[Fast track concepts in total knee arthroplasty: use of tranexamic acid and local intra-articular anesthesia technique].
r M Abstract OBJECTIVE: Fast track concepts are used to reduce the risk of perioperative and postoperative complications after total knee arthroplasty. INDICATIONS: The described concepts are used for patients with indications for the implantation of a total knee prosthesis. CONTRAINDICATIONS: Contraindications for fast track concepts are aged patients, dementia, American Society of Anesthesiologists (ASA) grade IV and implantation of large revision or tumor prostheses. Contraindications for tranexamic acid are bleeding in the urinary tract, caution in cases of known epilepsy, individual risk assessment ...
Source: Operative Orthopadie und Traumatologie - September 13, 2019 Category: Orthopaedics Authors: Petersen W, Bierke S, Hees T, Karpinski K, Häner M Tags: Oper Orthop Traumatol Source Type: research

[Hand and wrist fractures].
PMID: 31515580 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - September 12, 2019 Category: Orthopaedics Authors: Spies CK, Unglaub F Tags: Oper Orthop Traumatol Source Type: research

3D image-guided surgery for fragility fractures of the sacrum.
Abstract OBJECTIVE: Stabilizing sacral fragility fractures without radiation exposure to the surgical team. INDICATIONS: Non-displaced or minimally displaced unilateral or bilateral transalar, transforaminal or central sacral fractures in weak and osteoporotic bone. CONTRAINDICATIONS: Displaced or highly unstable sacral fractures. Patients under therapeutic anticoagulation. Patients needing fast track orthopedic surgery. SURGICAL TECHNIQUE: Prone position. Reference clamp installation on posterior iliac crest. Initial 3D scan of posterior pelvic ring. Image-guided virtual determination of 2-3 i...
Source: Operative Orthopadie und Traumatologie - September 12, 2019 Category: Orthopaedics Authors: Balling H Tags: Oper Orthop Traumatol Source Type: research

[All-arthroscopic fixation of tibial posterior cruciate ligament avulsion fractures with a  suture-button technique].
[All-arthroscopic fixation of tibial posterior cruciate ligament avulsion fractures with a suture-button technique]. Oper Orthop Traumatol. 2019 Sep 06;: Authors: Forkel P, Imhoff AB, Achtnich A, Willinger L Abstract OBJECTIVE: To restore the posterior stability of the knee after a tibial posterior cruciate ligament (PCL) avulsion with a suture-button construct. INDICATIONS: Acute solid and monofragment bony avulsion of the tibial PCL insertion. CONTRAINDICATIONS: Chronic condition of avulsion fractures or posterior instability, multifragment avulsions, thin bone pieces, advan...
Source: Operative Orthopadie und Traumatologie - September 6, 2019 Category: Orthopaedics Authors: Forkel P, Imhoff AB, Achtnich A, Willinger L Tags: Oper Orthop Traumatol Source Type: research

[Open reduction and screw/plate osteosynthesis of metacarpal fractures].
b F Abstract OBJECTIVE: Anatomic reduction and stabile fixation for immediate mobilisation and restoration of unrestricted function. INDICATIONS: Instabile metacarpal fractures with or without malrotation, dislocated metacarpal fractures with malrotation or finger extension deficit, longitudinally shortened metacarpal fractures with finger extension deficit. CONTRAINDICATIONS: Persistent infections (empyema, osteomyelitis, phlegmon) SURGICAL TECHNIQUE: Longitudinal intermetacarpal incision along the fracture zone, debridement of the fracture zone with retainment of periost, anatomic reduction and retenti...
Source: Operative Orthopadie und Traumatologie - September 5, 2019 Category: Orthopaedics Authors: Spies CK, Langer M, Hohendorff B, Müller LP, Oppermann J, Unglaub F Tags: Oper Orthop Traumatol Source Type: research

[Intravenous regional anesthesia].
Abstract OBJECTIVE: Intravenous regional anesthesia. INDICATIONS: Short duration hand operations. CONTRAINDICATIONS: Open wounds, lengthy operations, local infections, polyneuropathy, Raynaud syndrome, allergy to local anesthetics. TECHNIQUE: Insertion of an intravenous cannula, attachment of a double lumen cuff, Esmarch's tourniquet, injection of the local anesthetic, stepwise pumping up the tourniquet, surgery, stepwise removal of the tourniquet. POSTOPERATIVE MANAGEMENT: Postoperative monitoring of the patient after the end of anesthesia. RESULTS: Over a time period of 2 years (Jan...
Source: Operative Orthopadie und Traumatologie - August 29, 2019 Category: Orthopaedics Authors: Tezval M, Spering C Tags: Oper Orthop Traumatol Source Type: research

