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 osteoarthritis of the knee; loss of meniscus in the involved compartment; motoric or neurophysiological impairment hindering normal knee function. SURGICAL TECHNIQUE:Malunion after posteromedial split fracture: posterior approach in prone position, osteotomy of the former fragment following the fracture lines, anatomical reduction of the fragment in extended position of the knee using the implant as reduction tool, fixation by posterior plate. Malunion after lateral and posterolateral split/depression fracture: Lateral approach with fibula head osteotomy in lateral decubitus position, intra-articular osteotomy of depressed fragments, autologous bone graft, lateral or posterolateral plate osteosynthesis. Osteosynthesis of fibula head with small fragment lag screw or tension-band. POSTOPERATIVE MANAGEMENT:Walking with crutches starting from day 1 after surgery. Partial weight-bearing until radiographic healing of the osteotomies, usually 4-6 weeks. No limitation of range-of-motion. RESULTS:A series of 23 patients had lateral corrective osteotomy after lateral tibial plateau fracture. Mean follow-up was 13 years (range 2-26 years). Two patients had early poor results. In all, 17 patients (74%) scored excellent in the Lysholm/Gillquist score, 3 patients good, 1 patient average and 2 patients poor.
journal_name
Oper Orthop Traumatoljournal_title
Operative Orthopadie und Traumatologieauthors
Lobenhoffer Pdoi
10.1007/s00064-020-00671-xsubject
Has Abstractpub_date
2020-08-01 00:00:00pages
367-384issue
4eissn
0934-6694issn
1439-0981pii
10.1007/s00064-020-00671-xjournal_volume
32pub_type
杂志文章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: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: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: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: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 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: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:Callus distraction of the femur or tibia with an intramedullary distractor, which lengthens mechanically through alternating rotations of at least 3 degrees. INDICATIONS:Femoral or tibial shortening between 20 and 80 mm. Angular and rotational deformities can be corrected at the osteotomy site. CONTRAINDICA...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-005-1123-5
更新日期:2005-02-01 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: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:In simple pelvic osteotomy in childhood the aim is for better lateral roofing, a safe centering of the femoral head and tuning between the volumes of the acetabulum and the femoral head. By the combination of anterior modified Pemberton osteotomy with dorsal osteotomy according to Salter these objectives can ...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 临床试验,杂志文章
doi:10.1007/s00064-013-0239-2
更新日期:2013-10-01 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:Accessibility of any anatomical structure of the hand via surgical approach. INDICATIONS:Any surgical treatment of the hand. CONTRAINDICATIONS:Any contraindication to surgical treatment of the hand. SURGICAL TECHNIQUE:Skin incision at the hand with access to any anatomical structure. POSTOPERATIVE MANAGEM...
journal_title:Operative Orthopadie und Traumatologie
pub_type: 杂志文章
doi:10.1007/s00064-019-0622-8
更新日期:2019-10-01 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: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: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: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: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: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: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: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: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: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: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: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: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: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: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: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