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 of metaphyseal bone, radiocarpal fracture dislocation and open fractures. SURGICAL TECHNIQUE:Conventional palmar approach for plate fixation of the fracture with a fixed angle locking plate. Arthroscopy of the wrist is performed for reduction of the articular fracture component using the standard 3‑4 and 6R portals. Following temporary Kirschner (K) wire fixation of the fracture, angle stable locking screws are inserted into the most distal portion of the plate. Finally, the intercarpal ligaments and the triangular fibrocartilage complex (TFCC) are checked for concomitant lesions and if necessary subsequent treatment within the same operation. POSTOPERATIVE MANAGEMENT:Plaster cast fixation for 4 weeks followed by a physiotherapy program. RESULTS:After arthroscopically assisted reduction of an intra-articular distal radius fracture, 17 out of the 23 patients were available for follow-up examination an average of 31 months after the procedure. The mean disabilities of the arm, shoulder and hand (DASH) score was 4.9 and the mean patient-rated wrist evaluation (PRWE) score was 6.0 at final follow-up. Except for wrist flexion, an active range of motion at the wrist as well as forearm rotation of more than 90 % was achieved compared with the uninjured contralateral side. Grip strength averaged 96 % compared with the contralateral side and pain levels under stress varied between 1 and 3 on a visual analog scale (range 0-10).
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Lutz M,Erhart S,Deml C,Klestil Tdoi
10.1007/s00064-016-0448-6subject
Has Abstractpub_date
2016-08-01 00:00:00pages
279-90issue
4eissn
0934-6694issn
1439-0981pii
10.1007/s00064-016-0448-6journal_volume
28pub_type
临床试验,杂志文章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 torsiona...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-013-0258-z
更新日期:2013-12-01 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: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: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: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: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: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: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: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: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: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:To shift the weight-bearing axis of the lower limb medially by opening a lateral-based metaphyseal osteotomy at the distal femur. INDICATIONS:Femoral-based valgus malalignment and symptomatic lateral unicompartimental osteoarthritis, lateral hyperpression syndrome, cartilage therapy of the lateral compartmen...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-017-0503-y
更新日期:2017-08-01 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: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: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: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: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: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: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: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:To perform minimally invasive periosteum-preserving osteotomy using a Gigli saw. INDICATIONS:Lengthening and deformity correction of any long bone. CONTRAINDICATIONS:Local sepsis or very poor soft-tissue condition at the desired site of osteotomy. SURGICAL TECHNIQUE:The desired site is selected, and two 1–...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-010-9007-8
更新日期:2010-10-01 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: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 amp...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-011-0040-z
更新日期:2011-10-01 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: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: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: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: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: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::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