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Operative Orthopädie und Traumatologie

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https://www.readbyqxmd.com/read/30413845/minimally-invasive-internal-fixation-of-calcaneal-fractures-or-subtalar-joint-arthrodesis-using-the-calcanail%C3%A2
#1
REVIEW
M Saß, R Rotter, T Mittlmeier
OBJECTIVE: A minimally invasive technique to prevent soft tissue problems using a calcaneal nail (Calcanail®, FH Orthopedics, Heimsbrunn, France) for calcaneal fractures or in subtalar joint arthrodesis is described. INDICATIONS: Displaced extra-articular calcaneal fractures involving the tuberosity fragment and in displaced intra-articular calcaneal fractures with impression and/or displacement of the subtalar joint surface. Subtalar joint arthrodesis for posttraumatic subtalar osteoarthritis...
November 9, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30367186/arthroscopic-transtibial-pullout-repair-for-posterior-meniscus-root-tears
#2
REVIEW
M J Feucht, K Izadpanah, L Lacheta, N P Südkamp, A B Imhoff, P Forkel
OBJECTIVE: Anatomic repair of the torn meniscal root using transosseous sutures through the proximal tibia. INDICATIONS: Nontraumatic meniscal root tears without severe degenerative changes (Kellgren-Lawrence grade ≤ 2), good quality meniscal tissue, traumatic root tears with or without concomitant anterior cruciate ligament tears or multiligament injuries. CONTRAINDICATIONS: Uncorrected varus or valgus malalignment (>3°), osteoarthritis Kellgren-Lawrence grades III and IV, and diffuse articular cartilage changes International Cartilage Regeneration and Joint Preservation Society (ICRS) grades III and IV of the effected compartment, noncompliance...
October 26, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30334079/-pilon-fractures-considerations-for-treatment-strategies-and-surgical-approaches
#3
P F Stillhard, H Frima, C Sommer
The majority of pilon or tibial plafond fractures are complex articular fractures and the treatment strategy, including the choice of the ideal surgical approach, is essential for a good functional outcome. In this paper, we discuss the considerations for dealing with such fractures as well as the pro and cons of the different approaches. The standard protocol consists of a two-staged procedure following the slogan span-scan-plan. After applying an ankle-spanning external fixator (span), the diagnostic work-up is completed by a CT scan with axial views, two-dimensional and three-dimensional reconstruction (scan) to fully understand the fracture pattern...
October 17, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30310933/combined-extra-intrathoracic-correction-of-pectus-carinatum-and-other-asymmetric-chest-wall-deformities-a-novel-technique
#4
REVIEW
T Tarhan, A Meurer, O Tarhan
OBJECTIVE: Description of a novel technique to surgically correct (asymmetric) pectus carinatum and other chest deformities using a metal bar without fixation to the ribs. INDICATIONS: Severe thoracic deformity, extensive psychological strain, social isolation, pain and respiratory complaints. Pseudarthrosis or insufficient correction of a thoracic deformity after prior surgery. Distinctive deformities. CONTRAINDICATIONS: Acute infections...
October 11, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30302497/extensor-hallucis-longus-transfer-for-tibialis-anterior-tendon-rupture-repair
#5
REVIEW
L Fraissler, K Horas, S Bölch, P Raab, M Rudert, M Walcher
OBJECTIVE: Restore the function of the tibialis anterior muscle, which is responsible for dorsiflexion and inversion of the foot. INDICATIONS: Spontaneous or traumatic rupture of the tibialis anterior tendon. CONTRAINDICATIONS: Patients with multimorbidity or lack of functional demands. SURGICAL TECHNIQUE: Direct repair of the tibialis anterior tendon with fiber-wire suture and augmentation with extensor hallucis longus tendon, potentially in combination with reinsertion of the tibialis anterior tendon in the medial cuneiform...
October 9, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30298268/erratum-to-modified-neck-lengthening-osteotomy-after-morscher-in-children-and-adolescents
#6
R Placzek, M Gathen, S Koob, C Jacobs, M M Ploeger
Erratum to:Oper Orthop Traumatol 2018 https://doi.org/10.1007/s00064-018-0561-9 The article was wrongly published under the article type "Review". Please note that the article is an "Original Paper".The publisher apologizes to authors and readers.
