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 paraesthesia or neurological deficits after adequate diagnostic evaluation. The hypothenar fat flap is indicated in revision surgery if a sufficient nerve bed of the median nerve is needed and to restore nerve gliding. CONTRAINDICATIONS:General operative limitations. The hypothenar fat flap is not indicated in revision surgery if median nerve irritation is not caused by surrounding scaring but other reasons like tendonitis. SURGICAL TECHNIQUE:Proximal longitudinal incision of the palm. Subcutaneous dissection and incision of the palmar aponeurosis. Careful ulnar incision of the transverse carpal ligament. Considerate release of the distal and proximal parts of the retinaculum as well as the distal part of the antebrachial fascia. Exploration of the median nerve and palpation of the carpal tunnel and resection of compressive structures, if necessary. In case of revision surgery, if required, the hypothenar fat flap is raised. The fat flap is transposed without tension palmar to the median nerve and fixed to the radial side of the carpal tunnel. POSTOPERATIVE MANAGEMENT:Early functional mobilization. Immobilization for a short period is optional. After revision surgery and hypothenar fat flap, splinting for one week is recommended.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Ayache A,Unglaub F,Langer MF,Müller LP,Oppermann J,Löw S,Spies CKdoi
10.1007/s00064-020-00662-ysubject
Has Abstractpub_date
2020-06-01 00:00:00pages
219-235issue
3eissn
0934-6694issn
1439-0981pii
10.1007/s00064-020-00662-yjournal_volume
32pub_type
杂志文章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:Arthroscopic capsular release for refractory shoulder stiffness to recreate active and passive shoulder joint mobility. INDICATIONS:Adhesive capsulitis of the shoulder (primary and secondary frozen shoulder) after receiving at least 3 months of conservative treatment. CONTRAINDICATIONS:Boney-related stiffen...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 临床试验,杂志文章
doi：10.1007/s00064-013-0284-x
更新日期：2015-04-01 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:Full arthroscopic treatment of severe anterior shoulder instability due to glenoid bone loss, Hill-Sachs lesion and irreparable ligament damage. INDICATIONS:Recurrent anterior dislocations or subluxations, previously failed Bankart repairs; patients with anterior glenoid bone loss, Hill-Sachs defect; patient...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-011-0052-8
更新日期：2014-06-01 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 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: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: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 ma...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,评审
doi：10.1007/s00064-017-0515-7
更新日期：2017-10-01 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: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: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: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: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: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：: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: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: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:Restoration of anatomy of the joint surface of the tibial plateau in posttraumatic deformity. INDICATIONS:Malunions of the tibial plateau with significant intra-articular depression and/or steps. CONTRAINDICATIONS:Local or systemic infection, critical soft tissues in the area of planned incisions; advanced ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-020-00671-x
更新日期：2020-08-01 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: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: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:Replacement of a loosened acetabular cup attended by massive bone defects involving both columns. Acetabular restoration and proof fixation of a new acetabular cup to restore a pain-free joint function. INDICATIONS:Segmental acetabular bone defects involving both columns (Paprosky type 3A, 3B) with loosened ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章
doi：10.1007/s00064-010-8025-x
更新日期：2010-07-01 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
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: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: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: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:Replacement of an almost completely absent medial meniscus with a collagen implant (CMI), reconstruction of form and function of the medial meniscus, delay of the development of arthrosis deformans. INDICATIONS:Subtotal degenerative or traumatic loss of the medial meniscus, stable meniscal periphery, stable ...
journal_title：Operative Orthopadie und Traumatologie
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00064-006-1188-9
更新日期：2006-12-01 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
