2,041 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]


[Prior cost approval for treatment of lipoedema: things to consider].

Handchir Mikrochir Plast Chir 2019 Apr 16;51(2):139-143. Epub 2019 Apr 16.

Sana Klinikum Hameln Pyrmont Plastische und Ästhetische Chirurgie, Handchirurgie.

Lipoedema used to be a rather unknown disease. In the past five years, it has gained increasing awareness, especially through media attention. Besides non-surgical treatment by complex conservative decongestion, there are an increasing number of studies pointing out the potential of liposuction for a successful treatment of lipoedema. Read More

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http://dx.doi.org/10.1055/a-0826-4844DOI Listing

[Total wrist arthroplasty-a review].

Authors:
H-G Damert

Orthopade 2019 Apr 15. Epub 2019 Apr 15.

Klinik für Plastische, Ästhetische und Handchirurgie, HELIOS Bördeklinik, Kreiskrankenhaus 4, 39394, Oschersleben/Neindorf, Deutschland.

Background: Total wrist arthroplasty is still a rare procedure. This issue is being discussed controversially, particular in German-speaking countries. Lately, its acceptance has risen, especially as an alternative to wrist fusion regarding treatment of panarthritis or similar pathologies. Read More

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http://dx.doi.org/10.1007/s00132-019-03725-6DOI Listing

[Open reduction and plate/screw osteosynthesis of proximal phalanx fractures].

Oper Orthop Traumatol 2019 Apr 12. Epub 2019 Apr 12.

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

Objective: Anatomical open reduction and internal fixation using screw/plate osteosynthesis.

Indications: Extra-articular fractures with clinically evident malrotation of the finger, comminution fracture and/or loss of length, which cannot be treated non-operatively; fracture instability; intra-articular fracture with step off greater than 1 mm, which cannot be treated percutaneously but openly using plate/screw osteosythesis; failure of conservative treatment.

Contraindications: General operative limitations. Read More

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http://dx.doi.org/10.1007/s00064-019-0598-4DOI Listing
April 2019
1 Read

[Animal Models for Selective Nerve Transfers of the upper Extremity].

Handchir Mikrochir Plast Chir 2019 Apr 8. Epub 2019 Apr 8.

Medical Universtiy of Vienna Plastic and Reconstructive Surgery.

Introduction: Nerve transfers are an important tool to restore muscle function. Despite their popularity in reconstructive surgery, their effects on the motor unit remain largely unknown. Therefore, a realistic animal model is needed for the upper extremity, which is where the majority of nerve transfers are conducted. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0802-8851
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http://dx.doi.org/10.1055/a-0802-8851DOI Listing
April 2019
2 Reads

[Arthroplasty of the TMT1 joint-a critical view].

Authors:
M Jung F Unglaub

Orthopade 2019 Mar 29. Epub 2019 Mar 29.

Handchirurgie, Vulpiusklinik, Bad Rappenau, Deutschland.

Resection suspension arthroplasty of the trapezium still represents the golden standard in treatment of CMC 1 arthritis. First reports about long-term results of a modern-design endoprosthesis of the CMC 1 joint promise a lower complication and revision rate. Thus, endoprosthesis of the CMC1 joint is becoming more attractive, especially because the rehabilitation and back-to-work times are much faster. Read More

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http://dx.doi.org/10.1007/s00132-019-03718-5DOI Listing

[Metacarpophalangeal joint replacement].

Orthopade 2019 Mar 26. Epub 2019 Mar 26.

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

Background: Arthroplasty of metacarpophalangeal (MCP) joints is crucial for patients with rheumatoid arthritis. Motion preserving therapies are mandatory for this joint, since loss of function of the MCP joint is detrimental. Many protheses or spacers have been introduced over the last 80 years, but most of them have been dismissed due to major complications. Read More

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http://link.springer.com/10.1007/s00132-019-03715-8
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http://dx.doi.org/10.1007/s00132-019-03715-8DOI Listing
March 2019
1 Read

[Anatomy of the metacarpophalangeal and proximal interphalangeal finger joint with respect to arthroplasty].

Orthopade 2019 Mar 25. Epub 2019 Mar 25.

Unfall‑, Hand- und Ellenbogenchirurgie, Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum zu Köln, Köln, Deutschland.

