2,029 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]


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

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

Handchir Mikrochir Plast Chir 2019 Feb 14. 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
February 2019
3 Reads

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

Handchir Mikrochir Plast Chir 2019 Feb 12. 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
February 2019
2 Reads

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

Unfallchirurg 2019 Feb 6. Epub 2019 Feb 6.

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
February 2019

[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
2 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
1 Read

[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

[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 Jan 22. 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
January 2019
5 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
1 Read

[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
6 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

[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
5 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
2 Reads

[Anatomy and pathobiomechanics of the scaphoid].

Unfallchirurg 2019 Jan 3. Epub 2019 Jan 3.

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
January 2019
2 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

[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
12 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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http://dx.doi.org/10.1007/s00113-018-0583-7DOI Listing
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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http://dx.doi.org/10.1055/a-0755-2296DOI Listing
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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http://dx.doi.org/10.1055/a-0751-2959DOI Listing
September 2018
2 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
1 Read

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
21 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
12 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
3 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
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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http://dx.doi.org/10.1055/a-0642-1830DOI Listing
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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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
October 2018
2 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
6 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

[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
5 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
1 Read

[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
3 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
6 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
15 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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http://dx.doi.org/10.1007/s00104-018-0711-5DOI Listing
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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http://dx.doi.org/10.1055/a-0633-8828DOI Listing
August 2018
5 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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http://dx.doi.org/10.1055/a-0631-9025DOI Listing
August 2018
2 Reads

[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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http://www.thieme-connect.de/DOI/DOI?10.1055/a-0621-9324
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http://dx.doi.org/10.1055/a-0621-9324DOI Listing
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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http://dx.doi.org/10.1055/a-0645-7007DOI Listing
August 2018
13 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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http://Insights.ovid.com/crossref?an=00006534-201811000-0007
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http://dx.doi.org/10.1097/PRS.0000000000004936DOI Listing
November 2018
1 Read

[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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http://link.springer.com/10.1007/s00104-018-0702-6
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http://dx.doi.org/10.1007/s00104-018-0702-6DOI Listing
August 2018
14 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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http://dx.doi.org/10.1055/a-0645-6845DOI Listing
June 2018
1 Read

[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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http://dx.doi.org/10.1055/a-0645-7075DOI Listing

[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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http://dx.doi.org/10.1055/a-0645-6904DOI Listing

[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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http://dx.doi.org/10.1055/a-0645-6867DOI Listing
June 2018
1 Read