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[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19779680 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Hessmann MH Tags: Oper Orthop Traumatol Source Type: journals

[Reconstruction of fractures of the anterior wall and the anterior column of the acetabulum using an ilioinguinal approach]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 de...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Hessmann MH, Ingelfinger P, Dietz SO, Rommens PM Tags: Oper Orthop Traumatol Source Type: journals

[Operative treatment of T-type fractures of the acetabulum via surgical hip dislocation or Stoppa approach]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 cat...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Tannast M, Siebenrock KA Tags: Oper Orthop Traumatol Source Type: journals

[Internal fixation of acetabular both-column fractures via the ilioinguinal approach]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 sciat...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Gänsslen A, Krettek C Tags: Oper Orthop Traumatol Source Type: journals

[Internal fixation of acetabular posterior wall fractures]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 o...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Gänsslen A, Steinke B, Krettek C Tags: Oper Orthop Traumatol Source Type: journals

[Angle-stable intramedullary nailing of proximal humerus fractures with the PHN (proximal humeral nail)]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 c...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Blum J, Hansen M, Rommens PM Tags: Oper Orthop Traumatol Source Type: journals

[Computer-assisted surgery-(CAS-) guided correction arthrodesis of the ankle joint]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Richter M Tags: Oper Orthop Traumatol Source Type: journals

Extended posterior circumferential approach to thoracic and thoracolumbar spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Ins...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Sundararaj GD, Venkatesh K, Babu PN, Amritanand R Tags: Oper Orthop Traumatol Source Type: journals

[The standard implantation of a total hip prosthesis via two incisions (the Yale Technique)]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 lata...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Kipping R Tags: Oper Orthop Traumatol Source Type: journals

[Screw osteosynthesis of proximal femur fractures in children]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - August 31, 2009 Category: Orthopaedics Authors: Dietz HG Tags: Oper Orthop Traumatol Source Type: journals

Reconstruction of the Acetabulum with Structured Bone Graft in Press-Fit Technique.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Sha...
Source: Operative Orthopadie und Traumatologie - June 28, 2009 Category: Orthopaedics Authors: Halder A, Beier A, Neumann W Tags: Oper Orthop Traumatol Source Type: journals

[Editorial to the main topic approaches in knee endoprosthetics]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19326062 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Fink B Tags: Oper Orthop Traumatol Source Type: journals

[The mini-midvastus approach for total knee arthroplasty]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 p...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Hube R, Keim M, Mayr HO Tags: Oper Orthop Traumatol Source Type: journals

[Mini-subvastus approach for total knee replacement]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Halder A, Beier A, Neumann W Tags: Oper Orthop Traumatol Source Type: journals

[Quadsparing approach in total knee arthroplasty]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Afte...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Wohlrab D, Zeh A, Mendel T, Hein W Tags: Oper Orthop Traumatol Source Type: journals

[In situ assembly of a modular noncemented total shoulder prosthesis for the reconstruction of complex joint pathology]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 p...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Simmen BR, Schwyzer HK, Flury MP, Goldhahn J Tags: Oper Orthop Traumatol Source Type: journals

[Direct posterior approach for the treatment of posteromedial tibial head fractures]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, where...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Galla M, Riemer C, Lobenhoffer P Tags: Oper Orthop Traumatol Source Type: journals

The minimally invasive anterolateral approach combined with hip onlay resurfacing.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Gerdesmeyer L, Gollwitzer H, Diehl P, Buttgereit B, Rudert M Tags: Oper Orthop Traumatol Source Type: journals

Realignment surgery for valgus ankle osteoarthritis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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--collaps...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Pagenstert G, Knupp M, Valderrabano V, Hintermann B Tags: Oper Orthop Traumatol Source Type: journals

[Subligamentous transfer of the extensor digitorum brevis tendon for medial malalignment of the lesser toes]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Fuhrmann RA Tags: Oper Orthop Traumatol Source Type: journals

[Subtrochanteric end-to-side valgus osteotomy for severe infantile coxa vara]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Seco...
Source: Operative Orthopadie und Traumatologie - March 1, 2009 Category: Orthopaedics Authors: Heimkes B, Komm M, Melcher C Tags: Oper Orthop Traumatol Source Type: journals

[Editorial to the main topic: forefoot surgery]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19137391 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Tags: Oper Orthop Traumatol Source Type: journals

[The proximal open-wedge osteotomy with interlocking plate for correction of splayfoot deformities with hallux valgus]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Walther M, Menzinger F, Dreyer F, Mayer B Tags: Oper Orthop Traumatol Source Type: journals

[The retrocapital osteotomy ("chevron") for correction of splayfoot with hallux valgus]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Gabel M Tags: Oper Orthop Traumatol Source Type: journals

[The akin procedure as closing wedge osteotomy for the correction of a hallux valgus interphalangeus deformity]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 fo...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Arnold H Tags: Oper Orthop Traumatol Source Type: journals

[Cheilectomy and Kessel-Bonney procedure for treatment of initial hallux rigidus]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 protecti...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wingenfeld C, Abbara-Czardybon M, Arbab D, Frank D Tags: Oper Orthop Traumatol Source Type: journals

