2,012 results match your criteria Handchirurgie Mikrochirurgie plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fuer Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fuer Mikrochirurgie der Peripheren Nerven und Gefaesse : Organ der Vereinigung der Deutschen Plastischen Chirurgen[Journal]


[Firework injuries in the south-western region of the Netherlands around the turn of the year 2017-2018].

Ned Tijdschr Geneeskd 2018 Nov 29;162. Epub 2018 Nov 29.

Erasmus MC, Trauma Research Unit, afd. Heelkunde, Rotterdam.

Objective: To report the number of patients with firework-related injuries treated in December 2017 and January 2018 in a hospital in the south-west Netherlands trauma region, and to provide details about the types of firework used and the specific injuries.

Design: A prospective multicentre cohort study (NTR6793).

Methods: Patients of all ages with firework-related injuries were eligible for inclusion. Read More

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November 2018
4 Reads

[Enzymatic débridement as a treatment option for deep dermal burns of the hand].

Unfallchirurg 2018 Nov 29. Epub 2018 Nov 29.

Universitätsklinik für Plastische, Wiederherstellende und Handchirurgie, Zentrum für Schwerbrandverletzte, Paracelsus Medizinische Privatuniversität, Klinikum Nürnberg, Breslauer Straße 201, 90471, Nürnberg, Deutschland.

Burns and thermal injuries from other causes often affect exposed body regions such as the hands. Besides aesthetic aspects, deep dermal burns of the skin are often critical from a functional point of view, especially for important subcutaneous structures. This article reports the course of two patients who received enzymatic debridement with bromelain-based salve as a treatment for deep grade burns of the hands. Read More

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November 2018

[Characterisation of Victims Of Violence in the A & E Department and Analysis of the Acceptance of a Medico-Legal Expertise Centre After its Implementation vs. Multi-Year Consolidation].

Z Orthop Unfall 2018 Nov 27. Epub 2018 Nov 27.

Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Heinrich Heine Universität, Düsseldorf.

Background: People who have become victims of domestic or public violence often suffer long-term physical, psychological and social impairment. Due to physical injury, the first contact with the health care system is frequently an A & E Department. Thus, physicians and especially surgeons play a key role in detecting victims of domestic or public violence. Read More

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November 2018
2 Reads

[Correction of Intraarticular Malunion of the Distal Radius Based on a Computer-Assisted Virtual Planning].

Handchir Mikrochir Plast Chir 2018 Sep 7;50(5):310-318. Epub 2018 Nov 7.

Rhönklinikum Klinik für Handchirurgie.

Background: Computer-assisted 3D-virtual planning of extraarticular corrective procedures at the distal radius and transfer of the virtually planned procedure to the radius in vivo has been recently described. In contrast to this analogue studies on intraarticular corrective procedures are still lacking. With regard to the difficulties of the technique and the potential risks a similar technique would be valuable, that overcomes the problems of the limited access and the difficulties of reposition and fixation. Read More

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September 2018
1 Read

[Microsurgical soft tissue reconstruction in lower extremity osteitis].

Handchir Mikrochir Plast Chir 2018 Oct 23. Epub 2018 Oct 23.

Berufsgenossenschaftliche Klinik "Bergmannstrost" Klinik für Plastische und Handchirurgie, Brandverletztenzentrum.

Background: The aim of this study was to analyse retrospectively the pre- and intraoperative factors influencing flap loss after free flap coverage of septic skin defects caused by osteitis of the lower extremity with an anterolateral thigh flap (ALT) or latissimus dorsi (LD) flap.

Material And Methods: Twenty-seven patients were surgically treated with LD flap coverage and 45 patients with ALT flap coverage between 2004 and 2013. Their anthropometric, pre- and intraoperative parameters were investigated retrospectively. Read More

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October 2018

A Placebo-controlled Study of PF-06473871 (Anti-Connective Tissue Growth Factor Antisense Oligonucleotide) in Reducing Hypertrophic Skin Scarring.

