Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Jun 2014
[Transfer of the coracoid process in recurrent anterior instability of the shoulder joint. The arthroscopic Latarjet procedure].
Full arthroscopic treatment of severe anterior shoulder instability due to glenoid bone loss, Hill-Sachs lesion and irreparable ligament damage. ⋯ Between 2007 and June 2013, 210 operations were performed. No intraoperative conversion to open operative technique. Revision required in 10 patients with postoperative complications. No intraoperative or neurovascular complications.
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Well-balanced charge of femoral and tibial cartilage by lateral transfer of the mechanical leg axis in osteoarthritis of the medial compartment and of genu varum. ⋯ Between January 2006 and December 2008, procedure performed in 50 patients (27 men, 23 women, mean age 44 years); arthroscopic treatment in 43 patients, and osteotomy of the fibula in 10 patients. The valgus correction was 8.4° (6-13°). No complication during surgery. One non-union was treated by cancellous bone grafting.
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Oper Orthop Traumatol · Apr 2014
[Modular reconstruction in acetabular revision with antiprotrusio cages and metal augments : the cage-and-augment system].
Restore primary center of rotation and reconstruct extensive bone defects in hip revision surgery with a modular off-label implant combined with antiprotrusion cage and metal augment, thus, achieving improved hip function. ⋯ Since 2008, 72 off-label implantations of a combined antiprotrusio cage and a Trabecular Metal™ Augment were performed. A total of 44 patients (46 operations) were investigated at 38.8 (36-51) months postoperatively. In all, 36 patients had a bone defect according to Paprosky type 3a/b and in 3/4 patients with pelvic discontinuity additional osteosynthesis was performed. The WOMAC score increased from 39.8 (8.7-75) points preoperatively to 57.9 (16.7-97.9) points at follow-up. Migration or failure of implant components was not observed. In 11 % of dislocations and 11 % periprosthetic infections surgical revision was necessary.
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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.