Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Feb 2014
Clinical Trial[Extensor digitorum longus transfer in flexible overlapping fifth toe deformity].
Pain relief through realignment of the fifth toe by dorsomedial capsular release at the fifth metatarsophalaneal joint and transfer of the extensor digitorum longus tendon to the aponeurosis of the abductor digiti quinti muscle. ⋯ A total of 48 patients (56 feet; average age 37 years) with a flexible overlapping fifth toe deformity were followed up after soft tissue release and transfer of the extensor digitorum longus tendon; 40 patients (48 feet) were re-evaluated clinically after 11.4 months (range 9-26 months). Postoperative complications were sensory disturbance at the lateral side of the fifth toe (n = 5), superficial wound slough (n = 3). Follow-up results included broad and hypertrophic scars at the fifth metatarsophalangeal joint (n = 16), physiological alignment of the fifth toe in 37 feet (77.1%), overcorrection (interdigital space 4/5 > 3 mm) in 4 feet (8.3%), undercorrection in 7 feet (14.6%). In 4 feet the undercorrection could be attributed to a Tailor's bunion deformity, which was not treated appropriately.
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Oper Orthop Traumatol · Feb 2014
[Radial external fixator for closed treatment of type III and IV supracondylar humerus fractures in children. A new surgical technique].
Closed, anatomical reduction and reliable fixation of type III and IV supracondylar fractures that are either difficult or impossible to treat with conventional methods. ⋯ The majority of children have a normal range of motion at the time of external fixator removal. At follow-up (40 months), 30 of 31 children had normal function and a normal, anatomical axis as judged against the contralateral upper limb.