October 8, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30276678/-surgical-refixation-of-gluteal-tendon-tears-by-mini-open-double-row-technique
#7
REVIEW
H Gollwitzer, M Hauschild, N Harrasser, R von Eisenhart-Rothe, I J Banke
OBJECTIVE: Stable refixation of gluteal tendons at the anatomic footprint by large-area contact by the means of knotless double-row anchor fixation (HipBridge technique). INDICATIONS: Symptomatic tear of gluteus medius and/or gluteus minimus tendon with persisting pain after nonsurgical treatment, or primarily reconstructable mass rupture with gluteal insufficiency, revision surgeries. CONTRAINDICATIONS: Primary nonreconstructable mass ruptures, atrophic or fatty degeneration of gluteal muscles grade Goutallier 4, local infections...
October 1, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30218133/-reconstruction-of-the-middle-phalangeal-base-of-the-finger-using-an-osteocartilaginous-autograft-from-the-hamate
#8
REVIEW
T Pillukat, K Kalb, R Fuhrmann, J Windolf, J van Schoonhoven
OBJECTIVE: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate. INDICATIONS: Acute and older isolated destruction of the palmar middle phalanx base >25%. CONTRAINDICATIONS: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint...
September 14, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30218132/erratum-to-three-dimensional-thoracoscopic-vertebral-body-replacement-at-the-thoracolumbar-junction
#9
C Jacobs, M M Plöger, S Scheidt, P P Roessler, S Koob, K Kabir, C Jacobs, D C Wirtz, C Burger, R Pflugmacher, F Trommer
Erratum to:Oper Orthop Traumatol 2018 https://doi.org/10.1007/s00064-018-0559-3 The article was wrongly published under the article type "Review". Please note that the article is an "Original Paper".The publisher apologizes to authors and ….
September 14, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30209521/-surgical-treatment-of-bites
#10
D Saul, K Dresing
OBJECTIVE: Thorough and profound debridement for acute bite injuries while sparing nerves, vessels and tendons. INDICATIONS: Acute traumatic and late presented bite injuries. CONTRAINDICATIONS: General contraindication for anesthesia or surgery. SURGICAL TECHNIQUE: Extensive flabellate local anesthesia/general anesthesia, wound irrigation using 0.9% NaCl or antiseptic solutions, removal of avital tissues, wound debridement, wound edge excision, anew extensive irrigation, drainage if necessary, wound closure where applicable (except older or punctual deep injuries), bandage, elastic wrapping and immobilization...
September 12, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30194642/-modified-salter-innominate-osteotomy-in-adults
#11
REVIEW
B Heimkes, F Schmidutz, J Rösner, V Frimberger, P Weber
OBJECTIVE: The dysplastic acetabulum is shifted three-dimensionally outwards and forwards. INDICATIONS: Symptomatic residual hip dysplasias and hip subluxations in skeletally mature patients up to the age of 50 years. Sharp's acetabular up to 60°, as an exception above 60°. CONTRAINDICATIONS: Acetabular retroversion. Radiographic joint space at the lateral acetabular edge that is less than half the normal thickness for the patient's age...
September 7, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30232500/erratum-to-anatomic-stabilization-of-chronic-lateral-instability-of-the-ankle-gold-technique
#12
T Diermeier, B Scheiderer, L Lacheta, A B Imhoff
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 ….
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30194641/-soft-tissue-and-bone-debridement
#13
EDITORIAL
K Dresing, M Blauth
No abstract text is available yet for this article.
