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Operative Orthopädie und Traumatologie

journal
https://www.readbyqxmd.com/read/29980801/surgical-repair-of-acute-pectoralis-major-muscle-ruptures
#1
REVIEW
M Wurm, A B Imhoff, S Siebenlist
OBJECTIVE: Surgical repair of a partial or complete tear of the pectoralis major muscle to restore internal rotation, adduction, and anteversion. INDICATIONS: Acute avulsion, acute tear of the tendinous insertion, acute tear of the musculotendinous region (<6 weeks after trauma). Relative indication: chronic retracted tear (>6 weeks). CONTRAINDICATIONS: Muscular tears, local infection, other general contraindications. SURGICAL TECHNIQUE: Open repair using suture anchors or flip buttons...
July 6, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29951749/-reconstruction-using-the-tensor-fasciae-latae-muscle-flap
#2
REVIEW
R Ipaktchi, M K Boyce, T R Mett, P M Vogt
OBJECTIVE: The tensor fasciae latae (TFL) muscle flap can be used for reconstruction of decubital ulcers in the trochanteric or ischial region. INDICATIONS: Deep decubital ulcers in the gluteal or ischial area after debridement and exhaustion of conservative measures. CONTRAINDICATIONS: Moribund or palliative patients who do not benefit from defect coverage and are likely to suffer a life-threatening complication. Noncompliant patients who cannot follow the postoperative recommendations or protocols in regard to positioning or recurrence prevention...
June 27, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29934783/-osteotomies-of-the-distal-tibia
#3
M G Walcher, L Fraissler, C Konrads, P Plumhoff, M Hoberg, M Rudert
OBJECTIVE: Restoration of physiological alignment of the distal tibia and thereby restoration of physiological loading of the ankle joint; joint preservation in asymmetric degenerative arthritis of the ankle. INDICATIONS: Congenital deformities of the distal tibia; acquired deformities of the distal tibia; asymmetric degenerative arthritis with partially preserved cartilage. CONTRAINDICATIONS: Absolute contraindications comprise severe nicotine abuse, Charcot arthropathy, peripheral polyneuropathy, relevant peripheral arterial vessel disease, poor local soft tissue condition, acute infection and extensive cartilage damage grade 3-4 in the Outerbridge classification in the complete joint...
June 22, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29931378/-components-of-the-joint-sparing-combined-bony-and-soft-tissue-correction-of-the-cavovarus-foot
#4
REVIEW
A Wallroth, T Dreher
OBJECTIVE: Combined bony and soft tissue correction of a mild foot and flexible rearfoot deformity in cavovarus foot. INDICATIONS: Drop foot during swing phase and muscular imbalance in the stance phase in cavovarus foot, flexible cavovarus foot, accompanying symptoms such as recurrent calluses and ulcerations, compliance. CONTRAINDICATIONS: Pes cavovarus of spastic genesis, mild deformities, fixed bony deformity, lack of compliance, florid inflammation in the foot area, severe peripheral artery disease (PAD), diabetes mellitus...
June 21, 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
#5
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...
June 15, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29802423/direct-anterior-approach-to-the-hip-joint-in-the-lateral-decubitus-position-for-joint-replacement
#6
REVIEW
R S Camenzind, K Stoffel, N J Lash, M Beck
SURGICAL PRINCIPLE AND OBJECTIVE: The direct anterior approach for total hip arthroplasty is associated with higher complication rates and difficult femoral component positioning. Performing a modified technique in the lateral position allows secure component positioning. INDICATIONS: Primary hip replacement (including femoral neck fracture) and cup revision without bone deficiency. CONTRAINDICATIONS: Destruction/deformities of proximal femur or acetabulum, bone deficiency or malignancy...
May 25, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29777279/-flap-coverage-using-the-posterior-gluteal-thigh-flap
#7
REVIEW
M K Boyce, T R Mett, R Ipaktchi, P M Vogt
OBJECTIVE: Defect coverage of the sacral, trochanteric or ischial region with durable tissue (gluteal thigh flap). INDICATIONS: Decubital ulcers of the sacral, trochanteric or ischial region after exhaustion of conservative measures. CONTRAINDICATIONS: Moribund or palliative patients who do not benefit from defect coverage and are likely to suffer a life-threatening complication. Noncompliant patients, who cannot follow the postoperative recommendations or protocols in regard to positioning or recurrence prevention...