[Palmar angular stable plate fixation of nonunions and comminuted fractures of the scaphoid].
Abstract OBJECTIVE: Stabilization of comminuted fractures and nonunions of the scaphoid with an angular stable low-profile scaphoid plate. INDICATIONS: Scaphoid nonunions with a large palmar defect, second and third surgical procedure after previous stabilization by headless compression screw (HCS). Comminuted fractures of the scaphoid that cannot be sufficiently stabilized by screws. CONTRAINDICATIONS: Radio- and midcarpal osteoarthritis, small proximal pole fragments, fragmentation of the proximal pole. SURGICAL TECHNIQUE: The scaphoid is accessed by a palmar approach. After correcting t...
Source: Operative Orthopadie und Traumatologie - August 21, 2019 Category: Orthopaedics Authors: Quadlbauer S, Pezzei C, Jurkowitsch J, Krimmer H, Sauerbier M, Hausner T, Leixnering M Tags: Oper Orthop Traumatol Source Type: research

[Special situations and complication management in spinal surgery].
PMID: 31388711 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - August 1, 2019 Category: Orthopaedics Authors: Lehmann W Tags: Oper Orthop Traumatol Source Type: research

[Indications and techniques of arthroscopic anterior and lateral acromioplasty].
Abstract OBJECTIVE: Arthroscopic anterior acromioplasty (AAAP) for treatment of symptomatic subacromial spur. Arthroscopic lateral acromioplasty (ALAP) to reduce a pathological critical shoulder angle (CSA) and prevent rotator cuff re-tear after reconstruction. INDICATIONS: AAAP is indicated for acromial impingement due to an anterolateral acromial spur with or without bursa-sided rotator cuff lesion. ALAP is indicated concomitant to arthroscopic rotator cuff repair if the CSA is pathologically increased. RELATIVE CONTRAINDICATIONS: Irreparable rotator cuff tear with acetabularization of the acromio...
Source: Operative Orthopadie und Traumatologie - July 30, 2019 Category: Orthopaedics Authors: Rueckl K, Ernstbrunner L, Reichel T, Bouaicha S, Barthel T, Rudert M, Plumhoff P Tags: Oper Orthop Traumatol Source Type: research

[Surgical approaches to the hand].
s C 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 MANAGEMENT: Postoperative treatment depends on the disease and hand surgery performed. PMID: 31359070 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - July 29, 2019 Category: Orthopaedics Authors: Hohendorff B, Unglaub F, Spies CK, Wegmann K, Müller LP, Ries C Tags: Oper Orthop Traumatol Source Type: research

[Percutaneous treatment of unstable fractures of the base of the middle phalanx : Technique according to Hintringer and Ender].
Abstract OBJECTIVE: Reconstruction of intra-articular impression fractures of the middle phalanx by percutaneous reduction over a small dorsal cortical window. Stabilization by lattice-like arranged K‑wires. INDICATIONS: Impression fractures of the base of the middle phalanx with or without dislocation in the proximal interphalangeal joint. CONTRAINDICATIONS: Fractures extending to the shaft of the middle phalanx. SURGICAL TECHNIQUE: By a cortical window at the dorsum of the middle phalanx (through the tendon free triangle) the impression fracture is reduced from the medullary cavity. Re...
Source: Operative Orthopadie und Traumatologie - July 25, 2019 Category: Orthopaedics Authors: Quadlbauer S, Pezzei C, Hintringer W, Hausner T, Leixnering M Tags: Oper Orthop Traumatol Source Type: research

[Incidental durotomy: intraoperative aid in ten steps].
Abstract OBJECTIVE: Management of the intradural structures safely, closure of the dura according to the tear, and minimizing the epidural dead space. INDICATIONS: Incidental durotomy (ID). CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: 1. Bone removal until whole dural tear is visible (if necessary); 2. intradural inspection; 3. reposition the fibers; 4. perform an inside patch (if ID > 5 mm); 5. dural closure; 6. outside patch; 7. Valsalva maneuver; 8. epidural pedicled muscle flap; 9. multilayer wound closure; 10. lumbar drainage of ce...
Source: Operative Orthopadie und Traumatologie - July 19, 2019 Category: Orthopaedics Authors: Papavero L, Kothe R Tags: Oper Orthop Traumatol Source Type: research

[Posterior vertebral column resection for correction of kyphotic deformity due to osteoporotic fractures of the thoracic spine].
r L Abstract OBJECTIVE: The posterior vertebral column resection (PVCR) comprises a one-step resection of the vertebral body by a costotransversectomy together with a 360° spondylodesis. After removing the vertebral body, straightening of the existing kyphotic malposition is possible. INDICATIONS: Pronounced thoracic kyphosis after osteoporotic sintering fractures in one or more vertebral bodies. CONTRAINDICATIONS: General contraindications for surgical procedures, ASA>3 (American Society of Anesthesiologists). SURGICAL TECHNIQUE: First, dorsal stabilization of the vertebral co...
Source: Operative Orthopadie und Traumatologie - July 5, 2019 Category: Orthopaedics Authors: Sehmisch S, Lehmann W, Dreimann M, Oberthür S, Viezens L, Weiser L Tags: Oper Orthop Traumatol Source Type: research

