Fuss und Sprunggelenk最新文献

英文中文

Pseudarthrosen des Metatarsale 5: Welche Fraktur ist „at risk“? Behandlungsstrategie der Pseudarthrose 跖骨 5 假关节：哪种骨折属于 "危险骨折"？假性关节病的治疗策略

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2024.02.007

Sebastian Felix Baumbach, Hans Polzer

Fractures of the base of the fifth metatarsal bone are among the most common fractures of the foot. Some of these fractures heal quickly and without complications with non-operative therapy, while others often lead to symptomatic non-unions. Accordingly, proper classification is critical for a successful treatment. The best therapy for a non-union is to prevent it. Fractures at the distal end of articulation of fourth and fifth metatarsal (meta-diaphyseal fractures) have a high risk for non-unions when treated non-operatively. Operative treatment using intramedullary screw fixation on the other hand, leads to reproducibly good results. Accordingly, operative treatment should be recommended. If a non-union develops, it is result of non-operative treatment in most cases. Only symptomatic non-unions necessitate further treatment. Initially, shock wave therapy should be considered. Most authors recommend isolated intramedullary screw osteosynthesis. An open curettage of the non-union or even a bone grafting do not seem to be necessary.

第五跖骨基底骨折是足部最常见的骨折之一。其中有些骨折在非手术治疗下可迅速愈合且无并发症，而有些骨折则往往会导致无症状的非骨关节畸形。因此，正确的分类是成功治疗的关键。治疗不愈合的最佳方法是预防。第四和第五跖骨远端关节处的骨折（骺端骨折）在非手术治疗时发生不愈合的风险很高。而使用髓内螺钉固定进行手术治疗则可获得良好的效果。因此，应建议采用手术治疗。如果发生骨不连，大多数情况下都是非手术治疗的结果。只有无症状的骨不连才需要进一步治疗。最初应考虑使用冲击波疗法。大多数学者建议采用孤立的髓内螺钉骨合成术。似乎没有必要对未愈合处进行开放性刮除甚至植骨。

{"title":"Pseudarthrosen des Metatarsale 5: Welche Fraktur ist „at risk“? Behandlungsstrategie der Pseudarthrose","authors":"Sebastian Felix Baumbach, Hans Polzer","doi":"10.1016/j.fuspru.2024.02.007","DOIUrl":"10.1016/j.fuspru.2024.02.007","url":null,"abstract":"<div><p>Fractures of the base of the fifth metatarsal bone are among the most common fractures of the foot. Some of these fractures heal quickly and without complications with non-operative therapy, while others often lead to symptomatic non-unions. Accordingly, proper classification is critical for a successful treatment. The best therapy for a non-union is to prevent it. Fractures at the distal end of articulation of fourth and fifth metatarsal (meta-diaphyseal fractures) have a high risk for non-unions when treated non-operatively. Operative treatment using intramedullary screw fixation on the other hand, leads to reproducibly good results. Accordingly, operative treatment should be recommended. If a non-union develops, it is result of non-operative treatment in most cases. Only symptomatic non-unions necessitate further treatment. Initially, shock wave therapy should be considered. Most authors recommend isolated intramedullary screw osteosynthesis. An open curettage of the non-union or even a bone grafting do not seem to be necessary.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 20-28"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000084/pdfft?md5=f334558fc7367b382c6258861841c029&pid=1-s2.0-S1619998724000084-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ÖGF Termine ÖGF 日期

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/S1619-9987(24)00025-4

引用次数: 0

Herausgeber/Beirat 出版商/监事会

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/S1619-9987(24)00018-7

引用次数: 0

Pseudarthrose nach modifizierter Lapidus-Arthrodese: Fusion erreichen, Längenverlust und Metatarsalgie vermeiden 改良 Lapidus 关节置换术后的假关节：实现融合，避免长度损失和跖痛症

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2023.10.007

Renée Fuhrmann

The modified Lapidus arthrodesis is a well-established procedure to adress pathologies of the first metatarso-cuneiform joint, i.e. metatarsus primus varus with concomitant hallux valgus deformity. Despite a standardized surgical technique complications like pseudarthrosis or metatarsalgia may occur.

This article includes measures to avoid these complications and gives strategies to manage postoperative adverse effects.

