Operative Orthopädie und Traumatologie
-
Oper Orthop Traumatol · Apr 2012
Clinical Trial[Shortening osteotomy for alloarthoplastic joint replacement for hip dislocation in adults].
Total hip arthroplasty to create an articulating hip joint. Acetabular cup implantation in the original rotational center of the pelvis. Simultaneous femoral shortening osteotomy to prevent neurovascular damage and equalize leg length in patients with unilateral occurrence. ⋯ From 1993 to 1999, the first 15 total hip arthroplasties were performed in adult patients with DDH; they were treated with simultaneous femoral shortening osteotomy and without additive osteosynthesis. During the midterm follow-up (4.3 years), no failure of the femoral component was observed with complication-free osseous healing of the osteotomy. One cup revision was necessary in this period. The Merle d'Aubigné score increased from 8.2 preoperatively to 15.5 points.
-
Oper Orthop Traumatol · Apr 2012
Clinical Trial[Free latissimus dorsi flap transfer for reconstruction of soft tissue defects of the lower extremity].
Sustainable and durable soft tissue coverage at the lower extremity following trauma, tumor resections, sequelae of radiation therapy or osteomyelitis using free latissimus dorsi muscle transfer is provided by a free latissimus dorsi muscle flap. ⋯ From 2001-2007 75 free latissimus dorsi flaps were performed (53 ± 17 years) for soft tissue coverage at the lower extremity. In 58% the target vessel was the posterior tibial artery, in 11% the femoral artery, in 8% the anterior tibial artery and in 8% the popliteal artery. In 15% an arteriovenous (AV) loop was applied. Overall free flap survival was 95%. We encountered four total flap losses, exclusively in complex reconstructions with AV-loop situations.
-
Oper Orthop Traumatol · Apr 2012
Clinical Trial[Anatomical double-bundle reconstruction of the medial patellofemoral ligament with a gracilis autograft].
Elimination of patellofemoral instability by reconstruction of the medial patellofemoral ligament (MPFL) with a gracilis autograft. ⋯ The method presented in this manuscript was performed on 32 patients with recurring patellar luxation; 27 patients were available for clinical assessment at 1 year postoperatively. There were no recorded events of reluxation; the Kujala score increased on average from 61 points preoperatively to 93 points postoperatively.