[Arch-shaped approach : New modified medial approach for the treatment of talus fractures].
Abstract OBJECTIVE: Anatomical reduction and fixation of complex talar fractures (Hawkins type III and IV, Marti type III and IV) using a medial approach. INDICATIONS: Displaced talar fractures (Hawkins type III and IV, Marti type III and IV) with the need for a medial malleolar osteotomy or the simultaneous treatment of a medial malleolus fracture. CONTRAINDICATIONS: High perioperative risk, severe soft tissue injuries in the medial approach area, infected soft tissues. SURGICAL TECHNIQUE: Medial arch-shaped approach about 12 cm in length ove...
Source: Operative Orthopadie und Traumatologie - July 3, 2019 Category: Orthopaedics Authors: Zylinski A, Grossterlinden L Tags: Oper Orthop Traumatol Source Type: research

[Modular arthrodesis system TITAN (KAM-TITAN) after failed revision total knee arthroplasty : Operative technique and clinical experience].
Abstract OBJECTIVE: Restoration of a painless, weight-bearing extremity with a modular knee arthrodesis system based on a cementless modular revision stem for rotationally stable, diaphyseal anchorage. INDICATIONS: Severe bone loss and compromised soft tissue after failed total knee arthroplasty, two-stage revisions and non-reconstructible knee extensor mechanism deficiency. CONTRAINDICATIONS: Extensive osteolysis preventing diaphyseal anchorage of the prosthesis. Contralateral arthrodesis of the knee joint and/or ipsilateral arthrodesis of the hip joint and contralateral lower extremity a...
Source: Operative Orthopadie und Traumatologie - June 26, 2019 Category: Orthopaedics Authors: Gathen M, Schmolders J, Wimmer MD, Gravius N, Randau TM, Gravius S, Friedrich M Tags: Oper Orthop Traumatol Source Type: research

[Dorsal stabilization of C1/C2 modified according to Goel-Harms with C1 pedicle screws].
Abstract OBJECTIVE: Stabilization of the atlantoaxial transition by an alternative screw position in C1. INDICATIONS: Instabilities C1/C2 due to inflammation, tumor or trauma. CONTRAINDICATIONS: Presence of a very small pedicle of C1. Variations in the course of the vertebral arteries. SURGICAL TECHNIQUE: The midline approach to the upper cervical spine is used for the modified instrumentation of C1 with pedicle screws instead of Harms screws and for the unaltered instrumentation of C2. Depending on the indication, dorsal spondylodesis is performed by opening the laminae and attaching ceramic b...
Source: Operative Orthopadie und Traumatologie - June 25, 2019 Category: Orthopaedics Authors: Viezens L, Sehmisch S, Weiser L, Dreimann M, Lehmann W Tags: Oper Orthop Traumatol Source Type: research

[Surgical "no-touch" distraction technique to correct pediatric scoliosis].
[Surgical "no-touch" distraction technique to correct pediatric scoliosis]. Oper Orthop Traumatol. 2019 Jun 17;: Authors: Lorenz HM, Braunschweig L, Eberhardt IM, Tsaknakis K, Hell AK Abstract OBJECTIVE: Reduction and retention of the scoliotic curve in children with progressive spinal deformities. INDICATIONS: Progressive neuromyopathic scoliosis which cannot be controlled conservatively (especially by walking disability), and/or development of a thorax insufficiency syndrome (TIS). CONTRAINDICATIONS: Insufficient soft tissue coverage; body weight  25 or>50 kg; ...
Source: Operative Orthopadie und Traumatologie - June 17, 2019 Category: Orthopaedics Authors: Lorenz HM, Braunschweig L, Eberhardt IM, Tsaknakis K, Hell AK Tags: Oper Orthop Traumatol Source Type: research

[Spinal navigation for posterior cervical and cervicothoracic instrumentation].
Abstract OBJECTIVE: Safe placement of posterior cervical or high-thoracic pedicle screws, transarticular screws C1/2, translaminar screws C2 or cervical lateral mass screws under the guidance of spinal navigation. INDICATIONS: All posterior cervical and cervicothoracic instrumentation with screws: instabilities and deformities of rheumatoid, traumatic, neoplastic, infectious, iatrogenic or congenital origin; multilevel cervical spinal stenosis with degenerative instability or kyphosis of the affected spinal segment. CONTRAINDICATIONS: There are no absolute contraindications. SURGICAL TECHNIQUE: Pron...
Source: Operative Orthopadie und Traumatologie - June 13, 2019 Category: Orthopaedics Authors: Richter M, Ploux D Tags: Oper Orthop Traumatol Source Type: research

