Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Feb 2013
Clinical Trial[Stabilization of unstable intertrochanteric fractures with the proximal femoral nail].
Restoration of function and anatomy of the proximal femur. Possibility of full weightbearing after surgery. Less invasive intramedullary osteosynthesis. ⋯ The stabilization of trochanteric fractures is usually done with PFNA. Compared to other methods, e.g., DHS, fewer complications were observed with the PFNA. Subtrochanteric fractures were associated with higher complication rates compared to intertrochanteric fractures.
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Oper Orthop Traumatol · Feb 2013
Randomized Controlled Trial[Decompression of lumbar lateral spinal stenosis: full-endoscopic, interlaminar technique].
Decompression in lumbar recess stenosis in a full-endoscopic technique using an interlaminar approach. ⋯ A total of 192 patients underwent full-endoscopic surgery or microsurgery and were followed up over a minimum of 2 years. A significant improvement was revealed. Serious complications occurred in 5% and were significantly reduced in the endoscopic group. Five patients were revised with decompression and/or fusion. Eighty-nine percent would undergo the operation again.
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Oper Orthop Traumatol · Feb 2013
Treatment of osteoarthritis of the first carpometacarpal joint by resection-suspension-interposition arthoplasty using the split abductor pollicis longus tendon.
Reduction of pain and gain of functionality in symptomatic osteoarthritis of the first carpometacarpal joint. ⋯ There were no significant differences between the FCR arthroplasty (Epping's method) and the APL arthroplasty (Wulle's technique) regarding pain (visual analog scale), disability/usability (DASH score), or range of motion. Patients who had undergone APL arthroplasty showed significantly better grip and pinch strength. Furthermore, the operating time was significantly shorter and scars were significantly smaller in APL arthroplasty.