Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Apr 2013
[Anatomic reconstruction of the anterior cruciate ligament in single bundle technique].
Restore the knee stability by ACL reconstruction of the anterior cruciate ligament. ⋯ In a prospective study, we have examined 21 patients treated with an anatomic anterior cruciate ligament reconstruction in single-bundle technique, after two years. As graft the semitendinosus was used. The postoperative MRI diagnosis showed that all tunnels were positioned anatomically. KT 1000 measurement showed that the difference of anterior translation decreased from an average of 6.4-1.7 mm. A sliding pivot shift phenomenon was detected in only one patient. The postoperative Lysholmscore was 94.2 points.
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Defect coverage especially in exposed bone of the lower leg by pedicled muscle flaps in association with a split-thickness skin graft. Defect coverage oropharyngeal or at the upper extremity by free soleus flaps. ⋯ Reliable results achieved at the middle and distal lower leg.
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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.