[Primary revision with replasty of the anterior cruciate ligament].
r M Abstract OBJECTIVE: Restoration of knee stability after rerupture of an anterior cruciate ligament (ACL) graft. INDICATION: Acute and chronic functional instability with rerupture of an ACL graft with subjective instability with anatomical or non-anatomical bone tunnel without tunnel widening. CONTRAINDICATIONS: Partial anatomical bone tunnels of the previous operation, significant tunnel widening of anatomical bone tunnels, local infection of the knee joint, local soft tissue damage. SURGICAL TECHNIQUE: Graft choices are hamstring tendons (semitendinosus muscle, gracilis muscle), the quadriceps...
Source: Operative Orthopadie und Traumatologie - June 6, 2019 Category: Orthopaedics Authors: Petersen W, Karpinski K, Bierke S, Hees T, Häner M Tags: Oper Orthop Traumatol Source Type: research

[Surgical treatment of ulnar impaction syndrome : Ulnar shortening osteotomy through the ulnopalmar approach using a  low-profile, locking plate].
[Surgical treatment of ulnar impaction syndrome : Ulnar shortening osteotomy through the ulnopalmar approach using a low-profile, locking plate]. Oper Orthop Traumatol. 2019 Jun 06;: Authors: Terzis A, Neubrech F, Sebald J, Sauerbier M Abstract OBJECTIVE: Extra-articular shortening of the distal ulna in order to decompress the ulnocarpal joint. INDICATIONS: Congenital or posttraumatic, symptomatic ulnar impaction syndrome. CONTRAINDICATIONS: Osteoarthritis or deformation of the distal radioulnar joint. SURGICAL TECHNIQUE: Exactly defined oblique osteotomy in the distal third of the...
Source: Operative Orthopadie und Traumatologie - June 6, 2019 Category: Orthopaedics Authors: Terzis A, Neubrech F, Sebald J, Sauerbier M Tags: Oper Orthop Traumatol Source Type: research

[Techniques to increase pedicle screw stability in osteoporotic vertebrae].
Abstract OBJECTIVE: Operative stabilisation of osteoporotic vertebral fractures. INDICATIONS: Fractures of the thoracic and lumbar spine. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Preoperative determination of expected bone mineral density. Implantation of pedicle screws in special trajectories, cement augmentation of the screws and use of alternative implants. POSTOPERATIVE MANAGEMENT: Early functional mobilisation and initiation of osteoporosis therapy if indicated. RESULTS: A biomechanical cadaver study with human vertebral bodies was performed. There was a highly significa...
Source: Operative Orthopadie und Traumatologie - June 3, 2019 Category: Orthopaedics Authors: Weiser L, Sehmisch S, Lehmann W, Viezens L Tags: Oper Orthop Traumatol Source Type: research

[Pedicle subtraction osteotomy to correct rigid deformities].
Abstract OBJECTIVE: The aim of the surgery is to restore the sagittal profile in the event of a mismatch of the patient's spinopelvic parameters and high patient suffering. INDICATIONS: Clinically symptomatic sagittal imbalance due to degeneration, trauma or after spinal surgery which can not be adequately treated by conservative therapy. CONTRAINDICATIONS: Severe general disease of the patient; local or systemic inflammation. SURGICAL TECHNIQUE: A dorsal approach is used to resect the dorsal vertebral structures and to perform an osteotomy to the anterior edge of the spine. POSTOPERA...
Source: Operative Orthopadie und Traumatologie - June 3, 2019 Category: Orthopaedics Authors: Viezens L, Sehmisch S, Lehmann W, Weiser L Tags: Oper Orthop Traumatol Source Type: research

[Precise sacroiliac joint screw insertion without computed tomography, digital volume tomography or navigation systems].
Abstract OBJECTIVE: Improvement of sacroiliac positioning of screws by detailed preoperative planning with a DICOM (Digital Imaging and Communications in Medicine-the international standard to store and process medical imaging information) workstation in the absence of advanced technical facilities like intraoperative computer tomography (CT), digital volume tomography (DVT) or a navigation system. INDICATIONS: Mono- or bilateral non- or minor displaced, longitudinal sacral fractures type Denis I and II and pelvic ring fractures (Orthopedic Trauma Association) OTA type B possibly in combin...
Source: Operative Orthopadie und Traumatologie - June 3, 2019 Category: Orthopaedics Authors: Roetman B, Ilchuk I, Khatib B, Goerigk U, Gothner M Tags: Oper Orthop Traumatol Source Type: research

Preoperative planning and safe intraoperative placement of iliosacral screws under fluoroscopic control.
Abstract OBJECTIVE: Preoperative planning of the starting point and safe trajectory for iliosacral screw (SI screw) fixation using CT scans for safe and accurate fluoroscopically controlled percutaneous SI screw placement. INDICATIONS: Transalar and transforaminal sacral fractures. SI joint disruptions and fracture-dislocations. Non- or minimally displaced spinopelvic dissociation injuries. CONTRAINDICATIONS: Transiliac instabilities. Sacral fractures with neurological impairment requiring decompression. Relevant residual displacement after closed reduction attempts. Insufficient fluoroscopic visualizati...
Source: Operative Orthopadie und Traumatologie - June 3, 2019 Category: Orthopaedics Authors: Krappinger D, Lindtner RA, Benedikt S Tags: Oper Orthop Traumatol Source Type: research