[The Valenti resection arthroplasty in the treatment of advanced hallux rigidus]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. L...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Olms K, Grady JF, Schulz AP Tags: Oper Orthop Traumatol Source Type: journals

[Treatment strategies for chronic glenoid defects following anterior and posterior shoulder dislocation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Seebauer L, Goebel M Tags: Oper Orthop Traumatol Source Type: journals

[Percutaneous fusion technique on the thoracolumbar spine with the Expedium LIS]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 b...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wimmer C Tags: Oper Orthop Traumatol Source Type: journals

[Use of vacuum-assisted closure therapy for the conditioning of soft-tissue defects]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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-assi...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wagner A Tags: Oper Orthop Traumatol Source Type: journals

[In Process Citation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19137391 [PubMed - in process] (Source: Operative Orthopadie und Traumatologie)
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Tags: Oper Orthop Traumatol Source Type: journals

[The proximal open-wedge osteotomy with interlocking plate for correction of splayfoot deformities with hallux valgus.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 : Proxi...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Walther M, Menzinger F, Dreyer F, Mayer B Tags: Oper Orthop Traumatol Source Type: journals

[The retrocapital osteotomy ("chevron") for correction of splayfoot with hallux valgus.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 angl...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Gabel M Tags: Oper Orthop Traumatol Source Type: journals

[The akin procedure as closing wedge osteotomy for the correction of a hallux valgus interphalangeus deformity.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 th...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Arnold H Tags: Oper Orthop Traumatol Source Type: journals

[Cheilectomy and kessel-bonney procedure for treatment of initial hallux rigidus.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 prot...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wingenfeld C, Abbara-Czardybon M, Arbab D, Frank D Tags: Oper Orthop Traumatol Source Type: journals

[The valenti resection arthroplasty in the treatment of advanced hallux rigidus.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 incisio...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Olms K, Grady JF, Schulz AP Tags: Oper Orthop Traumatol Source Type: journals

[Treatment Strategies for Chronic Glenoid Defects Following Anterior and Posterior Shoulder Dislocation.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 autolog...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Seebauer L, Goebel M Tags: Oper Orthop Traumatol Source Type: journals

[Percutaneous Fusion Technique on the Thoracolumbar Spine with the Expedium LIS.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 shou...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wimmer C Tags: Oper Orthop Traumatol Source Type: journals

[Use of vacuum-assisted closure therapy for the conditioning of soft-tissue defects.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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-a...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Wagner A Tags: Oper Orthop Traumatol Source Type: journals

The Mini-Incision Mid-Vastus Approach for Total Knee Arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 t...
Source: Operative Orthopadie und Traumatologie - December 1, 2008 Category: Orthopaedics Authors: Flören M, Reichel H, Davis J, Laskin RS Tags: Oper Orthop Traumatol Source Type: journals

[The cross-finger flap]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Megerle K, Palm-Bröking K, Germann G Tags: Oper Orthop Traumatol Source Type: journals

[V-y flap for restoration of the fingertip]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 adv...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Mehling I, Hessmann MH, Hofmann A, Rommens PM Tags: Oper Orthop Traumatol Source Type: journals

[Distally pedicled posterior interosseous artery flap for the coverage of defects on the wrist and hand]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 f...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Rab M, Prommersberger KJ Tags: Oper Orthop Traumatol Source Type: journals

[Versatility of the free gracilis muscle flap for coverage of soft-tissue defects]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pr...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Wechselberger G, Schubert HM, Schoeller T Tags: Oper Orthop Traumatol Source Type: journals

[The gastrocnemius muscle flaps]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 muscl...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Hierner R Tags: Oper Orthop Traumatol Source Type: journals

[Technique of implantation of a cementless press-fit cup in revisions with severe bone defects]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ro...
Source: Operative Orthopadie und Traumatologie - June 1, 2008 Category: Orthopaedics Authors: Fink B, Grossmann A Tags: Oper Orthop Traumatol Source Type: journals

[The Cross-Finger Flap.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 ...
Source: Operative Orthopadie und Traumatologie - May 1, 2008 Category: Orthopaedics Authors: Megerle K, Palm-Bröking K, Germann G Tags: Oper Orthop Traumatol Source Type: journals

[V-Y Flap for Restoration of the Fingertip.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 adv...
Source: Operative Orthopadie und Traumatologie - May 1, 2008 Category: Orthopaedics Authors: Mehling I, Hessmann MH, Hofmann A, Rommens PM Tags: Oper Orthop Traumatol Source Type: journals

[Distally Pedicled Posterior Interosseous Artery Flap for the Coverage of Defects on the Wrist and Hand.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 f...
Source: Operative Orthopadie und Traumatologie - May 1, 2008 Category: Orthopaedics Authors: Rab M, Prommersberger KJ Tags: Oper Orthop Traumatol Source Type: journals

[Versatility of the Free Gracilis Muscle Flap for Coverage of Soft-Tissue Defects.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pr...
Source: Operative Orthopadie und Traumatologie - May 1, 2008 Category: Orthopaedics Authors: Wechselberger G, Schubert HM, Schoeller T Tags: Oper Orthop Traumatol Source Type: journals