Operative Orthopädie und Traumatologie
-
Restoration of axis, length, and rotation of the lower leg. Sufficient primary stability of the osteosynthesis for early functional aftercare. Maintaining mobility of knee joint. Bone healing in closed and open fractures. ⋯ In a prospective multicenter study on the stabilization of tibia fractures with the Expert Tibial Nail, 22 patients with proximal third tibia fractures were documented. Seventeen patients could be reviewed clinically and radiologically after 1 year. A non-union was registered in 1 patient (5.9%), a malalignment in any plane above 5° in 3 fractures (17.6%).
-
Oper Orthop Traumatol · Dec 2011
Anatomical glenoid reconstruction via a J-bone graft for recurrent posttraumatic anterior shoulder dislocation.
To reconstruct the anatomical glenoid shape in cases of osseous glenoid rim defects after recurrent posttraumatic anterior shoulder dislocation to restore stability without severely compromising the range of motion. ⋯ A total of 47 shoulders were followed-up after an average of 90 months (range 25-152 months). The mean Rowe scores were 94.3 for the affected shoulder and 96.8 for the uninjured shoulder. The Constant scores reached 93.5 and 95 points, respectively. Loss of external rotation was 4.4°. In addition, 24 shoulders were followed-up by computed tomography (CT). There were no recurrences, with the exception of one traumatic graft fracture. Of 19 patients with arthropathy at follow-up, 11 already had arthropathy prior to the procedure.
-
Oper Orthop Traumatol · Dec 2011
Clinical TrialFixing simple olecranon fractures with the Olecranon Osteotomy Nail (OleON).
Stable fixation of simple olecranon fractures or olecranon osteotomies in order to allow early functional treatment. ⋯ Using this technique in 21 patients (mean age 42 years) with acute fractures or osteotomies, sound fracture healing was achieved in 19 of 21 patients. The active range of motion was 130.2° flexion, 10.6° extension deficit, and a normal pro-supination arch. In one patient, delayed union caused implant failure. In this patient, a surgical error jeopardized stability. In a second patient, a peri-implant fracture after adequate trauma made a change in therapy necessary.