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. Sat, 30 Jan 2010 15:04:31 +0100 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 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 pegs and/or a comminution extending into the diaphyseal portion of the radius. Displaced intraarticular fractures of the dista... 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 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= 40 degrees, distal metatarsal articular angle (DMAA) > 10 degrees. CONTRAINDICATIONS: Symptomatic osteoarthritis of the first metatarsop... 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 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) </= 40 degrees , distal metatarsal articular angle (DMAA) > 10 degrees . CONTRAINDICATIONS : Symptomatic osteoarthritis of the first metata... 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 http://www.medworm.com/index.php?rid=2101788&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 ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101788 Mon, 01 Dec 2008 05:00:00 +0100 2101788 http://www.medworm.com/index.php?rid=2101787&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 ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101787 Mon, 01 Dec 2008 05:00:00 +0100 2101787 http://www.medworm.com/index.php?rid=2101786&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%3D19137400%26dopt%3DAbstract Authors: Flören M, Reichel H, Davis J, Laskin RS OBJECTIVE : Rapid functional recovery and improved range of motion after total knee arthroplasty (TKA) without compromising implant position. INDICATIONS : Osteoarthritis of the knee requiring TKA. CONTRAINDICATIONS : Preoperative flexion < 80 degrees . Flexion contracture > 20 degrees . Body mass index > 40 kg/m(2). Fixed valgus deformity > 15 degrees . Relative: previous open surgery on the knee; systematic steroids (skin fragility); tall muscular males. SURGICAL TECHNIQUE : Straight skin incision over the medial third of the patella from 2 cm proximal to the patella, and then to the level of the tibial tuberosity. Extension of capsular incision 2 cm into the vastus medialis muscle from a point 2 cm proximal to the pat... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=2101786 Mon, 01 Dec 2008 05:00:00 +0100 2101786 http://www.medworm.com/index.php?rid=1652940&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%3D18535794%26dopt%3DAbstract Authors: Megerle K, Palm-Bröking K, Germann G OBJECTIVE: Soft-tissue coverage by tissue transposition from a neighboring finger of a palmar (classic cross-finger flap) or dorsal (reversed cross-finger flap) soft-tissue defect of the phalanges. INDICATIONS: Conventional cross-finger flap: soft-tissue defects in the proximal or middle phalanges not suitable for skin transplantation. Reversed cross-finger flap: soft-tissue defects in the dorsal proximal or middle phalanges not suitable for skin transplantation. CONTRAINDICATIONS: Extensive tissue defects crossing the finger joints. Concomitant injuries of the neighboring fingers. SURGICAL TECHNIQUE: Harvesting of an adipocutaneous flap from the dorsum of the finger to the midlateral line, preserving the paratenon of the donor phalanx... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652940 Sun, 01 Jun 2008 04:00:00 +0100 1652940 http://www.medworm.com/index.php?rid=1652939&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%3D18535795%26dopt%3DAbstract Authors: Mehling I, Hessmann MH, Hofmann A, Rommens PM OBJECTIVE: Restoration of the fingertip with a neurovascular V-Y flap. INDICATIONS: Transverse or oblique defects of the fingertip, also with exposed bone of the distal phalanx. CONTRAINDICATIONS: Larger defects of the phalanx over the proximal interphalangeal joint. Crush injury of the finger. Preexisting lesions of the fingertip. Circulatory disorder. Contamination. Infection of the finger. SURGICAL TECHNIQUE: A single volar (Tranquilli-Leali, Atasoy) or a bilateral V-Y flap (Geissendörfer, Kutler) is used for restoration of the fingertip. The incision is V-shaped and will be converted to a Y, as the flap is advanced. The subcutaneous tissue of the flap contains neurovascular structures, and provides sensibility and padding ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652939 Sun, 01 Jun 2008 04:00:00 +0100 1652939 http://www.medworm.com/index.php?rid=1652938&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%3D18535796%26dopt%3DAbstract Authors: Rab M, Prommersberger KJ OBJECTIVE: Coverage of defects on the upper limb with the distally pedicled, fasciocutaneous posterior interosseous artery flap. INDICATIONS: Defects with exposed tendon and/or bony tissue on the palmar and dorsal side of the wrist, the hand upon the proximal interphalangeal joint level and the whole thumb. Coverage of defects on the palmar side of wrist and palm of the hand with exposed median and/or ulnar nerve. Enlargement of the 1st interdigital web space in cases of thumb adduction contracture. CONTRAINDICATIONS: Surgery at the flap harvesting site on the proximal third of the forearm. Surgery at the site of the flap pedicle on the middle and distal third of the forearm upon the distal radioulnar joint. Absence of the distal anastomosis between th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652938 Sun, 01 Jun 2008 04:00:00 +0100 1652938 http://www.medworm.com/index.php?rid=1652937&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%3D18535797%26dopt%3DAbstract Authors: Wechselberger G, Schubert HM, Schoeller T OBJECTIVE: Coverage of soft-tissue defects of various sizes by an easy-to-do and reliable free muscle/myocutaneous flap. INDICATIONS: Soft-tissue defects of a size up to 10 x 22 cm. Functional muscle transfer, e.g., biceps muscle replacement. CONTRAINDICATIONS: Poor soft-tissue conditions or lesions on both thighs. No recipient vessels. Inadequate personnel and/or technical resources. SURGICAL TECHNIQUE: Approach via a longitudinal medial incision or via the thigh flexion fold. The flap can be designed with or without a skin island. After mobilization from its tendinous part up to its origin, the vascular pedicle is prepared until its origin from the deep femoral artery. After harvesting, transfer is performed by anastomosing and shapi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652937 Sun, 01 Jun 2008 04:00:00 +0100 1652937 http://www.medworm.com/index.php?rid=1652936&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%3D18535798%26dopt%3DAbstract Authors: Hierner R OBJECTIVE: Defect reconstruction by transposition of well-vascularized muscle (muscle flap) or muscle/skin tissue (myocutaneous flap). Reconstruction of missing muscle unit by free functional muscle transplantation. INDICATIONS: Treatment of first choice for defect coverage at the distal thigh, knee (including exposed and infected total knee prosthesis), and proximal lower leg. CONTRAINDICATIONS: Lesions of the popliteal artery. Concomitant lesion of the soleus muscle (impaired plantar flexion). SURGICAL TECHNIQUE: Proximally pedicled flap: the distal tendinous insertion of the medial and/or lateral gastrocnemius muscle at the Achilles tendon is cut. Vascularization is assured by the medial and lateral sural artery, respectively. - Muscle flaps (medial gastrocnemius,... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652936 Sun, 01 Jun 2008 04:00:00 +0100 1652936 http://www.medworm.com/index.php?rid=1652935&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%3D18535800%26dopt%3DAbstract Authors: Fink B, Grossmann A OBJECTIVE: Revision of loose cups of total hip arthroplasties. Implantation and solid fixation of a cementless press-fit cup to restore painless joint function. INDICATIONS: Loose cups of total hip arthroplasties. Reimplantation of a prosthetic cup after removal of an infected total hip arthroplasty. CONTRAINDICATIONS: Bone defects of the acetabulum precluding a press-fit fixation (at least three-surface fixation) of the cup. Persistent infection. SURGICAL TECHNIQUE: Exposure of the acetabulum using a standard approach. Removal of the loose cup. Cleaning of the ground with a spoon. Reaming of a new, deeper center of rotation in the acetabulum using a small reamer. Stepwise reaming of the acetabulum using increasing reamer sizes without pressure until suffic... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1652935 Sun, 01 Jun 2008 04:00:00 +0100 1652935 http://www.medworm.com/index.php?rid=1500647&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%3D18535794%26dopt%3DAbstract Authors: Megerle K, Palm-Bröking K, Germann G OBJECTIVE: Soft-tissue coverage by tissue transposition from a neighboring finger of a palmar (classic cross-finger flap) or dorsal (reversed cross-finger flap) soft-tissue defect of the phalanges. INDICATIONS: Conventional cross-finger flap: soft-tissue defects in the proximal or middle phalanges not suitable for skin transplantation. Reversed cross-finger flap: soft-tissue defects in the dorsal proximal or middle phalanges not suitable for skin transplantation. CONTRAINDICATIONS: Extensive tissue defects crossing the finger joints. Concomitant injuries of the neighboring fingers. SURGICAL TECHNIQUE: Harvesting of an adipocutaneous flap from the dorsum of the finger to the midlateral line, preserving the paratenon of the donor phalanx... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500647 Thu, 01 May 2008 04:00:00 +0100 1500647 http://www.medworm.com/index.php?rid=1500646&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%3D18535795%26dopt%3DAbstract Authors: Mehling I, Hessmann MH, Hofmann A, Rommens PM OBJECTIVE: Restoration of the fingertip with a neurovascular V-Y flap. INDICATIONS: Transverse or oblique defects of the fingertip, also with exposed bone of the distal phalanx. CONTRAINDICATIONS: Larger defects of the phalanx over the proximal interphalangeal joint. Crush injury of the finger. Preexisting lesions of the fingertip. Circulatory disorder. Contamination. Infection of the finger. SURGICAL TECHNIQUE: A single volar (Tranquilli-Leali, Atasoy) or a bilateral V-Y flap (Geissendörfer, Kutler) is used for restoration of the fingertip. The incision is V-shaped and will be converted to a Y, as the flap is advanced. The subcutaneous tissue of the flap contains neurovascular structures, and provides sensibility and padding ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500646 Thu, 01 May 2008 04:00:00 +0100 1500646 http://www.medworm.com/index.php?rid=1500645&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%3D18535796%26dopt%3DAbstract Authors: Rab M, Prommersberger KJ OBJECTIVE: Coverage of defects on the upper limb with the distally pedicled, fasciocutaneous posterior interosseous artery flap. INDICATIONS: Defects with exposed tendon and/or bony tissue on the palmar and dorsal side of the wrist, the hand upon the proximal interphalangeal joint level and the whole thumb. Coverage of defects on the palmar side of wrist and palm of the hand with exposed median and/or ulnar nerve. Enlargement of the 1st interdigital web space in cases of thumb adduction contracture. CONTRAINDICATIONS: Surgery at the flap harvesting site on the proximal third of the forearm. Surgery at the site of the flap pedicle on the middle and distal third of the forearm upon the distal radioulnar joint. Absence of the distal anastomosis between th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500645 Thu, 01 May 2008 04:00:00 +0100 1500645 http://www.medworm.com/index.php?rid=1500644&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%3D18535797%26dopt%3DAbstract Authors: Wechselberger G, Schubert HM, Schoeller T OBJECTIVE: Coverage of soft-tissue defects of various sizes by an easy-to-do and reliable free muscle/myocutaneous flap. INDICATIONS: Soft-tissue defects of a size up to 10 x 22 cm. Functional muscle transfer, e.g., biceps muscle replacement. CONTRAINDICATIONS: Poor soft-tissue conditions or lesions on both thighs. No recipient vessels. Inadequate personnel and/or technical resources. SURGICAL TECHNIQUE: Approach via a longitudinal medial incision or via the thigh flexion fold. The flap can be designed with or without a skin island. After mobilization from its tendinous part up to its origin, the vascular pedicle is prepared until its origin from the deep femoral artery. After harvesting, transfer is performed by anastomosing and shapi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500644 Thu, 01 May 2008 04:00:00 +0100 1500644 http://www.medworm.com/index.php?rid=1500643&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%3D18535798%26dopt%3DAbstract Authors: Hierner R OBJECTIVE: Defect reconstruction by transposition of well-vascularized muscle (muscle flap) or muscle/skin tissue (myocutaneous flap). Reconstruction of missing muscle unit by free functional muscle transplantation. INDICATIONS: Treatment of first choice for defect coverage at the distal thigh, knee (including exposed and infected total knee prosthesis), and proximal lower leg. CONTRAINDICATIONS: Lesions of the popliteal artery. Concomitant lesion of the soleus muscle (impaired plantar flexion). SURGICAL TECHNIQUE: Proximally pedicled flap: the distal tendinous insertion of the medial and/or lateral gastrocnemius muscle at the Achilles tendon is cut. Vascularization is assured by the medial and lateral sural artery, respectively. - Muscle flaps (medial gastrocnemius,... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500643 Thu, 01 May 2008 04:00:00 +0100 1500643 http://www.medworm.com/index.php?rid=1500642&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%3D18535799%26dopt%3DAbstract Authors: Rühmann O, Lipka W, Bohnsack M OBJECTIVE: Aim of the procedure is shifting the arc of shoulder rotation for an improved external rotation, reaching a physiological elbow flexion without striking of the lower arm against the thorax; improvement of the activities of daily living because guidance of the hand to the face is possible without any simultaneous evasive movements of the shoulder. INDICATIONS: Palsy of infraspinatus and teres minor muscles after complete neurosurgical therapy (neurolysis, reconstruction of the brachial plexus), which leads to loss of external rotation and an internally rotating posture of the arm. Elbow flexion is hindered because of striking of the lower arm against the thorax, simultaneous abduction and foreward flexion is necessary to guide the ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500642 Thu, 01 May 2008 04:00:00 +0100 1500642 http://www.medworm.com/index.php?rid=1500641&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%3D18535800%26dopt%3DAbstract Authors: Fink B, Grossmann A OBJECTIVE: Revision of loose cups of total hip arthroplasties. Implantation and solid fixation of a cementless press-fit cup to restore painless joint function. INDICATIONS: Loose cups of total hip arthroplasties. Reimplantation of a prosthetic cup after removal of an infected total hip arthroplasty. CONTRAINDICATIONS: Bone defects of the acetabulum precluding a press-fit fixation (at least three-surface fixation) of the cup. Persistent infection. SURGICAL TECHNIQUE: Exposure of the acetabulum using a standard approach. Removal of the loose cup. Cleaning of the ground with a spoon. Reaming of a new, deeper center of rotation in the acetabulum using a small reamer. Stepwise reaming of the acetabulum using increasing reamer sizes without pressure until suffic... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500641 Thu, 01 May 2008 04:00:00 +0100 1500641 http://www.medworm.com/index.php?rid=1500640&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%3D18535801%26dopt%3DAbstract Authors: Schepers T, Vogels LM, Schipper IB, Patka P OBJECTIVE: Percutaneous reduction by distraction and subsequent percutaneous screw fixation to restore calcaneal and posterior talocalcaneal facet anatomy. The aim of this technique is to improve functional outcome and to diminish the rate of secondary posttraumatic arthrosis compared to conservative treatment and, secondly, to reduce infectious complications compared to open reduction and internal fixation (ORIF). INDICATIONS: Sanders type II-IV displaced intraarticular calcaneal fractures. CONTRAINDICATIONS: Isolated centrally depressed fragment. Patients who are expected to be noncompliant. SURGICAL TECHNIQUE: Four distractors (Synthes((R))) are positioned, two on each side of the foot, between the tuberosity of the calcaneus and ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500640 Thu, 01 May 2008 04:00:00 +0100 1500640 http://www.medworm.com/index.php?rid=1500639&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%3D18535802%26dopt%3DAbstract Authors: Kirchhoff C, Braunstein V, Buhmann S, Mutschler W, Biberthaler P THE PROBLEM: The failure rate after surgical acromioclavicular (AC) joint stabilization is of up to 10%. For revision, several techniques including modifications of the Weaver-Dunn procedure have been suggested. However, patients with failure of such revision techniques represent a special challenge due to the altered anatomic relationships and the lack of stabilizing structures. THE SOLUTION: In this respect, a case of several failed AC joint reconstructions is reported in which a doubled semitendinosus graft was used. The use of either biological autograft or artificial material has been suggested in the literature. However, especially the use of an autograft or allograft tendon has been supported by biomechani... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1500639 Thu, 01 May 2008 04:00:00 +0100 1500639 http://www.medworm.com/index.php?rid=1304113&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%3D18338113%26dopt%3DAbstract Oper Orthop Traumatol. 2008 Mar;20(1):1-2 Authors: Blauth M PMID: 18338113 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304113 Sat, 01 Mar 2008 05:00:00 +0100 1304113 http://www.medworm.com/index.php?rid=1304112&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%3D18338114%26dopt%3DAbstract Authors: Schmolke S, Gossé F OBJECTIVE: Installation of an external fixator in combination with a body cast for temporary or definitive immobilization and retention of unstable fractures of the craniocervical junction and upper part of the cervical spine. Further established applications include presurgical extension treatment of paralytic scoliosis and temporary retention within complex spine deformity operations after ventral release or mobilized osteotomies. INDICATIONS: Closed reposition and temporary retention of unstable injuries of the cervical spine up to operation. Extension treatment for careful reposition of fresh or dated malpositions of the cervical spine. Conservative treatment of injuries of the craniocervical junction and the upper part of the cervical spine. Presu... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304112 Sat, 01 Mar 2008 05:00:00 +0100 1304112 http://www.medworm.com/index.php?rid=1304111&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%3D18338115%26dopt%3DAbstract Authors: Arora R, Lutz M, Gabl M, Pechlaner S OBJECTIVE: Reconstruction of extensor functions after extensor tendon injuries of the hand. INDICATIONS: Acute injuries of extensor mechanism with corresponding loss of function. CONTRAINDICATIONS: Complex injuries with loss of soft tissue. Limited possibility of extensor tendon reconstruction with combined injuries of the interphalangeal joints (in situations with irreparable joints: primary arthrodesis). SURGICAL TECHNIQUE: The treatment of extensor tendon injuries depends on the various levels of tendon laceration. Zones 1 and 2: in case of tendon disruption close to the base of the distal phalanx, refixation of tractus terminalis using a pull-out suture. In case of disruption more proximally, primary repair using mattress sutures. Tempo... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304111 Sat, 01 Mar 2008 05:00:00 +0100 1304111 http://www.medworm.com/index.php?rid=1304110&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%3D18338116%26dopt%3DAbstract Authors: Rühmann O, Kohn D, Bohnsack M OBJECTIVE: Increase of shoulder stability. Elimination of inferior subluxation of the humeral head. Increase of active abduction. Better control of the paralyzed arm. Decrease or elimination of shoulder pain. INDICATIONS: Palsy of deltoid and supraspinatus muscles with weak abduction, multidirectional shoulder instability and subluxation of the humeral head after complete neurosurgical therapy (neurolysis, reconstruction of the brachial plexus). No essential active function of the elbow and hand. CONTRAINDICATIONS: Weakness of trapezius muscle. Incomplete rehabilitation after neurosurgical procedure. Stiffness of the glenohumeral joint. Arthritis of the glenohumeral joint. SURGICAL TECHNIQUE: The cranial part of the trapezius muscle is detach... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304110 Sat, 01 Mar 2008 05:00:00 +0100 1304110 http://www.medworm.com/index.php?rid=1304109&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%3D18338117%26dopt%3DAbstract Authors: Fritz D, Arora R, Gabl M, Lutz M OBJECTIVE: Reconstruction of the anatomic configuration of the articular surface and restoration of complete movement of the finger joint. INDICATIONS: Fracture of the distal interphalangeal (DIP) joint involving >/= 30% of the articular surface. Luxation or subluxation of the distal phalanx. Fracture-dislocation >/= 2 mm. CONTRAINDICATIONS: Old fractures. Closed reduction impossible. SURGICAL TECHNIQUE: Closed reduction and pin fixation modified from Ishiguro technique without penetrating the fracture fragment. POSTOPERATIVE MANAGEMENT: Cast fixation for 4 weeks with the finger in functional position or with the proximal interphalangeal joint flexed to relax the pulley. After 4 weeks, removal of the cast and the pin and start of active m... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304109 Sat, 01 Mar 2008 05:00:00 +0100 1304109 http://www.medworm.com/index.php?rid=1304108&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%3D18338118%26dopt%3DAbstract Authors: Stephan C, Saalabian A, van Schoonhoven J, Prommersberger KJ OBJECTIVE: Flexor tendon repair by direct suture, providing tendon function and mechanical properties and allowing postoperative active extension and flexion. INDICATIONS: Flexor tendon laceration in all zones, when primary healing and a good functional outcome can be expected. CONTRAINDICATIONS: Florid and chronic infection. Lack of skill, instruments, or manpower. Tension-free suture is not feasible. Severe soft-tissue problems. Mantero suture in case of coexistent artery injury. SURGICAL TECHNIQUE: Hand surgical incisions and approach to the tendon. Opening of the tendon sheath in the region of oblique pulley. A four-strand core suture consisting of two locked two-strand sutures and a circumferential epitendon cro... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304108 Sat, 01 Mar 2008 05:00:00 +0100 1304108 http://www.medworm.com/index.php?rid=1304107&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%3D18338119%26dopt%3DAbstract Authors: Dietz SO, Rommens PM, Hessmann MH OBJECTIVE: Restoration of active knee extension. Restoration of active knee stabilization. Avoiding secondary patella alta. INDICATIONS: Acute rupture of the patellar tendon within 3-5 days. Chronic rupture of the patellar tendon. CONTRAINDICATIONS: Compromised general health status or associated injuries. Compromised local soft-tissue situation. SURGICAL TECHNIQUE: Exposure of the ruptured tendon. Coronal drill hole through the distal third of the patella and coronal drill hole through the tibial tuberosity. After anatomic positioning of the patella (adjusting correct height), patellotibial fixation with monofil or woven (Labitzke) cerclage wire or PDS cord. Suture repair of the patellar tendon and repair of the ruptured medial and lateral re... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304107 Sat, 01 Mar 2008 05:00:00 +0100 1304107 http://www.medworm.com/index.php?rid=1304106&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%3D18338120%26dopt%3DAbstract Authors: Schmidle G, Smekal V OBJECTIVE: Reconstruction of the extensor mechanism of the knee joint by stable suture of the quadriceps tendon. Early functional treatment. INDICATIONS: Acute or partial disruption of the quadriceps tendon close to the proximal patella pole with loss of extensor function of the knee joint. CONTRAINDICATIONS: Open rupture of the quadriceps tendon with extended soft-tissue damage and high risk of or ongoing inflammation until healing of the soft tissues. Chronic quadriceps tendon rupture. Ruptures at the musculotendinous junction. SURGICAL TECHNIQUE: Supine positioning of the patient on a standard operating table with the knee in 30 degrees of flexion. Securing of the proximal tendon stump with two Bunnell sutures using no. 2 Fiber-Wire((R)) (Arthrex GmbH, ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304106 Sat, 01 Mar 2008 05:00:00 +0100 1304106 http://www.medworm.com/index.php?rid=1304105&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%3D18338121%26dopt%3DAbstract Authors: Frey P, Müller M, Munzinger U OBJECTIVE: Deceleration of the progression of medial gonarthritis via transfer of the mechanical load axis from the medial to the lateral femorotibial compartment and by reduction of compressive stresses in the medial compartment. INDICATIONS: Isolated early-stage unicompartmental medial gonarthritis. Symptomatic varus deformity. Adjustment of the mechanical load axis in reconstructive surgery such as autologous chondrocyte transplantation. Correction of posttraumatic varus deformities. CONTRAINDICATIONS: Concomitant patellofemoral arthritis, lateral femorotibial arthritis, or other painful conditions of the knee. Limited range of motion. Knee instabilities, since a rapid development of a tricompartmental gonarthritis is likely to occur. Adva... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304105 Sat, 01 Mar 2008 05:00:00 +0100 1304105 http://www.medworm.com/index.php?rid=1304104&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%3D18338122%26dopt%3DAbstract Authors: Magnan B, Samaila E, Viola G, Bartolozzi P OBJECTIVE: Percutaneous retrocapital distal osteotomy of the first metatarsal for surgical treatment of hallux valgus. INDICATIONS: Mild to moderate hallux valgus deformity in both juveniles and adults. Recurrent hallux valgus deformity after previous surgery. CONTRAINDICATIONS: Severe degenerative changes of the first metatarsophalangeal joint (hallux valgus et rigidus). Previous Keller's procedure. SURGICAL TECHNIQUE: A percutaneous distal linear osteotomy of the first metatarsal is performed and stabilized with a Kirschner wire. The surgical technique follows these steps: distal Kirschner wire insertion; skin incision; sparse periosteal detachment; distal retrocapital osteotomy of the first metatarsal; correction of the first inter... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1304104 Sat, 01 Mar 2008 05:00:00 +0100 1304104 http://www.medworm.com/index.php?rid=1129632&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%3D18071929%26dopt%3DAbstract Authors: Hackl W, Wambacher M, Kralinger F, Smekal V OBJECTIVE: Pain-free movement and stability of the shoulder joint after restoration of muscular balance between the internal and external rotators. Eradication of anterior impingement. INDICATIONS: Irreparable rupture of the subscapularis tendon in active patients. CONTRAINDICATIONS: Less active patients who are older than about 60 years. Concomitant infraspinatus tendon rupture. Frozen shoulder. Rotator cuff arthropathy. SURGICAL TECHNIQUE: General anesthetic and beach-chair position with the arm freely mobile. Deltopectoral approach. Exposure of the lesser tubercle and the conjoined tendon of coracobrachialis and the short head of the biceps. Half to two thirds of the insertion of pectoralis major at the humeral shaft are detached ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129632 Sat, 01 Dec 2007 05:00:00 +0100 1129632 http://www.medworm.com/index.php?rid=1129631&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%3D18071930%26dopt%3DAbstract Authors: Roth A, Venbrocks RA OBJECTIVE: Early postoperative mobilization and restoration of pain-free joint function by implantation of a total hip replacement through a standardized, minimally invasive approach regardless of the type of implant with the patient in the supine position. INDICATIONS: Primary and secondary coxarthrosis. Femoral head necrosis. CONTRAINDICATIONS: Previously operated patients with deformities of the coxal end of the femur and extensive scarring. SURGICAL TECHNIQUE: Supine position. Skin incision anterior to the greater trochanter at the level of the interval between the tensor fasciae latae muscle and the iliotibial tract parallel to the acetabulum ascending slightly from distal to proximal. Incision of the iliotibial tract posterior to the interval. Coagul... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129631 Sat, 01 Dec 2007 05:00:00 +0100 1129631 http://www.medworm.com/index.php?rid=1129630&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%3D18071931%26dopt%3DAbstract Authors: Rudert M, Leichtle U, Leichtle C, Thomas W OBJECTIVE: Total hip replacement with maximum preservation of femoral neck. Restoration of pain-free joint function. INDICATIONS: Coxarthrosis, femoral head necrosis in younger patients with intact femoral neck. CONTRAINDICATIONS: Joint infection. Coxa valga (caput-collum-diaphysis [CCD] angle > 150 degrees ). Coxa vara (CCD angle < 110 degrees ). Body mass index > 30 (relative contraindication). Ongoing chemotherapy. Osteoporosis. SURGICAL TECHNIQUE: Transgluteal or anterolateral approach. Resection of two thirds of the femoral head. Implantation of uncemented acetabular component. Revitalization of the femoral neck with special rasps for the CUT prosthesis. Trial reduction with bone rasp and modular cone in place (10 degree... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129630 Sat, 01 Dec 2007 05:00:00 +0100 1129630 http://www.medworm.com/index.php?rid=1129629&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%3D18071932%26dopt%3DAbstract Authors: Lorenz S, Anetzberger H, Spang JT, Imhoff AB OBJECTIVE: To improve the rotational stability of the knee by anatomic reconstruction of the anterior cruciate ligament by socalled double-bundle technique using anteromedial and posterolateral grafts from native semitendinosus and gracilis. The grafts are fixed with bioabsorbable screws utilizing aperture fixation. INDICATIONS: Complete tear of the anterior cruciate ligament with positive Lachman sign and pivot shift. CONTRAINDICATIONS: Open growth plate. Osteoarthritis > grade 1 according to Jäger & Wirth. Age > or = 50 years with low sports activity (relative contraindication). SURGICAL TECHNIQUE: Graft harvest of the semitendinosus and gracilis tendons via a 3-cm horizontal skin incision parallel to pes anserinus ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129629 Sat, 01 Dec 2007 05:00:00 +0100 1129629 http://www.medworm.com/index.php?rid=1129628&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%3D18071933%26dopt%3DAbstract Authors: Ostermeier S, Stukenborg-Colsman C, Wirth CJ, Bohnsack M OBJECTIVE: Stabilization of the patella by reconstruction of the medial patellofemoral ligament. INDICATIONS: Chronic recurrent lateral dislocation or subluxation of the patella. Habitual lateral dislocation of the patella. CONTRAINDICATIONS: Primary dislocation of the patella. Genu valgum with a Q-angle > 15 degrees . Status following semitendinosus tendon transfer to reconstruct the anterior cruciate ligament. Joint infection. Neurogenic instability, ischiocrural muscle deficiency. SURGICAL TECHNIQUE: Division of the distal insertion of the semitendinosus muscle at the pes anserinus. Subligamentous tunneling at the proximal insertion of the medial collateral ligament. The distal end of the semitendinosus tendon is t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129628 Sat, 01 Dec 2007 05:00:00 +0100 1129628 http://www.medworm.com/index.php?rid=1129627&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%3D18071934%26dopt%3DAbstract Authors: Malavolta M, Malavolta L OBJECTIVE: Relief of chronic pain over the lateral aspect of the leg through decompression of the superficial peroneal nerve where it emerges from the deep fascia of the leg. INDICATIONS: Chronic pain over the lateral side (lower quarter) of the leg and the dorsum of the ankle exaggerated by activities of daily living