Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Mar 2010
[Minimally Invasive Acromioclavicular Joint Reconstruction (MINAR)].
Reduction and retention of an acromioclavicular (AC) joint dislocation with a button/suture augmentation cerclage (Flip tack, Karl Storz, Tuttlingen, Germany). ⋯ 23 patients with an acute luxation of the AC joint were operated with a minimally invasive coracoclavicular cerclage (five patients with Rockwood type III and 18 patients with Rockwood type V). Mean operative time was 28.6 min. Perior postoperative complications such as nerve and vascular injuries, thoracic injuries, infection, thrombosis, and embolism did not occur. The mean Constant Score was 94.1 points (73-100 points) after a mean of 23.3 months (18-28 months). In two cases, a slight loss of reposition of less than half of the clavicle width in comparison with the contralateral side was observed.
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Oper Orthop Traumatol · Mar 2010
[A modified posterolateral approach for the treatment of tibial plateau fractures].
Open reduction and internal fixation of posterolateral tibial plateau fractures. ⋯ In a period of 2 years, seven patients with posterolateral tibial plateau fractures received open reduction and internal fixation by using the modified posterolateral approach. The patients were examined at follow-up between 12 and 24 months after surgery. Six patients were free of pain with full range of motion and stable knee joints. Radiologically, a good fracture reduction was achieved in six cases. In one patient with a posterolateral comminuted dislocation fracture, a small fracture step and a gap could be observed. No approach-related complications were found.