[Intraoperative revision of initially loosened pedicle screws].
Abstract OBJECTIVE: Intraoperative revision of initially loosened pedicle screws. INDICATIONS: Intraoperatively loosened/stripped pedicle screws. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Removal of the loosened/stripped pedicle screw. Checking the screw channel and re-implantation using a different trajectory, a larger screw diameter or a cement-augmented pedicle screw. POSTOPERATIVE MANAGEMENT: Early functional mobilization and initiation of osteoporosis therapy if indicated. RESULTS: A biomechanical study with human vertebral bodies was performed. Augmented and no...
Source: Operative Orthopadie und Traumatologie - June 3, 2019 Category: Orthopaedics Authors: Weiser L, Sehmisch S, Viezens L, Lehmann W Tags: Oper Orthop Traumatol Source Type: research

[Lateral ankle ligament bracing].
Abstract OBJECTIVE: Covering the anatomic reconstruction (Broström procedure) with suture tape for more initial stability. Seat belt principle. INDICATIONS: Mechanical lateral ankle instability: athletes in sports at risk, patients with uncertain compliance with respect to the postoperative treatment regimen, patients with poor tissue quality, patients with generalized laxity, and patients with failed previous repairs. CONTRAINDICATIONS: Known implant intolerance, local or systemic infection, local soft tissue affections, hemorrhagic disorders. SURGICAL TECHNIQUE: Epimalleolar 5 cm skin incis...
Source: Operative Orthopadie und Traumatologie - May 16, 2019 Category: Orthopaedics Authors: Lohrer H Tags: Oper Orthop Traumatol Source Type: research

[Repair of the pronator quadratus muscle with a  part of the brachioradialis muscle insertion in volar plate fixation of a distal radius fracture].
[Repair of the pronator quadratus muscle with a part of the brachioradialis muscle insertion in volar plate fixation of a distal radius fracture]. Oper Orthop Traumatol. 2019 May 07;: Authors: Hohendorff B, Unglaub F, Spies CK, Müller LP, Ries C Abstract THE PROBLEM: Stable pronator quadratus repair following volar plate fixation of distal radius fractures with complete plate coverage is often difficult. THE SOLUTION: Detachment of the pronator quadratus muscle (PQ) with a strong rim of connective tissue consisting of a fibrous portion of the roof of the first extensor co...
Source: Operative Orthopadie und Traumatologie - May 7, 2019 Category: Orthopaedics Authors: Hohendorff B, Unglaub F, Spies CK, Müller LP, Ries C Tags: Oper Orthop Traumatol Source Type: research

[The periosteal flap augmentation technique in chronic lateral ankle instability].
Abstract OBJECTIVE: Anatomic repair of the lateral ligament complex of the ankle joint and augmentation with an autologous pedicled periosteal flap of the distal fibula following identification and concomitant treatment of intra-articular pathologies. INDICATIONS: Symptomatic chronic mechanical lateral ankle instability. As a modular step in the treatment of osteochondral lesions in conjunction with lateral ankle instability. CONTRAINDICATIONS: Higher degree osteoarthritis of the ankle joint (>Kellgren/Lawrence 2 and 4 or Outerbridge 3 and 4) and/or hindfoot deformity; mechanical incomp...
Source: Operative Orthopadie und Traumatologie - April 29, 2019 Category: Orthopaedics Authors: Mittlmeier T, Rammelt S Tags: Oper Orthop Traumatol Source Type: research

Lateral collateral ligament repair : Anatomical ligament reinsertion with augmentation using inferior extensor retinaculum flaps.
zzi M 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 ligament damage. CONTRAINDICATIONS: This technique is not suitable when the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) are in a poor anatomical condition (exhaustive preoperative lesion mapping mandatory). SURGICAL TECHNIQUE: This technique combin...
Source: Operative Orthopadie und Traumatologie - April 29, 2019 Category: Orthopaedics Authors: Tourné Y, Peruzzi M Tags: Oper Orthop Traumatol Source Type: research

Supercapsular percutaneously assisted (SuperPath) approach in total hip arthroplasty : Surgical technique and preliminary results.
Abstract OBJECTIVE: Portal assisted minimally invasive total hip arthroplasty without dislocation of the femoral head with preservation of the hip capsule and the external rotators in the lateral decubitus position for rapid recovery with the option of expandability to a mini posterior or classic posterolateral approach at any time. INDICATIONS: Primary and secondary arthritis of the hip, femoral head necrosis, femoral neck fracture. CONTRAINDICATIONS: Severe anatomical disorders of the proximal femur, congenital high hip dysplasia, implanted hardware in the trochanteric region, local and systemic i...
Source: Operative Orthopadie und Traumatologie - April 12, 2019 Category: Orthopaedics Authors: Quitmann H Tags: Oper Orthop Traumatol Source Type: research

