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Minimally invasive arthrodesis of the sacroiliac joint (SIJ)
Oper Orthop Traumatol. 2021 Oct 18. doi: 10.1007/s00064-021-00738-3. Online ahead of print.ABSTRACTOBJECTIVE: Pain reduction and improvement in quality of life with sacroiliac joint (SIJ) fusion.INDICATIONS: Chronic SIJ-associated pain; positive response to SIJ injection with local anesthetic; positive SIJ provocation tests; failed conservative therapy over 6 months.CONTRAINDICATIONS: Non-SIJ-associated pain; tumor/infection/unstable fracture in the implantation area; malformations; tumor or osteolysis of the sacrum or ilium bone; active infection at the implantation site; allergy to metal components; secondary gain from i...
Source: Operative Orthopadie und Traumatologie - October 18, 2021 Category: Orthopaedics Authors: Adnan Kasapovic Thaer Ali Max Jaenisch Yorck Rommelspacher Martin Gathen Robert Pflugmacher Desire é Schwetje Source Type: research

Ankle block.
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 anesthesia. SURGICAL TECHNIQUE: All five sensory foot nerves are blocked. The two deep lying nerves, the tibial nerve and the deep fibular nerve, can be directly anesthetized perineurally using anatomical landmarks. The other three nerves are subcutaneously infiltrated near the...
Source: Operative Orthopadie und Traumatologie - January 14, 2020 Category: Orthopaedics Authors: Kaller P, Hohenberger G, Holweg P, Seibert FJ, Ornig M Tags: Oper Orthop Traumatol Source Type: research

Distal hand block.
Abstract OBJECTIVE: Peripheral nerve blocks in hand surgery. INDICATIONS: Short operations on the hand. CONTRAINDICATIONS: Long operations, polyneuropathy, local anesthesia allergy. TECHNIQUE: Identification of landmarks, skin disinfection, local anesthesia injection, surgery. POSTOPERATIVE MANAGEMENT: Postoperative monitoring. RESULTS: We performed 75 hand surgeries using distal nerve blocks over 3 years (between 2015 and 2018) in our department. In all, 60% (n = 45) of cases belong to the innervation region of the median nerve, 28% of cases (n = 21) belong to the innervation ar...
Source: Operative Orthopadie und Traumatologie - January 1, 2020 Category: Orthopaedics Authors: Tezval M, Spering C Tags: Oper Orthop Traumatol Source Type: research

Fast track concepts in total knee arthroplasty: use of tranexamic acid and local intra-articular anesthesia technique.
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 in e...
Source: Operative Orthopadie und Traumatologie - September 12, 2019 Category: Orthopaedics Authors: Petersen W, Bierke S, Hees T, Karpinski K, Häner M 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 (January...
Source: Operative Orthopadie und Traumatologie - August 28, 2019 Category: Orthopaedics Authors: Tezval M, Spering C Tags: Oper Orthop Traumatol Source Type: research