Background: Precise knowledge of the anatomy and biomechanics of the metacarpophalangeal and proximal interphalangeal joint is the basis for both indication and implantation of a finger joint prosthesis. Currently available finger joint prostheses inadequately take into account individual, ethnological, gender, age, and side differences. They can remain compromised despite the possible combination of their components. Read More

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http://dx.doi.org/10.1007/s00132-019-03716-7DOI Listing

[All about the scaphoid].

Unfallchirurg 2019 Mar;122(3):168-169

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

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http://dx.doi.org/10.1007/s00113-019-0617-9DOI Listing

[Finger amputation following a minor injury: insurance aspects in Germany and practical approaches].

Handchir Mikrochir Plast Chir 2019 Feb 5;51(1):54-61. Epub 2019 Mar 5.

Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle.

Expert medical assessments are an integral part of a physician's sphere of activity today. Since subspecialisation is constantly advancing, there is often a limited pool of medical experts available for specific assessment matters. Medical experts have to assess the full proof of facts and the probability of correlations. Read More

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http://dx.doi.org/10.1055/a-0826-4669DOI Listing
February 2019

[Anatomy of the trapeziometacarpal joint in the context of arthroplasty].

Orthopade 2019 Mar 4. Epub 2019 Mar 4.

Handchirurgie, Vulpiusklinik, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.

The thumb has a crucial role in the hand due to its position with regard to the fingers. The CMC-1 joint enables an extraordinary range of motion, since its geometry allows for opposition. The former joint may often succumb to osteoarthritis because a great range of motion in combination with large forces, small contact areas, and thorough usage are always present. Read More

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http://dx.doi.org/10.1007/s00132-019-03702-zDOI Listing
March 2019
2 Reads

[Arthroplasty at the proximal interphalengeal joint].

Orthopade 2019 Feb 28. Epub 2019 Feb 28.

Abteilung Handchirurgie, Schulthess Klinik, Lengghalde 2, 8008, Zürich, Schweiz.

Background: For the treatment of deformed finger middle joints that occur as a result of osteoarthritis or inflammatory and post-traumatic destruction, artificial joint replacement is an option to arthrodesis. Hereby mobility can be obtained, which is why this method generally has a higher acceptance.

Discussion: What clinical and subjective results can be expected after artificial finger middle joint replacement and what is the expected complication rate for the different types of joints?

Material And Methods: We present our experiences with artificial joint replacement with various implants over the past decades as well as promising new developments of the last 10 years. Read More

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http://dx.doi.org/10.1007/s00132-019-03705-wDOI Listing
February 2019

[Dorsal plate arthrodesis of the thumb metacarpophalangeal joint].

Oper Orthop Traumatol 2019 Feb 26. Epub 2019 Feb 26.

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Objective: Elimination of pain or instability by arthrodesis of the thumb joint in functional position by dorsal plateosteosynthesis.

Indications: Painful primary or secondary arthrosis of the thumb, nonreconstructable ulnar, radial or palmar instability, posttraumatic dislocation, defect injuries, bone tumors in the region of the thumb metacarpophalangeal joint.

Contraindications: Local infection of the thumb metacarpophalangeal joint area. Read More

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http://dx.doi.org/10.1007/s00064-019-0592-xDOI Listing
February 2019

The use of chimeric musculocutaneous posterior interosseous artery flaps for treatment of osteomyelitis and soft tissue defect in hand.

Microsurgery 2019 Feb 19. Epub 2019 Feb 19.

Swissparc AG, Hand Surgery Service, Zürich, Switzerland.

Introduction: There is growing evidence of the superior ability of muscular tissue to clear bacterial bone infection. Unfortunately, in the hand, there are almost no small local muscular flaps, and muscular transfers to the hand are mainly microsurgical free transfers. In this report, we present the results of the use of a chimeric posterior interosseous flap including part(s) of the forearm muscles to treat osteomyelitis and soft tissue defect of hand from a series of patients. Read More

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http://dx.doi.org/10.1002/micr.30434DOI Listing
February 2019
1 Read

[Antibiotic treatment of infections in burn patients - a systematic review].

Handchir Mikrochir Plast Chir 2019 Apr 14;51(2):111-118. Epub 2019 Feb 14.

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

Background: Due to the loss of the natural skin barrier function with reduced immune competence as a result of a plasma loss and the numerous intensive care interventions, burn patients are particularly at risk for infection.

Study Design: systematic review METHODS: A systematic review of German and English literature between 1990 and 2018 analyzes the epidemiological and diagnostic aspects as well as the therapeutic use of antibiotics in infections of burn patients in clinical trials.