Plast Reconstr Surg Glob Open 2018 Sep 6;6(9):e1861. Epub 2018 Sep 6.

Mercy Health Research, Washington, Mo.

Background: Connective tissue growth factor (CTGF) is a matricellular protein that plays a key role in wound healing and scar formation. Inhibition of CTGF by a specific antisense oligonucleotide significantly reduced scarring and fibrosis in animal models. This study examined whether an antisense oligonucleotide that inhibits human CTGF expression could reduce the severity of hypertrophic scar formation in patients following surgical revision of preexisting breast scars. Read More

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September 2018
11 Reads

[Evaluation of driving fitness in patients with musculoskeletal disorders : A systematic review].

Unfallchirurg 2018 Oct 19. Epub 2018 Oct 19.

Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

Objective: Driving a motor vehicle is one of the most important aspects of personal mobility in our society. However, there is a lack of evidence regarding driving fitness after orthopedic or trauma surgery-related diseases. Aim of this systematic review was to support the treating physician to determine the individual driving fitness in patients with musculosceletal disorders. Read More

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October 2018

[Therapy of Dupuytren's contracture with collagenase - Evidence-based Consensus Statement of Austrian Surgical Societies].

Handchir Mikrochir Plast Chir 2018 Oct 17. Epub 2018 Oct 17.

Univ.-Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie Innsbruck.

Dupuytren's contracture (DC) or Dupuytren's disease (DD) is a progressive fibro-proliferative disease of palmoplantar connective tissue, resulting in characteristic nodal and/or cord formation from collagen disposition. When the disease progresses, the thickening and shortening of the cords eventually leads the affected fingers to being pulled into flexion, which may be associated with marked disability, especially with bilateral disease. DD is relatively common in Europe, with the highest prevalence in Nordic countries. Read More

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October 2018
3 Reads

[Therapeutic options in juvenile idiopathic arthritis : Part 1: Nonsurgical treatment].

Authors:
J-P Haas M Arbogast

Orthopade 2018 Nov;47(11):910-916

Abteilung für Rheumaorthopädie und Handchirurgie, Zentrum für Rheumatologie, Orthopädie und Schmerztherapie, Klinik Oberammergau, Oberammergau, Deutschland.

The treatment of children and adolescents with juvenile idiopathic arthritis (JIA) has progressed substantially during recent years. Multiple different factors have played a role in this advancement: improved medical treatment due to the introduction of new drugs, structural improvements with provision of units specializing in childhood rheumatology, multidisciplinary treatment concepts, structured educational programs for patients and parents, improved functional treatment including sports therapy, and selective surgical and orthopedic interventions improving functional capacities. Current treatment strategies in JIA are aimed at achieving disease remission, i. Read More

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November 2018
1 Read

[Treatment options in juvenile idiopathic arthritis : Part 2: Orthopedics und surgery].

Authors:
M Arbogast J-P Haas

Orthopade 2018 Nov;47(11):917-925

Kinderklinik Garmisch-Partenkirchen gGmbH, Deutsches Zentrum für Kinder- und Jugendrheumatologie, Garmisch-Partenkirchen, Deutschland.

In most cases of juvenile idiopathic arthritis (JIA), disease remission can be achieved by a multidisciplinary approach using modern medication. However, JIA is currently incurable An interdisciplinary concept is therefore needed for long-term development of affected joints and tendons. Only early interdisciplinary treatment strategies can improve long-term outcomes in patients with a complicated disease course or persistent disease activity, thereby delaying or even avoiding joint replacement. Read More

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November 2018
1 Read

[Regulation of bone metabolism by the Wnt signaling pathway].

Handchir Mikrochir Plast Chir 2018 Oct 2. Epub 2018 Oct 2.

Klinik für Plastische Chirurgie und Schwerbrandverletzte, Handchirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumore, BG Universitätskliniken Bergmannsheil.