改良Lapidus关节置换术是治疗第一跖楔关节病变（即跖骨上翻并伴有拇指外翻畸形）的成熟手术。尽管采用了标准化的手术技术，但仍可能出现假关节或跖骨痛等并发症。本文介绍了避免这些并发症的措施，并给出了处理术后不良反应的策略。

引用次数: 0

Kongresskalender 大会日历

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/S1619-9987(24)00022-9

引用次数: 0

The fate of delayed unions after isolated ankle fusion 孤立踝关节融合术后延迟接合的命运

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2023.10.006

M. Jordan, M. Thomas

引用次数: 0

Die septische Pseudarthrose des Pilon tibiale: Lösung eines unlösbaren Problems 胫骨支柱化脓性假关节：解决一个无法解决的问题

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2024.02.002

Max C. Pilgrim, Jan von Recum, Paul Alfred Grützner, Gregor Reiter

Septic non-union of a tibial pilon or plafond fracture is a serious complication. Only a consistent procedure with multiple interventions and a long process promises a sustainable success. In the following, a current and practicable therapeutical concept of a septic non-union of the tibial pilon is presented, which is carried out in an established manner in our clinic and which, if carried out consistently, many of these complex patients can be healed with a good clinical result. The key points of the concept are radical bone and soft-tissue resection followed by local and systemic anti-infective therapy, and reconstruction of bone and soft tissue loss. Depending on the degree of bone loss, the authors describe local defect filling, if necessary, in combination with osteosynthetic treatment or primary arthrodesis. In the case of long-distance bone loss, there is the possibility of bone segment transport. Therefore, different techniques are presented, followed by docking-procedure or secondary arthrodesis depending on the condition of the joint.

胫骨pilon或plafond骨折的化脓性不愈合是一种严重的并发症。只有通过多种干预措施和一个漫长的过程，坚持不懈地进行治疗，才能取得可持续的成功。下文将介绍胫骨腓骨化脓性不愈合的当前可行的治疗理念，该理念在我们的诊所中已得到广泛应用，只要坚持不懈地实施，许多此类复杂患者都能痊愈，并取得良好的临床效果。该理念的要点是根治性骨和软组织切除，然后进行局部和全身抗感染治疗，以及骨和软组织缺损的重建。根据骨质流失的程度，作者介绍了必要时结合骨合成治疗或初次关节置换术进行局部缺损填充的方法。如果是长距离骨缺失，则有可能进行骨段转移。因此，作者介绍了不同的技术，然后根据关节的情况进行对接手术或二次关节固定术。

{"title":"Die septische Pseudarthrose des Pilon tibiale: Lösung eines unlösbaren Problems","authors":"Max C. Pilgrim, Jan von Recum, Paul Alfred Grützner, Gregor Reiter","doi":"10.1016/j.fuspru.2024.02.002","DOIUrl":"10.1016/j.fuspru.2024.02.002","url":null,"abstract":"<div><p>Septic non-union of a tibial pilon or plafond fracture is a serious complication. Only a consistent procedure with multiple interventions and a long process promises a sustainable success. In the following, a current and practicable therapeutical concept of a septic non-union of the tibial pilon is presented, which is carried out in an established manner in our clinic and which, if carried out consistently, many of these complex patients can be healed with a good clinical result. The key points of the concept are radical bone and soft-tissue resection followed by local and systemic anti-infective therapy, and reconstruction of bone and soft tissue loss. Depending on the degree of bone loss, the authors describe local defect filling, if necessary, in combination with osteosynthetic treatment or primary arthrodesis. In the case of long-distance bone loss, there is the possibility of bone segment transport. Therefore, different techniques are presented, followed by docking-procedure or secondary arthrodesis depending on the condition of the joint.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 37-49"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000035/pdfft?md5=e145f4f20da3bb45d5666e2d83cf6f42&pid=1-s2.0-S1619998724000035-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current techniques in minimally invasive foot surgery 足部微创手术的最新技术

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2023.09.001

D. Arbab

引用次数: 0

Komplikationen der minimal invasiven Fußchirurgie: Vermeiden und Lösen 足部微创手术并发症：避免与解决

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2023.11.001

Lukas Deiss , Carla Weber , Kathrin Pfahl , Markus Walther

Minimally invasive procedures have gained enormous popularity in recent years. Like any surgical procedure, these techniques have particular challenges and complications. In the meantime, a large amount of literature supports minimally invasive procedures so that today they can no longer be classified as outsider procedures.

The article considers minimally invasive hallux valgus correction (MICA), distal minimally invasive metatarsal osteotomies (DMMO), minimally invasive calcaneal osteotomy (MICO), and lesser toe corrections as the most common procedures.

This article aims to present the typical complications and to show possible solutions to avoid them or to deal with the problem should it materialize.

近年来，微创手术大受欢迎。与其他外科手术一样，这些技术也存在特殊的挑战和并发症。本文旨在介绍微创外翻矫正术（MICA）、远端微创跖骨截骨术（DMMO）、微创小腿截骨术（MICO）和小趾矫正术等最常见的手术。

引用次数: 0

Neuafnahmen (Stand 01.01.2024) 新入学人数（截至 2024 年 1 月 1 日）

Q4 Medicine

Fuss und Sprunggelenk

Pub Date : 2024-03-01 DOI: 10.1016/j.fuspru.2024.01.001

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Fuss und Sprunggelenk

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