Journals Operative Orthopädie und Trau...

Operative Orthopädie und Traumatologie
Valentin Rausch, Matthias Königshausen, Thomas A Schildhauer, Jan Geßmann
OBJECTIVE: Aim of surgical treatment is the primary stabilization of the unstable elbow following a ligamentous elbow dislocation. INDICATIONS: Ligamentous elbow dislocations are typically accompanied by injuries to the surrounding musculature and collateral ligaments of the elbow joint. Surgical treatment is indicated in case of failure of nonoperative therapy, i.e., when a dislocation can only be prevented in immobilization > 90° and pronation of the elbow or an active muscular centering of the elbow fails after 5-7 days...
December 5, 2022: Operative Orthopädie und Traumatologie
Maximilian Schwendner, Bernhard Meyer, Sandro M Krieg
OBJECTIVE: Pedicle screw-based posterior instrumentation of the spine. INDICATIONS: Instability of the spine due to trauma, infection, degenerative spinal disease or tumor. CONTRAINDICATIONS: None. SURGICAL TECHNIQUE: Robot-assisted navigated pedicle screw placement. POSTOPERATIVE MANAGEMENT: Early functional mobilization starting on the first postoperative day. RESULTS: A study by Lee et al...
December 2, 2022: Operative Orthopädie und Traumatologie
Thomas Mittlmeier, Stefan Rammelt
No abstract text is available yet for this article.
December 2022: Operative Orthopädie und Traumatologie
Marcus Richter
OBJECTIVE: Safe placement of posterior cervical-sacral pedicle screws, S2-Ala-iliac screws, iliac screws, transarticular screws C1/2, translaminar screws C2 or cervical lateral mass screws under the guidance of spinal navigation. INDICATIONS: All posterior spinal instrumentations with screws: instabilities and deformities of rheumatic, traumatic, neoplastic, infectious, iatrogenic or congenital origin; multilevel cervical spinal stenosis with degenerative instability or kyphosis of the affected spinal segment...
November 29, 2022: Operative Orthopädie und Traumatologie
Peter Hinnerk Richter, Florian Gebhard
OBJECTIVE: Computer navigation is used in patients with spine fractures to optimize the accuracy of pedicle screws and thereby reduce intra- and postoperative complications, such as injuries to vessels, nerves and accompanying structures. In addition, the ideal screw length and diameter for each pedicle can be detected to ensure optimal stability. INDICATIONS: Intraoperative navigation is suitable for the treatment of spine fractures, which require dorsal stabilization or fusion...
November 28, 2022: Operative Orthopädie und Traumatologie
Michael H Amlang, Martin Luttenberger, Stefan Rammelt
OBJECTIVE: Reduction of pain and swelling over the Achilles tendon insertion while maintaining function. INDICATIONS: Strong, intolerable pain over the Achilles tendon insertion with chronic, calcifying insertional tendinopathy that does not respond to non-operative treatment over a minimum of 6 months. CONTRAINDICATIONS: Chronic wounds or severe circulatory deficits at the foot or ankle, irradiating or projected pain, complex regional pain syndrome (CRPS)...
November 7, 2022: Operative Orthopädie und Traumatologie
Theddy Slongo, Kai Ziebarth
No abstract text is available yet for this article.
October 2022: Operative Orthopädie und Traumatologie
Kai Ziebarth, Nadine Kaiser, Theddy Slongo
OBJECTIVE: Osteotomy of iliac-pubic and ischial bone in order to cover the lateralized femoral head with the acetabulum. With the restoration of the containment of the hip joint, the acetabulum functions as a template for the femoral head, thus, allowing it to keep its sphericity during the vulnerable stages of Legg-Calve-Perthes disease. INDICATIONS: Lateralized femoral head in severe Legg-Calve-Perthes disease and visible head at risk signs on the radiographs...
October 2022: Operative Orthopädie und Traumatologie
Adam Krátký, Manuel Johannes Kraus, Andreas H Krieg
OBJECTIVE: The proximal femoral varus osteotomy (FVO) aims to re-centre the femoral head in the acetabular socket after prognostically unfavourable subluxation, e.g. in Legg-Calve-Perthes disease (LCPD). INDICATIONS: No unified indication criteria have been defined yet for containment therapy in LCPD. However, specific radiographic features related to deformity development, age at diagnosis or onset and classifications describing pathomorphological changes in the femoral head related to bone necrosis can support decisionmaking...
October 2022: Operative Orthopädie und Traumatologie
Mathias Ritsch, Markus Regauer, Christian Schoch
OBJECTIVE: Restoration of the anatomy and the original length of the muscle-tendon unit in triceps tendon ruptures. INDICATIONS: Acute and chronic triceps tendon ruptures with persisting symptoms and significant strength deficits. CONTRAINDICATIONS: Infections and tumors in the surgical area. SURGICAL TECHNIQUE: Prone position. Skin incision over the distal triceps in a lateral direction around the olecranon. Mobilization of the tendon and débridement of the olecranon...
September 12, 2022: Operative Orthopädie und Traumatologie
M M Schneider, F Zimmermann, B Hollinger, A Zimmerer, K J Burkhart
OBJECTIVE: Neutralizing a posteromedial rotatory instability (PMRI) caused by coronoid deficiency by restoration of the humeroulnar joint surface with an autologous iliac crest bone graft. INDICATIONS: Surgery is indicated in patients with chronic deficiency of the anteromedial facet of the coronoid with subsequent PMRI. CONTRAINDICATIONS: Coronoid reconstruction is not recommended in patients with advanced osteoarthritis of the elbow caused by subluxation of the humeroulnar joint...
