MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Operative Orthopadie und Traumatologie' source. Thu, 09 Feb 2012 00:02:39 +0100 http://www.medworm.com/index.php?rid=5630045&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22270880%26dopt%3DAbstract Authors: Richter J, Volz R, Immendörfer M, Schulz M Abstract OBJECTIVE: Reconstruction of the anterior talofibular (ATFL) and calcaneofibular (CFL) ligament in patients with chronic lateral ankle instability. INDICATIONS: Symptomatic chronic lateral ankle instability. CONTRAINDICATIONS: Bony malalignment, advanced arthritic changes of the ankle joint, diabetic foot syndrome. SURGICAL TECHNIQUE: Reconstruction of the ATFL and CFL with a free gracilisor or semitendinosus tendon graft through a V-shaped tunnel at the insertion site of the ATFL on the talar neck as well as a transfibular tunnel directed anterior to posterior through the fibula tip to a blind ending tunnel in the cal... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5630045 Wed, 25 Jan 2012 05:00:00 +0100 5630045 http://www.medworm.com/index.php?rid=5630044&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22270881%26dopt%3DAbstract Authors: Acklin YP, Sommer C Abstract OBJECTIVE: Minimally invasive plate osteosynthesis of proximal humerus fractures via an anterolateral delta split approach. INDICATIONS: All proximal humerus fractures classified as 11-A1-3, 11-B1-2 (B3), and 11-C1-2 (C3) according to the AO/OTA system. CONTRAINDICATIONS: Head split and closed irreducible dislocation type fractures, fractures with primary neurovascular impairment, and fractures in children with open growth plate. SURGICAL TECHNIQUE: Beach chair position. Anterolateral delta split approach. Maintain rotator cuff insertions with nonabsorbable sutures. Reduction and K-wire retention of the tuberosities to the head fragment. Esta... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5630044 Wed, 25 Jan 2012 05:00:00 +0100 5630044 http://www.medworm.com/index.php?rid=5630043&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22270882%26dopt%3DAbstract Authors: Fink B Abstract OBJECTIVE: Repair of a chronic rupture with a defect of the gluteus medius muscle with or without a total hip replacement. Improvement of gait and limping by functional stabilization of the pelvis. Reduction of pain in the region of the greater trochanter. INDICATIONS: Chronic rupture with a defect of the gluteus medius. CONTRAINDICATIONS: Complete bony defect and absence of the greater trochanter and hip infection. OPERATIVE TECHNIQUE: Lateral positioning of the patient. Longitudinal incision of 12-15 cm over the greater trochanter. Preparation to the fascia and longitudinal incision slightly dorsal to the greater trochanter. Preparation and mobilizatio... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5630043 Wed, 25 Jan 2012 05:00:00 +0100 5630043 http://www.medworm.com/index.php?rid=5542386&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190271%26dopt%3DAbstract Authors: Jakubietz RG, Schmidt K, Holzapfel BM, Meffert RH, Rudert M, Jakubietz MG Abstract OBJECTIVE: Operative technique of propeller flap reconstruction of soft tissue defects in the distal lower extremity. Soft tissue reconstruction of the distal third of the lower extremity with local, reliable perforator flaps avoiding free tissue transfer. INDICATIONS: Complex wounds (maximum width of 6 cm) of the distal lower extremity with exposed bones, joints, tendons, and neurovascular structures. CONTRAINDICATIONS: Arterial vascular disease (stage III or IV), diabetes mellitus, postthrombotic syndrome, venous ulcers, chronic lymphedema, contusion of adjacent soft tissue, previous radiation, and lack of perforator... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5542386 Fri, 23 Dec 2011 05:00:00 +0100 5542386 http://www.medworm.com/index.php?rid=5542385&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22190272%26dopt%3DAbstract Authors: Koulaxouzidis G, Torio-Padron N, Momeni A, Lampert F, Zajonc H, Bannasch H, Björn Stark G Abstract OBJECTIVE: Soft tissue reconstruction with a temporoparietal fascial flap (TPFF). INDICATIONS: Defect coverage with thin, pliable, and well-vascularized tissue. A bilayered TPFF provides a gliding surface in tendon reconstruction. Further options include TPFF harvest with overlying skin or subjacent bone for composite tissue reconstruction or the application as a sensate local fascial flap. Maximum defect dimensions: 17 × 14 cm. CONTRAINDICATIONS: Absolute: prior injury to the flap or flap pedicle, temporal arteritis, Moyamoya syndrome, defects with volume deficit. Relative: alopecia alo... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5542385 Fri, 23 Dec 2011 05:00:00 +0100 5542385 http://www.medworm.com/index.php?rid=5521092&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22159902%26dopt%3DAbstract Authors: Nijs S, Graeler H, Bellemans J Abstract OBJECTIVE: Stable fixation of simple olecranon fractures or olecranon osteotomies in order to allow early functional treatment. INDICATIONS: Simple (non-comminuted) olecranon fractures and (Chevron) osteotomies of the olecranon. CONTRAINDICATIONS: Comminuted fractures and fractures more than 40 mm distal than the tip of the olecranon are contraindications. SURGICAL TECHNIQUE: Using a slightly curved posterior approach, the fracture is anatomically reduced. The fracture is temporary stabilized using K-wires. A guiding K-wire is positioned centrally in the medullary canal in the lateral projection. The medullary canal is reamed over... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5521092 Sat, 10 Dec 2011 05:00:00 +0100 5521092 http://www.medworm.com/index.php?rid=5521094&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22159843%26dopt%3DAbstract Authors: Bölderl A, Dallapozza C, Wille M Abstract OPERATION GOAL: Arthrodesis of the upper and lower ankle joint because of problematic bone positioning or failed arthrodesis. Osteosynthesis procedure using a retrograde compression nail. To achieve stable, fully weight-bearing osteosynthesis for early, pain-free mobilization. INDICATIONS: Rearthrodesis because of failure of the conventional arthrodesis technique and development of osteoarthritis of the lower ankle joint. Painful osteoarthritis of the upper ankle joint because of inadequate perfusion or a major bone defect because of sclerosis or necrosis. Primary arthrodesis because of facture of the lower leg (pilon tibial) with joint involvement and preexisting osteoarthritis. ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5521094 Fri, 09 Dec 2011 05:00:00 +0100 5521094 http://www.medworm.com/index.php?rid=5521093&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22159844%26dopt%3DAbstract Authors: El Attal R, Hansen M, Rosenberger R, Smekal V, Rommens PM, Blauth M Abstract OBJECTIVE: Restoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for functional aftercare and to maintain joint mobility. Good bony healing in closed and open fractures. INDICATIONS: Closed and open fractures of the tibia and complete lower leg fractures distal to the isthmus (AO 42), extraarticular fractures of the distal tibia (AO 43 A1/A2/A3), segmental fractures of the tibia with a fracture in the distal tibia, and certain intraarticular fractures of the distal tibia without impression of the joint line with the use of additional implants (AO 43 C1) CONTRAINDICATIONS: ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5521093 Fri, 09 Dec 2011 05:00:00 +0100 5521093 http://www.medworm.com/index.php?rid=5430430&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22089703%26dopt%3DAbstract Authors: Pfeifer R, Kobbe P, Knobe M, Pape HC Abstract PROBLEM: Autologous bone transplantation is a treatment of choice in patients with large bone defects. However, the iliac crest bone graft harvest is associated with numerous limitations: low volume of graft, long operation times, acute and chronic pain. SOLUTION: The reamer-irrigator-aspirator (RIA) system is used to harvest large volumes of intramedullar bone graft for surgical procedures that require bone graft, including non-unions, delayed union, and bone loss. SURGICAL TECHNIQUE: The RIA device should be assembled prior to the surgical procedure. The greater trochanter is used as entry point. Following the opening of the trochanteric region, a guide ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5430430 Fri, 18 Nov 2011 05:00:00 +0100 5430430 http://www.medworm.com/index.php?rid=5430432&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083046%26dopt%3DAbstract Authors: Aschoff HH, Clausen A, Tsoumpris K, Hoffmeister T Abstract OBJECTIVE: Improvement of function following above-knee amputation with an osseointegrated, transcutaneous femoral implant as a hard point for the exo prosthesis, the so-called endo-exo femur prosthesis (EEFP). INDICATIONS: Above knee amputation following trauma, tumor, or infection. CONTRAINDICATIONS: Diabetes, PAOD, psychiatric diseases, use of chemotherapeutic or corticosteroid medication, nonconcluded bone growth, lack of compliance, and florid infection at the time of implantation. SURGICAL TECHNIQUE: Performed as a two-step procedure: Stage 1 (implantation): sharp dissection of the end of the res... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5430432 Wed, 16 Nov 2011 05:00:00 +0100 5430432 http://www.medworm.com/index.php?rid=5430431&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22083047%26dopt%3DAbstract Authors: Auffarth A, Kralinger F, Resch H Abstract OBJECTIVE: To reconstruct the anatomical glenoid shape in cases of osseous glenoid rim defects after recurrent posttraumatic anterior shoulder dislocation to restore stability without severely compromising the range of motion. INDICATIONS: Osseous glenoid defects after recurrent posttraumatic anterior shoulder dislocation. Suitable for primary stabilization as well as for revision surgery in cases previously operated on. CONTRAINDICATIONS: Recurrent anterior shoulder dislocations without glenoid rim defects. Hyperlax shoulders with multidirectional instability. Patients over 60 years of age due to compromised bone quality. Teenage patients due to incomplete a... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5430431 Wed, 16 Nov 2011 05:00:00 +0100 5430431 http://www.medworm.com/index.php?rid=5385748&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22037620%26dopt%3DAbstract Authors: Rommens PM, El Attal R, Hansen M, Kuhn S Abstract OBJECTIVE: Restoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for early functional aftercare. Maintaining mobility of knee joint. Bone healing in closed and open fractures. INDICATIONS: Closed and open isolated proximal tibia and lower leg fractures (AO 42). Extraarticular fractures of the proximal tibia (AO 41 A2/A3). Intraarticular fractures of the proximal tibia (AO 41 C1/C2) in combination with other implants. Segmental tibia fractures (AO 42 C1/C2) with short proximal fragment. Comminuted tibia shaft fractures (AO 42 C3) with short proximal fragment. CONTRAINDICATIONS: Very poor general c... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5385748 Wed, 26 Oct 2011 04:00:00 +0100 5385748 http://www.medworm.com/index.php?rid=5385747&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22037621%26dopt%3DAbstract Authors: Smekal V, Attal R, Dallapozza C, Krappinger D Abstract OBJECTIVE: To restore alignment and length of the clavicle, to relieve typical symptoms of malunion, and to improve functional outcome and aesthetic results. INDICATIONS: Symptomatic malunion after clavicular fractures, including local pain and tenderness, weakness and rapid fatigability of the shoulder girdle muscles, impairment of overhead mobility, numbness, parasthesia, and pain of the arm and fingers during overhead movements due to brachial plexus irritation (thoracic outlet syndrome), and dissatisfaction with the appearance of the shoulder girdle. CONTRAINDICATIONS: Atrophic nonunions, osteoporosis, asymptomatic malunion. ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5385747 Wed, 26 Oct 2011 04:00:00 +0100 5385747 http://www.medworm.com/index.php?rid=5385746&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22037622%26dopt%3DAbstract Authors: Büttner O, Styger S, Regazzoni P, Suhm N Abstract OBJECTIVE: Intramedullary nail system fixation of inter- and subtrochanteric femoral fractures allows early weight-bearing, especially in osteoporotic bone. Restoration of anatomical shape and early return to function of the injured leg. INDICATIONS: All inter- and subtrochanteric fractures of AO type 31-A without limitation. CONTRAINDICATIONS: Open physes and unsuitable femoral shaft anatomy (increased anterior bow of femoral shaft or malunion after femoral fracture). SURGICAL TECHNIQUE: If possible closed, otherwise open fracture reduction on a fracture table and unreamed intramedullary nailing. Fixation of the fractur... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5385746 Wed, 26 Oct 2011 04:00:00 +0100 5385746 http://www.medworm.com/index.php?rid=5303480&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21975907%26dopt%3DAbstract [Upper leg amputation : Transfemoral amputation.] Oper Orthop Traumatol. 2011 Oct 7; Authors: Baumgartner R Abstract OBJECTIVE: Amputation through the diaphysis of the femur at the most peripheral level possible. The stump, covered with soft tissue flaps, is free from pain. It can be fitted with a total contact prosthetic socket. The hip joint is preserved with its full range of motion. INDICATIONS: When no possibility to amputate at a more distal level through the tibia or the knee joint exists. CONTRAINDICATIONS: When it is possible to amputate at a more distal level. SURGICAL TECHNIQUE: Symmetrical flaps in the frontal plane are recommended. Asymmetrical flaps and flap... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5303480 Fri, 07 Oct 2011 04:00:00 +0100 5303480 http://www.medworm.com/index.php?rid=5270170&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21947060%26dopt%3DAbstract Authors: Jacobs C, Siozos P, Raible C, Wendl K, Frank C, Grützner PA, Wölfl C Abstract OBJECTIVE: Serious lower extremity injuries sometimes warrant emergency amputation. The goal of amputation in polytrauma patients is to increase chances of survival, while the goal of amputation in a single limb injury is to prevent further complications, e.g., infection, septic shock. INDICATIONS: Rescue from life-threatening lower extremity bleeding in a critically injured patient. Severe injury of a lower extremity: crushed, burned, frozen, advanced infection. CONTRAINDICATIONS: Patient refusal. SURGICAL TECHNIQUE: Supine position, determination of resection border, skin incision, identifi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5270170 Sun, 25 Sep 2011 04:00:00 +0100 5270170 http://www.medworm.com/index.php?rid=5270171&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21938601%26dopt%3DAbstract Authors: Baumgartner R Abstract OBJECTIVE: A knee disarticulation or a through-knee stump is superior compared to a transfemoral stump. The thigh muscles are all preserved, and the muscle balance remains undisturbed. The range of motion of the hip joint is not limited. The bulbous shape of the stump allows full weight bearing at the stump end and can easily be fitted with a prosthesis. An amputee with a bilateral knee disarticulation is able to walk "barefoot". INDICATIONS: A more distal amputation level, e.g., an ultra-short transtibial amputation, is not possible. Important alternative to transfemoral amputations. Possible for any etiology except for Buerger-Winiwarter's disease. New indications are infected and loosened total knee replacements. CONTRAINDICATIONS: Preservation of... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5270171 Fri, 23 Sep 2011 04:00:00 +0100 5270171 http://www.medworm.com/index.php?rid=5236268&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21927838%26dopt%3DAbstract Oper Orthop Traumatol. 2011 Sep 18; Authors: Eckardt A PMID: 21927838 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5236268 Sun, 18 Sep 2011 04:00:00 +0100 5236268 http://www.medworm.com/index.php?rid=5236271&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922229%26dopt%3DAbstract Authors: Rammelt S, Olbrich A, Zwipp H Abstract OBJECTIVE: Obtaining a durable, weight-bearing stump with minimal or no loss of limb length, and stable soft tissue coverage with preservation of the original sensation of the sole of the foot at the heel. INDICATIONS: Complex trauma to the foot with devitalized or nonreconstructable forefoot and midfoot, deep bony and soft tissue infection, infected Charcot foot with threatening sepsis, necrosis or gangrene of the forefoot and midfoot with vasculopathy, malignant tumors, certain infections, gigantism of the forefoot. CONTRAINDICATIONS: Possible reconstruction of the midfoot and forefoot beyond the midtarsal (Chopart) joint, loss or irreversible destruction of the sole of the foot or the distal tibial metaphysis. SURGICAL TECHNIQUE: T... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5236271 Sat, 17 Sep 2011 04:00:00 +0100 5236271 http://www.medworm.com/index.php?rid=5236270&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922230%26dopt%3DAbstract Authors: Baumgartner R Abstract OBJECTIVE: To make a transtibial stump as long as possible, free from local and phantom pain with a maximum of terminal load bearing. In order to preserve the knee joint, an ultra-short tibial stump of 5-6 cm may be indicated. INDICATIONS: A hindfoot amputation level is not possible to achieve. CONTRAINDICATIONS: In amputations for peripheral vascular diseases, amputations through the distal third of the tibia are not recommended. If they still heal, the level selection might have been too proximal. SURGICAL TECHNIQUE: According to Verduyn and Burgess, a long posterior muscular flap covering the stump is attached ventrally to a short anterior flap. Modifications: fibular bone bridge (Guedes), resection of the soleus muscle (Baumgartner), Myodesis (B... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5236270 Sat, 17 Sep 2011 04:00:00 +0100 5236270 http://www.medworm.com/index.php?rid=5236269&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21922231%26dopt%3DAbstract Authors: Baumgartner R Abstract OBJECTIVE: Partial foot amputations are feasible regardless of the causal condition, including peripheral vascular disease with a few exceptions. Compared to higher amputation levels, a good foot stump permits full end bearing and enables the patient, even with a hindfoot stump, to walk without the need for a prosthesis. The more peripheral the amputation level selected, the greater the need for gentle tissue handling and meticulous postoperative care, but also the greater the risk of a breakdown requiring stump revision surgery. In the forefoot, partial amputation of the metatarsals preserves the length of the stump and, thus, minimizes the loss of weight-bearing surface. The resection of metatarsal and midfoot bones without removing the toes, calle... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5236269 Sat, 17 Sep 2011 04:00:00 +0100 5236269 http://www.medworm.com/index.php?rid=5029532&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21725662%26dopt%3DAbstract Authors: Hube R, Mayr HO, Kalteis T, Matziolis G OBJECTIVE: Surgical technique in total knee arthroplasty (TKA) to combine the femur first and tibia first techniques in order to reduce surgical mistakes regarding rotation and alignment. INDICATIONS: Symptomatic arthritis of the knee. CONTRAINDICATIONS: General contraindications for TKA. SURGICAL TECHNIQUE: Osseous preparation starting with a distal femur cut. Then the proximal tibia cut is accomplished and the knee is balanced in extension after checking for correct alignment. Bone-referenced positioning of the femoral cutting block for further preparation of the femur. Finally, the rotation of the femur is checked in 90° of flexion by means of ligament tension. If required, the rotation is checked and the flexion gap balanced, respec... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029532 Thu, 30 Jun 2011 23:00:00 +0100 5029532 http://www.medworm.com/index.php?rid=5029531&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21725663%26dopt%3DAbstract Authors: Borisch N, Haußmann P OBJECTIVE: Correction of swan neck deformity at the PIP and DIP joint by reconstruction of the oblique retinacular ligament through palmar transposition of one distally pedicled lateral band (oblique retinacular ligament reconstruction (ORL) = Littler II). INDICATIONS: Rheumatoid swan neck deformity Nalebuff stages I-III (dynamic, partially contracted, contracted). The swan neck deformity should be of articular origin. CONTRAINDICATIONS: Advanced radiologic changes of the PIP joint (Larsen 3-4) [12]. Extrinsic and intrinsic causes of swan neck deformity. Flexor tendon synovitis. SURGICAL TECHNIQUE: Dorsal approach to the PIP joint. One lateral band is sectioned proximally at the level of the musculotendinous junction. It is then isolated from the ex... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029531 Thu, 30 Jun 2011 23:00:00 +0100 5029531 http://www.medworm.com/index.php?rid=5029530&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21725664%26dopt%3DAbstract Authors: Pillukat T, Schädel-Höpfner M, Prommersberger KJ, van Schoonhoven J OBJECTIVE: Treatment of pyogenic flexor tenosynovitis within the osteofibrous channel of the thumb and finger by insertion of a closed irrigation system. INDICATIONS: Pyogenic tenosynovitis of the flexor tendons of the hand. CONTRAINDICATIONS: Necrosis of the flexor tendons or flexor tendon sheath, gangrene of the finger, extensive loss of soft tissue. SURGICAL TECHNIQUE: Insertion of a flexible irrigation catheter via a guide wire into the flexor tendon sheath and a vacuum suction drain into the finger or the palm of the hand. Extensive exploration of the flexor tendon sheath is not mandatory. POSTOPERATIVE MANAGEMENT: On days 0-3 continuous irrigation, on day 4 change of the irrigation catheter to suction,... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029530 Thu, 30 Jun 2011 23:00:00 +0100 5029530 http://www.medworm.com/index.php?rid=5029529&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21728072%26dopt%3DAbstract Authors: van Schoonhoven J PMID: 21728072 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029529 Thu, 30 Jun 2011 23:00:00 +0100 5029529 http://www.medworm.com/index.php?rid=5029528&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21735254%26dopt%3DAbstract Authors: Vorderwinkler KP, Mühldorfer M, Pillukat T, van Schoonhoven J OBJECTIVE: Radical debridement of joint infection, prevention of further infection-related tissue destruction. INDICATIONS: Septic arthritis of interphalangeal joints in the thumb and fingers. CONTRAINDICATIONS: Extensive soft tissue defects. Severe impairment of blood circulation, finger gangrene. Noncompliance for immobilization or for treatment with external fixator. SURGICAL TECHNIQUE: Arthrotomy and irrigation with isotonic solution. Radical tissue debridement. Joint preservation possible only in the absence of infection-related macroscopic cartilage damage. Otherwise, resection of the articular surfaces and secondary arthrodesis. Insertion of antibiotic-coated devices. Temporary immobilization with external f... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029528 Thu, 30 Jun 2011 23:00:00 +0100 5029528 http://www.medworm.com/index.php?rid=5029527&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21751092%26dopt%3DAbstract Authors: Lerch S, Berndt T, Lipka W, Rühmann O OBJECTIVE: The aim of the procedure is arthrodesis of the shoulder by osteosynthesis of the glenohumeral and the acromiohumeral joint each with three screws, which results in preservation of scapulothoracic motion and pain relief. INDICATIONS: Traumatic brachial plexus lesions, palsy in infancy, poliomyelitis with preserved or restorable function of the elbow and the hand. Paralysis of the deltoid muscle and the rotator cuff. Nonrestorable vast defect of the rotator cuff with pseudoparalysis. Chronic infectious arthritis resistant to therapy. Unsuccessful attempts to treat glenohumeral instability. Alternative procedure to shoulder arthroplasty in young patients with omarthrosis, who perform hard physical work. CONTRAINDICATIONS: Insuffic... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=5029527 Thu, 30 Jun 2011 23:00:00 +0100 5029527 http://www.medworm.com/index.php?rid=4984283&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21674182%26dopt%3DAbstract Authors: Trobisch PD, Samdani A, Cahill P, Betz RR OBJECTIVE: Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS). INDICATIONS: Skeletally immature patients (Risser 0 or 1) with IS measuring 20-45° and correction of the curvature <20° on side-bending X-rays. CONTRAINDICATIONS: Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°. SURGICAL TECHNIQUE: Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves. POSTOPERATIVE MANAGEMENT: Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing be... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4984283 Wed, 15 Jun 2011 23:00:00 +0100 4984283 http://www.medworm.com/index.php?rid=4833450&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21547580%26dopt%3DAbstract Oper Orthop Traumatol. 2011 May 7; Authors: Prommersberger KJ PMID: 21547580 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4833450 Fri, 06 May 2011 23:00:00 +0100 4833450 http://www.medworm.com/index.php?rid=4833452&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21541728%26dopt%3DAbstract Authors: Dresing K PMID: 21541728 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4833452 Wed, 04 May 2011 23:00:00 +0100 4833452 http://www.medworm.com/index.php?rid=4833451&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21541729%26dopt%3DAbstract Authors: Elsner A, Barg A, Stufkens S, Knupp M, Hintermann B OBJECTIVE: Treatment of adult instable drop foot by modified Lambrinudi arthrodesis (removal of a wedge between the talus and calcaneus), followed by a posterior tibial tendon transfer to the medial cuneiform in order to provide active dorsiflexion. INDICATIONS: Severe drop foot (of various etiologies) in combination with hindfoot instability. Sufficient function of the posterior tibial muscle. CONTRAINDICATIONS: Neurologic dysfunction of the posterior tibial muscle, infection of foot/hindfoot, Charcot arthropathy, and insufficient patient compliance. RELATIVE CONTRAINDICATIONS: Previous surgery of posterior tibial tendon, critical soft tissues/skin conditions, insufficient neurovascular conditions. SURGICAL TECHNIQUE: Latera... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4833451 Wed, 04 May 2011 23:00:00 +0100 4833451 http://www.medworm.com/index.php?rid=4780801&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21528434%26dopt%3DAbstract Authors: Friedel R, Lenz M, Dönicke T, Hofmann G OBJECTIVE: Pain relief while preserving wrist motion in advanced carpal collapse. INDICATIONS: Advanced carpal collapse stage II/III due to scaphoid non-union, scapholunate ligament tear, idiopathic radiocarpal osteoarthritis, aseptic osteonecrosis of the scaphoid (Preisser's disease). A relative indication is chronic midcarpal instability. CONTRAINDICATIONS: Osteoarthrisis of the lunate. Radiocarpal instability with ulnar translation of the wrist. SURGICAL TECHNIQUE: Dorsal curved incision between the 3rd and 4th dorsal extensor compartment. Partial wrist denervation (posterior interosseous nerve). Raising of a radial pedicled capsule flap. Complete extirpation of the scaphoid without fragmentation. Cartilage removal of all the joint f... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4780801 Thu, 28 Apr 2011 23:00:00 +0100 4780801 http://www.medworm.com/index.php?rid=4675120&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21455740%26dopt%3DAbstract Authors: Hendrickx RP, Kerkhoffs GM, Stufkens SA, van Dijk CN, Marti RK OBJECTIVE: Reliable fusion and optimal correction of the alignment of the ankle joint using a 2-incision, 3-screw technique. INDICATIONS: Symptomatic osteoarthritis of the ankle joint after insufficient other treatment, severe deformity of the osteoarthritic ankle joint, or salvation procedure after failed arthroplasty. CONTRAINDICATIONS: Active osteomyelitis, very poor soft tissues, or severe peripheral arterial occlusive disease. SURGICAL TECHNIQUE: Osteotomy and excision medial malleolus. Osteotomy, dislocation, and denudation of the distal fibula. Osteotomy of distal tibia and talus in the desired position for optimal alignment. Temporary tibiotalar fixation with two Weber reposition clamps. Final tibiotalar fi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4675120 Fri, 01 Apr 2011 23:00:00 +0100 4675120 http://www.medworm.com/index.php?rid=4675119&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21455741%26dopt%3DAbstract Authors: Goebel S, Steinert A, Rucker A, Rudert M, Barthel T OBJECTIVE: Retrograde drilling for penetration of subchondral sclerotic bone in osteochondrosis dissecans (OCD) of the femoral condyle with preserved cartilage integrity. Hereby, revascularization of the OCD and immigration of bone marrow cells to achieve stable reintegration of the OCD into the surrounding subchondral bone. INDICATIONS: Stable juvenile and adult osteochondrosis dissecans (stage I-II of the International Cartilage Repair Society (ICRS) classification) of the medial and lateral femoral condyle with an intact articular surface and surrounding sclerosis zone, which is visible in the x-ray. CONTRAINDICATIONS: OCD stage III-IV of the ICRS grading scale. Relative contraindication: preceding retrograde drilling. S... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4675119 Fri, 01 Apr 2011 23:00:00 +0100 4675119 http://www.medworm.com/index.php?rid=4675118&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21455742%26dopt%3DAbstract Authors: Szalay G, Schleicher I, Schiefer UR, Alt V, Schnettler R OBJECTIVE: Anatomical reposition and stabilization of dorsal distal phalanx fractures with a hook plate. INDICATIONS: Dislocated mallet fractures type Doyle IVb with dislocation of the fragment by more than 2 mm and/or tilting of the fragment as well as dislocation of the dorsal distal phalanx fractures type Doyle IVc. CONTRAINDICATIONS: Florid inflammation of and injuries to the soft tissues in the operation area. SURGICAL TECHNIQUE: Dorsal approach to the distal interphalangeal joint (Y-, S-, H-shaped). Preparation of the fragment, cleaning the fracture gap, repositioning of the fragment, mounting of the plate, placing the screw. Controlling by image converter. Suture of the skin; tape. POSTOPERATIVE MANAGEMENT: Stack... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4675118 Fri, 01 Apr 2011 23:00:00 +0100 4675118 http://www.medworm.com/index.php?rid=4675117&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21455743%26dopt%3DAbstract Authors: Mühldorfer-Fodor M, Hohendorff B, Prommersberger KJ, van Schoonhoven J PROBLEM: For shortening osteotomy, two exactly parallel osteotomies are needed to assure a congruent adaption of the shortened bone after segment resection. This is required for regular bone healing. In addition, it is difficult to shorten a bone to a precise distance using an oblique segment resection. SOLUTION: A mobile spacer between two saw blades keeps the distance of the blades exactly parallel during an osteotomy cut. The parallel saw blades from Synthes® are designed for 2, 2.5, 3, 4, and 5 mm shortening distances. Two types of blades are available (e.g., for transverse or oblique osteotomies) to assure precise shortening. SURGICAL TECHNIQUE: Preoperatively, the desired type of osteotomy (transve... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4675117 Fri, 01 Apr 2011 23:00:00 +0100 4675117 http://www.medworm.com/index.php?rid=4554407&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21340447%26dopt%3DAbstract Authors: Jäger C, Zeichen J OBJECTIVE: Decompression of all four muscle compartments of the lower leg to normalize tissue pressure and prevent permanent neuromuscular dysfunction. INDICATIONS: Incipient compartment syndrome (characterized by excessive pain, muscle pain on extension, tensely swollen and shiny skin, and Δp>30 mmHg without neuromuscular deficit) and no clinical improvement after conservative treatment and/or acute compartment syndrome (symptoms as for incipient compartment syndrome with neuromuscular deficit and Δp<30 mmHg). CONTRAINDICATIONS: None. There is some dispute about indications and timing of fasciotomy and necrectomy when the need for dermatofasciotomy is recognized late (e.g. intubated intensive care patients). SURGICAL TECHNIQUE: In unilateral comp... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554407 Tue, 01 Feb 2011 00:00:00 +0100 4554407 http://www.medworm.com/index.php?rid=4554406&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21344226%26dopt%3DAbstract Authors: Hube R, Matziolis G, Kalteis T, Mayr HO OBJECTIVE: The surgical goal is to achieve a pain free and stable knee joint after revision total knee arthroplasty in three steps. An important component of the technique is the reproducible restoration of the joint line. INDICATIONS: Revision total knee arthroplasty. CONTRAINDICATIONS: Complete bone loss at the knee joint (epicondyles and tibia plateau), persistent joint infection, loss of the extension apparatus, and neurological disease with progressive ligament instability. SURGICAL TECHNIQUE: Implantation of revision components is performed in three steps. The first step is the positioning of the tibia component at the correct height and rotation. As the position of the tibial articular surface is independent of the knee position, ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554406 Tue, 01 Feb 2011 00:00:00 +0100 4554406 http://www.medworm.com/index.php?rid=4554405&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21344227%26dopt%3DAbstract Authors: Dresing K Orthopedic and especially trauma surgeons' use of x-rays during operations vary extensively, especially in minimally invasive osteosynthesis procedures. Radiation hazards often are neglected. In this paper, a short overview of physical and biological effects of radiation are given. In addition, practical information about how to lower radiation exposure in the daily work in the operating room (OR) is given. The operating team is exposed mainly to scattered radiation. The radiation exposure is 10 times higher on the tube side than on the amplifier side. The distance between tube and surgeon must be as great as possible. The tube should be positioned under the OR table, and the distance between tube and patient should be as short as possible. The positioning of the C-a... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554405 Tue, 01 Feb 2011 00:00:00 +0100 4554405 http://www.medworm.com/index.php?rid=4554404&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21359627%26dopt%3DAbstract Oper Orthop Traumatol. 2011 Feb;23(1):4 Authors: Blauth M PMID: 21359627 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554404 Tue, 01 Feb 2011 00:00:00 +0100 4554404 http://www.medworm.com/index.php?rid=4554403&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21359628%26dopt%3DAbstract Authors: Waizy H, Stukenborg-Colsman C, Abbara-Czardybon M, Emmerich J, Windhagen H, Frank D OBJECTIVE: Maintaining the corrected position of the first metatasophalangeal axis. Reducing postoperative stiffness by forgoing a medial capsular shift. INDICATIONS: Hallux valgus deformities or recurrent hallux valgus deformities. CONTRAINDICATIONS: Existing osteoarthritis, joint stiffness, large bone defects, osteonecrosis. General medical contraindications to surgical interventions and anesthesiological procedures. SURGICAL TECHNIQUE: Operation under regional anesthesia (foot block) or general anesthesia. Tourniquet. Longitudinal skin incision medial over the pseudexostosis of the first metatarsal bone. Preparing the tendon of the Musculus abductor hallucis. Detaching the tendon from the ca... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554403 Tue, 01 Feb 2011 00:00:00 +0100 4554403 http://www.medworm.com/index.php?rid=4554402&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21359629%26dopt%3DAbstract Authors: Walther M, Simons P, Nass K, Röser A OBJECTIVE: Treatment of hallux valgus in patients with a pathology of the first metatarsocuneiform (MC) joint by a fusion of the first MC fixed by a plantar plate. The plantar plate has biomechanical advantages and has good soft tissue coverage by the M. abductor hallucis. INDICATIONS: Instability or degenerative arthritis of the first MC joint in patients with hallux valgus. CONTRAINDICATIONS: Short first metatarsal. SURGICAL TECHNIQUE: Bone-saving resection of the first MC joint. Arthrodesis using a compression screw and a plantar interlocking plate. Distal soft tissue procedure and resection of the exostosis. POSTOPERATIVE MANAGEMENT: For 6 weeks, a long sole, post-operative shoe with weight bearing as pain allows. Mobilization of the... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4554402 Tue, 01 Feb 2011 00:00:00 +0100 4554402 http://www.medworm.com/index.php?rid=4289372&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153523%26dopt%3DAbstract Authors: Köhler D, Pohlemann T OBJECTIVE : Evacuation of haematoma, haemostasis, reduction of dead space by vacuum systems for minimisation of secondary complications as full skin necrosis and deep infections, secondary wound closure. INDICATIONS : Morel-Lavallée lesion (MLL). All larger epifascial haematomas. CONTRAINDICATIONS : None. SURGICAL TECHNIQUE : Central longitudinal incision, detection of the subcutanous extent of the haematoma, transection of the full length of the lesion, haemostasis, debridement, application of vacuum systems, secondary wound closure or splitskin coverage. POSTOPERATIVE MANAGEMENT : Vacuum therapy must be continued until secretions are less than 30 ml/24 h. Negative bacterial culture before wound closure is imperative. Daily change of wound dressings, f... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289372 Fri, 10 Dec 2010 00:00:00 +0100 4289372 http://www.medworm.com/index.php?rid=4289371&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153524%26dopt%3DAbstract Authors: Richter M, Zech S OBJECTIVE : Suchondral decompression and revascularization in Osteochondrosis dissecans (OCD) of the talus with cartilage preservation. INDICATIONS : Symptomatic talar OCD stadium I and II, i.e. cartilage intact or almost intact. CONTRAINDICATIONS : Talar OCD stage III and IV, i.e. cartilage not intact. SURGICAL TECHNIQUE : Diagnostic ankle arthroscopy. Insertion of Dynamic Reference Base (DRB) in the talar neck through a stab incision. 3D-image acquisition and planning of the drilling. Navigated drilling with a 5 mm drill. Insertion of a 1 mm titanium wire into the canal and 3D image acquisition for evaluation of the canal. Autologous cancellous bone transplantation into the canal. Arthroscopic evaluation. POSTOPERATIVE MANAGEMENT : 15 kg partial weight bear... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289371 Fri, 10 Dec 2010 00:00:00 +0100 4289371 http://www.medworm.com/index.php?rid=4289370&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153525%26dopt%3DAbstract Authors: Richter M OBJECTIVE : Restoration of a stable and plantigrade foot in deformities at the midfoot (between Chopart and tarsometatarsal [TMT] joint) and/or TMT joint and concomitant degenerative changes. INDICATIONS : Deformities and concomitant degenerative changes at the midfoot and/or TMT joint. CONTRAINDICATIONS : Active local infection or relevant arterial insufficiency. SURGICAL TECHNIQUE : Supine position and dorsomedian and dorsolateral approach to the midfoot and TMT joint. Placement of Dynamic Reference Bases (DRB) in talus and distal shaft of 1st metatarsal. 2D-image acquisition for navigation. Definition of axes of talus and 1st metatarsal, and of the extent of correction. Exposition of midfoot and TMT joints and removal of remaining cartilage. Transplantation of aut... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289370 Fri, 10 Dec 2010 00:00:00 +0100 4289370 http://www.medworm.com/index.php?rid=4289369&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153526%26dopt%3DAbstract Authors: Richter M OBJECTIVE : Restoration of a stable and plantigrade foot in deformities at ankle and/or hindfoot and concomitant degenerative changes at the ankle and subtalar joint. INDICATIONS : Deformities at ankle and/or hindfoot and concomitant degenerative changes at the ankle and subtalar joint. CONTRAINDICATIONS : Active local infection or relevant arterial insufficiency. SURGICAL TECHNIQUE : Prone position and posterolateral approach to ankle and subtalar joint. Placement of Dynamic Reference Bases (DRB) in tibia and through the approach in the talus or calcaneus through a stab incision. 2D-image acquisition for navigation. Definition of axes of tibia, calcaneus and hindfoot, and of extent of correction. Exposition of ankle and subtalar joint and removal of remaining cartil... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289369 Fri, 10 Dec 2010 00:00:00 +0100 4289369 http://www.medworm.com/index.php?rid=4289386&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153004%26dopt%3DAbstract Oper Orthop Traumatol. 2010 Nov;22(5-6):453 Authors: Mayer M PMID: 21153004 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289386 Mon, 01 Nov 2010 00:00:00 +0100 4289386 http://www.medworm.com/index.php?rid=4289385&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153005%26dopt%3DAbstract Authors: Mayer HM, Siepe C, Korge A OBJECTIVE : Mono- or bisegmental atraumatic microsurgical approach to the anterior cervical spine between C3 and C7 for total disc replacement. INDICATIONS : 'Soft' disc herniations C3-C7 with radicular symptoms. Ossified 'hard' disc herniations with preserved segmental motion. Erosive osteochondrosis with signs of activation (MRI: Modic I changes) and neck pain. Relative Indication: Adjacent segment degeneration following fusion. CONTRAINDICATIONS : Thyromegalie. Multiple previous cervical operations. Other implant-specific contraindications: Anterior osteophytes. Range of Motion (ROM) less than 5° (flexion/extension). Segmental collapse. Endplate anomalies (e.g. excessive concavity of cranial endplate). Endplate defects (e.g. Schmorl's nodes). Cer... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289385 Mon, 01 Nov 2010 00:00:00 +0100 4289385 http://www.medworm.com/index.php?rid=4289384&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153006%26dopt%3DAbstract Authors: Weber F, Detzner M OBJECTIVE : Treatment of radicular or myelopathic symptoms of the vertebral segments from C2 through Th1. INDICATIONS : Discogenic and/or spondylotic radiculopathy. Acute myelopathy. Acute or progressive functional neurological deficit. Persistent pain resistant toward conservative treatment for > 6 weeks. CONTRAINDICATIONS : Chronic myelopathy. Spondylotic myelopathy. Infection. Tumor in the vertebral segment. Ossification of the posterior longitudinal ligament (OPLL). Metabolic bone disease. Osteoporosis. Long-lasting steroid medication. Allergy to titanium, polyurethane and ethylene oxide. Bekhterev's disease. Bony segmental fusion. Instability. SURGICAL TECHNIQUE : Using the Bryan Cervical Disc Template Set together with magnetic resonance or computer... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289384 Mon, 01 Nov 2010 00:00:00 +0100 4289384 http://www.medworm.com/index.php?rid=4289383&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153007%26dopt%3DAbstract Authors: Korge A, Siepe CJ, Heider F, Mayer HM OBJECTIVE : Dynamic intervertebral support of the cervical spine via an anterolateral approach using a modular artificial disk prosthesis with end-plate fixation by central keel fixation. INDICATIONS : Cervical median or mediolateral disk herniations, symptomatic cervical disk disease (SCDD) with anterior osseous, ligamentous and/or discogenic narrowing of the spinal canal. CONTRAINDICATIONS : Cervical fractures, tumors, osteoporosis, arthrogenic neck pain, severe facet degeneration, increased segmental instability, ossification of posterior longitudinal ligament (OPLL), severe osteopenia, acute and chronic systemic, spinal or local infections, systemic and metabolic diseases, known implant allergy, pregnancy, severe adiposity (body mass i... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289383 Mon, 01 Nov 2010 00:00:00 +0100 4289383 http://www.medworm.com/index.php?rid=4289382&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153008%26dopt%3DAbstract Authors: Mayer HM, Zentz F, Siepe C, Korge A SURGICAL GOAL : Surgical treatment of dynamic lumbar spinal stenosis and discogenic/arthrogenic low back pain with a new percutaneous interspinous spacer as a therapeutic alternative to more invasive standard procedures. INDICATIONS : Central, lateral and foraminal dynamic lumbar spinal stenosis. Discogenic and arthrogenic (facet osteoarthritis) low back pain. Symptomatic, segmental hyperlordosis. Disc degeneration with dynamic (reducible) retrolisthesis. Interspinous pain ('Kissing-Spines'). CONTRAINDICATIONS : Osteoporosis. Conus-/Cauda-syndrome. Structural spinal stenosis. Spondylolisthesis (degenerative and/or isthmic). Deformities. Previous posterior operation in index segment. SURGICAL TECHNIQUE : Percutanous, minimally invasive implan... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289382 Mon, 01 Nov 2010 00:00:00 +0100 4289382 http://www.medworm.com/index.php?rid=4289381&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153009%26dopt%3DAbstract [Interspinous implant "InSWing®" for the lumbar spine.] Oper Orthop Traumatol. 2010 Nov;22(5-6):512-523 Authors: Pfeiffer M OBJECTIVE : Interspinous stabilization and, if desired, posterior spreading of the functional spinal unit (FSU). INDICATIONS : Symptomatic spinal stenosis with or without concomitant degeneration of the lumbar spine above L5/S1. Relative Indications: Mass prolapse of the lumbar intervertebral disc, for stabilization of the FSU together with removal of the prolapse/sequester. Symptomatic recurrent stenosis after stand-alone decompression surgery, for prevention of re-stenosis in the same segment. Topping-off during fusion surgery for a more physiological introduction of loads into the adjacent segment. CONTRAINDICATIONS : Lack of operability and sustainanc... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289381 Mon, 01 Nov 2010 00:00:00 +0100 4289381 http://www.medworm.com/index.php?rid=4289380&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153010%26dopt%3DAbstract Authors: Siepe CJ, Heider F, Beisse R, Mayer HM, Korge A OBJECTIVE : Indirect decompression of the spinal canal and the neuroforamina by means of interspinous process distraction and limitation of extension movements. Reduction of forces acting on the posterior joint structures of a functional spinal unit (posterior anulus, facet joints, intervertebral discs). INDICATIONS : Primary indication: Spinal claudication with improvement of the clinical symptomatology upon taking an inclined position. Secondary indication: Low back pain in the presence of accompanying retrolisthesis. Hyperlordosis Facet joint complaints Annulus lesions with high intensity zones (HIZ) M. Baastrup ("kissing spine"). Adjacent segment preservation (e.g. prophylaxis of recurrent disc herniation after discectomy or ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289380 Mon, 01 Nov 2010 00:00:00 +0100 4289380 http://www.medworm.com/index.php?rid=4289379&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153011%26dopt%3DAbstract Authors: Richolt JA, Rauschmann MA, Schmidt S OBJECTIVE : This surgical procedure addresses the reduction of spinal stenoses as a short-term result. In the long run, prevention of recurrent narrowing of the spinal canal and the development of sciatic pain is the goal by taking load from the facet joint and indirect extension of the neuroforamina. This is achieved by interspinous distraction of the described spacer. In addition, this implant leads to a dynamic limitation of a spinal motion segment. INDICATIONS : Spinal stenosis in conjunction with moderate spondylarthrosis without signs of spondylolisthesis (> Meyerding 1°). Other indications are revisions after nucleotomies and primary nucleotomies in cases of massive disk hernia. CONTRAINDICATIONS : Segmental instabilities (degene... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289379 Mon, 01 Nov 2010 00:00:00 +0100 4289379 http://www.medworm.com/index.php?rid=4289378&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153012%26dopt%3DAbstract Authors: Schwarzenbach O, Berlemann U OBJECTIVE : The dynamic neutralization system for the spine (DYNESYS®) is a pedicle screw based system intending mobile restabilization substituting physiological tissue restraints and thus approximating the unstable motion pattern to a normal pattern. It consists of titanium alloy screws, connected by an elastic synthetic compound (PET band and PCU spacer) controlling motion in any plane. DYNESYS® can be used for mono- or multilevel stabilizations in the lumbar spine. INDICATIONS : DYNESYS® is indicated in the treatment of degenerative disease of the lumbar motion segment with instability and most often in combination with functional or structural spinal canal stenosis. CONTRAINDICATIONS : Primary and secondary bone tumors of the spine. Spinal ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289378 Mon, 01 Nov 2010 00:00:00 +0100 4289378 http://www.medworm.com/index.php?rid=4289377&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153013%26dopt%3DAbstract Authors: von Strempel A OBJECTIVE : Stabilization of unstable motion segments with a stable but non-rigid implant system without an additional spondylodesis. INDICATIONS : Neurogenic claudication with instability; discogenic pain; in combination with a fusion (hybrid technique); elongation of a preexisting fusion; second recurrence of a herniated disk. CONTRAINDICATIONS : Increased instability; correction and reduction; instrumentation of more than three levels. SURGICAL TECHNIQUE : Muscle-sparing approach to the posterior lumbar spine under anteroposterior and lateral image control. Use of special instruments with a slotted sleeve connected to the screw head for rod implantation. Alternatively: conventional midline approach with detachment of muscles from the posterior spine. POSTOPER... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289377 Mon, 01 Nov 2010 00:00:00 +0100 4289377 http://www.medworm.com/index.php?rid=4289376&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153014%26dopt%3DAbstract Authors: Mehren C, Korge A, Siepe C, Grochulla F, Mayer HM OBJECTIVE : To describe a minimally invasive midline approach, retroperitoneal or transperitoneal, to the lumbar spinal levels L2-L5. INDICATIONS : Degenerative disc disease (DDD) with or without disc herniation that may require a total lumbar disc replacement; also for fusion-cases like degenerative instability, tumors, isthmic and degenerative spondylolisthesis of all grades (after dorsal reduction), fractures, spondylodiscitis, failed back syndrome (pseudarthrosis, post-discectomy) CONTRAINDICATIONS : Relative contraindications are previous abdominal surgeries; aortic bifurcation and/or venous confluens directly in front of the disc space L4/5; infections with the formation of a large prevertebral granulation tissue or psoas... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289376 Mon, 01 Nov 2010 00:00:00 +0100 4289376 http://www.medworm.com/index.php?rid=4289375&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153015%26dopt%3DAbstract Authors: Korge A, Siepe C, Mehren C, Mayer HM OBJECTIVE : Minimally invasive anterior preparation of the lumbosacral junction L5/S1 via a retro- or transperitoneal approach, possibility of intervertebral mono- or bisegmental rigid (cage, bone graft) or dynamic (disc arthroplasty) segmental stabilization. INDICATIONS : Degenerative disc disease (DDD) with or without disc herniation. DDD with translatoric or frontal instability. Degenerative or isthmic spondylolisthesis. Adjacent segment degeneration post fusionem. Failed back surgery syndrome (post discectomy, non-union). Spinal stenosis with dynamic segmental instability. Spondylitis/spondylodiscitis. CONTRAINDICATIONS : Previous transperitoneal lumbar fusion surgery. Adipositas permagna. Relative: Previous abdominal or gynaecological ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289375 Mon, 01 Nov 2010 00:00:00 +0100 4289375 http://www.medworm.com/index.php?rid=4289374&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153016%26dopt%3DAbstract Authors: Ogon M, Tuschel A OBJECTIVE : Improvement of chronic low back pain caused by degenerative disc disease. Maintenance of motion in the treated segment. Reduction of possible adjacent-segment degeneration. INDICATIONS : Chronic low back pain, resistant to conservative therapy due to painful degeneration of the intervertebral disks ("degenerative disk disease"). CONTRAINDICATIONS : Spondylolisthesis, scoliosis, osteoporosis, infection, spinal stenosis, degeneration of the vertebral articulations, (pathologic) fractures. SURGICAL TECHNIQUE : The intervertebral disk is removed via an anterior (Prodisc- L) or anterolateral (Prodisc-O) approach. The segment is sufficiently mobilized, if necessary, by release of the posterior longitudinal ligament. After end-plate preparation, a groove... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289374 Mon, 01 Nov 2010 00:00:00 +0100 4289374 http://www.medworm.com/index.php?rid=4289373&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21153017%26dopt%3DAbstract Authors: Wiechert K Due to its modular design, the Activ-L total disc replacement (B. Braun/Aesculap, Tuttlingen, Germany) allows for a flexible anchoring concept either with spikes or one or two keels. It has a semiconstraint design which allows for some movement of a UHMWPE inlay. The minimal invasive surgical technique is highly standardized. Early clinical results are comparable to established disc-replacement devices. OBJECTIVE : Aim of the surgery is lasting pain relief and complete restauration of segmental mobility without affection of adjacent motion segments. INDICATIONS : Mono- or multisegmental lumbar disc degeneration leading to low-back pain, refractory to conservative treatment. CONTRAINDICATIONS : Infections of vertebra or disc-space, fractures, prior fusion surgery of ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4289373 Mon, 01 Nov 2010 00:00:00 +0100 4289373 http://www.medworm.com/index.php?rid=4070865&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931314%26dopt%3DAbstract Authors: Petersen W PMID: 20931314 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070865 Thu, 30 Sep 2010 23:00:00 +0100 4070865 http://www.medworm.com/index.php?rid=4070864&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931315%26dopt%3DAbstract Authors: Yastrebov O, Lobenhoffer P OBJECTIVE: Posteromedial approach to the knee. Exact reduction and fixation of avulsed tibial attachment of posterior cruciate ligament with small-fragment plate. INDICATIONS: Avulsed tibial attachment of posterior cruciate ligament. CONTRAINDICATIONS: Ligamentous rupture of the posterior cruciate ligament. Local soft-tissue problems. SURGICAL TECHNIQUE: Posteromedial approach with mobilization and retraction of the medial gastrocnemius muscle. Subperiosteal detachment of the popliteal muscle. Identification of fracture site. Longitudinal incision of the posterior capsule of the knee. Debridement of the fracture site, reposition and stabilization with small-fragment plate. POSTOPERATIVE MANAGEMENT: Partial weight bearing with 15 kg for 6 weeks, limit... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070864 Thu, 30 Sep 2010 23:00:00 +0100 4070864 http://www.medworm.com/index.php?rid=4070863&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931316%26dopt%3DAbstract Authors: Petersen W, Zantop T OBJECTIVE: Restoration of the function of the posterior cruciate ligament (PCL). INDICATIONS: Chronic posterior instability with posterior tibial translation of >10 mm. CONTRAINDICATIONS: Fixed posterior drawer, local infections at the knee joint, local soft-tissue damage, poor compliance of the patient. SURGICAL TECHNIQUE: Surgery starts with arthroscopic examination of the knee joint and therapy of associated injuries (meniscus and cartilage injuries). Harvesting of the semitendinosus and gracilis tendons is performed via a 3 cm long skin incision 1 cm distally and medially of the tibial tuberosity. The tendons are folded to a four- or five-stranded graft with a minimum length of 10 cm. The femoral tunnel for the graft is drilled via a deep anterolate... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070863 Thu, 30 Sep 2010 23:00:00 +0100 4070863 http://www.medworm.com/index.php?rid=4070862&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931317%26dopt%3DAbstract Authors: Zantop T, Petersen W OBJECTIVE: Posterolateral soft-tissue reconstruction to restore knee kinematics in isolated or combined posterolateral instabilities. INDICATIONS: Isolated or multiligament knee injuries with posterolateral insufficiency (popliteus tendon, lateral collateral ligament [LCL], popliteofibular ligament). CONTRAINDICATIONS: Arthrofibrosis. Severe varus deformity. Fixed posterior drawer. Doubts about compliance. SURGICAL TECHNIQUE: Graft harvest of semitendinosus tendon. In cases with multiligament reconstruction or associated posterior cruciate ligament (PCL) reconstruction contralateral graft harvest. Suture at 24 cm with baseball stitches using biodegradable material. Two-incision technique: one over the fibular head, one over the lateral epicondyle. Dissecti... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070862 Thu, 30 Sep 2010 23:00:00 +0100 4070862 http://www.medworm.com/index.php?rid=4070861&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931318%26dopt%3DAbstract Authors: Rauch AC, Schöttle PB, Beitzel K, Imhoff AB OBJECTIVE: To improve the posterior translational stability of the knee joint by anatomic reconstruction of the posterior cruciate ligament in double-bundle technique. The functional bundles are reconstructed by native grafts from semitendinosus and gracilis muscles. The grafts are fixed with bioabsorbable screws in aperture technique. INDICATIONS: Symptomatic tears of the posterior cruciate ligament (classification by Harner) or chronic posterior or posterolateral instabilities; combined instabilities may need extended operative procedure. CONTRAINDICATIONS: Open growth plate. Fixed posterior drawer position. Nonjustifiable operative risks. Decline of the operation by the patient. Noncompliance. SURGICAL TECHNIQUE: Graft harvest of... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070861 Thu, 30 Sep 2010 23:00:00 +0100 4070861 http://www.medworm.com/index.php?rid=4070860&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931319%26dopt%3DAbstract Authors: Richter M OBJECTIVE: Restoration of a stable and plantigrade foot in deformities at the hindfoot and concomitant degenerative changes at the subtalar joint. INDICATIONS: Deformities at the hindfoot and concomitant degenerative changes at the subtalar joint. CONTRAINDICATIONS: Active local infection or relevant vascular insufficiency. SURGICAL TECHNIQUE: Prone position and posterolateral approach to the subtalar joint. Placement of dynamic reference bases in talus and calcaneus through stab incisions. Two-dimensional image acquisition for navigation. Definition of the axes of talus and calcaneus, and of the extent of correction. Exposure of the subtalar joint and removal of remaining cartilage. Computer- assisted surgery-(CAS-)guided correction and transfixation of the correcte... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070860 Thu, 30 Sep 2010 23:00:00 +0100 4070860 http://www.medworm.com/index.php?rid=4070859&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931320%26dopt%3DAbstract Authors: Wardak MM, Wardak E OBJECTIVE: To perform minimally invasive periosteum-preserving osteotomy using a Gigli saw. INDICATIONS: Lengthening and deformity correction of any long bone. CONTRAINDICATIONS: Local sepsis or very poor soft-tissue condition at the desired site of osteotomy. SURGICAL TECHNIQUE: The desired site is selected, and two 1–2 cm long longitudinal incisions opposite to each other are made. After subperiosteal dissection, two curved Kocher forceps are passed. The Gigli saw is held with one of them and then taken out from the opposite site with the help of the other forceps. Osteotomy is performed with back and forth reciprocal movements, taking care of the soft-tissue sleeve surrounding the osteotomy site. RESULTS: Since 1980, the authors have performed thousand... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070859 Thu, 30 Sep 2010 23:00:00 +0100 4070859 http://www.medworm.com/index.php?rid=4070858&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931321%26dopt%3DAbstract Authors: Röttinger H OBJECTIVE: Hip replacement with reduction of operative trauma. Thereby earlier mobilization and faster rehabilitation time compared with conventional techniques. No restrictions with regard to exposure of femur and acetabulum. INDICATIONS: Primary total hip arthroplasty. With experience also applicable in revisions. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Patient in lateral position with fixed pelvis. Leg support for the leg being operated and modified leg support for the contralateral side on the operating table. Special retractors and instruments are advisable. Skin incision over the anterior portion of the greater trochanter slightly curved then over the muscular interval between gluteus medius and tensor fasciae latae. Fascia incision. Preparation of ante... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070858 Thu, 30 Sep 2010 23:00:00 +0100 4070858 http://www.medworm.com/index.php?rid=4070857&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931322%26dopt%3DAbstract Authors: Kundert HP THE PROBLEM: Individual optimized positioning of arthrodesis of the first metatarsophalangeal joint (fusion of MTP1 joint) as well as presumable shortage of the first ray using precalculated osteotomies often unpredictable. THE SOLUTION: Preparation of accurately fitting broad contact surfaces for MTP1 joint fusion with maximum flexibility of intraoperative decision-making for an optimized position. ADVANTAGES OF THE INSTRUMENTS: Semi-open or open systems of motor powered Cup & Cone reamers allow removal of remaining cartilage intended for MTP1 joint fusion with checkable shortage of the first ray, creation of exactly congruent concave-convex surfaces for an optimized position of MTP1 joint fusion. SURGICAL TECHNIQUE: Medial longitudinal incision for exposure of... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070857 Thu, 30 Sep 2010 23:00:00 +0100 4070857 http://www.medworm.com/index.php?rid=4070856&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20931323%26dopt%3DAbstract Authors: Jokuszies A, Niederbichler AD, Hirsch N, Kahlmann D, Herold C, Vogt PM OBJECTIVE: Soft-tissue defect closure of the volar and dorsal aspect of the hand and lower arm with a maximum defect size of 10 × 25 cm. INDICATIONS: Soft-tissue defects of the entire palm and dorsum of the hand and lower arm with a maximum defect size of 10 × 25 cm. CONTRAINDICATIONS: Polytraumatized patients presenting with concomitant life-threatening injuries. In these cases one should perform the definite defect closure secondary after cardiovascular stabilization. Scars and vascular injury at the donor site. Lack of vascularity and necrosis of implantation site. Poorly vascularized recipient site (e.g. after radiation) Infection and necrosis at the donor and/or recipient site. Prior operations of th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=4070856 Thu, 30 Sep 2010 23:00:00 +0100 4070856 http://www.medworm.com/index.php?rid=3817245&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676818%26dopt%3DAbstract Oper Orthop Traumatol. 2010 Jul;22(3):231 Authors: Fink B PMID: 20676818 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817245 Wed, 30 Jun 2010 23:00:00 +0100 3817245 http://www.medworm.com/index.php?rid=3817244&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676819%26dopt%3DAbstract Authors: Rudert M, Holzapfel BM, Kratzer F, Gradinger R OBJECTIVE : Management of primary or secondary acetabular bone loss (D'Antonio type I-IV ). Implantation and stable fixation using a cementless, cranially extended oval press-fit cup to restore painless joint function and loading capacity. INDICATIONS : Septic or aseptic loosening of the acetabular component after total hip arthroplasty. Acetabular bone loss after tumor resection. Primary acetabular bone defects in developmental dysplasia of the hip. CONTRAINDICATIONS : Persistent deep infection. Bone defects including the parts of the iliac bone adjoining the sacrum (fixation of the stem in the ilium is not possible any more). SURGICAL TECHNIQUE : Complete exposure of the acetabular defect using a standard approach. Removal of th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817244 Wed, 30 Jun 2010 23:00:00 +0100 3817244 http://www.medworm.com/index.php?rid=3817243&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676820%26dopt%3DAbstract Authors: Fink B, Grossmann A, Sebena P OBJECTIVE : Replacement of a loosened acetabular cup attended by massive bone defects involving both columns. Acetabular restoration and proof fixation of a new acetabular cup to restore a pain-free joint function. INDICATIONS : Segmental acetabular bone defects involving both columns (Paprosky type 3A, 3B) with loosened acetabular cup or a Girdlestone situation. In case of pelvic discontinuity (Paprosky type 4) combination with reconstructive osteosynthesis plates (for example, Synthes company, Bochum, Germany). CONTRAINDICATIONS : In cases of complete absence of the posterior and especially cranioposterior column combination with structural allograft reconstruction necessary. Relative: acetabular defects, that can be reconstructed by other, smal... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817243 Wed, 30 Jun 2010 23:00:00 +0100 3817243 http://www.medworm.com/index.php?rid=3817242&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676821%26dopt%3DAbstract Authors: Hasart O, Perka C, Lehnigk R, Tohtz S OBJECTIVE : Revision of cup and reconstruction of original center of rotation. High primary and secondary stability. Prevention of additional bone loss. INDICATIONS : Osseous defects at the anterior-cranial, cranial and posterior-cranial rim of acetabulum. Larger cavitary, medial or oval defects (Paprosky IIb-IIIb). Segmental defects (anterior column up to half of host bone, posterior column up to one third of host bone). CONTRAINDICATIONS : Infection of total hip arthroplasty. Pelvic discontinuity (Paprosky IV). SURGICAL TECHNIQUE : Exposure of acetabulum and detection of defects. Complete removal of soft tissue from acetabulum, reaming of sclerotic bone, if necessary. Adaptation of trial augments to close an oval defect to a round defect... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817242 Wed, 30 Jun 2010 23:00:00 +0100 3817242 http://www.medworm.com/index.php?rid=3817241&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676822%26dopt%3DAbstract Authors: Burkhart KJ, Müller LP, Schwarz C, Mattyasovszky SG, Rommens PM OBJECTIVE : Therapy of comminuted intraarticular distal humerus fractures in elderly patients with primary total elbow arthroplasty to achieve stable and painless function. Use of "third-generation" elbow prosthesis with the following options: - linked total elbow arthroplasty, - unlinked total elbow arthroplasty, - either with or without radial head replacement, - hemiarthroplasty. INDICATIONS : Comminuted intraarticular distal humerus fractures with poor bone quality, in which stable osteosynthesis is impossible. Failure of internal fixation without the technical possibility of revision osteosynthesis. Posttraumatic osteoarthritis or rheumatoid arthritis. CONTRAINDICATIONS : Open fractures (Gustilo-Anderson t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817241 Wed, 30 Jun 2010 23:00:00 +0100 3817241 http://www.medworm.com/index.php?rid=3817240&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676823%26dopt%3DAbstract Authors: Grochulla F, Mehren C, Siepe C, Korge A, Michael Mayer H OBJECTIVE : The aims of laminoplasty are to expand the spinal canal, to secure spinal stability, and to preserve the protective function of the spine. Preservation of mobility is also a goal of this procedure for multiple-level involvement. INDICATIONS : Multisegmental spondylotic myelopathy with a relatively narrow spinal canal (anteroposterior spinal canal diameter < 13 mm). CONTRAINDICATIONS : Spinal instability. Kyphotic cervical spine. SURGICAL TECHNIQUE : Prone positioning of the patient. Three-point pin fixation device such as Mayfield tongs to secure the head. Midline posterior approach to the spine. Exposure of the laminae and the spinous processes. Opening and expanding of the spinal canal, decompression of ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817240 Wed, 30 Jun 2010 23:00:00 +0100 3817240 http://www.medworm.com/index.php?rid=3817239&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676824%26dopt%3DAbstract Authors: Schnurr C, Nessler J, Koebke J, Michael JW, Eysel P, König DP OBJECTIVE : Precise implantation of hip resurfacing arthroplasty by imageless computer navigation. Hence a malalignment of the femoral component, leading to early loss of the implant, can safely be avoided. INDICATIONS : Coxarthrosis in patients with normal bone mineral density; only minor deformity of the femoral head that enables milling around the femoral neck without notching. CONTRAINDICATIONS : Osteoporosis; large necrosis of the femoral head; metal allergy; small acetabular seat and corresponding wide femoral neck, leading to needless acetabular bone loss; pregnancy, lactation. SURGICAL TECHNIQUE : Hip joint exposure by a standard surgical approach, bicortical placement of a Schanz screw for the navigation... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817239 Wed, 30 Jun 2010 23:00:00 +0100 3817239 http://www.medworm.com/index.php?rid=3817238&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676825%26dopt%3DAbstract Authors: Freiling D, van Heerwaarden R, Staubli A, Lobenhoffer P OBJECTIVE : Shifting of the mechanical axis from the lateral to the medial compartment in patients with lateral osteoarthritis in combination with valgus deformity. INDICATIONS : Osteoarthritis of the lateral compartment in combination with valgus deformity of the (distal) femur. Posttraumatic and congenital valgus deformities of the (distal) femur. CONTRAINDICATIONS : Osteoarthritis of the medial compartment (>/= grade 3 on Outerbridge Scale). Total loss of the medial meniscus. Acute or chronic infections. Rheumatoid arthritis. Heavy smoking. Extension or flexion deficit > 20 degrees . Poor soft-tissue conditions on site of surgery. SURGICAL TECHNIQUE : Optional: arthroscopy before osteotomy. Anteromedial skin inci... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817238 Wed, 30 Jun 2010 23:00:00 +0100 3817238 http://www.medworm.com/index.php?rid=3817237&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20676826%26dopt%3DAbstract Authors: Fuhrmann RA, Fröber R OBJECTIVE : Reduction of heel pain by neurolysis of the lateral plantar nerve. Indications Contraindications Surgical Technique Postoperative Management Results INDICATIONS : Heel pain due to an entrapment of the lateral plantar nerve. CONTRAINDICATIONS : Acute inflammatory alterations in the foot. Skin laceration at the medial hindfoot. Relative: heel pain, which could not be assigned to a distinct diagnosis. Relative: flatfoot deformity with hindfoot valgus. SURGICAL TECHNIQUE : Regional anesthesia. Supine position. Tourniquet. Curved skin incision behind the medial malleolus to the medioplantar aspect of the heel. Incision of the flexor retinaculum and careful dissection of the tibial nerve, until the medial and lateral plantar nerves can be clearly... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3817237 Wed, 30 Jun 2010 23:00:00 +0100 3817237 http://www.medworm.com/index.php?rid=3425243&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349165%26dopt%3DAbstract Oper Orthop Traumatol. 2010 Mar;22(1):1 Authors: Fink B PMID: 20349165 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425243 Mon, 01 Mar 2010 00:00:00 +0100 3425243 http://www.medworm.com/index.php?rid=3425242&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349166%26dopt%3DAbstract Authors: Tannast M, Siebenrock KA OBJECTIVE: Elimination of an intraarticular femoroacetabular impingement conflict. Creation of a pain-free, normal range of motion of the hip. INDICATIONS: Femoroacetabular impingement of any type (cam/pincer) and any localization (anterior/posterior). CONTRAINDICATIONS: Absolute: advanced hip osteoarthritis, local infections around the hip. Relative: excessive acetabular retroversion with deficiency of the posterior wall. SURGICAL TECHNIQUE: Lateral decubitus position. Straight lateral incision centered over the greater trochanter. Entering of the Gibson interval. Digastric trochanteric osteotomy with protection of the medial circumflex femoral artery. Opening of the interval between the piriformis and the gluteus minimus muscle. Z-shaped capsulotomy.... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425242 Mon, 01 Mar 2010 00:00:00 +0100 3425242 http://www.medworm.com/index.php?rid=3425241&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349167%26dopt%3DAbstract Authors: Fink B, Sebena P OBJECTIVE: Treatment of femoracetabular impingement to prevent or delay the development of secondary osteoarthritis of the hip. Improvement of the mechanical limitation of the range of motion of the hip joint. Pain-free movement of the hip. INDICATIONS: Femoroacetabular impingement including a cam impingement, a pincer impingement, as well as mixtures of both types. Osteoarthritis of the hip joint grades 1-3 according to Kellgren induced by a femoroacetabular impingement. CONTRAINDICATIONS: Pincer impingement with the necessity of an osteotomy in acetabula malaligned in retroversion. Severe osteoarthritis grade 4 according to Kellgren. Hip infection. SURGICAL TECHNIQUE: Supine position of the patient. Longitudinal incision of 5-6 cm in line with the medial bor... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425241 Mon, 01 Mar 2010 00:00:00 +0100 3425241 http://www.medworm.com/index.php?rid=3425240&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349168%26dopt%3DAbstract Authors: Dienst M, Kusma M, Steimer O, Holzhoffer P, Kohn D OBJECTIVE: Resection of the cam deformity of the femoral head-neck junction in order to avoid femoroacetabular impingement and the development of secondary damage to the anterolateral acetabular rim. INDICATIONS: Femoroacetabular cam impingement. Initial femoroacetabular pincer impingement. Advanced femoroacetabular pincer impingement with degenerative tear of the labrum. CONTRAINDICATIONS: Femoroacetabular pincer impingement with significant retroversion and intact acetabular labrum, coxa profunda or circumferential ossification of the labrum. Advanced osteoarthritis. SURGICAL TECHNIQUE: Arthroscopy of the peripheral compartment via three portals with and without traction. The proximal anterolateral portal is used for the art... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425240 Mon, 01 Mar 2010 00:00:00 +0100 3425240 http://www.medworm.com/index.php?rid=3425239&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349169%26dopt%3DAbstract Authors: Richter M, Zech S THE PROBLEM: Intraoperative assessment of the restored or maintained physiological plantar force distribution during foot and ankle corrections is very difficult. THE SOLUTION: Intraoperative assessment of the restored or maintained physiological plantar force distribution during foot and ankle corrections with intraoperative pedography (IP). SURGICAL TECHNIQUE: Bilateral pedography with the "Kraftsimulator Intraoperative Pedographie" (KIOP, R-Innovation, Coburg, Germany) and a mat sensor (Pliance, custom-made, Novel, Munich, Germany) in the preparation room under anesthesia. Three measurements each side with a total force corresponding to half of the body weight are performed. Transfer of the patient to the operating room and correction including definitive ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425239 Mon, 01 Mar 2010 00:00:00 +0100 3425239 http://www.medworm.com/index.php?rid=3425238&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349170%26dopt%3DAbstract Authors: Petersen W, Wellmann M, Rosslenbroich S, Zantop T OBJECTIVE: Reduction and retention of an acromioclavicular (AC) joint dislocation with a button/suture augmentation cerclage (Flip tack, Karl Storz, Tuttlingen, Germany). INDICATIONS: Dislocation of the AC joint (Rockwood III and V). Chronic instabilities in combination with autogenous replacement of the coracoclavicular ligaments. Lateral clavicular fracture with rupture of the coracoclavicular ligaments. CONTRAINDICATIONS: Patients in poor general condition. Local soft-tissue infection. Low-degree dislocation of AC joint (Rockwood I und II). Fracture of the clavicular shaft. Chronic instabilities without ligament replacement. SURGICAL TECHNIQUE: The coracoid process is exposed by a 3 cm long skin incision. A hole is drilled t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425238 Mon, 01 Mar 2010 00:00:00 +0100 3425238 http://www.medworm.com/index.php?rid=3425237&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349171%26dopt%3DAbstract Authors: Magin MN OBJECTIVE: Reproducible, precise implantation of a bicondylar knee prosthesis considering size of implant, axial conditions in coronal and sagittal planes, rotation, and ligament tension in extension and flexion. INDICATIONS: Progressive painful gonarthrosis, when conservative treatment is no longer an option. Revision of unicondylar prosthesis. CONTRAINDICATIONS: General contraindications to bicondylar knee replacement. Revision after bicondylar replacement. Severe limitation of hip joint mobility, e.g., after arthrodesis of the hip joint or ipsilateral hip joint ankylosis. Morbid obesity. SURGICAL TECHNIQUE: Approach to the knee joint for alloarthroplasty. Placement of the screws and fixation of the infrared reflectors at femur and tibia. After adjustment of the dou... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425237 Mon, 01 Mar 2010 00:00:00 +0100 3425237 http://www.medworm.com/index.php?rid=3425236&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349172%26dopt%3DAbstract Authors: Ayubi N, Mayr JM, Sesia S, Kubiak R OBJECTIVE: Surgical treatment of lateral humeral condyle fractures with reduction and retention in order to prevent lasting malalignment, pseudarthrosis, and joint instability. INDICATIONS: Absolute: fractures with a complete dislocation or those in which plaster-free control X-ray on day 4 shows a gap of > 2 mm. Relative: complete fractures of the lateral humeral condyle which demonstrate a dislocation </= 2 mm on follow-up. CONTRAINDICATIONS: Incomplete, so-called hanging fractures of the lateral humeral condyle without notable secondary dislocation on follow-up. SURGICAL TECHNIQUE: Open reduction of the lateral humeral condyle via a lateral approach to the elbow joint. In smaller children (< 5 years of age) fixation with Kirschne... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425236 Mon, 01 Mar 2010 00:00:00 +0100 3425236 http://www.medworm.com/index.php?rid=3425235&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349173%26dopt%3DAbstract Authors: Elki S, Rühmann O, Benson S, Berndt T OBJECTIVE: Alleviation of pain, restoration of function and active range of motion in the shoulder in case of cuff tear arthropathy. INDICATIONS: Cuff tear arthropathy with an insufficient coracoacromial arch and salvage operation of failed hemiprosthesis or reverse shoulder prosthesis. CONTRAINDICATIONS: Active or chronic infections. Lesions of the plexus. Insufficiency of deltoid muscle or subscapularis muscle. Neurologic diseases. Young active patients. SURGICAL TECHNIQUE: Deltopectoral approach. Resection of the humeral head and removal of the failed implant, respectively. Periarticular arthrolysis with preservation of neurovascular structures. Exposure of the glenoid and three-point fixation of the reconstruction socket (EPOCA RE... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425235 Mon, 01 Mar 2010 00:00:00 +0100 3425235 http://www.medworm.com/index.php?rid=3425234&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20349174%26dopt%3DAbstract Authors: Frosch KH, Balcarek P, Walde T, Stürmer KM OBJECTIVE: Open reduction and internal fixation of posterolateral tibial plateau fractures. INDICATIONS: Tibial plateau fractures involving the posterolateral quadrant. CONTRAINDICATIONS: Critical soft-tissue conditions. Tibial plateau fractures which do not involve the posterolateral quadrant. SURGICAL TECHNIQUE: 90 degrees side positioning on the contralateral side, skin incision along the fibular head, exposure of the peroneal nerve, lateral arthrotomy and exposure of the joint, dissection of the popliteal cavity between the lateral head of the gastrocnemius muscle and soleus muscle. Blunt preparation between popliteus muscle and soleus muscle under preservation of the popliteal artery and vein. Sharp dissection of the soleus ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3425234 Mon, 01 Mar 2010 00:00:00 +0100 3425234 http://www.medworm.com/index.php?rid=3190326&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087713%26dopt%3DAbstract Authors: Wirth CJ PMID: 20087713 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190326 Tue, 01 Dec 2009 00:00:00 +0100 3190326 http://www.medworm.com/index.php?rid=3190325&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087714%26dopt%3DAbstract Authors: Pennig D, Mader K, Heck S OBJECTIVE : Loss of motion of the elbow is not uncommon after trauma, burns, or coma and severely impairs upper limb function. Loss of motion may be difficult to avoid and is challenging to treat. Detailed analysis of the etiology and diagnostic evaluation are of utmost importance for planning any surgical intervention for elbow stiffness. Most activities of daily living are possible, if the elbow has a range of motion of 100 degrees (30-130 degrees of flexion, Morrey's arc of motion). INDICATIONS : Stiff elbow, usually defined as less than 30 degrees extension or less than 130 degrees flexion. CONTRAINDICATIONS : Poor compliance, poorly controlled diabetes mellitus, active hepatitis B and C infection, HIV infection, acute articular infection. SURGICA... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190325 Tue, 01 Dec 2009 00:00:00 +0100 3190325 http://www.medworm.com/index.php?rid=3190324&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087715%26dopt%3DAbstract Authors: Fuhrmann RA, Wagner A OBJECTIVE : Realignment of a fixed drop foot to restore gait pattern. INDICATIONS : Drop foot due to various neurologic disorders (cerebral spastic palsy, traumatic nerve palsy, Charcot-Marie-Tooth disease) with/without dynamic equinovarus deformity and undisturbed function of the posterior tibial muscle-tendon unit. CONTRAINDICATIONS : Osseous deformities leading to drop foot, degenerative joint disease of the ankle, flexion deformity of the midfoot, scar adhesions around the muscle-tendon unit of the posterior tibial muscle, functional deficits of the posterior tibial muscle, ulcers, or soft-tissue damage. SURGICAL TECHNIQUE : Prone position: Z-shaped lengthening of the Achilles tendon and open arthrolysis of the posterior ankle and subtalar joint. Supi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190324 Tue, 01 Dec 2009 00:00:00 +0100 3190324 http://www.medworm.com/index.php?rid=3190323&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087716%26dopt%3DAbstract Authors: Freiling D, Lobenhoffer P OBJECTIVE : Restoration of full knee extension in patients with chronic extension deficits, especially in posttraumatic and postoperative cases. INDICATIONS : Chronic knee extension deficits of more than 10 degrees . CONTRAINDICATIONS : Local intraarticular problems caused by cyclops syndrome, graft hypertrophy or graft impingement after anterior cruciate ligament reconstruction (notch impingement). These patients should be treated with arthroscopic procedures. Spastic flexion contracture. Noncompliant patients. Acute or chronic infections. Poor soft-tissue conditions on site of surgery. SURGICAL TECHNIQUE : If necessary, arthroscopy before arthrolysis to assure that the extension deficit is not caused by a local problem (cyclops, osteophytes, graft h... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190323 Tue, 01 Dec 2009 00:00:00 +0100 3190323 http://www.medworm.com/index.php?rid=3190322&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087717%26dopt%3DAbstract Authors: Anagnostakos K, Schmid N, Kohn D OBJECTIVE : Restoration of joint mobility with preservation of femoral head perfusion and warranty of joint stability. Pain reduction. Enhancement of the autonomous daily mobility (if possible regarding the cognitive status) as well as the ability to sit. For nonambulatory, bedridden patients ease of sanitary tasks and improvement of patients' convenience. INDICATIONS : Joint stiffness with limitation of the quality of life. Pain. Joint deformity, especially in cases of progressive subluxation. CONTRAINDICATIONS : Relative: radiologically and scintigraphically immature heterotopic ossification (HO) with moderate limitation of motion and patients who are not able to tolerate the demanding postoperative management. SURGICAL TECHNIQUE : The patien... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190322 Tue, 01 Dec 2009 00:00:00 +0100 3190322 http://www.medworm.com/index.php?rid=3190319&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087718%26dopt%3DAbstract Authors: Kloen P, Buijze GA OBJECTIVE : Anatomic reconstruction of proximal ulna and olecranon fractures allowing early mobilization and prevention of ulnohumeral arthritis. INDICATIONS : Comminuted olecranon or proximal ulna fractures (including Monteggia fractures), olecranon fractures extending distally from the coronoid process, nonunions of the proximal ulna, segmental fractures of the proximal ulna extending into the shaft, fractures of the proximal ulna associated with a coronoid fracture. CONTRAINDICATIONS : Patients in poor general condition. Soft-tissue defects around the elbow preventing wound closure over the plate. Pediatric fractures with open growth plates where screws would cross the physis. SURGICAL TECHNIQUE : Posterior approach to the elbow. Hinging the fracture site... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190319 Tue, 01 Dec 2009 00:00:00 +0100 3190319 http://www.medworm.com/index.php?rid=3190314&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087719%26dopt%3DAbstract Authors: Gravius S, Mumme T, Weber O, Berdel P, Wirtz DC OBJECTIVE : Objective Bone-preserving hip resurfacing in young and active patients using a soft-tissue-sparing, modified transgluteal, lateral approach. INDICATIONS : Primary hip osteoarthritis in physically active, working patients aged < 65 years (males) and < 60 years (females). Good bone quality. CONTRAINDICATIONS : Male patients > or = 65 years of age, female patients > or = 60 years of age. Necrosis of the femoral head. Varus deformity of the femoral neck with a reduced horizontal femoral offset. Femoral head cysts (> 1 cm in diameter). Infection. Osteoporosis. Rheumatoid arthritis. Tumor. Reduced renal function. Leg length difference (> or = 1 cm). Metal allergy. Previous femoral neck fracture. Previous i... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190314 Tue, 01 Dec 2009 00:00:00 +0100 3190314 http://www.medworm.com/index.php?rid=3190307&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087720%26dopt%3DAbstract Authors: Apivatthakakul T, Phornphutkul C, Laohapoonrungsee A, Sirirungruangsarn Y OBJECTIVE : Stable internal fixation of the humeral shaft by less invasive percutaneous plate insertion using two separate (proximal and distal) incisions, indirect reduction by closed manipulation and fixation to preserve the soft tissue and blood supply at the fracture zone. Early mobilization of the shoulder and elbow to ensure a good functional outcome. INDICATIONS : Humeral shaft fractures (classified according to AO classification as: 12-A, B, C). Humeral shaft fractures extending to the proximal or distal shaft, small or deformed medullary canal or open growth plate. CONTRAINDICATIONS : Humeral shaft fractures with primary radial nerve palsy. Proximal humeral shaft fractures extending to the humer... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190307 Tue, 01 Dec 2009 00:00:00 +0100 3190307 http://www.medworm.com/index.php?rid=3190306&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087721%26dopt%3DAbstract Authors: Saalabian A, Rab M, van Schoonhoven J, Prommersberger KJ OBJECTIVE : Coverage of soft-tissue defects of the thumb, which cannot be covered primarily or with a skin graft, by a neurovascular pedicled island flap from the dorsum of the index finger. INDICATIONS : Combined skin and soft-tissue defects of the back of the hand, the thumb web space, and especially the thumb. CONTRAINDICATIONS : Damages to the first dorsal metacarpal artery or the rete carpale dorsale. Previous injuries to the flap donor area. Local infection. SURGICAL TECHNIQUE : Outlining of the skin flap design on the dorsum of the index finger. S-shaped skin incision at first web space radially. Identification of the first dorsal metacarpal artery and preparation of a fascioneurovascular pedicle for flap supply, ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190306 Tue, 01 Dec 2009 00:00:00 +0100 3190306 http://www.medworm.com/index.php?rid=3190304&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20087722%26dopt%3DAbstract Authors: Hansen M, El Attal R, Blum J, Blauth M, Rommens PM OBJECTIVE : Restoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for functional aftercare. Early functional aftercare to maintain joint mobility. Good bony healing in closed and open fractures. INDICATIONS : All closed and open fractures of the tibia and complete lower leg fractures (AO 42). Certain extraarticular fractures of the proximal and distal tibia (AO 41 A2/A3; AO 43 A1/A2/A3). Segmental fractures of the tibia. Certain intraarticular fractures of the tibia with use of additional implants (AO 41 C1/C2; AO 43 C1/C2). Stabilization during and after segmental bone transport or callus distraction of the tibia. CONTRAINDICATIONS : Patients in poor general condition (... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3190304 Tue, 01 Dec 2009 00:00:00 +0100 3190304 http://www.medworm.com/index.php?rid=3156983&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058115%26dopt%3DAbstract Authors: Prommersberger KJ PMID: 20058115 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156983 Sun, 01 Nov 2009 00:00:00 +0100 3156983 http://www.medworm.com/index.php?rid=3156982&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058116%26dopt%3DAbstract Authors: Winkel R, Schlageter M OBJECTIVE : Reconstruction of the scaphoid with use of NITINOL shape "memory" staples. INDICATIONS : Unstable fractures and nonunion of the middle third of the scaphoid, which need open reduction and internal fixation from palmar. The staples can only be used, if the arms of the staples can be inserted parallel to and at a distance of 3 mm to the fracture line. CONTRAINDICATIONS : Allergy to nickel. Cases in which the arms of the staple cannot be inserted parallel to and at best 3 mm apart from the fracture line. SURGICAL TECHNIQUE : In fractures, open reduction of the scaphoid through a palmar approach. If necessary, interposition of a bone graft and Kirschner wire transfixation. Drilling of the drill holes parallel and at a distance of 3 mm to the frac... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156982 Sun, 01 Nov 2009 00:00:00 +0100 3156982 http://www.medworm.com/index.php?rid=3156981&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058117%26dopt%3DAbstract Authors: Sauerbier M, Bishop AT, Ofer N OBJECTIVE : Bony healing and reconstruction of the scaphoid with use of a reverse-flow pedicle vascularized bone graft from the dorsal aspect of the distal radius. Revitalization of the proximal fragment in case of avascular necrosis. INDICATIONS : Scaphoid nonunion, especially of the proximal pole. Nonunion after failed attempts of autogenous nonvascularized bone grafting. Avascular necrosis of the scaphoid (Preiser's disease). Avascular osteonecrosis of other carpal bones (i.e., Kienböck's disease stage II and IIIa). However, these will not be addressed in this paper. CONTRAINDICATIONS : Advance carpal collapse (SNAC [scaphoid nonunion advanced collapse] wrist stage II and III). Avascular necrosis with broken proximal pole of the scaphoid.... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156981 Sun, 01 Nov 2009 00:00:00 +0100 3156981 http://www.medworm.com/index.php?rid=3156980&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058118%26dopt%3DAbstract Authors: Gabl M, Pechlaner S, Zimmermann R OBJECTIVE : The goal of the procedure is osseous healing of the scaphoid in an anatomic position and replacement of necrotic bone at the site of the scaphoid nonunion by a vascularized iliac bone graft. INDICATIONS : Scaphoid nonunion with necrotic fragment in SNAC (scaphoid nonunion advanced collapse) < 1. Nonunion following previous surgery. CONTRAINDICATIONS : Pattern of advanced carpal collapse (SNAC > 1). Malformation, disease or previous injury of the vascular system. Poor compliance. Reduced general health. SURGICAL TECHNIQUE : Principles of the surgical technique according to Pechlaner et al.: harvesting of a corticocancellous bone graft from the anterior iliac crest with a nutrient vascular bundle from the deep circumflex iliac ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156980 Sun, 01 Nov 2009 00:00:00 +0100 3156980 http://www.medworm.com/index.php?rid=3156979&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058119%26dopt%3DAbstract Authors: Bürger H, Gaggl AJ, Kukutschki W, Müller EJ OBJECTIVE : Reconstruction of the scaphoid in length and form. Revitalization of the proximal fragment in case of avascular necrosis. INDICATIONS : Nonunion of the scaphoid, especially with avascular necrosis of the proximal pole. Persisting nonunion of the scaphoid after operative treatment. CONTRAINDICATIONS : Pattern of advanced carpal collapse (SNAC > 1). Malformation, disease or previous injury of the vascular system. Low compliance. Reduced general health. SURGICAL TECHNIQUE : Reconstruction of the scaphoid in correct dimension and angulation with use of a vascularized microvascular corticocancellous bone graft from the medial distal femur. Anastomoses to the radial artery or its palmar branch. Fixation by a cannul... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156979 Sun, 01 Nov 2009 00:00:00 +0100 3156979 http://www.medworm.com/index.php?rid=3156978&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058120%26dopt%3DAbstract Authors: Stephan C, Prommersberger KJ, van Schoonhoven J OBJECTIVE : To regain stability of the proximal carpal row after scapholunate ligament rupture in order to avoid osteoarthritis and carpal collapse. INDICATIONS : As additional therapy in scapholunate ligament repair especially in patients with static, but reducible scapholunate malalignment. CONTRAINDICATIONS : Fixed scapholunate malalignment. Osteoarthritis of the radiocarpal or the midcarpal joint. SURGICAL TECHNIQUE : Dorsal approach to the carpal joint with release of the second, third and fourth extensor compartment and resection of the dorsal interosseous nerve. Opening of the radiocarpal joint for inspection of the chondral surfaces and the scapholunate ligament for possible repair. If needed, reduction of scaphoid and lu... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156978 Sun, 01 Nov 2009 00:00:00 +0100 3156978 http://www.medworm.com/index.php?rid=3156977&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058121%26dopt%3DAbstract [Treatment of chronic scapholunate dissociation using Cuénod's bone-ligament-bone autograft] Oper Orthop Traumatol. 2009 Nov;21(4-5):417-28 Authors: Kalb K, Prommersberger KJ OBJECTIVE : Correction of chronic scapholunate dissociation by replacement of the biomechanically most important dorsal part of the scapholunate ligament using a bone-ligament-bone autograft taken from the carpometacarpal joint II and, additionally, a modified dorsal capsulodesis. INDICATIONS : Nonfixed chronic scapholunate dissociation without useful remnants of the ligament in which loss of the dorsal part of the scapholunate ligament is the crucial pathophysiological moment. CONTRAINDICATIONS : Chronic scapholunate dissociation with fixed deformity. Osteoarthritis. SURGICAL TECHNIQUE : Dorsal incis... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156977 Sun, 01 Nov 2009 00:00:00 +0100 3156977 http://www.medworm.com/index.php?rid=3156976&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058122%26dopt%3DAbstract Authors: Kalb K, Blank S, van Schoonhoven J, Prommersberger KJ OBJECTIVE : Stabilization of the scaphoid correcting rotary subluxation and replacement of the biomechanically essential dorsal part of the scapholunate ligament for prevention of osteoarthritis. INDICATIONS : Scapholunate dissociation without useful remnants of the ligament and reducible malalignment of the scaphoid. CONTRAINDICATIONS : Fixed scaphoid malalignment. Osteoarthritis (SLAC [scapholunate advanced collapse] wrist). SURGICAL TECHNIQUE : Dorsal approach to the wrist using the flap described by Berger. Correction of rotary subluxation and stabilization of the scaphoid using a distally based strip of flexor carpi radialis tendon, which is created through a separate palmar incision, and fixed to a bone anchor in the ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156976 Sun, 01 Nov 2009 00:00:00 +0100 3156976 http://www.medworm.com/index.php?rid=3156975&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058123%26dopt%3DAbstract Authors: Lutz M, Arora R, Kammerlander C, Gabl M, Pechlaner S OBJECTIVE : Restoration of the intercarpal alignment and the radio- and ulnocarpal joint in order to avoid the development of a carpal collapse with concomitant arthritis of the radiocarpal and midcarpal joint. INDICATIONS : All perilunate and transscaphoid perilunate fracture-dislocations. An exception is a pure ligamentous injury with anatomic carpal alignment following closed reduction (computed tomography scan). CONTRAINDICATIONS : General contraindications to an operative procedure. SURGICAL TECHNIQUE : It is crucial that all involved bony and ligamentous structures are addressed, using a bilateral approach. Depending on their location, scaphoid fractures are stabilized from proximal or distal, and bony avulsions are fi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156975 Sun, 01 Nov 2009 00:00:00 +0100 3156975 http://www.medworm.com/index.php?rid=3156974&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058124%26dopt%3DAbstract [Fixation of fractures of the distal radius using the "nail-plate"] Oper Orthop Traumatol. 2009 Nov;21(4-5):459-71 Authors: Espen D OBJECTIVE : Stable fixation of unstable distal radius fractures by means of a "nail-plate" with the distal plate section lying on the dorsal surface of the distal radius fragment, and the proximal nail section inside the diaphysis of the radius. INDICATIONS : Unstable extraarticular fractures of the distal radius AO types A2 and A3, which can be managed by closed or indirect reduction. Intraarticular fractures of the distal radius showing a nondisplaced articular component. Also indicated in patients with osteoporosis. CONTRAINDICATIONS : Extraarticular distal radius fractures with a distal fragment too small for placement of the distal locking peg... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156974 Sun, 01 Nov 2009 00:00:00 +0100 3156974 http://www.medworm.com/index.php?rid=3156973&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058125%26dopt%3DAbstract Authors: Gradl G, Wendt M, Gierer P, Beck M, Mittlmeier T OBJECTIVE : Anatomic restoration and intramedullary fixation of distal radial fractures using a hybrid between plate and nail (Targon DR). The technique provides a less invasive operative approach from radial. INDICATIONS : Extraarticular fractures of the distal radius with dorsal comminution. Intraarticular fractures without displacement and with a sagittal fracture line. CONTRAINDICATIONS : Flexion fractures, intraarticular fractures with displacement of the articular surface or a frontal fracture line. SURGICAL TECHNIQUE : 4-cm skin incision from the tip of the radial styloid. Careful dissection of the superficial branch of the radial nerve. Preparation of the bone between first and second extensor compartment. Reduction of t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156973 Sun, 01 Nov 2009 00:00:00 +0100 3156973 http://www.medworm.com/index.php?rid=3156972&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058126%26dopt%3DAbstract Authors: Pillukat T, van Schoonhoven J OBJECTIVE : Restoration of forearm rotation and pain relief at the distal radioulnar joint by resection of the joint surfaces of the ulnar head, interposition of a capsular-retinacular flap, and preservation or reconstruction of the ulnocarpal complex. INDICATIONS : Painful osteoarthritis of the distal radioulnar joint. CONTRAINDICATIONS : Longitudinal instability in the forearm, e.g., Essex-Lopresti lesions or after radial head resection. Posttraumatic ulnar subluxation of the carpus. SURGICAL TECHNIQUE : Exposition of the distal radioulnar joint via the floor of the fifth extensor compartment and preparation of an ulnarbased capsular-retinacular flap. Preservation of the fourth and sixth extensor compartment. Resection of the jointbearing areas ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156972 Sun, 01 Nov 2009 00:00:00 +0100 3156972 http://www.medworm.com/index.php?rid=3156971&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058127%26dopt%3DAbstract Authors: Kalb K, Prommersberger KJ OBJECTIVE : Arthrodesis of the wrist in order to improve functional use of the hand by reducing pain and improving grip strength. INDICATIONS : Painful destruction of both the radiocarpal and mediocarpal joint combined with contraindications to motion-preserving procedures. Conservative treatment insufficient. CONTRAINDICATIONS : Patients who are pain-free and satisfied with a motion-preserving procedure (e.g., Wilhelm's denervation procedure) or conservative management (casting). SURGICAL TECHNIQUE : Dorsal approach to the wrist. Removal of destroyed articular surfaces down to cancellous bone, filling the resulting defects with cancellous bone graft taken either from the the radius or the iliac crest. Stable fixation using the AO wrist fusion plate. ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156971 Sun, 01 Nov 2009 00:00:00 +0100 3156971 http://www.medworm.com/index.php?rid=3156970&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20058128%26dopt%3DAbstract Authors: Hohendorff B, Mühldorfer M, van Schoonhoven J, Prommersberger KJ Immobilization is as essential to conservative treatment of the hand as it is perioperatively in surgical treatment. Low cost and outstanding moldability distinguish plaster of Paris. This paper surveys frequently used applications of plaster of Paris in hand surgery. PMID: 20058128 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=3156970 Sun, 01 Nov 2009 00:00:00 +0100 3156970 http://www.medworm.com/index.php?rid=2833798&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779680%26dopt%3DAbstract Authors: Hessmann MH PMID: 19779680 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833798 Mon, 31 Aug 2009 23:00:00 +0100 2833798 http://www.medworm.com/index.php?rid=2833797&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779681%26dopt%3DAbstract Authors: Hessmann MH, Ingelfinger P, Dietz SO, Rommens PM OBJECTIVE: Restoration of the congruence of the hip joint. Correction of gaps or steps in the articular surface, especially in the main weight-bearing area of the acetabular dome. Correction of femoral head subluxation. Restoration of joint stability in order to enable early postoperative mobilization. INDICATIONS: Fractures of the anterior wall and/or column that are characterized by intraarticular gaps or steps of > 1 mm in the area of the main weight-bearing dome of the acetabulum. Fractures complicated by subluxation or dislocation of the femoral head. CONTRAINDICATIONS: Poor general physical condition and/or dementia. Critical soft-tissue conditions in the area near the surgical approach. Local soft-tissue infection. Pre... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833797 Mon, 31 Aug 2009 23:00:00 +0100 2833797 http://www.medworm.com/index.php?rid=2833796&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779682%26dopt%3DAbstract Authors: Tannast M, Siebenrock KA OBJECTIVE: Anatomic reduction and stable fixation by means of tissue- preserving surgical approaches. INDICATIONS Displaced acetabular fractures. Surgical hip dislocation approach with larger displacement of the posterior column in comparison to the anterior column, transtectal fractures, additional intraarticular fragments, marginal impaction. Stoppa approach with larger displacement of the anterior column in comparison to the posterior column. A combined approach might be necessary with difficult reduction. CONTRAINDICATIONS Fractures > 15 days (then ilioinguinal or extended iliofemoral approaches). Suprapubic catheters and abdominal problems (e.g., previous laparotomy due to visceral injuries) with Stoppa approach (then switch to classic ilioingu... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833796 Mon, 31 Aug 2009 23:00:00 +0100 2833796 http://www.medworm.com/index.php?rid=2833795&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779683%26dopt%3DAbstract Authors: Gänsslen A, Krettek C OBJECTIVE: Open anatomic reduction and stable internal fixation of both-column acetabular fractures by screw and plate osteosynthesis via the ilioinguinal approach. INDICATIONS: Displaced both-column fractures of the acetabulum with incongruence of the hip joint, central femoral head displacement, unstable hip joint, and/or loss of hip joint congruence without the potential of a secondary congruence (near anatomic fragment orientation due to ligamentotaxis). CONTRAINDICATIONS: General contraindications. Displaced fracture of the posterior wall. Extension of the posterior column fracture to the apex of the greater sciatic notch. SURGICAL TECHNIQUE: Indirect open reduction of a both-column fracture of the acetabulum that is typically characterized by a... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833795 Mon, 31 Aug 2009 23:00:00 +0100 2833795 http://www.medworm.com/index.php?rid=2833794&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779684%26dopt%3DAbstract Authors: Gänsslen A, Steinke B, Krettek C OBJECTIVE: Open anatomic reduction and stable internal fixation of a posterior wall fracture of the acetabulum by screw and plate osteosynthesis via the Kocher-Langenbeck appoach. INDICATIONS: Displaced fractures or fracture-dislocations of the posterior wall of the acetabulum in combination with an unstable hip joint, presence of an additional femoral head fracture or intraarticular fragments, reduction inability in fracture-dislocations or deterioration of an additional sciatic nerve injury. CONTRAINDICATIONS: Poor general condition (due to additional injuries or medical disease). Local soft-tissue damage. Presence of only small bony avulsion fragments of the posterior capsule with hip joint stability. SURGICAL TECHNIQUE: Open reduction ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833794 Mon, 31 Aug 2009 23:00:00 +0100 2833794 http://www.medworm.com/index.php?rid=2833793&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779685%26dopt%3DAbstract Authors: Blum J, Hansen M, Rommens PM OBJECTIVE: Stable fixation of two- and three-part fractures of the proximal humerus through minimally invasive operative technique and rapid bone healing as well as restoration of original anatomy. Early functional training with the goal of restoration of former mobility and daily activities. INDICATIONS: Unstabile two- and three-part fractures of the proximal humerus (AO classification: 11-A2, 11-A3, 11-B1, 11-B2, 11-B3). Subcapital nonunion of the humerus. Pathologic fractures. CONTRAINDICATIONS: Pediatric fractures of the proximal humerus. Fractures of the proximal humerus types 11-C2 und 11-C3 according to the AO classification. Active local infection, e.g., after former operation. SURGICAL TECHNIQUE: Closed reduction. Anterior acromial incisio... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833793 Mon, 31 Aug 2009 23:00:00 +0100 2833793 http://www.medworm.com/index.php?rid=2833792&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779686%26dopt%3DAbstract Authors: Richter M OBJECTIVE: Restoration of a stable and plantigrade foot in deformities at the ankle and concomitant degenerative changes at the ankle joint. INDICATIONS: Deformities at the ankle and concomitant degenerative changes at the ankle joint. CONTRAINDICATIONS: Active local infection or relevant vascular insufficiency. SURGICAL TECHNIQUE: Supine position and anterior approach to the ankle joint. Placement of dynamic reference bases (DRBs) in tibia and talus. Two-dimensional (2-D) image acquisition for navigation. Definition of axes of tibia and talus, and of the extent of correction. Exposition of the ankle joint and removal of remaining cartilage. Computer-assisted surgery-(CAS-) guided correction and transfixation of the corrected position with two 2.5-mm Kirschner wires.... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833792 Mon, 31 Aug 2009 23:00:00 +0100 2833792 http://www.medworm.com/index.php?rid=2833791&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779687%26dopt%3DAbstract Authors: Sundararaj GD, Venkatesh K, Babu PN, Amritanand R OBJECTIVE: Posterior spinal surgical approach to achieve a retropleural/ retroperitoneal corpectomy with circumferential spinal cord decompression following subtotal vertebrectomy, posterior instrumentation and interbody spacer placement under compression as well as kyphosis correction with spinal column shortening. INDICATIONS: Infective, traumatic or neoplastic lesions of the vertebral body that lead to vertebral body destruction, instability and neurologic deficit. Need for immediate postoperative loading stability to permit ambulation and rehabilitation. CONTRAINDICATIONS: Multiple contiguous vertebral disease. Instances where the graft bed preparation and stable interbody spacer placement may be suboptimal due to the limit... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833791 Mon, 31 Aug 2009 23:00:00 +0100 2833791 http://www.medworm.com/index.php?rid=2833790&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779688%26dopt%3DAbstract Authors: Kipping R OBJECTIVE: Implantation of a total hip endoprosthesis with minimal trauma to the soft tissue. The need for visual aids (e.g., navigation or X-rays) during the procedure is frequently avoided. INDICATIONS: All kinds of coxarthrosis for every age group, for every variation of bone construction, and even in obese patients. CONTRAINDICATIONS: Extremely dysplastic hip joints involving the development of a secondary socket and the necessity of reconstruction of the acetabular socket (e.g., in the Harris method). SURGICAL TECHNIQUE: Using a fixed lateral position, a small entry incision is made between the tensor fasciae latae and the sartorius muscles and the prosthesis socket is put into place. Via a second dorsal incision, after stripping the exterior rotators, the prost... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833790 Mon, 31 Aug 2009 23:00:00 +0100 2833790 http://www.medworm.com/index.php?rid=2833789&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19779689%26dopt%3DAbstract Authors: Dietz HG OBJECTIVE: Optimal reposition and stable fixation of M/1 and M/2 fractures are necessary. Careful operation and urgent surgery prevent complications. INDICATIONS : M/1 and M/2 fractures of the proximal femur in children > 4 years. CONTRAINDICATIONS: E/1 fractures are fixed with Kirschner wires. M/3 fractures are fixed with elastic stable intramedullary nailing. Fractures up to the age of 4 are fixed with Kirschner wires. SURGICAL TECHNIQUE: Surgical approach via a lateral incision. Anatomic fixation of the fracture with two to three cannulated screws. POSTOPERATIVE MANAGEMENT: No weight bearing during the first 4-6 weeks. Physiotherapy is optional. Magnetic resonance imaging at least 1 year after the fracture or immediately in case of problems to control the vascul... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2833789 Mon, 31 Aug 2009 23:00:00 +0100 2833789 http://www.medworm.com/index.php?rid=2553904&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19562261%26dopt%3DAbstract Authors: Halder A, Beier A, Neumann W OBJECTIVE : Reconstruction of defects of the superior acetabular rim with structured bone grafts in press-fit technique before total hip replacement. INDICATIONS : Defects of the superior acetabular rim following hip dysplasia Crowe type II-IV, avascular necrosis of the femoral head Ficat stage IV, or aseptic loosening of the cup with acetabular defects Paprosky type 2a and 2b. CONTRAINDICATIONS : Acetabular defects Paprosky type 2c, 3a and 3b, septic loosening, severe osteoporosis. SURGICAL TECHNIQUE : Exposure of the acetabular defect and debridement with a spherical reamer to create a concave bleeding graft bed. Shaping of the bone graft with an inverted reamer of corresponding size and oscillating saw. Press-fit insertion of the bone graft into... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2553904 Sun, 28 Jun 2009 23:00:00 +0100 2553904 http://www.medworm.com/index.php?rid=2314546&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326062%26dopt%3DAbstract Authors: Fink B PMID: 19326062 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314546 Sun, 01 Mar 2009 05:00:00 +0100 2314546 http://www.medworm.com/index.php?rid=2314541&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326063%26dopt%3DAbstract Authors: Hube R, Keim M, Mayr HO OBJECTIVE: Minimally invasive approach to the knee for total knee arthroplasty to reduce soft-tissue trauma. INDICATIONS: Total knee replacements. Revision surgery after total knee arthroplasty. CONTRAINDICATIONS: Severe obesity. Revision surgery with preoperative flexion<90 degrees. SURGICAL TECHNIQUE: Anterior midline incision, blunt separation of the distal part of the oblique fibers of the vastus medialis over a length of 1-3 cm. The muscle split ends at the proximal medial corner of the patella. The incision is continued medially of the patella ending at the tibial tuberosity. After approaching the joint, the patella is shifted laterally without dislocating it, thus exposing the articular surfaces. Surgery is performed in maximal knee flexion of... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314541 Sun, 01 Mar 2009 05:00:00 +0100 2314541 http://www.medworm.com/index.php?rid=2314536&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326064%26dopt%3DAbstract Authors: Halder A, Beier A, Neumann W OBJECTIVE: Total knee replacement in minimally invasive technique without any trauma to the extensor apparatus and with soft-tissue-referenced bone resections. Only the subvastus approach preserves the integrity of the extensor apparatus and has therefore been modified to become a minimally invasive technique with a shorter skin incision and lateralization instead of eversion of the patella. Soft-tissue balancing is done through this direct anterior approach. INDICATIONS: Mild to moderate varus osteoarthritis of the knee up to 15 degrees of malalignment, mild and passively correctable valgus osteoarthritis of the knee up to 10 degrees of malalignment. CONTRAINDICATIONS: Severe, contract varus osteoarthritis of the knee, severe and moderate, contrac... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314536 Sun, 01 Mar 2009 05:00:00 +0100 2314536 http://www.medworm.com/index.php?rid=2314532&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326065%26dopt%3DAbstract Authors: Wohlrab D, Zeh A, Mendel T, Hein W OBJECTIVE: Approach to the knee joint for total knee arthroplasty (TKA) with gentle soft-tissue handling. INDICATIONS: Primary TKA with range of motion>or=100 degrees, leg axis up to 10 degrees varus or valgus, body weight<100 kg. CONTRAINDICATIONS: Contracted knees, leg axis>10 degrees varus or valgus, obesity, previous knee surgery except arthroscopic procedures, rheumatoid arthritis. SURGICAL TECHNIQUE: Anterior midline incision. Soft-tissue preparation and capsule incision start at the upper tip of the patella and are continued distally along the medial patellar border ending at the tibial tuberosity. After opening of the joint, the patella is dislocated laterally without everting it. Exposure of the articular surface using a "mo... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314532 Sun, 01 Mar 2009 05:00:00 +0100 2314532 http://www.medworm.com/index.php?rid=2314527&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326066%26dopt%3DAbstract Authors: Simmen BR, Schwyzer HK, Flury MP, Goldhahn J OBJECTIVE: Exact restoration of the glenohumeral joint, especially in the case of complex pathologies, due to high prosthesis modularity and in situ assembly; later conversion to inverse design with same shaft possible. INDICATIONS: Primary shoulder osteoarthritis, secondary joint destruction after previous fracture or its treatment, humeral head necrosis, or inflammatory processes, revisions of defect situations such as hemiprostheses. CONTRAINDICATIONS: General contraindications of total shoulder arthroplasty, additionally, functional loss of the rotator cuff, advanced osteoporosis, narrow medullary canal, e.g., in patients with juvenile rheumatoid arthritis. SURGICAL TECHNIQUE: After deltopectoral approach free resection of the h... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314527 Sun, 01 Mar 2009 05:00:00 +0100 2314527 http://www.medworm.com/index.php?rid=2314522&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326067%26dopt%3DAbstract Authors: Galla M, Riemer C, Lobenhoffer P OBJECTIVE: Direct posterior approach requiring minimal soft-tissue dissection for the treatment of posteromedial tibial head fractures. INDICATIONS: Posteromedial fractures of the proximal tibia. Bicondylar tibial plateau fractures involving the posteromedial aspect of the tibial plateau. The approach can be extended for exposure of the posterolateral plateau. CONTRAINDICATIONS: Local soft-tissue problems. SURGICAL TECHNIQUE: Direct posterior approach, mobilization and retraction of the medial head of gastrocnemius muscle. The fracture can be visualized by partial subperiosteal detachment of the popliteal muscle, whereas the medial head of gastrocnemius muscle and the semimembranosus muscle are preserved. Simplified reduction of the posteromedi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314522 Sun, 01 Mar 2009 05:00:00 +0100 2314522 http://www.medworm.com/index.php?rid=2314517&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326068%26dopt%3DAbstract Authors: Gerdesmeyer L, Gollwitzer H, Diehl P, Buttgereit B, Rudert M OBJECTIVE: Minimally invasive anterolateral approach in hip resurfacing with complete preservation of muscular integrity. INDICATIONS: Primary or secondary osteoarthritis of the hip. CONTRAINDICATIONS: Approach: None. Onlay implant: Females>55 years with osteoporosis. Males>60 years with osteoporosis. Severe varus deformity (CCD [collodiaphyseal] angle<100 degrees). History of metal allergy. Clinically relevant renal insufficiency. Radiologic appearance of avascular necrosis stage 3 and 4 according to Ficat. Femoral head cysts>1 cm in diameter. SURGICAL TECHNIQUE: Supine position with possible overextension of the hip, longitudinal incision along the intermuscular septum and blunt intermuscular dissection... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314517 Sun, 01 Mar 2009 05:00:00 +0100 2314517 http://www.medworm.com/index.php?rid=2314512&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326069%26dopt%3DAbstract Authors: Pagenstert G, Knupp M, Valderrabano V, Hintermann B OBJECTIVE: Improvement of joint congruence, reduction of pain, slowdown of osteoarthritis progression, and prevention or delay of total ankle arthroplasty or ankle fusion. INDICATIONS: Active patients with lateral valgus ankle joint degeneration. CONTRAINDICATIONS: Patients in poor general condition. Inability to adhere to postoperative non-weight-bearing rehabilitation. Distinct cartilage degeneration of more than half of tibiotalar joint surface. Systemic joint disease. Insufficiency of the deltoid ligament with tibiotalar subluxation malalignment. SURGICAL TECHNIQUE: Depending on stage of deformity: Stage I--collapse of the lateral tibia plafond and/or lateral malleolar gutter with subsequent valgus ankle arthritis: medial... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314512 Sun, 01 Mar 2009 05:00:00 +0100 2314512 http://www.medworm.com/index.php?rid=2314507&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326070%26dopt%3DAbstract Authors: Fuhrmann RA OBJECTIVE: Realignment of medially deviated lesser toes II-IV via subligamentous transfer of the extensor digitorum brevis tendon to treat painful toe disorders. INDICATIONS: Flexible medial malalignment of the lesser toes II-IV attributed to transverse instability of the metatarsophalangeal joint. CONTRAINDICATIONS: Contract lesser toe deformities. Medial malalignment due to an osseous pathology or instability of the proximal interphalangeal joint. Neuropathy. Infection. SURGICAL TECHNIQUE: Regional anesthesia. Patient in supine position. Dorsal S-shaped skin incision at the metatarsophalangeal joint. Medial split of the extensor hood. Dorsomedial capsular release. Distal tenotomy of the extensor digitorum brevis tendon. Transfer of the tendon slip beneath the int... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314507 Sun, 01 Mar 2009 05:00:00 +0100 2314507 http://www.medworm.com/index.php?rid=2314502&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19326071%26dopt%3DAbstract Authors: Heimkes B, Komm M, Melcher C OBJECTIVE: Healing of the frequently associated femoral neck pseudarthrosis. Restoration of a proper length-tension relationship of muscles and lever arms of the hip. Regulation of forces acting on the femoral neck. Realignment of the leg length. Adjustment of the greater trochanter apophysis to allow regular growth. INDICATIONS: Severe infantile coxa vara (CCD [collodiaphyseal] angle<or=100 degrees) with or without femoral neck pseudarthrosis. CONTRAINDICATIONS: All coxae varae based on local or systemic bone diseases, especially coxa vara in osteogenesis imperfecta, rickets, osteomalacia and meningomyelocele. Secondary coxa vara combined with dysplastic acetabulum. SURGICAL TECHNIQUE: Preoperative planning. Standard lateral approach to the pro... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2314502 Sun, 01 Mar 2009 05:00:00 +0100 2314502 http://www.medworm.com/index.php?rid=2105041&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137391%26dopt%3DAbstract Authors: PMID: 19137391 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105041 Mon, 01 Dec 2008 05:00:00 +0100 2105041 http://www.medworm.com/index.php?rid=2105040&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137392%26dopt%3DAbstract Authors: Walther M, Menzinger F, Dreyer F, Mayer B OBJECTIVE: Correction of splayfoot deformity through reduction of the increased first intermetatarsal angle by a proximal open-wedge osteotomy. INDICATIONS: Splayfoot deformity with a first intermetatarsal angle > 14 degrees and hallux valgus deformity in younger patients. Splayfoot deformities with a short first metatarsal. CONTRAINDICATIONS: Degenerative changes in the first metatarsophalangeal joint. Contractures of the first metatarsophalangeal joint. Relative: overlength of the first metatarsal. Relative: lateral tilt of the articular cartilage surface of the first metatarsal head. SURGICAL TECHNIQUE: Proximal metatarsal osteotomy approximately 10 mm distal of the first tarsometatarsal joint with preservation of the lateral cor... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105040 Mon, 01 Dec 2008 05:00:00 +0100 2105040 http://www.medworm.com/index.php?rid=2105039&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137393%26dopt%3DAbstract [The retrocapital osteotomy ("chevron") for correction of splayfoot with hallux valgus] Oper Orthop Traumatol. 2008 Dec;20(6):463-76 Authors: Gabel M OBJECTIVE: Surgical treatment of hallux valgus deformity with a distal osteotomy of the first metatarsal to address an increased intermetatarsal angle (IMA) I-II. This procedure is combined with a soft-tissue procedure at the first metatarsophalangeal joint: realignment of the first ray, lateral displacement of the first metatarsal head above the sesamoids, rebalancing of the soft tissues at the metatarsophalangeal joint. INDICATIONS: Pain and soft-tissue inflammation at the bunion, impaired function of the metatarsophalangeal joint, and lateral deviation of the hallux. IMA I-II <or= 15 degrees, hallux valgus angle (HVA) <or... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105039 Mon, 01 Dec 2008 05:00:00 +0100 2105039 http://www.medworm.com/index.php?rid=2105038&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137394%26dopt%3DAbstract Authors: Arnold H OBJECTIVE: Realignment of the great toe in the case of a hallux valgus interphalangeus by means of a medially based closing wedge osteotomy. INDICATIONS: Hallux valgus interphalangeus deformity, characterized by an enlarged distal articular surface angle (> 10 degrees). Correction of a hallux valgus interphalangeus deformity as an additional procedure in the case of hallux valgus surgery. CONTRAINDICATIONS: Incongruent first metatarsophalangeal joint with lateral subluxation of the proximal phalanx. Isolated procedure to correct hallux valgus deformity. Lack of patient compliance. Neurovascular disturbance of the forefoot. SURGICAL TECHNIQUE: Medially based closing wedge osteotomy of the proximal phalanx to reduce the distal articular surface angle. Fixation with a... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105038 Mon, 01 Dec 2008 05:00:00 +0100 2105038 http://www.medworm.com/index.php?rid=2105037&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137395%26dopt%3DAbstract Authors: Wingenfeld C, Abbara-Czardybon M, Arbab D, Frank D OBJECTIVE: Joint-preserving procedure for initial osteoarthritis of the first metatarsophalangeal joint for improvement of restricted joint motion and achievement of a harmonic gait. INDICATIONS: Hallux rigidus stage I and II according to Regnauld's classification. CONTRAINDICATIONS: Hallux rigidus Regnauld stage III. General medical contraindications to surgical interventions and anesthesiological procedures. SURGICAL TECHNIQUE: Operation in regional anesthesia (foot block). Tourniquet. Longitudinal skin incision over the dorsal aspect of the first metatarsophalangeal joint. Incision of the joint capsule with protection of the extensor hallucis longus tendon and the dorsal neurovascular bundle. Cheilectomy: removal of osteoph... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105037 Mon, 01 Dec 2008 05:00:00 +0100 2105037 http://www.medworm.com/index.php?rid=2105036&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137396%26dopt%3DAbstract Authors: Olms K, Grady JF, Schulz AP OBJECTIVE: With this joint-preserving procedure impinging and damaged parts of the first metatarsal head and the proximal phalanx are removed. The attachment of the short flexor tendon is preserved. Joint motion will increase and joint function is preserved. INDICATIONS: Hallux rigidus stage 2-3 according to the Vanore classification. Salvage procedure for failed arthroplasty of the first metatarsophalangeal joint. CONTRAINDICATIONS: Hallux rigidus stage 4 according to the Vanore classification. Severe elevatus position of first ray. SURGICAL TECHNIQUE: Surgery with tourniquet is preferred. Dorsomedial skin incision. Longitudinal incision of the capsule. Removal of medial and lateral osteophytes both from the metatarsal and the proximal phalanx. Rel... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105036 Mon, 01 Dec 2008 05:00:00 +0100 2105036 http://www.medworm.com/index.php?rid=2105035&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137397%26dopt%3DAbstract Authors: Seebauer L, Goebel M OBJECTIVE: Restoration of a stable, pain-free and functional shoulder in chronic glenoid defects following anterior or posterior shoulder dislocations. INDICATIONS: Anterior glenoid defect: all recurrent or persistent shoulder instabilities in association with chronic glenoid lesions. Posterior glenoid defect: all recurrent or persistent postreposition shoulder instabilities with chronic osseous glenoid defects. CONTRAINDICATIONS: Brachial plexus injury. Poor glenoid bone stock. SURGICAL TECHNIQUE: Anterior glenoid defect: exposition of the glenoid through a deltopectoral approach. Glenoid reconstruction by autologous iliac crest graft or coracoid transfer, in cases with progressive joint destruction in combination with shoulder arthroplasty. Posterior gle... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105035 Mon, 01 Dec 2008 05:00:00 +0100 2105035 http://www.medworm.com/index.php?rid=2105034&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137398%26dopt%3DAbstract Authors: Wimmer C OBJECTIVE: Fusion can be done from the thoracic spine up to the sacrum. A cannulated Expedium screw as well as the rod can be placed percutaneously. This minimally invasive approach creates only a minor muscular trauma. INDICATIONS: Osteochondrosis of the lumbar and thoracic spine. Spondylolisthesis grade I-III according to Meyerding. Instability after nucleotomy. Type A and B fractures according to Magerl. Spondylodiscitis. Flexible scoliosis of the lumbar and thoracic spine. CONTRAINDICATIONS: Osteoporosis (t score < -1.5). Spondylolisthesis grade IV according to Meyerding. SURGICAL TECHNIQUE: The patient should be positioned prone, lying flat on the table. Use of two C-arms, one in anteroposterior and the other in lateral view. Marking of the entry point of the ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105034 Mon, 01 Dec 2008 05:00:00 +0100 2105034 http://www.medworm.com/index.php?rid=2105033&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137399%26dopt%3DAbstract Authors: Wagner A THE PROBLEM: Acute or chronic wounds requiring temporary wound coverage and closure. Soft-tissue defects unsuitable for any type of wound closure. Soft-tissue defects associated with infection. THE SOLUTION: Temporary or definite wound closure according to a general concept for treatment of acute or chronic wounds. Support of wound healing through enhanced cell proliferation and formation of granulation tissue. Improvement of local blood circulation and eradication of infection. SURGICAL TECHNIQUE: Surgical debridement. Temporary wound closure with vacuum-assisted closure therapy. Second look with change of vacuum-assisted closure systems, irrigation and debridement procedures. Definitive wound closure through - vacuum-aided wound reduction and secondary suture or - m... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2105033 Mon, 01 Dec 2008 05:00:00 +0100 2105033 http://www.medworm.com/index.php?rid=2101795&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137391%26dopt%3DAbstract Authors: PMID: 19137391 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101795 Mon, 01 Dec 2008 05:00:00 +0100 2101795 http://www.medworm.com/index.php?rid=2101794&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137392%26dopt%3DAbstract Authors: Walther M, Menzinger F, Dreyer F, Mayer B OBJECTIVE : Correction of splayfoot deformity through reduction of the increased first intermetatarsal angle by a proximal open-wedge osteotomy. INDICATIONS : Splayfoot deformity with a first intermetatarsal angle > 14 degrees and hallux valgus deformity in younger patients. Splayfoot deformities with a short first metatarsal. CONTRAINDICATIONS : Degenerative changes in the first metatarsaphalangeal joint. Contractures of the first metatarsophalangeal joint. Relative: overlength of the first metatarsal. Relative: lateral tilt of the articular cartilage surface of the first metatarsal head. SURGICAL TECHNIQUE : Proximal metatarsal osteotomy approximately 10 mm distal of the first tarsometatarsal joint with preservation of the lateral... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101794 Mon, 01 Dec 2008 05:00:00 +0100 2101794 http://www.medworm.com/index.php?rid=2101793&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137393%26dopt%3DAbstract [The retrocapital osteotomy ("chevron") for correction of splayfoot with hallux valgus.] Oper Orthop Traumatol. 2008 Dec;20(6):463-76 Authors: Gabel M OBJECTIVE : Surgical treatment of hallux valgus deformity with a distal osteotomy of the first metatarsal to address an increased intermetatarsal angle (IMA) I-II. This procedure is combined with a soft-tissue procedure at the first metatarsophalangeal joint: realignment of the first ray, lateral displacement of the first metatarsal head above the sesamoids, rebalancing of the soft tissues at the metatarsophalangeal joint. INDICATIONS : Pain and soft-tissue inflammation at the bunion, impaired function of the metatarsophalangeal joint, and lateral deviation of the hallux. IMA I-II </= 15 degrees , hallux valgus angle (HVA) &lt... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101793 Mon, 01 Dec 2008 05:00:00 +0100 2101793 http://www.medworm.com/index.php?rid=2101792&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137394%26dopt%3DAbstract Authors: Arnold H OBJECTIVE : Realignment of the great toe in the case of a hallux valgus interphalangeus by means of a medially based closing wedge osteotomy. INDICATIONS : Hallux valgus interphalangeus deformity, characterized by an enlarged distal articular surface angle (> 10 degrees ). Correction of a hallux valgus interphalangeus deformity as an additional procedure in the case of hallux valgus surgery. CONTRAINDICATIONS : Incongruent first metatarsophalangeal joint with lateral subluxation of the proximal phalanx. Isolated procedure to correct hallux valgus deformity. Lack of patient compliance. Neurovascular disturbance of the forefoot. SURGICAL TECHNIQUE : Medially based closing wedge osteotomy of the proximal phalanx to reduce the distal articular surface angle. Fixation w... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101792 Mon, 01 Dec 2008 05:00:00 +0100 2101792 http://www.medworm.com/index.php?rid=2101791&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137395%26dopt%3DAbstract Authors: Wingenfeld C, Abbara-Czardybon M, Arbab D, Frank D OBJECTIVE : Joint-preserving procedure for initial osteoarthritis of the first metatarsophalangeal joint for improvement of restricted joint motion and achievement of a harmonic gait. INDICATIONS : Hallux rigidus stage I and II according to Regnauld's classification. CONTRAINDICATIONS : Hallux rigidus Regnauld stage III. General medical contraindications to surgical interventions and anesthesiological procedures. SURGICAL TECHNIQUE : Operation in regional anesthesia (foot block). Tourniquet. Longitudinal skin incision over the dorsal aspect of the first metatarsophalangeal joint. Incision of the joint capsule with protection of the extensor hallucis longus tendon and the dorsal neurovascular bundle. Cheilectomy: removal of ost... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101791 Mon, 01 Dec 2008 05:00:00 +0100 2101791 http://www.medworm.com/index.php?rid=2101790&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137396%26dopt%3DAbstract Authors: Olms K, Grady JF, Schulz AP OBJECTIVE : With this joint-preserving procedure impinging and damaged parts of the first metatarsal head and the proximal phalanx are removed. The attachment of the short flexor tendon is preserved. Joint motion will increase and joint function is preserved. INDICATIONS : Hallux rigidus stage 2-3 according to the Vanore classification. Salvage procedure for failed arthroplasty of the first metatarsophalangeal joint. CONTRAINDICATIONS : Hallux rigidus stage 4 according to the Vanore classification. Severe elevatus position of first ray. SURGICAL TECHNIQUE : Surgery with tourniquet is preferred. Dorsomedial skin incision. Longitudinal incision of the capsule. Removal of medial and lateral osteophytes both from the metatarsal and the proximal phalanx.... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101790 Mon, 01 Dec 2008 05:00:00 +0100 2101790 http://www.medworm.com/index.php?rid=2101789&cid=s_36639_31_f&fid=36639&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19137397%26dopt%3DAbstract Authors: Seebauer L, Goebel M OBJECTIVE : Restoration of a stable, pain-free and functional shoulder in chronic glenoid defects following anterior or posterior shoulder dislocations. INDICATIONS : Anterior glenoid defect: all recurrent or persistent shoulder instabilities in association with chronic glenoid lesions. Posterior glenoid defect: all recurrent or persistent postreposition shoulder instabilities with chronic osseous glenoid defects. CONTRAINDICATIONS : Brachial plexus injury. Poor glenoid bone stock. SURGICAL TECHNIQUE : Anterior glenoid defect: exposition of the glenoid through a deltopectoral approach. Glenoid reconstruction by autologous iliac crest graft or coracoid transfer, in cases with progressive joint destruction in combination with shoulder arthroplasty. Posterior... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101789 Mon, 01 Dec 2008 05:00:00 +0100 2101789