Results: A total number of 53 randomized controlled clinical trials met the inclusion criteria. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0802-8882
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http://dx.doi.org/10.1055/a-0802-8882DOI Listing
April 2019
10 Reads

[Interdisciplinarity in German academic Plastic Surgery - irrelevant or forward-looking?]

Handchir Mikrochir Plast Chir 2019 Apr 12;51(2):144-150. Epub 2019 Feb 12.

University of Regensburg Plastic Surgery.

Background: Plastic and Reconstructive surgery is able to treat patients from head to toe, whereby it can preserve, reform or reconstruct anatomically functional or aesthetic unions. This kind of expertise is appreciated by other medical specialties and is part of high performance medicine in most university clinics. However the standing of academic Plastic Surgery is particularly difficult. Read More

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http://dx.doi.org/10.1055/a-0795-3583DOI Listing
April 2019
7 Reads

[Scaphoid pseudarthrosis : Complex reconstruction using vascularized bone grafts].

Unfallchirurg 2019 Mar;122(3):200-210

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

The most important goals of scaphoid reconstruction in pseudarthrosis are correction of the humpback deformity, the realignment of the proximal carpal row and the bony union of the scaphoid. Therefore, in most cases bone grafting is required. To increase the healing rate and to improve vascularization, several kinds of vascularized bone grafts have been developed. Read More

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http://dx.doi.org/10.1007/s00113-019-0609-9DOI Listing

[Recommendations for the Diagnostic Testing and Therapy of Atlas Fractures].

Z Orthop Unfall 2019 Feb 5. Epub 2019 Feb 5.

Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost Halle (Saale).

In a consensus process with four sessions in 2017, the working group on "the upper cervical spine" of the German Society for Orthopaedic and Trauma Surgery (DGOU) formulated "Therapeutic Recommendations for the Diagnosis and Treatment of Fractures to the Upper Cervical Spine", incorporating their own experience and current literature. The following article describes the recommendations for the atlas vertebra. About 10% of all cervical spine injuries include the axis vertebra. Read More

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http://dx.doi.org/10.1055/a-0809-5765DOI Listing
February 2019
5 Reads

[A girl with a deviated index finger].

Ned Tijdschr Geneeskd 2019 Jan 25;163. Epub 2019 Jan 25.

OLVG, locatie Oost, afd. Plastische, Reconstructieve en Handchirurgie, Amsterdam.

A 7-year-old girl was seen at the ER with severe pain of her index finger after twisting her hand whilst performing a handstand. Physical examination and X-rays showed an isolated dorsal dislocation of the metacarpophalangeal joint, also known as a Kaplan's lesion. A Kaplan's lesion is a complex dislocation with volar plate interposition. Read More

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January 2019
3 Reads

[Validation of the ICD-11 beta draft in hand surgery].

Handchir Mikrochir Plast Chir 2019 Jan 31. Epub 2019 Jan 31.

Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie - IBE, Lehrstuhl für Public Health und Versorgungsforschung, Forschungseinheit für Biopsychosoziale Gesundheit, Ludwig-Maximilians-Universität (LMU) München.

Background: The practice of hand surgery is characterised by the surgical and conservative treatment of patients with a broad range of single and multiple hand injuries, many of them complex, as well as hand diseases. Thus far, the coding of especially complex hand injuries using the International Statistical Classification of Diseases and Related Health Problems, 10th revision (German Modification) (ICD-10-GM) has often been a challenge for the persons responsible for coding. To ensure an exact, unambiguous and reliable coding of patient cases, the mapping of these cases in the 11th revision of the ICD is an inevitable requirement. Read More

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http://dx.doi.org/10.1055/a-0654-5305DOI Listing
January 2019
1 Read

[New concept for microsurgical education: The training academy of the German Working Group for Microsurgery of Peripheral Nerves and Vessels: Results of a 4-year evaluation].

Handchir Mikrochir Plast Chir 2019 Jan 31. Epub 2019 Jan 31.

Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, BG-Klinik Ludwigshafen, Hand und Plastische Chirurgie, Universität Heidelberg.