The development and homeostasis of multicellular organisms depends on a complex cellular interaction between proliferation, migration, differentiation, adhesion, and cell death. Wnt signaling pathways coordinate these different cellular responses. Wnt signaling plays a role as a regulatory pathway in the osteogenic differentiation of mesenchymal stem cells. Read More

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October 2018

[Plastic-reconstructive treatment options for burns caused by concrete exposure].

Handchir Mikrochir Plast Chir 2018 10 1. Epub 2018 Oct 1.

Medizinische Hochschule Hannover, Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie.

Background: In industry as well as in the private sector, cement is often used as building material. Although severe skin injuries are known to be caused due to improper handling of cement, the incidence and severity of these cutaneous injuries are often underestimated. Heavy cement burns are rare but in our centers the authors treat affected patients on a regular basis. Read More

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October 2018
1 Read

Range of motion, postoperative rehabilitation and patient satisfaction in MCP and PIP joints affected by Dupuytren Tubiana stage 1-3: collagenase enzymatic fasciotomy or limited fasciectomy? A clinical study in 52 patients.

Arch Orthop Trauma Surg 2018 Nov 26;138(11):1623-1631. Epub 2018 Sep 26.

Department of Plastic- und Hand Surgery, Bern University Hospital, Inselspital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.

Introduction: In Switzerland, collagenase Clostridium histolyticum therapy (CCH) for Dupuytren's disease was introduced in 2011. This study analyzes possible differences between CCH and limited fasciectomy (LF) in terms of range of motion, patient satisfaction and postoperative rehabilitation.

Materials And Methods: This retrospective study included 52 patients with Dupuytren's disease stage 1-3 according to Tubiana, treated with CCH or LF between January 2012 and December 2013. Read More

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November 2018
3 Reads

[Optimization of criteria for activation of trauma teams : Avoidance of overtriage and undertriage].

Unfallchirurg 2018 Oct;121(10):788-793

Chirurgische Klinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Bochum, Deutschland.

Introduction: Severely injured patients are supposed to be admitted to hospital via the trauma room. Appropriate criteria are contained in the S3 guidelines on the treatment of patients with severe/multiple injuries (S3-GL); however, some of these criteria require scarce hospital resources while the patients then often clinically present as uninjured. There are tendencies to streamline the trauma team activation criteria (TTAC); however, additional undertriage must be avoided. Read More

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October 2018

[Future perspective of the TraumaRegister DGU® : Further development, additional modules and potential limits].

Unfallchirurg 2018 Oct;121(10):774-780

Krankenhaus Köln-Merheim, Klinikum der Universität Witten/Herdecke, Witten, Deutschland.

Since its founding in 1993 the TraumaRegister DGU® has become one of the largest registries especially in terms of data diversity. Since the introduction of the TraumaNetzwerk DGU®, the TraumaRegister DGU® has enabled a quasi-nationwide picture of the quality of care of severely injured patients in Germany. The register is subject to constant development, under the guidance of the working groups of the German Society for Trauma Surgery (DGU). Read More

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October 2018
4 Reads

[Distal radius fractures : Current treatment concepts and controversies].

Chirurg 2018 Oct;89(10):798-812

Klinik für Unfall- und Handchirurgie, Heinrich-Heine-Universität Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Deutschland.

Distal radius fractures represent the most frequent bone fractures in humans. Although the treatment was dominated for decades by conservative measures or closed surgical procedures, such as percutaneous wire osteosynthesis, a paradigm shift was instigated by the introduction and rapid dissemination of volar locking plate osteosynthesis (VLP). The novel procedure was soon proclaimed to be the gold standard and applied for practically all forms of fractures of the distal radius. Read More

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October 2018

[Reconstruction of the middle phalangeal base of the finger using an osteocartilaginous autograft from the hamate].

Oper Orthop Traumatol 2018 Sep 14. Epub 2018 Sep 14.

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.

