Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Jun 2009
Comparative Study[Medium-term results after radioscapholunate fusion for post-traumatic osteoarthritis of the wrist].
What are the medium-term results after a radioscapholunate fusion in the treatment of a post-traumatic osteoarthtritis of wrist? ⋯ Radioscapholunate fusion is a treatment option for radiocarpal osteoarthritis to preserve a functional range of motion. Patient satisfaction is high although functional limitations and residual pain can exist. A progressive arthrosis of the adjacent carpal joints can frequently be observed, but mostly without affecting the clinical outcome. The non-union rate is high, but mostly well tolerated. If the procedure fails a conversion to a complete wrist fusion may be necessary. In most cases this occurs early following the partial wrist fusion.
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Handchir Mikrochir Plast Chir · Jun 2009
[Isolated fractures of the capitate: treatment of delayed union].
Delayed and non-union of isolated fractures of the capitate are rare injuries. Initial plain radiographs do not always show the fractures. Especially fractures through the neck of the capitate can lead to delayed union. ⋯ The CT examination showed a delayed union of the capitate, which was treated with an iliac cancellous bone graft and screw osteosynthesis. Bone healing was verified 3 months after operation. Operative therapy is recommended in cases of delayed union or non-union of the capitate.
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Handchir Mikrochir Plast Chir · Jun 2009
[Arthroscopic refixation of traumatic 1B-lesions of the TFCC--a retrospective study].
The aim of the study was to investigate the postoperative outcome of the arthroscopic sutures of traumatic 1B-lesions of triangular fibrocartilage complex (TFCC) tears. ⋯ The results of the current study suggest that 1B-lesions of the TFCC can be successfully repaired by arthroscopically assisted suture techniques. An isolated 1B-lesion of the TFCC is rather unusual.