Der Unfallchirurg
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Case Reports
[Extensive reconstruction of the acetabular dome after redisplacement of an acetabular fracture. Case report].
Anatomical reconstruction and stable internal fixation is the treatment of choice in displaced acetabular fractures. Marginal impaction zones are of negative prognostic value. ⋯ In this case, a comminuted area and secondary displacement could be successfully treated with anatomical reconstruction. This resulted in joint congruency and an acceptable long-term result after 16 years.
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Due to the advances in prosthesis design and standardisation of implant techniques, the maintenance of implants in arthroplasty of the knee joint has enormously increased during the past few years. Various arthroplastic designs enable an adjustment towards the patient's individual indiction and anatomy. ⋯ Prerequisite for mere joint resurfacing is an intact lateral ligament apparatus, whereas the the symmetrical ligament balancing is essential for long-term analgesia, joint stability and good flexion. Aseptic loosening, discreet infections, instabilities and patellar problems are common reasons for painful knee arthroplastics.
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Case Reports
[Late reconstruction of distal biceps tendon rupture with fascia lata graft and Mitek anchors].
Ruptures of the distal biceps tendon are rare but well documented. A technique for reinserting the distal biceps tendon into the radial tuberosity with two Mitek anchors and a fascia lata graft is presented and illustrated by a case report. Ectopic ossification as a complication after the procedure is discussed as well as the final outcome. It could be concluded that late reconstruction of the distal biceps tendon rupture with fascia lata and Mitek anchors is a safe procedure that can be advocated in a restricted number of cases where acute injury has been overlooked.