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30182178/-primary-soft-tissue-management-in-open-fracture
#14
REVIEW
F Riechelmann, P Kaiser, R Arora
OBJECTIVE: Debridement of soft tissue and bone in an open fracture situation to minimize infection risk and achieve primary skin closure, or to provide conditions for early soft tissue coverage. INDICATIONS: Indications are Gustilo-Anderson grade I-III A-C open fractures. CONTRAINDICATIONS: Contraindications are injuries requiring amputation, burns, and life-threatening injuries which make appropriate treatment temporarily impossible. SURGICAL TECHNIQUE: Removal of gross contamination and macroscopic contaminants; debridement of the wound; complete resection of contaminated and dirty tissue; sparse step-by-step resection of contaminated or non-vital wound and bone margins until vital, bleeding tissue begins; low-pressure irrigation with isotonic irrigation fluid; diagnostic biopsies for microbiological testing; reduction of dead space by interpositioning of muscle or cement spacers loaded with local antibiotics; primary wound closure if tension-free closure possible; otherwise, if resources and knowhow permit and satisfactory clean debridement was achieved, local flap; if flap impossible, debridement not satisfactory, secondary tissue necrosis likely, potential remaining contamination or contamination with fecal matter, then vacuum-assisted closure therapy...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30097673/bernese-periacetabular-osteotomy-through-a-double-approach-simplification-of-a-surgical-technique
#15
REVIEW
M Dienst, L Goebel, S Birk, D Kohn
OBJECTIVE: Reorientation of the acetabulum to normalize load transfer or avert femoroacetabular pincer impingement to prevent osteoarthritis of the hip. INDICATIONS: Persisting acetabular dysplasia after closure of growth plates or acetabular malrotation. CONTRAINDICATIONS: High dislocation of hip, secondary acetabulum, increased misalignment on functional X‑ray, high-grade mobility restriction. Relative: degenerative changes, advanced age...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30091056/-modified-neck-lengthening-osteotomy-after-morscher-in-children-and-adolescents
#16
REVIEW
R Placzek, M Gathen, S Koob, C Jacobs, M M Ploeger
OBJECTIVE: Growth disorders (e. g. caused by congenital hip dislocation, Perthes disease or bacterial coxitis) often lead to an infantile deformity of the proximal femur with a shortened femoral neck and displaced grater trochanter. In 1988, Morscher and Buess described a femoral neck lenghtening osteotomy for treatment of adults. For the first time, we show a modification of this osteotomy for children and adolescents with a locking plate system. The aim is to restore the normal anatomy of the femoral neck and biomechanics of the proximal femur...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30076428/three-dimensional-thoracoscopic-vertebral-body-replacement-at-the-thoracolumbar-junction
#17
REVIEW
C Jacobs, M M Plöger, S Scheidt, P P Roessler, S Koob, K Kabir, C Jacobs, D C Wirtz, C Burger, R Pflugmacher, F Trommer
OBJECTIVE: The aim is to stabilize the thoracolumbar spine with a thoracoscopically implanted vertebral body replacement (VBR). To improve intraoperative depth perception and orientation, implantation is performed under three-dimensional (3D) thoracoscopic vision. INDICATIONS: Vertebral burst fractures at the thoracolumbar junction (A4 AOSpine classification), pseudarthrosis, and posttraumatic instability with increasing kyphosis. CONTRAINDICATIONS: Severe pulmonary dysfunctions, pulmonary or thoracic infections, previous thoracic surgery, and pulmonary adhesions...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30054644/-revision-surgery-in-acute-periprosthetic-knee-joint-infections
#18
REVIEW
T Hawellek, F T Beil, J Hubert
OBJECTIVE: Reduction of pathogens in the knee joint by removal of infected periprosthetic soft tissue, irrigation and modular implant exchange of the total knee arthroplasty (TKA) to eliminate the infection and long-term preservation of the TKA. INDICATIONS: Early infection of TKA (<4 weeks postoperatively); acute hematogenous TKA infection (symptom duration <3 weeks). CONTRAINDICATIONS: Delayed (>4 weeks postoperatively) or chronic TKA infection; TKA loosening; difficult-to-treat pathogens; critical soft tissue with draining sinus tract...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29907912/temporary-epiphysiodesis-using-the-flextack%C3%A2-implant-tension-band-featuring-a-modified-explantation-technique
#19
REVIEW
S Koob, M Kehrer, M Hettchen, T Jansen, J Schmolders, R Placzek
OBJECTIVE: Presenting the implantation of the PediatrOS™ FlexTack™ (Merete, Berlin, Germany) for growth guidance and a modified explantation procedure to facilitate explantation and prevent bone and soft tissue damage. INDICATIONS: Implantation: Genua vara and valga, coxa vara, varus and valgus deviation of the ankle joint, the elbow joint and the wrist Modified Explantation: Removal of the implant after successful limb correction or dislocation of the implant...
October 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/30088033/-plastic-surgery-for-pressure-ulcers
#20
EDITORIAL
P M Vogt
No abstract text is available yet for this article.
August 2018: Operative Orthopädie und Traumatologie
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