May 17, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29744524/-defect-coverage-using-gluteal-flaps
#8
REVIEW
T R Mett, M K Boyce, R Ipaktchi, P M Vogt
OBJECTIVE: Gluteal skin, fasciocutaneous and myocutaneous flaps can be used to cover decubitus ulcers in the sacral and ischiocrural area. INDICATIONS: Decubitus ulcers in the sacral or ischial area that do not heal after exhausted conservative therapy. CONTRAINDICATIONS: Moribund patients who are very likely to suffer a life-threatening complication. Non-cooperative patients who cannot follow the postoperative recommendations. The presence of extensive scars after previous operations in the donor area or irradiation of the donor area which may compromise the flap perfusion...
May 9, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29892918/-minimally-invasive-foot-surgery-techniques
#9
EDITORIAL
Renée Fuhrmann
No abstract text is available yet for this article.
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29737368/-minimally-invasive-correction-of-lesser-toe-deformities-and-treatment-of-metatarsalgia
#10
REVIEW
M Thomas, M Jordan
OBJECTIVE: Atraumatic and joint-sparing procedure for the correction of lesser toe deformities by using a linear or perpendicular osteotomy of the proximal and/or middle phalanx of the lesser toes with additional capsulotomies or tendon dissection for soft tissue realignment. Metatarsalgia is addressed via an extracapsular distal metaphyseal crescentic-like metatarsal osteotomy. INDICATIONS: Symptomatic lesser toe deformities, painful pseudoexostosis, metatarsalgia, symptomatic metatarsal malalignment, metatarsus adductus...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29704103/minimally-invasive-bunionette-correction
#11
REVIEW
G A Morawe, M H T Schmieschek
OBJECTIVE: Bunionette or 'tailor's bunion' is a deformity of the fifth ray, which comes along with a metatarsus quintus valgus and a varus deformity of the fifth toe with subluxation of the metatarsophalangeal joint. A minimally invasive osteotomy of the fifth metatarsal without internal fixation using burrs is an increasingly used alternative for symptomatic tailor's bunion deformity. Similar to open surgery procedures the type of osteotomy complies with the underlying pathology...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29696322/-minimally-invasive-cheilectomy
#12
REVIEW
M Walther, P Chomej, S Kriegelstein, S Altenberger, A Röser
OBJECTIVES: Treatment of hallux rigidus by minimally invasive resection of the dorsal osteophytes, synovectomy and resection of the dorsal part of the metatarsal head. INDICATIONS: Hallux rigidus grades II and III CONTRAINDICATIONS: End-stage osteoarthritis of the first metatarsophalangeal joint with beginning ankylosis. SURGICAL TECHNIQUE: Osteophytes around the metatarsophalangeal joint are removed using a 1 cm incision dorsomedial, approximately 3 cm proximal of the joint space...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29679123/-wide-awake-hand-surgery-based-on-application-examples
#13
P Kaiser, M Keller, J Dörler, G Schmidle
OBJECTIVE: Anesthesiologic method with low bleeding level, risk level, and complication rate for surgical procedures on the hand without a tourniquet on an unsedated patient with the possibility for functional testing during surgery. INDICATIONS: Surgical procedures of the hand can be carried out using the wide awake technique depending on the patient's suitability and preference considering individual risk factors. CONTRAINDICATIONS: Absolute contraindications are allergies to the local anesthetic or its components...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29671022/-the-minimally-invasive-chevron-and-akin-osteotomy-mica
#14
REVIEW
Sebastian Altenberger, Stefanie Kriegelstein, Oliver Gottschalk, Florian Dreyer, Alexander Mehlhorn, Anke Röser, Markus Walther
OBJECTIVE: Percutaneous correction of a hallux valgus deformity with or without transfer metatarsalgia. INDICATIONS: Hallux valgus deformity up to 20° intermetatarsal angle, without instability of the first tarsometatarsal joint. CONTRAINDICATIONS: Symptomatic arthritis of the first metatarsophalangeal joint, as well as instability of the first tarsometatarsal joint. SURGICAL TECHNIQUE: Percutaneous performed osteotomy of the distal metatarsal 1 in combination with a medial closing wedge osteotomy of the proximal phalanx of the first toe...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29396690/-correction-of-kyphotic-fixed-lumbar-segments-and-hypolordosis-with-the-transforaminal-lumbar-interbody-fusion-technique
#15
REVIEW
F Lattig, E Stettin, S Weckbach
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 retroperitoneum. SURGICAL TECHNIQUE: Segmental correction of a kyphotic fixed segment using a unilateral transforaminal approach to release the annulus and anterior longitudinal ligament...