Objective: Restoration of proximal interphalangeal joint stability with preservation of mobility by reconstruction of the middle phalanx base using an osteochondral graft from the carpometacarpal joint surface of the hamate.

Indications: Acute and older isolated destruction of the palmar middle phalanx base >25%.

Contraindications: Destruction of the head of the proximal phalanx, advanced chondropathia of the head of the proximal phalanx, extensive soft tissue injury with loss of skin coverage at the proximal interphalangeal joint. Read More

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September 2018
1 Read

Treatment of Fractures of the Thoracolumbar Spine: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).

Global Spine J 2018 Sep 7;8(2 Suppl):34S-45S. Epub 2018 Sep 7.

Waldkrankenhaus "Rudolf Elle" GmbH, Eisenberg, Germany.

Study Design: consensus paper with systematic literature review.

Objective: The aim of this study was to establish recommendations for treatment of thoracolumbar spine fractures based on systematic review of current literature and consensus of several spine surgery experts.

Methods: The project was initiated in September 2008 and published in Germany in 2011. Read More

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September 2018
2 Reads

[Kramer and Chevron Osteotomy for Hallux Valgus Deformity - Retrospective Comparison of Functional and Radiological Results].

Z Orthop Unfall 2018 Sep 3. Epub 2018 Sep 3.

Orthopädische Klinik und Poliklinik, Universitätsmedizin Rostock, Rostock.

Background: Hallux valgus is the most common forefoot deformity, with a prevalence of up to 23%. Surgical treatment is necessary in symptomatic patients. Prospective studies comparing different procedures are rare. Read More

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September 2018
7 Reads

[We are O & T].

Authors:
J Windolf

Chirurg 2018 Oct;89(10):751-752

Klinik für Unfall- und Handchirurgie, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

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October 2018

Skrotales Lymphödem.

Handchir Mikrochir Plast Chir 2018 Aug 21;50(4):299-302. Epub 2018 Aug 21.

Klinikum der Ludwig-Maximilians Universität München Handchirurgie, Plastische Chirurgie, Äshetische Chirurgie.

This article describes the rare condition of scrotal lymphedema (elephantiasis) in a Caucasian man. To our knowledge, this is the most giant form of scrotal elephantiasis that was ever described in Germany. Aim of this case report is to present an appealing aesthetic possibility of surgical treatment and reconstruction of the genitals while preserving the testes. Read More

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August 2018
3 Reads

[Breast reconstruction with the free TRAM or DIEP flap – What is the current standard? Consensus Statement of the German Speaking Working Group for Microsurgery of the Peripheral Nerves and Vessels].

Handchir Mikrochir Plast Chir 2018 08 21;50(4):248-255. Epub 2018 Aug 21.

BG Unfallklinik Ludwigshafen, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum.

The most common donor-site for autologous breast reconstruction is the abdomen. Over the past several decades technical advances have resulted in the development of flaps that have been associated with a progressive decrease in abdominal wall morbidity. However, controversy exists related to the differences between muscle-sparing (MS)-TRAM and deep inferior epigastric perforator (DIEP) flaps. Read More

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August 2018
1 Read

[DRG revenues and costs of multimorbid patients in the German DRG system - Analysis of the surgical treatment of chronic wounds at a university hospital based on the example of pressure ulcers].

Handchir Mikrochir Plast Chir 2018 Aug 21;50(4):284-290. Epub 2018 Aug 21.

Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar.

Background: The treatment of complex patients with chronic wounds, such as pressure ulcers, is often not adequately reimbursed in patients with need for daily intensive care due to multimorbidity and chronic co-diagnoses. The present study analyses revenues, principle cost factors as well as possible complications.

Methods: We analysed 51 patients with the DRG principle diagnosis of decubitus stage III and IV, treated in our maximum care clinic in 2014 and 2015. Read More

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August 2018
4 Reads

[Are autonomous departments better research institutions? Influence of independence on publication performance and study-types in academic Plastic Surgery].