and sports; sometimes sensory abnormality or decreased sensibility in the distribution of the nerve over the dorsum of the foot. Presence of a positive Tinel-Hoffmann sign at the site of compression. CONTRAINDICATIONS: Occasional pain or absence of chronic pain. SURGICAL TECHNIQUE: Before starting spinal anesthesia, the site of nerve compression has to be identified (Tinel-Hoffmann sign) and marked. Supine position, internal rotation of t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129627 Sat, 01 Dec 2007 05:00:00 +0100 1129627 http://www.medworm.com/index.php?rid=1129626&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%3D18071935%26dopt%3DAbstract Authors: Neumann HW, Lieske S, Schenk K OBJECTIVE: The aim of supramalleolar osteotomy of the tibia in the management of varus deformity of the upper ankle joint is to shift load bearing away from the severely degenerated medial part of the joint to the lateral part and thus restore physiological alignment of the hindfoot and a plantigrade foot. The intention is to reduce pain and to postpone the need for total endoprosthesis or arthrodesis. INDICATIONS: Painful degeneration of the ankle joint with varus deformity that has proven resistant to conservative treatment, i.e., > 15 degrees axial malalignment of the tibiotalar joint axis. CONTRAINDICATIONS: Severe ankle joint degeneration that restricts movement. Florid infections. Extensive bone and soft-tissue defects. Osteonecrosis of ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129626 Sat, 01 Dec 2007 05:00:00 +0100 1129626 http://www.medworm.com/index.php?rid=1129625&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%3D18071936%26dopt%3DAbstract Authors: Rzesacz EH, Gossé F OBJECTIVE: Treatment of posttraumatic osteoarthritis of the upper ankle joint by implantation of an uncemented total ankle joint prosthesis. INDICATIONS: Painful osteoarthritis of any kind affecting the upper ankle joint with adequate joint stability, without significant bone deformity of the ankle axes (deviation of the lower leg axis in the distal third in the horizontal and sagittal planes < or = 20 degrees ), without manifest osteoporosis, with normal peripheral vascularity, correct alignment of the hindfoot, minimal sports expectations on the part of the patient, and good residual range of motion. CONTRAINDICATIONS: Avascular talus necrosis > or = 25%. Degenerative neuropathic joint disease (Charcot's joint). Acute or chronic ankle joint inf... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129625 Sat, 01 Dec 2007 05:00:00 +0100 1129625 http://www.medworm.com/index.php?rid=1129624&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%3D18071937%26dopt%3DAbstract Authors: Schill S OBJECTIVE: Restoration of painless function to the lower limb by ankle fusion after failure of total ankle arthroplasty. INDICATIONS: Loose total ankle replacement. Severe ankle destruction and axial deviation in rheumatoid patients. Severe osteoarthritis in the subtalar and ankle joints. CONTRAINDICATIONS: Infected total ankle replacement. Severe arterial occlusive disease of the affected extremity. SURGICAL TECHNIQUE: Transfibular approach to the subtalar and ankle joints. Osteotomy and resection of the distal fibula 7-8 cm proximal to the tip of the lateral malleolus. Removal of the prosthetic components, synovectomy, and revitalization of the remaining bone surface. Removal of any residual articular cartilage from the subtalar joint surfaces. Determination of the ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129624 Sat, 01 Dec 2007 05:00:00 +0100 1129624 http://www.medworm.com/index.php?rid=1129623&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%3D18071938%26dopt%3DAbstract Authors: Schwarz N, Grasslober H, Widhalm HK OBJECTIVE: Restoration of the lateral tibial condyle, a functionally intact knee joint, and correct physiological axis. INDICATIONS: Posttraumatic cartilage and bone defect of the lateral tibial condyle too severe for reconstruction in a young patient. CONTRAINDICATIONS: Age > 50 years. Patellofemoral joint degeneration. Defect of the patella or lateral femoral condyle. SURGICAL TECHNIQUE: Transplantation of the own, ipsilateral patella into the bone defect of the lateral tibial condyle. RESULTS: The result in one patient was found to be excellent 5 years after the accident and was good in one other patient 13 years following trauma. The third patient showed a good result 1.5 years after the accident. PMID: 18071938 [PubMed - in proce... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1129623 Sat, 01 Dec 2007 05:00:00 +0100 1129623 http://www.medworm.com/index.php?rid=1089045&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%3D18071929%26dopt%3DAbstract Authors: Hackl W, Wambacher M, Kralinger F, Smekal V OBJECTIVE: Pain-free movement and stability of the shoulder joint after restoration of muscular balance between the internal and external rotators. Eradication of anterior impingement. INDICATIONS: Irreparable rupture of the subscapularis tendon in active patients. CONTRAINDICATIONS: Less active patients who are older than about 60 years. Concomitant infraspinatus tendon rupture. Frozen shoulder. Rotator cuff arthropathy. SURGICAL TECHNIQUE: General anesthetic and beach-chair position with the arm freely mobile. Deltopectoral approach. Exposure of the lesser tubercle and the conjoined tendon of coracobrachialis and the short head of the biceps. Half to two thirds of the insertion of pectoralis major at the humeral shaft are detached ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089045 Thu, 01 Nov 2007 04:00:00 +0100 1089045 http://www.medworm.com/index.php?rid=1089044&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%3D18071930%26dopt%3DAbstract Authors: Roth A, Venbrocks RA OBJECTIVE: Early postoperative mobilization and restoration of pain-free joint function by implantation of a total hip replacement through a standardized, minimally invasive approach regardless of the type of implant with the patient in the supine position. INDICATIONS: Primary and secondary coxarthrosis. Femoral head necrosis. CONTRAINDICATIONS: Previously operated patients with deformities of the coxal end of the femur and extensive scarring. SURGICAL TECHNIQUE: Supine position. Skin incision anterior to the greater trochanter at the level of the interval between the tensor fasciae latae muscle and the iliotibial tract parallel to the acetabulum ascending slightly from distal to proximal. Incision of the iliotibial tract posterior to the interval. Coagul... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089044 Thu, 01 Nov 2007 04:00:00 +0100 1089044 http://www.medworm.com/index.php?rid=1089043&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%3D18071931%26dopt%3DAbstract Authors: Rudert M, Leichtle U, Leichtle C, Thomas W OBJECTIVE: Total hip replacement with maximum preservation of femoral neck. Restoration of pain-free joint function. INDICATIONS: Coxarthrosis, femoral head necrosis in younger patients with intact femoral neck. CONTRAINDICATIONS: Joint infection. Coxa valga (caput-collum-diaphysis [CCD] angle > 150 degrees ). Coxa vara (CCD angle < 110 degrees ). Body mass index > 30 (relative contraindication). Ongoing chemotherapy. Osteoporosis. SURGICAL TECHNIQUE: Transgluteal or anterolateral approach. Resection of two thirds of the femoral head. Implantation of uncemented acetabular component. Revitalization of the femoral neck with special rasps for the CUT prosthesis. Trial reduction with bone rasp and modular cone in place (10 degree... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089043 Thu, 01 Nov 2007 04:00:00 +0100 1089043 http://www.medworm.com/index.php?rid=1089042&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%3D18071932%26dopt%3DAbstract Authors: Lorenz S, Anetzberger H, Spang JT, Imhoff AB OBJECTIVE: To improve the rotational stability of the knee by anatomic reconstruction of the anterior cruciate ligament by socalled double-bundle technique using anteromedial and posterolateral grafts from native semitendinosus and gracilis. The grafts are fixed with bioabsorbable screws utilizing aperture fixation. INDICATIONS: Complete tear of the anterior cruciate ligament with positive Lachman sign and pivot shift. CONTRAINDICATIONS: Open growth plate. Osteoarthritis > grade 1 according to Jäger & Wirth. Age >/= 50 years with low sports activity (relative contraindication). SURGICAL TECHNIQUE: Graft harvest of the semitendinosus and gracilis tendons via a 3-cm horizontal skin incision parallel to pes anserinus and... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089042 Thu, 01 Nov 2007 04:00:00 +0100 1089042 http://www.medworm.com/index.php?rid=1089041&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%3D18071933%26dopt%3DAbstract Authors: Ostermeier S, Stukenborg-Colsman C, Wirth CJ, Bohnsack M OBJECTIVE: Stabilization of the patella by reconstruction of the medial patellofemoral ligament. INDICATIONS: Chronic recurrent lateral dislocation or subluxation of the patella. Habitual lateral dislocation of the patella. CONTRAINDICATIONS: Primary dislocation of the patella. Genu valgum with a Q-angle > 15 degrees . Status following semitendinosus tendon transfer to reconstruct the anterior cruciate ligament. Joint infection. Neurogenic instability, ischiocrural muscle deficiency. SURGICAL TECHNIQUE: Division of the distal insertion of the semitendinosus muscle at the pes anserinus. Subligamentous tunneling at the proximal insertion of the medial collateral ligament. The distal end of the semitendinosus tendon is t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089041 Thu, 01 Nov 2007 04:00:00 +0100 1089041 http://www.medworm.com/index.php?rid=1089040&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%3D18071934%26dopt%3DAbstract Authors: Malavolta M, Malavolta L OBJECTIVE: Relief of chronic pain over the lateral aspect of the leg through decompression of the superficial peroneal nerve where it emerges from the deep fascia of the leg. INDICATIONS: Chronic pain over the lateral side (lower quarter) of the leg and the dorsum of the ankle exaggerated by activities of daily living and sports; sometimes sensory abnormality or decreased sensibility in the distribution of the nerve over the dorsum of the foot. Presence of a positive Tinel-Hoffmann sign at the site of compression. CONTRAINDICATIONS: Occasiona pain or absence of chronic pain. SURGICAL TECHNIQUE: Before starting spinal anesthesia, the site of nerve compression has to be identified (Tinel-Hoffmann sign) and marked. Supine position, internal rotation of th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089040 Thu, 01 Nov 2007 04:00:00 +0100 1089040 http://www.medworm.com/index.php?rid=1089039&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%3D18071935%26dopt%3DAbstract Authors: Neumann HW, Lieske S, Schenk