Der Unfallchirurg
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Depressed fractures of the base of the middle phalanges are problematic because of frequent subluxations and centrally depressed fragments. There are two minimally invasive procedures available: 1) the less known intramedullary padding technique according to Hintringer and 2) the widely used distraction fixator of Suzuki. This article describes the technique and outcome of these two procedures. ⋯ The intramedullary padding technique according to Hintringer enables good treatment of depressed fractures of the base of the middle phalanx of the finger. Repositioning of dorsal subluxations can be performed and centrally impressed fragments can be reduced better than by using the Suzuki dynamic fixator. In addition, the radiological course assessments can be assessed better than with the distraction fixator.
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This article presents the case of a traumatic avulsion of the extensor carpi radialis longus et brevis tendons with avulsion fracture at the base of the third metacarpal bone. Surgery as soon as possible is recommended in order to avoid retraction of the tendon.
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There is no standard procedure regarding surgical treatment of multiligament knee injuries involving rupture of the posterior cruciate ligament. ⋯ The results of the two operation techniques were not significantly different. The arthroscopic approach is therefore regarded as the preferred method in this institute.
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Injuries to the subaxial cervical spine are increasing and have a high risk for neurological injury in comparison to the thoracic and lumbar spine. The current treatment recommendations according to the recommendations of the section spine of the German Society for Orthopaedics and Trauma (DGOU) and the S1 guidelines of the German Society for Trauma Surgery are summarized in this article. ⋯ Injuries should be classified according to the AOSpine classification for subaxial injuries. Based on this classification, a decision on a conservative or operative treatment regimen as well as individual details of the treatment can be made.