. Abstract The internal fixation of fractures of the distal radius can lead to complications related to the implants although there have been few reports in the literature. Extensor tendon ruptures secondary to the volar plate ostheosynthesis of distal radius fractures were detected in 5 of 119 treated cases in our clinic. The rupture of the extensor digitorum comm.dig. II tendon were most frequent followed by the rupture of the extensor pollices longus tendon. Partial ruptures of the extensor indicis tendon also have seen. All distal radius fractures cured regularly in time without any other complications. The ruptures occurred 3 to 60 weeks after initial treatment with a volar plate. The tendon repair surgery with the volar plate explantation in all cases has shown the mechanical irritation by prominent screws or bone fragments. Only one case of a extensor tendon rupture was caused by a mechanic irritation from a fracture fragment three weeks after osteosynthesis. Ra-diographs don’t expose prominent implantats or fracture fragments for a liability to tendon ruptures surely. To avoid extensor tendon ruptures a correct srew length implantation and a care-fully drilling is recommended. In spite of quite safely implants a scheduled explantation after regular healing of the fracture is to consider.
{"title":"Strecksehnenrupturen nach winkelstabiler palmarer Plattenosteosynthese distaler Radiusfrakturen","authors":"K. Roske1, J. Kühling1, J. Schmidt1","doi":"10.1055/s-2005-865952","DOIUrl":"https://doi.org/10.1055/s-2005-865952","url":null,"abstract":". Abstract The internal fixation of fractures of the distal radius can lead to complications related to the implants although there have been few reports in the literature. Extensor tendon ruptures secondary to the volar plate ostheosynthesis of distal radius fractures were detected in 5 of 119 treated cases in our clinic. The rupture of the extensor digitorum comm.dig. II tendon were most frequent followed by the rupture of the extensor pollices longus tendon. Partial ruptures of the extensor indicis tendon also have seen. All distal radius fractures cured regularly in time without any other complications. The ruptures occurred 3 to 60 weeks after initial treatment with a volar plate. The tendon repair surgery with the volar plate explantation in all cases has shown the mechanical irritation by prominent screws or bone fragments. Only one case of a extensor tendon rupture was caused by a mechanic irritation from a fracture fragment three weeks after osteosynthesis. Ra-diographs don’t expose prominent implantats or fracture fragments for a liability to tendon ruptures surely. To avoid extensor tendon ruptures a correct srew length implantation and a care-fully drilling is recommended. In spite of quite safely implants a scheduled explantation after regular healing of the fracture is to consider.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"335 - 339"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865952","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Giannadakis1 , 3, I. Celik2, A. Krüger3, L. Gotzen3, R. Stiletto3
Hintergrund: Material und Methode: Ergebnisse: Schlussfolgerung: Background: Methods: Results: Conclusion:
背景:材料和方法:结果:推理:方法:结果:结论:
{"title":"Versorgung komplexer Azetabulumfrakturen über den Maryland-Zugang - Komplikationen und Langzeitergebnisse","authors":"K. Giannadakis1 , 3, I. Celik2, A. Krüger3, L. Gotzen3, R. Stiletto3","doi":"10.1055/s-2005-865956","DOIUrl":"https://doi.org/10.1055/s-2005-865956","url":null,"abstract":"Hintergrund: Material und Methode: Ergebnisse: Schlussfolgerung: Background: Methods: Results: Conclusion:","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"26 1","pages":"312 - 319"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58026909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Köstler1 , 2, P. Strohm2, M. Jäger2, N. Südkamp2
Despite of the fact that conservative treatment of the shaft fracture of the clavicle is still the treatment of choice of this injury, the introduction of new techniques of osteosynthesis give us the possibility to define new aspects of indication of surgical treatment of this fracture. First experiences with the new technique of intramedullary stabilization of clavicle fractures shows encouraging results. Between 7/2001 and 6/2004 in our department 67 patients with a shaft fracture of the clavicle were treated with an intramedullary stabilization with a titanium elastic nail (TEN). 3 of this fractures were open fractures. The main cause of injury were bycicle accidents. In 31 cases closed reduction was possible, in 36 cases open reduction had to be performed. Average duration from accident to operation was 7 days in the group of closed reduction and 13 days in the group of open reduction. As complications we saw migration of the TEN and in one case a lesion of the arm plexus caused by a haematoma. As conclusion the stabilization of shaft fractures of the clavicle with the intramedullary TEN became the new standard method for operative treatment of this injury in our department. The minimal invasive approach, easy implant removal, the lack of re-frac-tures after implant removal and low rate of complications demonstrate the technical benefit of this new technique. Additional a fast mobilization is possible after successful operation.