Handchir Mikrochir Plast Chir 2018 Aug 21;50(4):277-283. Epub 2018 Aug 21.

Abteilung für Handchirurgie, Plastische Chirurgie und Ästhetische Chirurgie, Klinikum der Ludwig-Maximilians Universität München (LMU).

Introduction: Despite its increasing acceptance as an autonomous specialty the field of plastic surgery remains underrepresented in terms of independent departments with a dedicated research infrastructure. The objective of this study was to analyze the current quantitative and qualitative publication performance of academic plastic surgery in Germany in order to compare independent departments and subordinate organizational structures regarding their scientific efficiency.

Material And Methods: Via a pubmed analysis the publication performance between 2014 and 2015 was analyzed. Read More

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August 2018
8 Reads

Reply: Autologous Fat Injection versus Lundborg Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint Osteoarthritis.

Plast Reconstr Surg 2018 Nov;142(5):803e-804e

Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München Klinik und Poliklinik für Plastische Chirurgie und Handchirurgie, Klinikum rechts der Isar, Technische Universität München, Munich, Germany, Division of Plastic, Reconstructive, and Aesthetic Surgery, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.

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November 2018

[A critical analysis of perception of plastic surgery in Germany].

Chirurg 2018 Aug 3. Epub 2018 Aug 3.

Klinik für Plastische, Rekonstruktive, Hand- und Verbrennungschirurgie, Städtisches Klinikum München Bogenhausen, München, Deutschland.

Background And Objectives: Plastic surgery includes a broad range of activities; however, there are no studies available in Germany which evaluated the specific role plastic surgeons play in providing patient care. The aim of the project was thus to analyze the public and professional perception of plastic surgery in Germany and to what degree the range of activities is appropriately represented.

Material And Methods: An anonymous survey inquiring about demographic data and specific knowledge regarding plastic surgery procedures was conducted in various regions in German. Read More

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August 2018
10 Reads

[Operative therapy of chronic palmar luxation of the distal ulna in florid CRPS - two cases].

Handchir Mikrochir Plast Chir 2018 06 25;50(3):202-206. Epub 2018 Jul 25.

Vulpiusklinik, Abteilung für Handchirurgie.

We present two cases of chronic palmar luxation of the distal ulna which entails the development of complex regional pain syndrome (CRPS). Both cases have been finally treated with a hemiresection-interposition-arthroplasty of the distal radioulnar joint with perioperatively applied regional nerve block and i. v. Read More

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[Preferred treatment options of German hand surgeons in Dupuytren disease].

Handchir Mikrochir Plast Chir 2018 06 25;50(3):196-201. Epub 2018 Jul 25.

Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Klinik für Plastische, Wiederherstellende und Handchirurgie, Zentrum für Schwerbrandverletzte.

Aim: This study was performed to determine whether between 2015 and 2017 there has been a change in the preferred method of treatment of Dupuytren disease by German hand surgeons, especially with respect to percutaneous needle fasciotomy.

Method: In 2015 and 2017, 530 members of the German Society for Surgery of the Hand were invited to take part in an online survey, asking for their preferred treatment for Dupuytren disease, including decision criteria and in relation to Tubiana stages. 110 and 101 responders, respectively, took part. Read More

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[Degenerative changes in the hand and wrist in elite MMA fighting - an MRI study in comparison to boxing].

Handchir Mikrochir Plast Chir 2018 06 25;50(3):184-189. Epub 2018 Jul 25.

Universitätsklinikum Düsseldorf, Institut für Diagnostische und Interventionelle Radiologie.

Objective: Mixed martial arts (MMA) is a combination of multiple combat sports. Acute injuries in MMA are well known and have been broadly described. However, there is little knowledge about degenerative changes in the musculoskeletal system. Read More

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[Effect of distal interphalangeal joint fusion of the index or middle finger on the grip or finger force and load distribution in the hand].

