Der Unfallchirurg
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The purpose of this prospective clinical trial was to report about results of primary or early secondary arthroscopic stabilization after first traumatic anterior dislocation of the shoulder. ⋯ Arthroscopic stabilization after first traumatic anterior shoulder dislocation of the young patient is an appropriate approach and regardless of whether it is performed as a primary or early secondary operation it significantly lowers the redislocation rate. The method leads to quick reintegration into professional life and sports activities.
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Clinical Trial
[Treatment of complicated proximal segmental tibia fractures with the less invasive stabilization locking plate system].
Proximal segmental tibia fractures are rare injuries. Concomitant soft tissue injury, additional articular involvement and ligament injuries, secondary displacement, infection and pseudarthrosis present high demands for the implant and the surgeon. This clinical study was designed to clarify whether Tibia-LISS is a suitable implant for this type of fracture. ⋯ Tibia-LISS is a suitable implant for the treatment of proximal segmental tibia fractures with an acceptable rate of complications.
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Melorheostosis is a rare, benign, and sporadically occurring osteosclerosis of unknown cause. The onset of the disease is usually in early adulthood. Melorheostosis affects both genders, develops progressively, and is usually limited to one side of the human body. ⋯ Melorheostosis is usually diagnosed by radiograms. Pain relief and restoration of the full range of motion are the primary goals of the therapeutic approach. A good outcome cannot always be achieved and a recurrence of the disease happens very often.
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The authors present two case histories of children with synovial soft tissue tumor of the ankle. Synovial soft tissue tumors of the ankle in childhood are rare. ⋯ In both cases the children came primarily to the clinic with painful swelling at the ankle after trauma, which further complicated the diagnosis. It should be taken into consideration that the rare differential diagnosis of pain at the ankle could be synovial soft tissue tumor especially when the clinical course is protracted.
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Clinical Trial
[Transfer of the flexor hallucis longus to replace the Achilles tendon: indications, technique and results].
Transfer of the flexor hallucis longus (FHL) tendon is a therapeutic option to replace a dysfunctional Achilles tendon in cases of rerupture with large defects, loss of the Achilles tendon after postoperative infection or severe tendinosis. ⋯ FHL transfer to the Achilles tendon provides favorable results in cases of complicated cases with defects, infections or severe tendinosis after Achilles tendon rupture.