{"title":"Die Versorgung der Klavikulafraktur mit der elastischen Markraumschienung - Freiburger Erfahrungen","authors":"W. Köstler1 , 2, P. Strohm2, M. Jäger2, N. Südkamp2","doi":"10.1055/s-2005-873037","DOIUrl":"https://doi.org/10.1055/s-2005-873037","url":null,"abstract":"Despite of the fact that conservative treatment of the shaft fracture of the clavicle is still the treatment of choice of this injury, the introduction of new techniques of osteosynthesis give us the possibility to define new aspects of indication of surgical treatment of this fracture. First experiences with the new technique of intramedullary stabilization of clavicle fractures shows encouraging results. Between 7/2001 and 6/2004 in our department 67 patients with a shaft fracture of the clavicle were treated with an intramedullary stabilization with a titanium elastic nail (TEN). 3 of this fractures were open fractures. The main cause of injury were bycicle accidents. In 31 cases closed reduction was possible, in 36 cases open reduction had to be performed. Average duration from accident to operation was 7 days in the group of closed reduction and 13 days in the group of open reduction. As complications we saw migration of the TEN and in one case a lesion of the arm plexus caused by a haematoma. As conclusion the stabilization of shaft fractures of the clavicle with the intramedullary TEN became the new standard method for operative treatment of this injury in our department. The minimal invasive approach, easy implant removal, the lack of re-frac-tures after implant removal and low rate of complications demonstrate the technical benefit of this new technique. Additional a fast mobilization is possible after successful operation.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"308 - 311"},"PeriodicalIF":0.0,"publicationDate":"2005-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-873037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58036492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spondylodiszitis - ventrale oder ventrodorsale Spondylodese?","authors":"M. Aurich1, J. Anders1, A. Wagner1, J. Bleeck1, B. Wittner2, U. Holz3","doi":"10.1055/s-2005-865954","DOIUrl":"https://doi.org/10.1055/s-2005-865954","url":null,"abstract":"Studienziel: Methode: Ergebnisse: Schlussfolgerung: Aim: Method: Results: Conclusion:","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"274 - 279"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58026892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Fritz1, C. Gaissmaier1, B. Schewe1, T. Krackhardt1, K. Weise1
Several studies have shown that articular cartilage defects often occur in the knee, even in younger patients. There is also evidence that the risk of secondary osteoarthritis increases accordingly to the primary defect size. An attendant meniscus and/or ligament tear raises this hazard additionally. Furthermore chondrocytes of the knee have lower regenerative properties, compared to chondrocytes of the ankle. Among the large joints the knee is most frequently affected by osteoarthritis (OA). In order to avoid OA, symptomatic articular cartilage defects should undergo a biological reconstruction as early as possible. Additional meniscus or ligament tears or malalignements should be treated moreover. For the biological reconstruction of the articular cartilage surface certain different surgical procedures are available to date. The paper shows current techniques, their pros and cons and their mid-and long-term results in order to figure out their appropriate indications.