Introduction: A recent survey among plastic surgery residents and directors of microsurgical clinics demonstrates a great interest in high- quality microsurgery education. Unfortunately, due to economic pressures, limited operating resources as well as forensic considerations, it has become a challenge to provide sufficient on-the-job training, which needs to be shifted outside of the OR. To promote microsurgical teaching, the German-speaking Working Group for Microsurgery of Peripheral Nerves and Vessels (DAM) organises two-day microsurgery academies to provide interested colleagues with a broad spectrum of microsurgical procedures. Read More

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http://dx.doi.org/10.1055/a-0824-7264DOI Listing
January 2019

[Is it sensible to use fix and flap also in old age?]

Unfallchirurg 2019 Jan 25. Epub 2019 Jan 25.

Klinik für Allgemeine, Unfall- und Wiederherstellungschirurgie, Klinikum, Ludwig-Maximilians-Universität München, München, Deutschland.

In older patients the optimal treatment strategy of complex bone and soft tissue injuries represents a new challenge. Currently, two treatment approaches are in competition. Whereas the amputation of the limb represents a rapid solution including short postoperative hospitalization, limb preservation in cases of open fractures is frequently associated with prolonged hospitalization and sometimes unsatisfactory functional outcomes. Read More

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http://dx.doi.org/10.1007/s00113-019-0604-1DOI Listing
January 2019

[Consumption of antibiotics in a burns intensive care unit].

Handchir Mikrochir Plast Chir 2019 Apr 22;51(2):102-110. Epub 2019 Jan 22.

Klinikum St. Georg - Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie.

Introduction: Burn-injured patients are at particularly high risk of infection; as such one would expect an increased requirement of antibiotics compared to other intensive care patients. There is no data in the literature investigating this hypothesis in Germany. The aim of this study was to determine the antibiotic consumption in severe burn patients and to compare this data with those from surgical intensive care units. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0739-7820
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http://dx.doi.org/10.1055/a-0739-7820DOI Listing
April 2019
10 Reads

Single-Cell Gene Expression Analysis and Evaluation of the Therapeutic Function of Murine Adipose-Derived Stromal Cells (ASCs) from the Subcutaneous and Visceral Compartment.

Stem Cells Int 2018 11;2018:2183736. Epub 2018 Dec 11.

Klinikum rechts der Isar, Technische Universität München, Klinik für Plastische Chirurgie und Handchirurgie, München, Germany.

Introduction: Adipose-derived stromal cells (ASCs) are a promising resource for wound healing and tissue regeneration because of their multipotent properties and cytokine secretion. ASCs are typically isolated from the subcutaneous fat compartment, but can also be obtained from visceral adipose tissue. The data on their equivalence diverges. Read More

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http://dx.doi.org/10.1155/2018/2183736DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311719PMC
December 2018
3 Reads

[Resuscitation room management for trauma patients].

Anaesthesist 2019 Jan;68(1):49-66

Zentrale Notaufnahme, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.

Resuscitation rooms in central emergency admissions are the first point of contact for potentially severely or multiply injured patients. Here priority is given to the interdisciplinary treatment of these patients, which includes the structured and standardized hospital admission as well as the appropriate initial diagnostics and treatment of potentially life-threatening conditions. The resuscitation room is a central vital link between the prehospital and internal hospital treatment chain. Read More

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http://link.springer.com/10.1007/s00101-018-0523-5
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http://dx.doi.org/10.1007/s00101-018-0523-5DOI Listing
January 2019
9 Reads

[Surgical treatment of lipoedema].

Handchir Mikrochir Plast Chir 2018 Dec 8;50(6):400-411. Epub 2019 Jan 8.

Ernst von Bergmann Klinikum Potsdam Klinik für Plastische, Ästhetische und Rekonstruktive Mikrochirurgie/Handchirurgie.

Although liposuction of lipoedema is a well-established therapeutic option in plastic and reconstructive surgery, the commonly known operative protocols vary widely between clinics. A precise summary of all described protocols and a critical evaluation have not been published to date. This review aims to create a basic structure for future Standard Operative Protocols (SOPs) in the surgical treatment of lipoedema. Read More

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http://dx.doi.org/10.1055/a-0767-6808DOI Listing
December 2018
1 Read

[Quantitative volumetric analysis of the lower extremity: validation against established tape measurement and water displacement].

Handchir Mikrochir Plast Chir 2018 Dec 8;50(6):393-399. Epub 2019 Jan 8.

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

Background: Tape measures continue to be used for the diagnosis and evaluation of lipoedema and lymphoedema in the clinical routine. Extremity volumes are calculated based on standardised circumferential measurements. Other volume measurements such as water displacement are not applied on a regular basis. Read More

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http://dx.doi.org/10.1055/a-0770-3445DOI Listing
December 2018
8 Reads

[Three-point buttressing with internal fixator for minimally invasive stabilization of the anterior pelvic ring : Operative technique and first clinical results].