June 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29589046/-surgical-therapy-of-ischiofemoral-impingement-by-lateralizing-intertrochanteric-osteotomy
#16
REVIEW
C Suren, R Burgkart, I J Banke, G Hertel, J Schauwecker, R von Eisenhart-Rothe, H Gollwitzer
OBJECTIVE: Lateralizing, derotating intertrochanteric varus osteotomy to increase the ischiofemoral space to counter painful impingement of the lesser trochanter and the os ischium with resulting entrapment of quadratus femoris muscle. INDICATIONS: Symptomatic ischiofemoral impingement (IFI) caused by Coxa valga et antetorta, Coxa valga or Coxa antetorta, or a short femoral neck. CONTRAINDICATIONS: Anatomic configuration suggestive of IFI in asymptomatic patients...
April 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29569063/-arthroscopic-double-row-reconstruction-of-high-grade-subscapularis-tendon-tears
#17
F Plachel, S Pauly, P Moroder, M Scheibel
OBJECTIVE: Reconstruction of tendon integrity to maintain glenohumeral joint centration and hence to restore shoulder functional range of motion and to reduce pain. INDICATIONS: Isolated or combined full-thickness subscapularis tendon tears (≥upper two-thirds of the tendon) without both substantial soft tissue degeneration and cranialization of the humeral head. CONTRAINDICATIONS: Chronic tears of the subscapularis tendon with higher grade muscle atrophy, fatty infiltration, and static decentration of the humeral head...
April 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29541796/-arthroscopic-treatment-of-psoas-impingement
#18
REVIEW
G Möckel, W Miehlke
OBJECTIVE: Tenotomy of the psoas tendon in symptomatic internal coxa saltans or psoas impingement should relieve pain. INDICATIONS: Indicated in conservative treatment-resistant internal coxa saltans and in psoas impingement. CONTRAINDICATIONS: Contraindications are symptomatic psoas pathologies in hip dysplasia patients. SURGICAL TECHNIQUE: Three different procedures exist with the arthroscopic technique, in which the psoas tenotomy can be performed at one of three different levels...
April 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29500552/-arthroscopic-decompression-of-extra-articular-subspinal-hip-impingement
#19
REVIEW
M Bohnsack
OBJECTIVE: Complete arthroscopic decompression of the impinging subspinal soft tissues and resection of the hypertrophic bone formation between the anterior hip capsule and the anterior inferior iliac spine (AIIS) or decompression of a hypertrophic AIIS. INDICATIONS: Painful anterior hip impingement and decreased hip flexion following a hypertrophic osseous subspinal deformation. CONTRAINDICATIONS: No clinical symptoms or decreased anterior hip function despite radiological osseous subspinal hip impingement...
April 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29470588/-extra-articular-impingement-of-the-hip-treatment-of-snapping-hip-by-lengthening-of-the-iliotibial-band
#20
REVIEW
S Lerch, D Stark, O Rühmann
OBJECTIVE: Snapping of the iliotibial band over the greater trochanter should be eliminated by reducing tension via lengthening, release, and incision of the iliotibial band. INDICATIONS: Positive clinical examination and painful snapping of the iliotibial band over the greater trochanter, despite extensive conservative treatments, for over 6 months. CONTRAINDICATIONS: Weakness of the abductor muscles with positive Trendelenburg sign. SURGICAL TECHNIQUE: Direct approach to the iliotibial tract...
April 2018: Operative Orthopädie und Traumatologie
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