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. CONTRAINDICATIONS:Established biomechanic changes in RA (boutonniere and swanneck deformity). Large dorsal synovial cysts. Advanced radiologic changes in degenerative arthritis. Joint instability. Fresh skin lesion near portals. SURGICAL TECHNIQUE:Vertical traction of the affected finger in a Chinese finger trap if arthroscopy of a metacarpophalangeal joint is also planned, otherwise the joint can be placed on a hand table. Fill joint with Ringer solution. A radial and ulnar dorsal portal is created at joint space level, between the lateral band of the extensor tendon and the collateral ligament. Diagnostic arthroscopy. With insufficient visibility, "blind" shaving in dorsal recess. Completion of synovectomy under vision; 1.9 mm arthroscope with 30° angle of vision; 2.0 mm shaver (aggressive cutter). Closure of portals. Soft padded dressing. POSTOPERATIVE MANAGEMENT:Immediate postoperative mobilization for full range of finger movement. RESULTS:From 2009-2011, 91% of the patients treated with arthroscopic PIP joint synovectomy interviewed by telephone about pain reduction and satisfaction with the operation. Half of the 22 patients had RA and the other half degenerative arthritis, each with 14 joints treated. In all, 9 RA patients (11 treated joints, 79%) and only 1 patient with degenerative arthritis (2 treated joints, 14%) were content. The procedure achieves good pain reduction and functional improvement of the hand in RA. It can however not be recommended for degenerative arthritis except in selected cases.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Borisch Ndoi
10.1007/s00064-017-0506-8subject
Has Abstractpub_date
2017-08-01 00:00:00pages
353-359issue
4eissn
0934-6694issn
1439-0981pii
10.1007/s00064-017-0506-8journal_volume
29pub_type
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: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: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: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: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：AIM:Treatment of periprosthetic fractures by implantation of a specially constructed, retrograde hollow nail which fits over the tip of the prosthesis and becomes locked on it. INDICATIONS:Periprosthetic femoral fractures with firmly anchored prosthesis shaft after total hip arthroplasty of types B1 and C according to...
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
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: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:One-stage procedure for gaining adequate bone stock and rotator cuff repair. INDICATIONS:Tears of the rotator cuff in combination with bony cysts or reduced bone quality at the footprint. CONTRAINDICATIONS:Allergies to contents of the bone void filler, fatty infiltration of infraspinatus and subscapularis o...
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
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: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: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: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: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
abstract：OBJECTIVE:Reduction and retention of an acromioclavicular (AC) joint dislocation with a button/suture augmentation cerclage (Flip tack, Karl Storz, Tuttlingen, Germany). INDICATIONS:Dislocation of the AC joint (Rockwood III and V). Chronic instabilities in combination with autogenous replacement of the coracoclavicula...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-010-3004-4
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:Stable fixation of periprosthetic or periimplant fractures with an angular stable plate and early weight bearing as tolerated. INDICATIONS:Periprosthetic femur fractures around the hip, Vancouver type B1 or C. Periprosthetic femur and tibia fractures around the knee. Periprosthetic fractures of the humerus. ...
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
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 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: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: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: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: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
doi：10.1007/s00064-013-0262-3
更新日期：2014-02-01 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: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
doi：10.1007/s00064-019-00634-x
更新日期：2020-02-01 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:Illustration of a nowadays only rarely performed operative procedure for the treatment of osteonecrosis of the femoral head to prevent or at least delay advanced arthrosis and the need for a total hip replacement. The pedicled vascularized iliac bone graft is raised without the need for special microsurgical ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,评审
doi：10.1007/s00064-020-00650-2
更新日期：2020-04-01 00:00:00
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: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:Reconstruction of the extensor mechanism of the knee joint by stable suture of the quadriceps tendon. Early functional treatment. INDICATIONS:Acute or partial disruption of the quadriceps tendon close to the proximal patella pole with loss of extensor function of the knee joint. CONTRAINDICATIONS:Open ruptu...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-008-1229-7
更新日期：2008-03-01 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