Unfallchirurg 2019 Jan 7. Epub 2019 Jan 7.

Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.

Background: The changing age distribution in society inevitably leads to a percentage increase in osteoporotic and fatigue fractures as well as the absolute number of insufficiency fractures of the pelvic ring. Due to pain these fractures lead to a loss of mobility and autonomy. To prevent these consequences surgical treatment is increasingly being performed. Read More

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http://dx.doi.org/10.1007/s00113-018-0599-zDOI Listing
January 2019
4 Reads

[Anatomy and pathobiomechanics of the scaphoid].

Unfallchirurg 2019 Mar;122(3):170-181

Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Waldeyerstr. 1, 48149, Münster, Deutschland.

Among the carpal bones the scaphoid (Os scaphoideum) is the most important. The most frequent fracture of the carpus is a fracture of the scaphoid bone. The frequently occurring absence of healing of these fractures as well as unhealed ruptures of the ligament complex between the scaphoid and lunate, lead to the most severe biomechanical and thus the most severe clinical changes of the wrist. Read More

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http://link.springer.com/10.1007/s00113-018-0597-1
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http://dx.doi.org/10.1007/s00113-018-0597-1DOI Listing
March 2019
4 Reads

[Registry Research Funding of the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC) and Research Funding Report 2017/2018].

Handchir Mikrochir Plast Chir 2018 Dec 10;50(6):414-421. Epub 2018 Dec 10.

Klinik und Poliklinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover.

Introduction: This report serves to publicize the research of academic institutions for Plastic Surgery within our society DGPRÄC in 2017/2018 and sequels the funding report of 2015/2016. Applications to public, non-public, or industrial funding organizations were evaluated. At the same time, this paper analyses the number of approved DFG applications in Plastic, Thoracic and Vascular Surgery in the GEPRIS system. Read More

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http://dx.doi.org/10.1055/a-0770-3485DOI Listing
December 2018
1 Read

[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
14 Reads

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

Unfallchirurg 2019 Apr;122(4):323-327

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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http://dx.doi.org/10.1007/s00113-018-0583-7DOI Listing
April 2019
1 Read

[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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http://dx.doi.org/10.1055/a-0755-2296DOI Listing
November 2018
4 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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http://dx.doi.org/10.1055/a-0751-2959DOI Listing
September 2018
3 Reads

[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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http://dx.doi.org/10.1055/a-0667-9794DOI Listing
October 2018
3 Reads

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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http://dx.doi.org/10.1097/GOX.0000000000001861DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191237PMC
September 2018
26 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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http://dx.doi.org/10.1007/s00113-018-0571-yDOI Listing
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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http://dx.doi.org/10.1055/a-0627-7333DOI Listing
October 2018
18 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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http://link.springer.com/10.1007/s00132-018-3645-1
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http://dx.doi.org/10.1007/s00132-018-3645-1DOI Listing
November 2018
4 Reads

[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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http://link.springer.com/10.1007/s00132-018-3644-2
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http://dx.doi.org/10.1007/s00132-018-3644-2DOI Listing
November 2018
2 Reads

[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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http://dx.doi.org/10.1055/a-0642-1830DOI Listing
October 2018
1 Read

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

Handchir Mikrochir Plast Chir 2019 Apr 1;51(2):86-93. 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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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-100918
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http://dx.doi.org/10.1055/s-0044-100918DOI Listing
April 2019
3 Reads

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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http://dx.doi.org/10.1007/s00402-018-3034-6DOI Listing
November 2018
17 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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http://dx.doi.org/10.1007/s00113-018-0553-0DOI Listing
October 2018
1 Read

[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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http://dx.doi.org/10.1007/s00113-018-0558-8DOI Listing
October 2018
6 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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http://dx.doi.org/10.1007/s00104-018-0724-0DOI Listing
October 2018
3 Reads

[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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http://dx.doi.org/10.1007/s00064-018-0566-4DOI Listing
September 2018
6 Reads

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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http://dx.doi.org/10.1177/2192568218771668DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130107PMC
September 2018
8 Reads

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

Z Orthop Unfall 2019 Feb 3;157(1):29-34. 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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http://dx.doi.org/10.1055/a-0631-4924DOI Listing
February 2019
17 Reads