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.
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Handchir Mikrochir Plast Chir · Feb 2009
[The endoscopic management of the cubital tunnel syndrome--an anatomical study and first clinical results].
Besides the carpal tunnel syndrome, the cubital tunnel syndrome (CuTS) represents the second most frequent nerve entrapment syndrome. The current gold standard for surgical therapy consists of simple open decompression. Recently, an endoscopic procedure involving long-distance decompression of the ulnar nerve has been developed and this is the topic of the present study. ⋯ This was especially the case for the first 10 cm from the medial epicondyle In the second part we report our experiences with this endoscopic decompression procedure in 36 patients. With this endoscopic decompression we achieved good to very good results according to the Bishop classification in 28 patients (78%). On the basis of anatomic considerations and our current experience, the endoscopic procedure seems to represent a promising alternative to simple decompression.
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Handchir Mikrochir Plast Chir · Feb 2009
Review[Diagnosis and therapy of cubital tunnel syndrome--state of the art].
The cubital tunnel syndrome is one of the most widespread compression syndromes of a peripheral nerve. In German-speaking countries it is known as the sulcus ulnaris syndrome (retrocondylar groove syndrome), which is anatomically incorrect. The cubital tunnel consists of the retrocondylar groove, the cubital tunnel retinaculum (Lig. arcuatum or Osborne band), the humeroulnar arcade and the deep flexor/pronator aponeurosis. ⋯ In these cases revision surgery is necessary. The epicondylectomy is not common in our country. Recurrences may occur.