September 8, 2022: Operative Orthopädie und Traumatologie
Michael H Amlang, Thomas Mittlmeier, Stefan Rammelt
OBJECTIVE: Bridging the defect in chronic ruptures of the Achilles tendon via a turn-down flap of the aponeurosis sparing the skin of the rupture zone. INDICATIONS: Chronic Achilles tendon rupture with a defect distance ≤ 6 cm. CONTRAINDICATIONS: Extended Achilles tendon defect interval ≥ 7 cm, chronic wounds or infections near the surgical approach, higher degrees of arterial or venous malperfusion, complex regional pain syndrome...
August 29, 2022: Operative Orthopädie und Traumatologie
Christiane Sylvia Leibold, Nicolas Vuillemin, Lorenz Büchler, Klaus Arno Siebenrock, Simon Damian Steppacher
OBJECTIVE: Correction of post-LCP (Legg-Calve-Perthes) morphology using surgical hip dislocation with retinacular flap and relative femoral neck lengthening for impingent correction reduces the risk of early arthritis and improves the survival of the native hip joint. INDICATIONS: Typical post-LCP deformity with external and internal hip impingement due to aspherical enlarged femoral head and shortened femoral neck with high riding trochanter major without advanced osteoarthritis (Tönnis classification ≤ 1) in the younger patient (age < 50 years)...
August 5, 2022: Operative Orthopädie und Traumatologie
F Randelli, M Viganò, B M Holzapfel, K Corten, M Thaler
No abstract text is available yet for this article.
August 2022: Operative Orthopädie und Traumatologie
Georgi I Wassilew, Andre Hofer, Anastasia Rakow, Sebastian Gebhardt, Manuela Hoffmann, Viktor Janz, Alexander Zimmerer
OBJECTIVE: Performance of a periacetabular osteotomy (PAO) using a minimally invasive approach for three-dimensional correction of the acetabular position. INDICATIONS: Symptomatic developmental dysplasia of the hip in adolescents and adults. CONTRAINDICATIONS: Advanced osteoarthritis of the hip, incongruence of the hip joint surfaces. SURGICAL TECHNIQUE: A periacetabular osteotomy is performed via a minimally invasive approach...
August 2022: Operative Orthopädie und Traumatologie
Steffen Löw, Sebastian Kiesel, Christian K Spies, Holger Erne
OBJECTIVE: Minimally invasive arthroscopically assisted reconstruction of scaphoid nonunions. INDICATIONS: Delayed union or nonunion of the scaphoid with sclerosis and with indication for bone transplantation. Limited arthritic changes at the radial styloid. CONTRAINDICATIONS: Severe humpback deformity with dorsal intercalated segment instability. Midcarpal arthritic changes. SURGICAL TECHNIQUE: Supine position with the forearm upright and in neutral position, the elbow flexed by 90°, axial traction of 3 to 4 kg...
August 2022: Operative Orthopädie und Traumatologie
F Fernandez Fernandez, T Wirth, O Eberhardt
OBJECTIVE: Open reduction of congenital hip dislocations currently remains the standard treatment for those hip joints which are irreducible by closed means. The open reduction of the dislocated hip joint represents a relatively invasive surgical method. Thus, the goal was to develop a minimally invasive and safe procedure with a lower complication rate as an alternative to open reduction. This work presents the arthroscopically guided reduction of dislocated hip joints, first described in 2009, as a standardized surgical technique...
August 2022: Operative Orthopädie und Traumatologie
Theddy Slongo, Kai Ziebarth
OBJECTIVE: Restoration of hip congruence and containment through central femoral head resection/reduction via an extended surgical hip dislocation, while maintaining/respecting the femoral head blood flow. Simultaneous or subsequent reorientation of the acetabulum by triple TPO (Pediatric Triple Osteotomy) or PAO (Peri-Acetabular Osteotomy) may be necessary. INDICATIONS: Surgical hip dislocation with femoral head reduction can be performed at any age in cases with hinge abduction and Stulberg class IV and V deformity...
July 21, 2022: Operative Orthopädie und Traumatologie
Milena M Ploeger, Matthias D Wimmer, Charlotte Rommelspacher, Rahel Bornemann, Richard Placzek
OBJECTIVE: Tibialis anterior transfer in shuttle technique using the tunnelator is an atraumatic surgical technique without injuring the extensor retinaculum. The technique allows for postoperative treatment with pain-adapted full weight-bearing for 6 weeks in a lower leg cast which is simplified compared to the current literature. INDICATIONS: Passive, correctable clubfoot recurrences in the event of muscular imbalance (overbalanced anterior tibial muscle). CONTRAINDICATIONS: Structural movement restrictions of the foot, muscular insufficiency of the anterior tibial muscle, infection or cancerous lesions in the surgical site...
July 4, 2022: Operative Orthopädie und Traumatologie
Boris Michael Holzapfel, Kristoff Corten, Tyler Goldberg, Maximilian Rudert, Michael Nogler, Joseph Moskal, Martin Thaler
OBJECTIVE: Acetabular revision arthroplasty and osseous defect management through the direct anterior approach (DAA) with or without proximal extension. INDICATIONS: Aseptic or septic component loosening, periacetabular osseous defects, pelvic discontinuity, intrapelvic cup protrusion, anterior pseudotumors, iliopsoas tendonitis, polyethylene wear or iliopsoas abscess. CONTRAINDICATIONS: Clinically relevant gluteal tendon lesions, active infection, morbid obesity, large abdominal pannus, ASA (American Society of Anesthesiologists) score > III, inguinal skin infection...
June 9, 2022: Operative Orthopädie und Traumatologie
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