treatment of posterior shoulder instability with increased retroversion of the glenoid using open-wedge osteotomy of the glenoid neck stabilized with an autologous bone block. INDICATIONS:Symptomatic, atraumatic posterior shoulder instability with increased retroversion (>20°) of the glenoid and previously f...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-016-0457-5
更新日期:2016-12-01 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: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: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: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: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: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: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 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:Resection of a cervical disc herniation using a full-endoscopic technique with an anterior approach. INDICATION:Fresh disc herniation with monoradicular symptoms in the upper extremity. CONTRAINDICATIONS:Pure neck pain, cervical myelopathy, older and calcified disc herniations, higher grade of instability a...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-018-0531-2
更新日期:2019-01-01 00:00:00
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
pub_type: 杂志文章
doi:10.1007/s00064-011-0043-9
更新日期:2011-10-01 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:The procedure is selected based on the stage of infection with careful removal of the focal infection in the area of the nail fold. INDICATIONS:All infections of the periungual area. CONTRAINDICATIONS:Herpes infections [1, 12]. All purulent infections of the periungual area should be eliminated. SURGICAL T...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-011-0025-y
更新日期:2011-07-01 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
doi:10.1007/s00064-012-0223-2
更新日期:2013-12-01 00:00:00