[Open reduction and plate/screw osteosynthesis of proximal phalanx fractures].
CK Abstract OBJECTIVE: Anatomical open reduction and internal fixation using screw/plate osteosynthesis. INDICATIONS: Extra-articular fractures with clinically evident malrotation of the finger, comminution fracture and/or loss of length, which cannot be treated non-operatively; fracture instability; intra-articular fracture with step off greater than 1 mm, which cannot be treated percutaneously but openly using plate/screw osteosythesis; failure of conservative treatment. CONTRAINDICATIONS: General operative limitations. SURGICAL TECHNIQUE: Dorsal, mediolateral, or palmar approach, temporary red...
Source: Operative Orthopadie und Traumatologie - April 12, 2019 Category: Orthopaedics Authors: Unglaub F, Langer MF, Löw S, Hohendorff B, Spies CK Tags: Oper Orthop Traumatol Source Type: research

[Bone defect reconstruction in revision shoulder arthroplasty].
PMID: 30941467 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - April 1, 2019 Category: Orthopaedics Authors: Wirtz DC Tags: Oper Orthop Traumatol Source Type: research

[Arthroscopic repair of chronic lateral ankle instability].
r H Abstract OBJECTIVE: Repair of the lateral ligament complex of the ankle joint; identification and treatment of intra-articular pathologies. INDICATIONS: Symptomatic chronic lateral ankle instability. Treatment of osteochondral lesions associated with lateral ankle instability. CONTRAINDICATIONS: Osteoarthritis of the ankle joint, risk factors such as peripheral occlusive disease, diabetic foot syndrome, complex regional pain syndrome. SURGICAL TECHNIQUE: Diagnostic arthroscopy of the ankle joint utilizing anterolateral and -medial portals; identification and treatment of intra-articular patholog...
Source: Operative Orthopadie und Traumatologie - March 27, 2019 Category: Orthopaedics Authors: Baumbach SF, Braunstein M, Herterich V, Böcker W, Waizy H, Polzer H Tags: Oper Orthop Traumatol Source Type: research

[Extended medial and extended lateral approach for tibial plateau fractures].
KH Abstract OBJECTIVE: Complete visualization of the articular surface in comminuted uni- or bicondylar tibial plateau fractures as a prerequisite for anatomical reconstruction to reduce the risk of posttraumatic osteoarthritis. INDICATIONS: Unicondylar lateral or medial as well as bicondylar intra-articular tibial plateau fractures with central and/or dorsal fracture lines; comminuted destruction of the medial or lateral tibial plateau with dislocation of>2 mm. CONTRAINDICATIONS: Critical soft tissue in the approach area, femoral condylar fracture, intraligamentous ruptures of the medial or l...
Source: Operative Orthopadie und Traumatologie - March 18, 2019 Category: Orthopaedics Authors: Krause M, Müller G, Frosch KH Tags: Oper Orthop Traumatol Source Type: research

[Glenoid reconstruction in revision shoulder arthroplasty].
Abstract OBJECTIVE: The aim of the surgical technique is the stable fixation of a glenoid baseplate and reconstruction of bone loss with correction of version, inclination, and medialization of the joint line. INDICATIONS: Significant glenoid bone loss due to glenoid loosening or wear in revision shoulder arthroplasty. CONTRAINDICATIONS: Active infection, inoperability due to poor health condition. SURGICAL TECHNIQUE: Reconstruction of advanced glenoid bone stock in case of glenoid loosening of total shoulder arthroplasty can be performed either with autografts and allografts or metallic augmen...
Source: Operative Orthopadie und Traumatologie - March 15, 2019 Category: Orthopaedics Authors: Gohlke F, Werner B, Wiese I Tags: Oper Orthop Traumatol Source Type: research

[Periprosthetic humeral fractures: from osteosynthesis to prosthetic replacement].
eybold D Abstract OBJECTIVE: Stabilization of the humeral shaft and the restoration of shoulder function dependent on the osseous integrity of the prosthetic stem component. INDICATIONS: In cases of a stable prosthesis stem, an isolated plate osteosynthesis is possible. Prosthesis stem replacement is indicated in cases of a loose stem. With sufficient bone stock of the proximal humeral segment, a change to a shorter humeral shaft component with subsequent plate fixation of the fracture is possible. If the bone stock is poor, conversion to a long revision stem is necessary. CONTRA...
Source: Operative Orthopadie und Traumatologie - February 28, 2019 Category: Orthopaedics Authors: Geßmann J, Königshausen M, Schildhauer TA, Seybold D Tags: Oper Orthop Traumatol Source Type: research

[Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].
ouml;tter B Abstract OBJECTIVE: Elimination of pain or instability by arthrodesis of the thumb joint in functional position by dorsal plateosteosynthesis. INDICATIONS: Painful primary or secondary arthrosis of the thumb, nonreconstructable ulnar, radial or palmar instability, posttraumatic dislocation, defect injuries, bone tumors in the region of the thumb metacarpophalangeal joint. CONTRAINDICATIONS: Local infection of the thumb metacarpophalangeal joint area. SURGICAL TECHNIQUE: Dorsal approach to the thumb metacarpophalangeal (MP) joint, splitting of the extensor aponeurosis between the extensor...
Source: Operative Orthopadie und Traumatologie - February 26, 2019 Category: Orthopaedics Authors: Langer MF, Oeckenpöhler S, Spies CK, Grünert JG, Breiter S, Glasbrenner J, Wieskötter B Tags: Oper Orthop Traumatol Source Type: research

[In memory of Prof. Dr. Walter Blauth].
Abstract PMID: 30767034 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - February 14, 2019 Category: Orthopaedics Authors: Holz U, Uhthoff HK Tags: Oper Orthop Traumatol Source Type: research

[Endoprosthetic replacement of the proximal humerus in revision shoulder arthroplasty].
Abstract OBJECTIVE: Reconstruction of proximal humeral bone defects in the setting of shoulder revision arthroplasty by implantation of a modular humeral component. INDICATIONS: Severe segmental humeral bone defects in revision total shoulder arthroplasty, after tumor resection, trauma, pathological fractures, post-infectious or after failed osteosynthesis. CONTRAINDICATIONS: Acute or chronic local infections, large diaphyseal bone defects preventing adequate anchorage of the prosthesis, very short life expectancy (
Source: Operative Orthopadie und Traumatologie - February 6, 2019 Category: Orthopaedics Authors: Friedrich M, Cucchi D, Walter S, Gravius S, Wirtz DC, Schmolders J Tags: Oper Orthop Traumatol Source Type: research

[Treatment of knee ligament injuries].
Abstract PMID: 30721346 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - February 1, 2019 Category: Orthopaedics Authors: Imhoff AB Tags: Oper Orthop Traumatol Source Type: research

[Reduction techniques for minimally invasive stabilization of proximal humeral fractures].
Abstract OBJECTIVE: The aim of surgical stabilization of proximal humerus fractures is to restore the anatomical relations between the greater and lesser tubercle, to reconstruct the joint and preserve the vascular supply of the fragments. INDICATIONS: Approximately 80% of proximal humeral fractures can be treated conservatively. Surgical treatment is indicated based on the fracture pattern, patient-related factors and the risk of avascular head necrosis. Two-part fractures with a metaphyseal comminution zone and 3/4-part fractures can benefit from near to anatomic reconstruction depending on the patient...
Source: Operative Orthopadie und Traumatologie - January 25, 2019 Category: Orthopaedics Authors: Beeres FJP, Quaile OM, Link BC, Babst R Tags: Oper Orthop Traumatol Source Type: research

[Patellar tendon ruptures : Internal bracing and augmentation technique].
h A Abstract OBJECTIVE: To report a surgical technique for the treatment of patellar tendon ruptures augmented with an internal brace suture tape. INDICATIONS: Acute patellar tendon ruptures, fractures of the distal patellar pole, chronic insufficiency of the patellar tendon or revision surgery for failed repairs. CONTRAINDICATIONS: Severe damage to the surrounding soft tissue. Local infection. Life-threatening conditions. SURGICAL TECHNIQUE: Direct longitudinal anterior approach to the patellar tendon. Two parallel transosseous bone tunnels are drilled in the patella and tibial tuberosity with...
Source: Operative Orthopadie und Traumatologie - January 25, 2019 Category: Orthopaedics Authors: Schütte V, Schmidt-Hebbel A, Imhoff AB, Achtnich A Tags: Oper Orthop Traumatol Source Type: research

[Anatomic lateral ankle ligament reconstruction with the semitendinosus graft].
Abstract OBJECTIVE: Stabilization of severe anterolateral rotatory instability of the ankle joint. INDICATIONS: Major ankle instability, rerupture after ligament reconstruction, generalized ligament laxity. CONTRAINDICATIONS: Minor instabilities, degenerative joint disease, underlying complex deformities like cavovarus. SURGICAL TECHNIQUE: Insufficient lateral ankle ligaments are replaced by an autologous semitendinosus graft. Three small incisions are used to position the graft anatomically under direct view with two fibular bone tunnels and bony fixation with interference screws. POSTOPERATIV...
Source: Operative Orthopadie und Traumatologie - January 11, 2019 Category: Orthopaedics Authors: Hamel J Tags: Oper Orthop Traumatol Source Type: research

Die Zeitschrift Operative Orthop ädie und Traumatologie dankt den Gutachtern 2018.
Die Zeitschrift Operative Orthopädie und Traumatologie dankt den Gutachtern 2018. Oper Orthop Traumatol. 2019 Jan 09;: Authors: PMID: 30627735 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - January 9, 2019 Category: Orthopaedics Tags: Oper Orthop Traumatol Source Type: research

