Abstract：
OBJECTIVE:Bony fusion of the trapeziometacarpal joint. INDICATIONS:High demands concerning stability and strength of the thumb in primary or secondary osteoarthritis (e.g., posttraumatic osteoarthritis following injuries to the carpometacarpal joint of the thumb); instability in the absence of osteoarthritis due to malformations, ligamentous laxicity, and joint hypermobility; malformations; improvement of hand function in neurological disorders; salvage procedure after carpometacarpal arthroplasty provided bone stock is sufficient. CONTRAINDICATIONS:Osteoarthritis or stiffness of adjacent joints, activities demanding maximal mobility of the thumb, insufficient bone stock. SURGICAL TECHNIQUE:Resection of the articular surfaces of the trapeziometacarpal joint via a dorsal approach. After temporary K‑wire transfixation, application of a dorsal T‑shaped plate (fixed angled or not), replacement of the K‑wire with a lag screw. POSTOPERATIVE MANAGEMENT:Immobilization for 8 weeks (radial below-elbow cast including the thumb metacarpophalangeal joint); standard radiographs on second postoperative day and after 8 weeks; removal of stitches after 2 weeks; with bony healing after removal of the cast, guided exercises to increase strength and mobility; full loading for manual tasks after 3 months. RESULTS:With regards to strength, stability, and pain reduction, results are rated as good and excellent with a high degree of patient satisfaction. Disadvantages are implant-related complications and nonhealing of the fusion in an average of 13% of patients. Nevertheless, the procedure is still indicated in young manual workers who tolerate some limitations of mobility.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Pillukat T,Mühldorfer-Fodor M,Fuhrmann R,Windolf J,van Schoonhoven Jdoi
10.1007/s00064-017-0515-7subject
Has Abstractpub_date
2017-10-01 00:00:00pages
395-408issue
5eissn
0934-6694issn
1439-0981pii
10.1007/s00064-017-0515-7journal_volume
29pub_type
杂志文章,评审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
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更新日期：2013-04-01 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...
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pub_type： 杂志文章
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更新日期：2015-06-01 00:00:00
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更新日期：2010-10-01 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
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更新日期：2008-12-01 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...
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pub_type： 杂志文章,评审
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更新日期：2017-04-01 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
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更新日期：2013-08-01 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
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更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:Reconstruction of the medial patellofemoral ligament with autologous tendon augmentation and soft tissue fixation at the patellar insertion with resorbable suture material. INDICATIONS:Patellofemoral instability due to insufficiency of the medial passive stabilizers and dysplastic trochlea. CONTRAINDICATION...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
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更新日期：2015-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2010-03-01 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：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：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: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...
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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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更新日期：2010-05-01 00:00:00
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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：: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
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更新日期：2018-10-01 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：2015-08-01 00:00:00
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pub_type： 杂志文章
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更新日期：2012-04-01 00:00:00
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更新日期：2008-09-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2020-04-01 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：2011-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2014-04-01 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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journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,评审
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更新日期：2018-02-01 00:00:00
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journal_title：Operative Orthopadie und Traumatologie
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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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:Simultaneous arthrodesis of ankle and subtalar joints and, at the same sitting, correction of axial malalignment of hindfoot, treatment of bony defects and of sequelae of circulatory disturbances after multiple previous interventions. Internal stabilization with a short distal femur nail. Restitution of a pai...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-005-1137-7
更新日期：2005-10-01 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: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
