Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Dec 2013
Clinical Trial[Dorsal capsular imbrication for dorsal instability of the distal radioulnar joint].
To stabilize the distal radioulnar joint (DRUJ) by performing dorsal capsular imbrication in patients presenting with dorsal instability. The goal was to reduce pain and prevent the occurrence of posttraumatic arthrosis. ⋯ The subjective and functional outcomes of 20 patients having received capsular imbrication using this technique were good and entailed no significant complications. The postoperative DASH was 15.8 points. Of the 20 patients, 17 patients (85%) had a reduction of pain. Symptoms of DRUJ instability could be reduced in 18 patients (90%). Pronation/supination of the wrist was not restricted postoperatively.
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Open reduction and internal fixation with screw(s) for fragments with sufficient size, and resection of smaller fragments. ⋯ At a specialized orthopedic hospital with a supraregional frequented department for foot and ankle surgery, 8 patients with peripherial talar fractures were treated in 2012 (medial/posterior talar process, each n = 1, lateral talar process, n = 2, medial and lateral talar shoulder, each n = 2). One fragment was fixed with 1-3 screws, and additional cartilage reconstruction with matrix-associated stem cell transplantation was performed in 4 cases (lateral talar process, n = 2, medial and lateral talar shoulder, each n = 1). Bony fusion was registered at the 6-week follow-up in all cases. Further follow-up is not completed. Complications have not been registered so far.