[Fixation of bony avulsions of the posterior cruciate ligament by a  suture-bridge™ technique].
[Fixation of bony avulsions of the posterior cruciate ligament by a suture-bridge™ technique]. Oper Orthop Traumatol. 2018 Dec 18;: Authors: Willinger L, Imhoff AB, Schmitt A, Forkel P Abstract OBJECTIVE: Anatomical reduction of bony avulsions of the posterior cruciate ligament (PCL) by a suture-bridge™ (Arthrex, Naples, FL, USA) technique to restore posterior knee stability. INDICATIONS: Acute bony tibial avulsions of the PCL and multifragmentary fractures. CONTRAINDICATIONS: Chronic condition of avulsion fractures or posterior instability, advanced knee osteoarthritis...
Source: Operative Orthopadie und Traumatologie - December 18, 2018 Category: Orthopaedics Authors: Willinger L, Imhoff AB, Schmitt A, Forkel P Tags: Oper Orthop Traumatol Source Type: research

[Combined posterior and anterior cruciate ligament reconstruction : Arthroscopic treatment with the GraftLink ® system].
[Combined posterior and anterior cruciate ligament reconstruction : Arthroscopic treatment with the GraftLink® system]. Oper Orthop Traumatol. 2018 Dec 18;: Authors: Ateschrang A, Ahrend MD, Ahmad S, Körner D, Stein T, Yesil M, Stöckle U, Schreiner AJ Abstract OBJECTIVE: Simultaneous arthroscopic reconstruction of the anterior and/or posterior cruciate ligament (ACL/PCL) using the GraftLink® system (Arthrex) to obtain stable treatment and good functional results. The transplant is protected by the safety belt like biomechanical GraftLink® principle, which is used to secure the in...
Source: Operative Orthopadie und Traumatologie - December 18, 2018 Category: Orthopaedics Authors: Ateschrang A, Ahrend MD, Ahmad S, Körner D, Stein T, Yesil M, Stöckle U, Schreiner AJ Tags: Oper Orthop Traumatol Source Type: research

[Patellar sleeve fractures : Bracing and augmentation technique with suture tape].
h A Abstract OBJECTIVE: Transosseous augmentation of patellar sleeve fractures (PSF) with suture tape in young athletes. INDICATIONS: Acute avulsions of the proximal or distal patellar pol with clinical relevant deficit of knee extension. CONTRAINDICATIONS: Local infections, severe soft tissue damage (relative contraindication), fractures of the patella or tibial tuberosity. SURGICAL TECHNIQUE: Direct longitudinal anterior approach to the patella. Debridement of the proximal patellar tendon insertion. Anatomic reduction of any osteochondral fragments. Transosseous augmentation of the tendon with Fib...
Source: Operative Orthopadie und Traumatologie - December 11, 2018 Category: Orthopaedics Authors: Schütte V, Schmidt-Hebbel A, Imhoff AB, Achtnich A Tags: Oper Orthop Traumatol Source Type: research

[Surgical treatment of chronic pectoralis major rupture].
Abstract OBJECTIVE: Reconstruction of the chronic pectoralis major rupture with reconstruction of the anatomy and the original initial length of the muscle-tendon unit as well as the full strength. INDICATIONS: Basically all chronic tears of the pectoralis major, causing discomfort. CONTRAINDICATIONS: Infections and tumors in the operation area. SURGICAL TECHNIQUE: Skin incision medial to the anterior axillary line about 6 cm long in the split lines of the skin. Locate and sharply mobilize the muscle stump. Preparation of the crest of the greater tubercle and positioning 2-4 JuggerKnots® ...
Source: Operative Orthopadie und Traumatologie - December 1, 2018 Category: Orthopaedics Authors: Ritsch M Tags: Oper Orthop Traumatol Source Type: research

[Muscle-tendon tears].
n O Abstract PMID: 30483826 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - December 1, 2018 Category: Orthopaedics Authors: Rühmann O Tags: Oper Orthop Traumatol Source Type: research

[Anterolateral stabilization using the modified Lemaire technique for ACL deficiency].
Abstract OBJECTIVE: Treatment of persistent anterolateral knee instability. INDICATIONS: Subjective/objective (rotational) instability of the knee after anatomic anterior cruciate ligament (ACL) reconstruction. ACL re-rupture including special demands (e.g., high-performance athletes, hyperlaxity) RELATIVE CONTRAINDICATIONS: Osteoarthritis, additional instability of the knee, which should be treated independently; non-anatomic ACL reconstruction with persisting instability should be treated first with anatomic ACL reconstruction. ABSOLUTE CONTRAINDICATIONS: General contraindications for surgery (e. g. ...
Source: Operative Orthopadie und Traumatologie - November 26, 2018 Category: Orthopaedics Authors: Wurm M, Herbst E, Forkel P, Imhoff AB, Herbort M Tags: Oper Orthop Traumatol Source Type: research