Handchir Mikrochir Plast Chir 2018 06 25;50(3):174-183. Epub 2018 Jul 25.

Rhön-Klinikum, Klinik für Handchirurgie.

Background: Due to the functional coupling of adjacent finger joints and the quadriga effect of the flexor digitorum profundus an influence of the grip pattern of the hand after fusion of a distal interphalangeal joint (DIPJ) is assumed.

Patients And Methods: Two patients with DIPJ II- fusion and 8 patients with DIPJ III- fusion due to a posttraumatic osteoarthritis, but without any other pathology of both hands were assessed on average 55 (17-121) months postoperatively by manugraphy. Using three sizes of cylinders the total grip force and the load distribution of the hand and each finger were measured. Read More

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Interrater-Reliabilität bei der Beurteilung von Skaphoidfrakturen in CT-Aufnahmen des Skaphoids in der Ebene des Handgelenkes vs. in der Ebene der langen Achse des Skaphoids.

Handchir Mikrochir Plast Chir 2018 06 25;50(3):169-173. Epub 2018 Jul 25.

Rhön-Klinikum, Klinik für Handchirurgie.

Background: Because of its form, size and position, the scaphoid is known to be the foundation stone of the carpus, with an exceptionally important biomechanical function. Therefore evaluation of fracture morphology is essential. Experts already agree that computed tomography (CT scan) in the long axis of the scaphoid is the best approach for diagnosing scaphoid fractures, but also for therapy planning. Read More

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June 2018
3 Reads

[The Malunited Distal Radius Fracture - Extraarticular Correction without Bone Graft].

Handchir Mikrochir Plast Chir 2018 06 25;50(3):160-168. Epub 2018 Jul 25.

Rhön-Klinikum, Klinik für Handchirurgie.

Background: In open wedge osteotomies of the distal radius, bone grafts increase initial stability and enhance bone formation but are frequently associated with complaints and complications at the donor site. Previous studies have suggested that bone grafting may probably be unnecessary.

Patients And Methods: Between 2013 and 2016, 19 patients with symptomatic extra-articular fractures of the distal radius, malunited in extension, underwent corrective osteotomy using a palmar locking implant without an additional bone graft. Read More

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June 2018
1 Read

[Corrective osteotomy of the hand].

Unfallchirurg 2018 Jul 10. Epub 2018 Jul 10.

Handchirurgie, Vulpius Klinik, Vulpiusstr. 29, 74906, Bad Rappenau, Deutschland.

Fractures of fingers and metacarpals are among the most frequent injuries. Many fractures can be successfully treated conservatively. Nevertheless, various malformations, such as malrotation, spur development, bone shortening, deviation of the axis and combinations of these individual deformities may appear in the course of time. Read More

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Management of donor site infections in split-thickness skin graft with water-filtered infrared-A (wIRA).

GMS Interdiscip Plast Reconstr Surg DGPW 2018 12;7:Doc03. Epub 2018 Jun 12.

Klinik für Plastische, Ästhetische und Handchirurgie - Zentrum für Schwerbrandverletzte, Sana Klinikum, Offenbach am Main, Germany.

Infection of donor sites in split-thickness skin grafts is one of the complications of skin transplantation. Nutrition status and associated diseases play important roles in healing of donor sites. There are different ways used to treat infected donor sites. Read More

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June 2018
17 Reads

[The proximal radioulnar joint in consideration of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):663-669

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universität zu Köln, Kerpener Straße 62, 50937, Köln, Deutschland.

The movement of the forearm follows a complex interplay of three main components: the proximal and distal radioulnar joint and the interosseous membrane. Injuries to one or even all components have a huge impact on the integrity of this system. The Essex-Lopresti lesion presented a high challenge in clinical diagnostics as well as therapy. Read More

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[Treatment of the ulnar impingement syndrome in the distal radioulnar joint].