K OBJECTIVE: The aim of supramalleolar osteotomy of the tibia in the management of varus deformity of the upper ankle joint is to shift load bearing away from the severely degenerated medial part of the joint to the lateral part and thus restore physiological alignment of the hindfoot and a plantigrade foot. The intention is to reduce pain and to postpone the need for total endoprosthesis or arthrodesis. INDICATIONS: Painful degeneration of the ankle joint with varus deformity that has proven resistant to conservative treatment, i.e., > 15 degrees axial malalignment of the tibiotalar joint axis. CONTRAINDICATIONS: Severe ankle joint degeneration that restricts movement. Florid infections. Extensive bone and soft-tissue defects. Osteonecrosis of ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089039 Thu, 01 Nov 2007 04:00:00 +0100 1089039 http://www.medworm.com/index.php?rid=1089038&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%3D18071936%26dopt%3DAbstract Authors: Rzesacz EH, Gossé F OBJECTIVE: Treatment of posttraumatic osteoarthritis of the upper ankle joint by implantation of an uncemented total ankle joint prosthesis. INDICATIONS: Painful osteoarthritis of any kind affecting the upper ankle joint with adequate joint stability, without significant bone deformity of the ankle axes (deviation of the lower leg axis in the distal third in the horizontal and sagittal planes </= 20 degrees ), without manifest osteoporosis, with normal peripheral vascularity, correct alignment of the hindfoot, minimal sports expectations on the part of the patient, and good residual range of motion. CONTRAINDICATIONS: Avascular talus necrosis >/= 25%. Degenerative neuropathic joint disease (Charcot's joint). Acute or chronic ankle joint infection... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089038 Thu, 01 Nov 2007 04:00:00 +0100 1089038 http://www.medworm.com/index.php?rid=1089037&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%3D18071937%26dopt%3DAbstract Authors: Schill S OBJECTIVE: Restoration of painless function to the lower limb by ankle fusion after failure of total ankle arthroplasty. INDICATIONS: Loose total ankle replacement. Severe ankle destruction and axial deviation in rheumatoid patients. Severe osteoarthritis in the subtalar and ankle joints. CONTRAINDICATIONS: Infected total ankle replacement. Severe arterial occlusive disease of the affected extremity. SURGICAL TECHNIQUE: Transfibular approach to the subtalar and ankle joints. Osteotomy and resection of the distal fibula 7-8 cm proximal to the tip of the lateral malleolus. Removal of the prosthetic components, synovectomy, and revitalization of the remaining bone surface. Removal of any residual articular cartilage from the subtalar joint surfaces. Determination of the ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089037 Thu, 01 Nov 2007 04:00:00 +0100 1089037 http://www.medworm.com/index.php?rid=1089036&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%3D18071938%26dopt%3DAbstract Authors: Schwarz N, Grasslober H, Widhalm HK Report on three patients. OBJECTIVE: Restoration of the lateral tibial condyle, a functionally intact knee joint, and correct physiological axis. INDICATIONS: Posttraumatic cartilage and bone defect of the lateral tibial condyle too severe for reconstruction in a young patient. CONTRAINDICATIONS: Age > 50 years. Patellofemoral joint degeneration. Defect of the patella or lateral femoral condyle. SURGICAL TECHNIQUE: Transplantation of the own, ipsilateral patella into the bone defect of the lateral tibial condyle. RESULTS: The result in one patient was found to be excellent 5 years after the accident and was good in one other patient 13 years following trauma. The third patient showed a good result 1.5 years after the accident. PMID: 1... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=1089036 Thu, 01 Nov 2007 04:00:00 +0100 1089036 http://www.medworm.com/index.php?rid=985289&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%3D17940731%26dopt%3DAbstract Authors: Gekeler J, Rudert M PMID: 17940731 [PubMed - as supplied by publisher] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985289 Mon, 01 Oct 2007 04:00:00 +0100 985289 http://www.medworm.com/index.php?rid=985288&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%3D17940732%26dopt%3DAbstract Authors: Gekeler J AIMS OF DIAGNOSTIC RADIOGRAPHY: Visualization of the proximal femur in two clearly defined projections. Radiologic and morphological diagnosis of slipped capital femoral epiphysis. Evaluation of the stability of the femoral epiphysis: chronic slippage or acute interruption of continuity between the femoral epiphysis and the femoral neck metaphysis. Radiometric measurement of the spatial deformity of the femoral epiphysis. Measurement of the projected epiphyseal angle on the radiograph as the basis for possible conversion into anatomically correct angles at the proximal femur. Preoperative planning of therapeutic surgical procedures. INDICATIONS FOR RADIOGRAPHIC IMAGING OF THE HIP JOINT IN TWO PLANES: Idiopathic hip pain in the growing child or adolescent. Referred pa... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985288 Mon, 01 Oct 2007 04:00:00 +0100 985288 http://www.medworm.com/index.php?rid=985287&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%3D17940733%26dopt%3DAbstract Authors: Reize P, Rudert M OBJECTIVE: To stabilize the unstable capital femoral epiphysis to stop further slippage. To prevent imminent epiphyseal dislocation with subsequent articulation disorders of the hip joint and joint degeneration. To prevent additional growth disorders of the proximal femur. INDICATIONS: Epiphyseolysis capitis femoris acuta.Epiphyseolysis capitis femoris lenta. Epiphyseolysis capitis femoris incipiens (incipient epiphyseolysis). Epiphyseolysis capitis femoris imminens (imminent epiphyseolysis of the so-called healthy contralateral side). CONTRAINDICATIONS: None. The diagnosis of slipped capital femoral epiphysis is an absolute indication for surgery unless there is an internal or pediatric disorder that dictates a conservative approach. SURGICAL TECHNIQUE: Thre... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985287 Mon, 01 Oct 2007 04:00:00 +0100 985287 http://www.medworm.com/index.php?rid=985286&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%3D17940734%26dopt%3DAbstract Authors: Bertram C, Kumm DA, Michael JW, Rütt J, Hackenbroch MH, Eysel P OBJECTIVE: In situ fixation of the proximal femoral epiphysis to prevent further dislocation while maintaining the potential for longitudinal growth by insertion of a central gliding screw. Prevention of secondary coxarthrosis. INDICATIONS: Incipient and imminent slipped capital femoral epiphysis in children with a displacement angle of < 30 degrees in the axial view (ET' < 30 degrees ) and prophylactic treatment of the contralateral side. CONTRAINDICATIONS: Allergies to implant materials. SURGICAL TECHNIQUE: A Kirschner wire is inserted through a lateral proximal approach in the femur into the center of the displaced epiphysis at a right angle to its base. Overdrilling of the wire, thread tapping in th... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985286 Mon, 01 Oct 2007 04:00:00 +0100 985286 http://www.medworm.com/index.php?rid=985285&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%3D17940735%26dopt%3DAbstract [Corrective imhäuser intertrochanteric osteotomy.] Oper Orthop Traumatol. 2007 Oct;19(4):368-88 Authors: Schai PA, Exner GU OBJECTIVE: Surgical correction of deformities of the proximal femur caused by epiphyseal displacement by restorative (usually inflection and internal rotation) osteotomy at the intertrochanteric level with the aim of reducing both the offset disorder of the coxal end of the femur that is causing impingement and the prevalence of secondary coxarthrosis. INDICATIONS: Chronic and subacute manifestations of slipped capital femoral epiphysis with an epiphyseal dislocation in the radiographic axial view of 30-60 degrees (ET angle) and DeltaED > 20 degrees (CCD angle minus ED angle) in the anteroposterior view. CONTRAINDICATIONS: Acute phase or course of ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985285 Mon, 01 Oct 2007 04:00:00 +0100 985285 http://www.medworm.com/index.php?rid=985284&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%3D17940736%26dopt%3DAbstract Authors: Leunig M, Slongo T, Kleinschmidt M, Ganz R OBJECTIVE: The aim of treatment of slipped capital femoral epiphysis is an anatomically aligned epiphysis with normal blood supply. This result can be achieved by open subcapital reorientation of the epiphysis or by a wedge osteotomy of the femoral neck. Other procedures have, so far, not gained optimal control over the risk of avascular necrosis. INDICATIONS: Acute epiphyseolysis. Chronic epiphyseolysis for which trimming of the metaphyseal overhang to permit free flexion and internal rotation without impingement would leave less than two thirds of the femoral neck diameter intact. CONTRAINDICATIONS: Ankylosis of the hip joint at an advanced stage. Destruction of the femoral head. SURGICAL TECHNIQUE: The blood supply to the epiphysis... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985284 Mon, 01 Oct 2007 04:00:00 +0100 985284 http://www.medworm.com/index.php?rid=985283&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%3D17940737%26dopt%3DAbstract Authors: Gekeler J THE PROBLEM: In clinical practice, proper three-dimensional planning and implementation of intertrochanteric correction of femoral epiphyseal alignment are usually sidestepped because of their complexity and replaced by more or less effective approximations. THE SOLUTION: After transverse osteotomy and in the absence of geometric planning procedures, the proximal part is manipulated and mobilized into its correct position under image intensification. After the second, parallel osteotomy, an appropriately dimensioned and aligned correction wedge emerges "automatically". SURGICAL TECHNIQUE: In contrast to conventional intertrochanteric correction osteotomy, the seating chisel for angled-blade plating is only positioned after osteotomy and wedge excision have been compl... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985283 Mon, 01 Oct 2007 04:00:00 +0100 985283 http://www.medworm.com/index.php?rid=985282&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%3D17940738%26dopt%3DAbstract Authors: Gekeler J In the management of slipped capital femoral epiphysis, the modified technique of so-called open traction reduction has proven to be atraumatic, relatively straightforward in terms of surgical technique, and has led to successful outcomes. It seems that additional, that is, surgery- related circulatory disorders of the femoral epiphysis can be avoided by this method. PMID: 17940738 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985282 Mon, 01 Oct 2007 04:00:00 +0100 985282 http://www.medworm.com/index.php?rid=985281&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%3D17940739%26dopt%3DAbstract Authors: Maronna U THE PROBLEM: Severe displacement in the lenta form of slipped capital femoral epiphysis leads to distinct joint incongruence with subsequent severe deformity, limitations of function and walking ability as well as early joint degeneration. THE SOLUTION: Subcapital femoral neck osteotomy restores the congruence of the hip joint as far as possible. This procedure is a so-called secondary prophylactic intervention. SURGICAL TECHNIQUE: Disimpaction of the slipped epiphysis in several planes by wedge-shaped osteotomy in the subcapital region of the femoral neck (slippage is in a posterior and caudal direction). Careful preservation of the nutrient vessels to the femoral head within the posterior capsule. Stabilization of the osteotomy with cannulated screws with a short t... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985281 Mon, 01 Oct 2007 04:00:00 +0100 985281 http://www.medworm.com/index.php?rid=985295&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%3D17728983%26dopt%3DAbstract Authors: Moulinoux P, Clavert P, Dagher E, Kempf JF OBJECTIVE: Regain of shoulder function and freedom of pain through arthroscopic fixation of the torn rotator cuff using anchors and tension bands. INDICATIONS: Isolated full-substance rupture of the supraspinatus. Full-substance tear of the supraspinatus and the superior part of the infraspinatus. Incomplete tears affecting the superior part of the subscapularis, either isolated or associated with rupture of the supraspinatus. For lesions of the long head of the biceps: tenodesis in patients < 60 years of age or in blue-collar workers; tenotomy in all other instances. CONTRAINDICATIONS: Fatty infiltration of infraspinatus and subscapularis of stage 3 and 4. Frozen shoulder in the active phase. Narrowing of the subacromial space (&l... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985295 Wed, 01 Aug 2007 04:00:00 +0100 985295 http://www.medworm.com/index.php?rid=985294&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%3D17728984%26dopt%3DAbstract Authors: Mathews J, Lobenhoffer P OBJECTIVE: Exercise-stable internal fixation of unstable fractures of the proximal humerus. INDICATIONS: Unstable humeral head fractures with two to four fragments. Unstable fractures of the proximal humerus. Pseudarthroses of the proximal humerus. CONTRAINDICATIONS: Stable proximal humerus fractures (impacted, dynamic stability confirmed by image intensifier). Dislocated fractures with rupture of the nutrient arteries to the region of the humeral head. Fractures with headsplit. Relative: incomplete or nonexistent bone stock around the nail insertion site in the region of the humeral head. SURGICAL TECHNIQUE: Exposure of the nail insertion site at the apex of the humeral head by division of the deltoid muscle and short incision of the supraspinatus ten... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985294 Wed, 01 Aug 2007 04:00:00 +0100 985294 http://www.medworm.com/index.php?rid=985293&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%3D17728985%26dopt%3DAbstract Authors: Aschauer E, Resch H, Hübner C OBJECTIVE: Reduction and fixation of displaced fractures of the humeral head by percutaneous methods. Early functional postoperative management. INDICATIONS: Simple subcapital fractures of the humerus, AO 11A2, A3. Multifragmentary fractures of the proximal humerus, AO 11B1, B2, C1, (C2). CONTRAINDICATIONS: Head split fractures. Fracture dislocations. Severe osteoporosis. SURGICAL TECHNIQUE: The head fragment, generally impacted in valgus, is lifted by means of an elevator inserted percutaneously. The head is brought into the correct position and fixed to the shaft with two crossed Kirschner wires. The Kirschner wires are clamped into a locking device attached to the lateral cortex of the humerus by one screw to prevent slippage. Displaced tu... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985293 Wed, 01 Aug 2007 04:00:00 +0100 985293 http://www.medworm.com/index.php?rid=985292&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%3D17728986%26dopt%3DAbstract Authors: van der Elst M, Coster E, Dekker M OBJECTIVE: Fixation of syndesmotic disruption using bioresorbable screws to avoid secondary surgery for removal of the positioning screw. INDICATIONS: Syndesmotic ligament disruption, i.e., associated with ankle fractures (AO type B and C injuries). CONTRAINDICATIONS: Allergies to bioresorbable materials such as sutures containing polylactic acids. Open fractures with severe comminution or bone loss. Successful conservative management in older patients. Nonambulatory patients. SURGICAL TECHNIQUE: In case of a syndesmotic disruption, one or two cannulated bioresorbable positioning screws are placed bicortically under image intensifier control to allow healing of the distal ligamentous junction between the fibula and tibia. Screws must be place... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985292 Wed, 01 Aug 2007 04:00:00 +0100 985292 http://www.medworm.com/index.php?rid=985291&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%3D17728987%26dopt%3DAbstract Authors: Heim D, Niederhauser K It is often the case that screws cannot be firmly anchored in small, marginal joint fragments. This is especially relevant in osteoporotic bone. By redesigning the last plate hole of a one-third tubular plate to function as a hook, these bone fragments can be securely grasped and stabilized. Placing two plates on top of one another further improves mechanical strength. PMID: 17728987 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985291 Wed, 01 Aug 2007 04:00:00 +0100 985291 http://www.medworm.com/index.php?rid=985290&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%3D17728988%26dopt%3DAbstract Authors: Oinuma K, Eingartner C, Saito Y, Shiratsuchi H OBJECTIVE: Implantation of a total hip replacement device through a direct anterior approach to the hip joint with minimal trauma to adjacent tissue. INDICATIONS: All conventional total hip replacements, irrespective of age and bone quality. CONTRAINDICATIONS: Destruction of the proximal femur (tumor, fracture).Severe dysplasia and hip dislocation. Morbid obesity (body mass index [BMI] > 30 kg/m(2)) can be a relative contraindication during the learning curve. SURGICAL TECHNIQUE: Supine position of the patient on the operating table with the possibility of hyperextension in the mid-table in order to facilitate femoral exposure. Anterior incision, 6-9 cm long, starting approximately 2 cm lateral and 5 cm distal of the anterior i... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985290 Wed, 01 Aug 2007 04:00:00 +0100 985290 http://www.medworm.com/index.php?rid=985301&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%3D17530194%26dopt%3DAbstract Authors: Lichtenberg S, Habermeyer P, Magosch P OBJECTIVE: Reconstruction of the posterior stabilizing structures of the glenohumeral joint in arthroscopic technique. INDICATIONS: Posterior shoulder instability and/or chronic subluxations with lesions of the posterior labrum and capsuloligamentous structures. CONTRAINDICATIONS: Voluntary instability or posterior instability due to pathologic muscle patterning, posterior instability with glenoid fracture, large bone defects of the humeral head (20% of the inferior posterior glenoid) or locked posterior dislocations, dysplasia of the glenoid with pathologic retroversion > 25 degrees . SURGICAL TECHNIQUE: Mobilization of the pathologic and extraanatomically healed labroligamentous complex, decortication of the glenoid rim, repositionin... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985301 Fri, 01 Jun 2007 04:00:00 +0100 985301 http://www.medworm.com/index.php?rid=985300&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%3D17530195%26dopt%3DAbstract Authors: Tischer T, Vogt S, Imhoff AB OBJECTIVE: Arthroscopic (re)stabilization of the unstable shoulder by anatomic refixation of the detached capsulolabral complex with suture anchors or reduction of excessive capsule volume by capsule plication. INDICATIONS: Any type of shoulder instability (anterior, posterior, inferior, or multidirectional instability). Revision stabilization (even after primary open stabilization). Bone defects affecting < 25% of the glenoid surface. Lesions of the superior biceps tendon anchor complex (SLAP lesion). CONTRAINDICATIONS: Preexisting bone defects of the glenoid affecting > 25% of the glenoid surface. "Engaging" Hill-Sachs defects: osseous defects of the humeral head that engage with the anterior glenoid rim in extreme external rotation/abducti... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985300 Fri, 01 Jun 2007 04:00:00 +0100 985300 http://www.medworm.com/index.php?rid=985299&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%3D17530196%26dopt%3DAbstract Authors: Hüfner T, Geerling J, Gerich T, Zeichen J, Richter M, Krettek C OBJECTIVE: To prevent the development of painful posttraumatic degenerative joint disease by a primary one-stage procedure to treat calcaneal fractures involving obvious comminution or severe and extensive cartilage damage to the subtalar facet. INDICATIONS: Sanders type IV calcaneal fractures with severe and extensive cartilage destruction. The definitive indication for arthrodesis can only be established intraoperatively. CONTRAINDICATIONS: Severe closed IIIrd or IV nd degree soft-tissue injury according to Tscherne & Oestern. Open fractures. Vascular impairment. Diabetes mellitus. Generalized or local inactivity osteoporosis > grade I according to Kanis. Age > approximately 50 years. SURGICAL TEC... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985299 Fri, 01 Jun 2007 04:00:00 +0100 985299 http://www.medworm.com/index.php?rid=985298&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%3D17530197%26dopt%3DAbstract Authors: Ambacher T, Holz U OBJECTIVE: Restoration of functional stability and full range of shoulder mobility. INDICATIONS: Atraumatic, recurrent posterior dislocation or subluxation in cases of excessive posterior joint capsular volume without clinically relevant destruction of the glenoid or dysplasia. Additional procedure for traumatic posterior instability after reattachment of the labrum or screw fixation of the posterior glenoid fragment. CONTRAINDICATIONS: Capsular shift should not be an isolated procedure in glenoid hypoplasia and/or glenoid retroversion > 15 degrees (relative). Multidirectional instability (relative). Deliberate (psychogenic) posterior instability (relative). SURGICAL TECHNIQUE: Lateral decubitus position, Rockwood approach. Dissection of the posterior joi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985298 Fri, 01 Jun 2007 04:00:00 +0100 985298 http://www.medworm.com/index.php?rid=985297&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%3D17530198%26dopt%3DAbstract Authors: Gohlke F, Rolf O OBJECTIVE: Alleviation of pain, restoration of function and active range of motion. INDICATIONS: Failed posttraumatic shoulder prostheses with insufficient rotator cuff, pseudoparalysis, chronic instability, severe ankylosis. CONTRAINDICATIONS: Advanced glenoid destruction. Severe lesions of the deltoid muscle (> 50%) and axillary nerve palsy. Florid infections. SURGICAL TECHNIQUE: Deltopectoral approach. Exposure of the failed implant and explantation by fenestration of the humerus. Periarticular release with preservation of neurovascular structures. Exposure of the glenoid, cementless fixation of the glenoid base plate (metaglène) and application of the glenoid ball (glenosphere). Fenestration of the humeral shaft, removal of bone cement, placement o... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985297 Fri, 01 Jun 2007 04:00:00 +0100 985297 http://www.medworm.com/index.php?rid=985296&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%3D17530199%26dopt%3DAbstract Authors: Ogon M, Howanietz N, Tuschel A, Chavanne A, Meissner J, Becker S OBJECTIVE: To eradicate treatment-resistant lower back pain caused by painful degeneration of the intervertebral disks. To avoid the disadvantages of alternative fusion surgery, especially degenerative wear and tear on adjacent segments, by maintaining the mobility of the affected motion segments. INDICATIONS: Treatment-resistant lower back pain due to painful degeneration of the intervertebral disks ("degenerative disk disease"). CONTRAINDICATIONS: Spondylolisthesis, scoliosis, osteoporosis, infection, spinal stenosis, degeneration of the vertebral articulations. SURGICAL TECHNIQUE: The intervertebral disk is excised through an anterior approach. It is essential to retain good mobility of the motion segment, if ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985296 Fri, 01 Jun 2007 04:00:00 +0100 985296 http://www.medworm.com/index.php?rid=985307&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%3D17345024%26dopt%3DAbstract Authors: Meier R, Schulz M, Krimmer H, Stütz N, Lanz U OBJECTIVE: Prosthetic joint replacement to reduce pain and maintain function of the proximal interphalangeal joint. INDICATIONS: Symptomatic arthritis of the proximal interphalangeal joint with preservation of the collateral ligaments, sufficient bone support, and intact or at least reconstructable extensor tendons. CONTRAINDICATIONS: Lack of stability, e. g., as a result of rheumatoid arthritis or destruction of the ligaments caused by an accident. Nonreconstructable extensor tendons. Florid or chronic infection. Lack of patient compliance. SURGICAL TECHNIQUE: Dorsal approach to the proximal interphalangeal joint. A triangular tendinous flap with pedicle, based distally on the insertion of the medial band, is lifted up, leavi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985307 Thu, 01 Mar 2007 05:00:00 +0100 985307 http://www.medworm.com/index.php?rid=985306&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%3D17345025%26dopt%3DAbstract Authors: Dolati B, Larndorfer R, Krappinger D, Rosenberger RE OBJECTIVE: Minimally invasive stabilization of the posterior pelvic ring in type C injuries. INDICATIONS: Unstable type C injuries of the pelvic ring, uni- or bilateral. - Transsymphyseal-transsacral instability. - Transpubic-transsacral instability. - Transsymphyseal-transsacroiliac instability. - Transpubic-transsacroiliac instability. CONTRAINDICATIONS: Fractures in childhood. Comminuted fractures of the ilium. Patients with skin and soft tissues in a poor condition and/or local infection. Sacral fractures with a neurologic deficit are not a contraindication because they can be decompressed by distraction and stabilized in a neutral position by plate fixation. SURGICAL TECHNIQUE: Nut-shaped osteotomy of the posterior supe... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985306 Thu, 01 Mar 2007 05:00:00 +0100 985306 http://www.medworm.com/index.php?rid=985305&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%3D17345026%26dopt%3DAbstract Authors: Fink B, Grossmann A OBJECTIVE: Removal of a loose or fractured stem in total hip arthroplasty. Implantation and secure fixation of a modular uncemented revision stem to restore painless joint function. INDICATIONS: Loose and/or broken prosthetic stem. Risk of intraoperative fracture or perforation of the femur when stem revision becomes unavoidable. Periprosthetic fracture. CONTRAINDICATIONS: Loose prosthetic stems that can be revised without the risk of perforation or fracture of the femur. Interprosthetic femoral fractures between the ends of hip and knee prosthetic stems that require total replacement of the femur. SURGICAL TECHNIQUE: Exposure of the femur anterior to the lateral lip of the linea aspera in the lateral intermuscular septum. 3.2-mm drill holes are made at the... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985305 Thu, 01 Mar 2007 05:00:00 +0100 985305 http://www.medworm.com/index.php?rid=985304&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%3D17345027%26dopt%3DAbstract Authors: Mumme T, Müller-Rath R, Andereya S, Wirtz DC OBJECTIVE: Restoration of a painless hip joint capable of bearing weight by uncemented implantation of a rotationally stable, modular revision stem anchored in the diaphysis. INDICATIONS: Prosthetic stem loosening with osteolytic bone defects (defect classification types I-III according to Paprosky). Material failure with broken prosthesis. Sub- and/or periprosthetic femoral fractures. Tumors. CONTRAINDICATIONS: Extensive osteolysis preventing diaphyseal anchorage of the prosthesis. SURGICAL TECHNIQUE: Transgluteal approach to the hip joint. Removal of the loose prosthetic stem and, if cemented, the bone cement as well. Excision of intramedullary granulation tissue. Reaming of the medullary cavity with flexible reaming shafts a... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985304 Thu, 01 Mar 2007 05:00:00 +0100 985304 http://www.medworm.com/index.php?rid=985303&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%3D17345028%26dopt%3DAbstract Authors: Thabe H, Schill S OBJECTIVE: Management of a periprosthetic bacterial infection by two-stage revision of the prosthesis with implantation of an application spacer to maintain mobility and soft-tissue balance, and simultaneous delivery of antibiotics. INDICATIONS: Periprosthetic infection, acute and chronic infection caused by a spectrum of pathogens that are often resistant to treatment. Chronic course with fistula formation. Imminent loss of mobility due to protracted immobilization after implant removal. CONTRAINDICATIONS: Relative: acute infection caused by a known spectrum of pathogens that can be brought under control by synovectomy and antibiotic treatment or by one-stage revision. SURGICAL TECHNIQUE: First, a complete synovectomy is performed, and the implant components... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985303 Thu, 01 Mar 2007 05:00:00 +0100 985303 http://www.medworm.com/index.php?rid=985302&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%3D17345029%26dopt%3DAbstract Authors: Marti RK, Kerkhoffs GM, Rademakers MV OBJECTIVE: Improvement of joint congruency in malunited lateral tibial plateau fractures, reduction of pain, prevention of osteoarthritis. INDICATIONS: Valgus malalignment of the proximal tibia combined with intraarticular depression of the tibial plateau. CONTRAINDICATIONS: Patients in poor general condition. Severe loss of knee function Elderly patients (> 65 years). Chronic infection. Soft-tissue problems, Inability to perform non-weight bearing after the operation SURGICAL TECHNIQUE: Oblique osteotomy of the middle third of the fibula. Straight lateral or parapatellar approach to the lateral proximal tibia. Lateral arthrotomy of the knee joint. Proximal open wedge osteotomy of the tibia. Intraarticular correction of the depressed la... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985302 Thu, 01 Mar 2007 05:00:00 +0100 985302 http://www.medworm.com/index.php?rid=985326&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%3D17171325%26dopt%3DAbstract Authors: Bosch U PMID: 17171325 [PubMed - indexed for MEDLINE] (Source: Operative Orthopadie und Traumatologie) Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985326 Fri, 01 Dec 2006 05:00:00 +0100 985326 http://www.medworm.com/index.php?rid=985325&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%3D17171326%26dopt%3DAbstract Authors: Zeichen J, Hankemeier S, Knobloch K, Jagodzinski M OBJECTIVE: Excision of damaged meniscal tissue whereby the mechanical obstacles to joint movement are eliminated. As much functional, intact meniscal tissue should be retained as possible. Resection of only the bare minimum. INDICATIONS: Symptomatic, irreparable lesions of the meniscus due to trauma or degeneration. CONTRAINDICATIONS: Reparable lesions of the meniscus. Local skin affections. SURGICAL TECHNIQUE: Introduction of the arthroscope through an anterolateral or central portal. The instrument portal is positioned in accordance with the situation of the meniscal lesion to be treated. The tissue to be excised is either broken into fragments with different punches or resected en bloc. POSTOPERATIVE MANAGEMENT : Functional... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985325 Fri, 01 Dec 2006 05:00:00 +0100 985325 http://www.medworm.com/index.php?rid=985324&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%3D17171327%26dopt%3DAbstract Authors: Petersen W, Zantop T OBJECTIVE: Restoration of the function of the meniscus by suturing a tear to prevent long-term degeneration. INDICATIONS: Unstable longitudinal meniscal tear in the red and red-white zones with an intact central fragment. Dislocated bucket-handle tear near the base in the presence of good-quality tissue. CONTRAINDICATIONS: Lesion of the central meniscal fragment. Meniscal tears in the white, avascular zone. Degenerative meniscal lesions. Complex meniscal lesions. Untreated knee ligament instability. Uncooperative patient. SURGICAL TECHNIQUE: Standard anterior arthroscopy approach. Revitalization of the tear margins and the perimeniscal synovial membrane, trephination of the base of the meniscus to promote healing. Fixation of the tear with a resorbable or ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985324 Fri, 01 Dec 2006 05:00:00 +0100 985324 http://www.medworm.com/index.php?rid=985323&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%3D17171328%26dopt%3DAbstract Authors: Höher J, Meier S OBJECTIVE: Application of an arthroscopic suture system to restore the form and function of the meniscus by adaptation of a longitudinal tear close to the base. INDICATIONS: Unstable longitudinal tears near the base of the meniscus, mainly in the posterior horn of the medial or lateral of the meniscus. Dislocated bucket-handle tears of the medial and lateral meniscus close to the base. CONTRAINDICATIONS: Poor tissue quality with fibrillated meniscal tissue. Meniscal tears in the avascular zone (zone I). Insufficient blood supply from the joint capsule and the base of the meniscus. Degenerative meniscal lesions. Anterior or posterior knee joint instability. Allergic reactions to nonresorbable suture material. SURGICAL TECHNIQUE: Standard anterior arthrosco... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985323 Fri, 01 Dec 2006 05:00:00 +0100 985323 http://www.medworm.com/index.php?rid=985322&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%3D17171329%26dopt%3DAbstract Authors: Bohnsack M, Rühmann O OBJECTIVE: Restoration of the shape and function of a torn meniscus. INDICATIONS: Complete or large incomplete longitudinal tear of the medial and lateral meniscus close to the base, large flap tear, so-called bucket-handle tear. CONTRAINDICATIONS: Degenerative meniscal tissue. Unstable knee joint without concomitant surgical stabilization. Complex meniscal tear or radial tear. Tear in the central avascular region. Gonarthrosis. Joint infection. Local skin disorders. SURGICAL TECHNIQUE: Visualization of the meniscal tear and revitalization of the tear margins with a meniscal rasp or shaver. Introduction of the implant using the surgical technique required and repair of the tear. Percutaneous trepanation of the meniscal base ("needling") to improve he... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985322 Fri, 01 Dec 2006 05:00:00 +0100 985322 http://www.medworm.com/index.php?rid=985321&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%3D17171330%26dopt%3DAbstract Authors: Linke RD, Ulmer M, Imhoff AB OBJECTIVE: Replacement of an almost completely absent medial meniscus with a collagen implant (CMI), reconstruction of form and function of the medial meniscus, delay of the development of arthrosis deformans. INDICATIONS: Subtotal degenerative or traumatic loss of the medial meniscus, stable meniscal periphery, stable anterior and posterior meniscal insertions, joint with stable ligaments. CONTRAINDICATIONS: Complete loss of the medial meniscus. Untreated knee ligament instability. Extreme varus deformity. Extensive cartilaginous damage, i.e., levels IV and VI as described by Bauer and Jackson. Advanced unicompartmental or generalized arthrosis. Replacement of the lateral meniscus. SURGICAL TECHNIQUE: Standard anterior arthroscopy portals. Resecti... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985321 Fri, 01 Dec 2006 05:00:00 +0100 985321 http://www.medworm.com/index.php?rid=985320&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%3D17171331%26dopt%3DAbstract Authors: Dienst M, Kohn D OBJECTIVE: Total replacement of the meniscus to reduce pain and improve joint function. INDICATIONS: Symptomatic early arthrosis of the lateral compartment in young patients after loss of the lateral meniscus. Loss of the medial meniscus and anterior knee instability in young, active patients. CONTRAINDICATIONS: Advanced cartilaginous damage. Malalignment of the longitudinal axis. Knee ligament instability. SURGICAL TECHNIQUE: Preparation of the allogenic meniscal transplant. Placement of sutures to the "horn ligaments". Lateral or medial arthrotomy. Osteotomy of the femoral epicondyle with the collateral ligament. Excision of meniscal residues leaving only a narrow outer rim. Holes are drilled from the anterolateral or anteromedial tibial metaphysis to the ho... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985320 Fri, 01 Dec 2006 05:00:00 +0100 985320 http://www.medworm.com/index.php?rid=985319&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%3D17171332%26dopt%3DAbstract Authors: Bosch U THE PROBLEM: Irreversible cartilaginous damage to the femur and tibia due to resection and suture instruments in arthroscopic surgery at the posterior horn of the medial meniscus in narrow knee joints or in the presence of contracted medial capsuloligamentous structures. THE SOLUTION: Enlargement of the medial joint space by repeated percutaneous perforation of the posteromedial capsuloligamentous structures under consistently applied valgus stress. SURGICAL TECHNIQUE: With the knee joint almost in full extension and with simultaneous, uniformly applied valgus stress, repeated percutaneous perforation of the posteromedial capsuloligamentous structures with a sharp-tipped cannula until perceptible enlargement of the medial joint compartment is achieved. POSTOPERATIVE MA... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985319 Fri, 01 Dec 2006 05:00:00 +0100 985319 http://www.medworm.com/index.php?rid=985318&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%3D17171333%26dopt%3DAbstract Authors: Bosch U THE PROBLEM: Combined injury of the medial and lateral meniscus and the anterior cruciate ligament. THE SOLUTION: One-stage arthroscopic treatment of all injuries. Repair of the bucket-handle tears with sutures and arrow-shaped implants. SURGICAL TECHNIQUE: Arthroscopy of the knee joint, repositioning of the buckethandle tears of the medial and lateral menisci. Evaluation of the stability of the menisci without sutures, insertion of horizontal and vertical sutures through the menisci in inside-out technique, refixation of the posterior horns with arrow-shaped meniscus implants. Reconstruction of the anterior cruciate ligament with a patellar tendon transplant. Knotting of the suture loops through the menisci directly onto the capsule. RESULT: Stable knee joint capable ... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985318 Fri, 01 Dec 2006 05:00:00 +0100 985318 http://www.medworm.com/index.php?rid=985332&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%3D17103128%26dopt%3DAbstract Authors: Amlang MH, Christiani P, Heinz P, Zwipp H OBJECTIVE: Minimally invasive suture of the torn Achilles tendon without opening the rupture site, reduction in the risk of a sural nerve lesion, and optimization of stump apposition. INDICATIONS: Fresh Achilles tendon rupture. CONTRAINDICATIONS: Chronic achillodynia, local corticoid injections, immunosuppressive therapy, old Achilles tendon ruptures, rerupture. SURGICAL TECHNIQUE: Suture of the Achilles tendon with a special instrument via a skin incision proximal to the rupture, without opening the peritenon or the rupture site, whereby the suture in the area of the proximal Achilles tendon is placed in the layer between the lower-leg fascia and the peritenon with the threads running in a paratendinous direction. RESULTS: From Januar... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985332 Sun, 01 Oct 2006 04:00:00 +0100 985332 http://www.medworm.com/index.php?rid=985331&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%3D17103129%26dopt%3DAbstract Authors: Rosenberger RE, Fink C, Bale RJ, El Attal R, Mühlbacher R, Hoser C OBJECTIVE: Revascularization of areas of necrosis in the talus and stimulation of bone regeneration whilst protecting the talar hyaline cartilage using computer-assisted minimally invasive drilling or retrograde cancellous bone relining of the osteochondrotic zone. INDICATIONS: Osteochondrosis dissecans of the talus, Berndt & Harty stages I-III. CONTRAINDICATIONS: Osteochondrosis dissecans of the talus, Berndt & Harty stage IV. General contraindications such as poor skin and soft-tissue conditions or poor general condition. SURGICAL TECHNIQUE: Before the operation: fitting a removable cast for the ankle (ankle fixation cast), then computed tomography of the ankle with the ankle fixation cast fitted... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985331 Sun, 01 Oct 2006 04:00:00 +0100 985331 http://www.medworm.com/index.php?rid=985330&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%3D17103130%26dopt%3DAbstract Authors: Graf R, Azizbaig-Mohajer M OBJECTIVE: Supine positioning of the patient taking into account - the demands of anesthesia in an emergency requiring intubation, - minimal time for sterile draping, - patient position can be adjusted by the assistants, - easier implant positioning due to the supine position. Reduction of operative trauma with earlier mobilization and shorter rehabilitation time compared with conventional technique. Application of standard instruments and implants. INDICATIONS: Coxarthroses, necroses of the femoral head. CONTRAINDICATIONS: For the "gynecologic position": - hip joint arthrodesis of the contralateral side. - flexion of the contralateral side < 20 degrees . For minimally invasive total hip replacement: - severe anatomic deformities. - revision opera... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985330 Sun, 01 Oct 2006 04:00:00 +0100 985330 http://www.medworm.com/index.php?rid=985329&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%3D17103131%26dopt%3DAbstract Authors: Gänsslen A, Krettek C OBJECTIVE: Reduction and retention of unstable and/or severely displaced fractures of the upper pubic ramus with an associated risk of injury to the pelvic organs with transpubic screw fixation. Restoration of form and function of the pelvis. INDICATIONS: Injuries to the pelvic ring with displaced and/or unstable fractures of the upper pubic ramus. Stabilization of the anterior column of the acetabulum in isolated fractures of the anterior column. Additional internal fixation as part of the management of acetabular fractures with transverse components, combined with stabilization of the posterior column. CONTRAINDICATIONS: Poor general health, local soft-tissue injury. SURGICAL TECHNIQUE: Pfannenstiel's incision to achieve open reduction and screw fi... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985329 Sun, 01 Oct 2006 04:00:00 +0100 985329 http://www.medworm.com/index.php?rid=985328&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%3D17103132%26dopt%3DAbstract Authors: Eingartner C, Volkmann R, Ochs U, Egetemeyr D, Weise K OBJECTIVE: Healing of the periprosthetic fracture and area of defective bone by the bone healing mechanisms of intramedullary stabilization. Reconstruction of the correct length, axial alignment, and rotation of the fractured femoral shaft by anchoring a revision stem in the intact femoral diaphysis. INDICATIONS: Periprosthetic femoral shaft fracture in the region of the prosthetic stem combined with preexistent loosening and/or defect in the periprosthetic bone bed (Vancouver classification type B2 and B3). CONTRAINDICATIONS: General contraindications, local infection. SURGICAL TECHNIQUE: Lateral transmuscular approach to the femoral shaft. Longitudinal osteotomy of the proximal femur taking the geometry of the fracture i... Operative Orthopadie und Traumatologie journals http://www.medworm.com/rss/comments.php?id=985328 Sun, 01 Oct 2006 04:00:00 +0100 985328