{"title":"Aktueller Stand biologisch rekonstruktiver Verfahren an der Knorpeloberfläche - eine Übersicht","authors":"J. Fritz1, C. Gaissmaier1, B. Schewe1, T. Krackhardt1, K. Weise1","doi":"10.1055/s-2005-865957","DOIUrl":"https://doi.org/10.1055/s-2005-865957","url":null,"abstract":"Several studies have shown that articular cartilage defects often occur in the knee, even in younger patients. There is also evidence that the risk of secondary osteoarthritis increases accordingly to the primary defect size. An attendant meniscus and/or ligament tear raises this hazard additionally. Furthermore chondrocytes of the knee have lower regenerative properties, compared to chondrocytes of the ankle. Among the large joints the knee is most frequently affected by osteoarthritis (OA). In order to avoid OA, symptomatic articular cartilage defects should undergo a biological reconstruction as early as possible. Additional meniscus or ligament tears or malalignements should be treated moreover. For the biological reconstruction of the articular cartilage surface certain different surgical procedures are available to date. The paper shows current techniques, their pros and cons and their mid-and long-term results in order to figure out their appropriate indications.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"260 - 266"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865957","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostik und Therapie der vorderen Erstluxation der Schulter","authors":"G. Konrad1, D. Maier1, N. Südkamp1","doi":"10.1055/s-2005-865950","DOIUrl":"https://doi.org/10.1055/s-2005-865950","url":null,"abstract":"","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"280 - 287"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865950","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Möglichkeiten der modernen Gelenkknorpelchirurgie - Mikrofrakturierung, osteochondrale Transplantation","authors":"P. Angele1, J. Zellner1, C. Englert1, M. Nerlich1","doi":"10.1055/s-2005-865959","DOIUrl":"https://doi.org/10.1055/s-2005-865959","url":null,"abstract":"","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"54 1","pages":"255 - 259"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Gülke1, N. Wachter1, P. Katzmaier1, L. Kinzl1, M. Mentzel1
{"title":"Stellenwert der Arthrodese bei der Behandlung der schmerzhaften Handgelenksarthrose","authors":"J. Gülke1, N. Wachter1, P. Katzmaier1, L. Kinzl1, M. Mentzel1","doi":"10.1055/s-2005-865961","DOIUrl":"https://doi.org/10.1055/s-2005-865961","url":null,"abstract":"","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"288 - 292"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865961","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cartilage is a tissue of low cellularity which, in contrast to bone, is unable to heal spontaneously. Currently available therapeutic options cannot promise full restoration of a hyaline articular cartilage tissue. A promising approach to treat focal cartilage defects is transplantation of autologous chondrocytes expanded in culture. Since the patient has to accept damage of healthy cartilage tissue from the knee joint for harvesting of chondrocytes, adult mesenchymal stem cells are discussed as an alternate cell source for successful healing of injured cartilage. Mesenchymal stem cells, which reside in bone marrow, adipose tissue, muscle or skin of adults, have a high regeneration potential for tissue repair. In contrast to embryonic stem cells they are derived from the patient to be treated. In order to obtain the desired cell types they may be programmed to differentiate in culture. Based on the actual concept of stem cell differentiation this work summarizes the promising characteristics of mesenchymal stem cells and contrasts their high potential for cartilage repair with possible shortcomings inherent to such cells. Functional suitability and phenotypic stability are imperative for the clinical application of stem cells in regenerative therapy of cartilage lesions.
{"title":"Stammzellen in der Knorpelforschung","authors":"W. Richter1","doi":"10.1055/s-2005-865948","DOIUrl":"https://doi.org/10.1055/s-2005-865948","url":null,"abstract":"Cartilage is a tissue of low cellularity which, in contrast to bone, is unable to heal spontaneously. Currently available therapeutic options cannot promise full restoration of a hyaline articular cartilage tissue. A promising approach to treat focal cartilage defects is transplantation of autologous chondrocytes expanded in culture. Since the patient has to accept damage of healthy cartilage tissue from the knee joint for harvesting of chondrocytes, adult mesenchymal stem cells are discussed as an alternate cell source for successful healing of injured cartilage. Mesenchymal stem cells, which reside in bone marrow, adipose tissue, muscle or skin of adults, have a high regeneration potential for tissue repair. In contrast to embryonic stem cells they are derived from the patient to be treated. In order to obtain the desired cell types they may be programmed to differentiate in culture. Based on the actual concept of stem cell differentiation this work summarizes the promising characteristics of mesenchymal stem cells and contrasts their high potential for cartilage repair with possible shortcomings inherent to such cells. Functional suitability and phenotypic stability are imperative for the clinical application of stem cells in regenerative therapy of cartilage lesions.","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"249 - 254"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gutachtliche Einschätzung/Bemessung von Schmerzen für die Unfallversicherung und das Haftpflichtrecht1","authors":"E. Ludolph1","doi":"10.1055/s-2005-865962","DOIUrl":"https://doi.org/10.1055/s-2005-865962","url":null,"abstract":"Kausalitätskriterien","PeriodicalId":75462,"journal":{"name":"Aktuelle Traumatologie","volume":"35 1","pages":"293 - 297"},"PeriodicalIF":0.0,"publicationDate":"2005-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-2005-865962","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58027541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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