Authors:
H Krimmer

Orthopade 2018 Aug;47(8):684-687

Zentrum für Handchirurgie, St. Elisabeth Klinikum Ravensburg, Elisabethenstraße 15, 88212, Ravensburg, Deutschland.

Ligamentous stability and joint congruity are prerequisites for a physiological function of the distal radioulnar joint (DRUJ). Impingement of the ulnar head may be caused by a congenital ulna-minus variance or by an iatrogenically excessive ulna shortening osteotomy. This impingement is detected by a positive compression test at the DRUJ. Read More

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[Recommendations for Diagnosis and Treatment of Fractures of the Ring of Axis].

Z Orthop Unfall 2018 Jun 22. Epub 2018 Jun 22.

Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle.

In a consensus process with four sessions in 2017, the working group "upper cervical spine" of the German Society for Orthopaedics and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Upper Cervical Fractures", taking their own experience and the current literature into consideration. The following article describes the recommendations for axis ring fractures (traumatic spondylolysis C2). About 19 to 49% of all cervical spine injuries include the axis vertebra. Read More

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June 2018
5 Reads

Total Endoprosthesis Versus Lundborg´s Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint Osteoarthritis.

Plast Reconstr Surg Glob Open 2018 Apr 4;6(4):e1737. Epub 2018 Apr 4.

Klinik für Hand-, Fuß- und Mikrochirurgie, Elmshorn, Germany.

Background: There exist various operative approaches for the treatment of trapeziometacarpal joint osteoarthritis. The aim of this study was to compare the results of Lundsborg's resection arthroplasty (RA) with implantation of a total endoprosthesis.

Patients And Methods: In this 2-center study, we retrospectively analyzed 71 patients with symptomatic osteoarthritis of the carpometacarpal I joint stage III according to the Eaton-Littler classification. Read More

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April 2018
5 Reads

[Anatomy and biomechanics of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):621-627

Abteilung für Handchirurgie, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

Background: The functionality of the upper extremity is decisively based on rotation of the forearm. The rotation depends on the extent of motion of the distal radioulnar joint. Rotation enables complete and focused usability of the hand in order to cope with daily activities. Read More

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August 2018
1 Read

Bromelain-based enzymatic debridement and minimal invasive modality (mim) care of deeply burned hands.

Ann Burns Fire Disasters 2017 Sep;30(3):198-204

Department of Plastic Surgery and Burn Unit, Soroka Medical Center, The Ben-Gurion University of the Negev, Beer Sheva, Israel.

The objective was to critically review the data and assess the implications of NexoBrid [NexoBrid-NXB formerly Debrase Gel Dressing-DGD] in the special field of deep hand burns. Detailed analysis of endpoints in the treatment of hand burn patients was conducted as part of a multi-center, open label, randomized, controlled two-arm study to evaluate the safety and efficacy of NXB enzymatic debridement, comparing it to the current standard of care (SOC). These results were compared to a large cohort of patients treated with NXB in a previous, single arm study. Read More

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September 2017
2 Reads

[Clinical examination of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):628-636

AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, Donaueschingenstraße 13, 1200, Wien, Österreich.

Background: The distal radioulnar joint (DRUJ) provides the distal link between radius and ulnar and is the centre of rotation during pronation and supination. Pronation and supination are essential in controlling the posture and optimal presentation of the hand to grasp an object. In addition, pronation and supination enable us to rotate tools when they are in the longitudinal axis of the forearm. Read More

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[Arthroscopy of the distal radioulnar joint].

Orthopade 2018 Aug;47(8):647-654

Klinik für Handchirurgie, Salzburger Leite 1, 97616, Bad Neustadt an der Saale, Deutschland.

Objective: The aim of the procedure is to visualize the proximal pouch of the DRUJ, the joint surfaces of the sigmoid notch and the ulnar head, the convexity of the ulnar head and the proximal ulnar side surface of the triangular fibrocartilage complex (TFCC).

Indications: Arthroscopy of the distal radioulnar joint is applied for the evaluation of joint pathologies in ulnar-sided wrist pain, especially in cases without diagnostic findings in standard X‑rays and MRIs and arthroscopically assisted procedures.

Surgical Technique: In vertical extension, two portals of the wrist are created on the dorsal side of the DRUJ between the extensor digiti minimi and extensor carpi ulnaris tendons. Read More

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[The International Classification of Functioning, Disability and Health (ICF) : The implementation of the ICF Core Sets for Hand Conditions in clinical routine as an example of application].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2018 Jul;61(7):787-795

Abteilung für Handchirurgie, Plastische und Mikrochirurgie, BG Klinikum Hamburg, Hamburg, Deutschland.

The International Classification of Functioning, Disability and Health (ICF) provides a standardized language of almost 1500 ICF categories for coding information about functioning and contextual factors. Short lists (ICF Core Sets) are helpful tools to support the implementation of the ICF in clinical routine. In this paper we report on the implementation of ICF Core Sets in clinical routine using the "ICF Core Sets for Hand Conditions" and the "Lighthouse Project Hand" as an example. Read More

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Supplemental Carbon Dioxide Stabilizes the Upper Airway in Volunteers Anesthetized with Propofol.

Anesthesiology 2018 Jul;129(1):37-46

From the Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts (K.J.R., H.D., T.H.) Department of Anesthesiology, Herlev and Gentofte Hospital, Herlev, Denmark (J.B.S.) Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Hospital, Boston, Massachusetts (J.Patlak, M.E.) Helios Klinikum Krefeld, Klinik für Orthopädie, Unfall- und Handchirurgie, Krefeld, Germany (J.C.R.S.) Klinik für Anäesthesiologie und Intensivmedizin, Universität Duisburg Essen and Universitätsklinikum Essen, Essen, Germany (J.Peters, M.E.).

Background: Propofol impairs upper airway dilator muscle tone and increases upper airway collapsibility. Preclinical studies show that carbon dioxide decreases propofol-mediated respiratory depression. We studied whether elevation of end-tidal carbon dioxide (PETCO2) via carbon dioxide insufflation reverses the airway collapsibility (primary hypothesis) and impaired genioglossus muscle electromyogram that accompany propofol anesthesia. Read More

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[All about the lunate bone].

Unfallchirurg 2018 May;121(5):350

Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Städtische Kliniken Neuss, Lukaskrankenhaus GmbH, Preußenstraße 84, 41464, Neuss, Deutschland.

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[Burn wound treatment through enzymatic debridement: First experience in Switzerland].

Handchir Mikrochir Plast Chir 2018 Apr 26. Epub 2018 Apr 26.

Klinik für Plastische Chirurgie und Handchirurgie, Zentrum für Brandverletzte, UniversitätsSpital Zürich.

Introduction: Thermal injuries are frequent and can be associated with relevant morbidity and mortality in severe cases. Excisional debridement followed by autografting is the standard of care for deep burns, but is associated with serious potential complications. Clinical results of a novel enzymatic debridement based on Bromelain raw material extracted from the pineapple plant (Nexobrid™) were published in 2014. Read More

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April 2018
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[Improved diagnostics and therapeutic decision making in traumatic peripheral nerve lesions using MR-neurography].

Handchir Mikrochir Plast Chir 2018 Aug 25;50(4):232-240. Epub 2018 Apr 25.

Universitätsklinikum Heidelberg AG MR-Neurographie, Abteilung für Neuroradiologie, Neurologische Klinik.

Introduction: The correct diagnosis of peripheral nerve injuries is essential for choosing the correct treatment in nerve surgery. Especially, nerve defects require early diagnosis to provide quick surgical reconstruction and prevent long-term disabilities. Recent developments in MR-neurography provide surgeons with a diagnostic tool delivering precise information on the structure and possibly function of nerves. Read More

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August 2018
4 Reads