Die Fingerendgelenkversteifung mit der Doppelgewindeschraube

ObjectiveArthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function.IndicationsPrimary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviati...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Spies, Christian (VerfasserIn) , Unglaub, Frank (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Deutsch
Englisch
Veröffentlicht: 14. Juni 2017
In: Operative Orthopädie und Traumatologie
Year: 2017, Jahrgang: 29, Heft: 5, Pages: 374-384
ISSN:1439-0981
DOI:10.1007/s00064-017-0507-7
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1007/s00064-017-0507-7
Verlag, Volltext: https://doi.org/10.1007/s00064-017-0507-7
Volltext
Verfasserangaben:C.K. Spies, B. Hohendorff, S. Löw, L.P. Müller, J. Oppermann, P. Hahn, F. Unglaub

MARC

LEADER 00000caa a2200000 c 4500
001 1580445039
003 DE-627
005 20230427065700.0
007 cr uuu---uuuuu
008 180828s2017 xx |||||o 00| ||ger c
024 7 |a 10.1007/s00064-017-0507-7  |2 doi 
035 |a (DE-627)1580445039 
035 |a (DE-576)510445039 
035 |a (DE-599)BSZ510445039 
035 |a (OCoLC)1341017772 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a ger  |a eng 
084 |a 33  |2 sdnb 
100 1 |a Spies, Christian  |d 1977-  |e VerfasserIn  |0 (DE-588)133382516  |0 (DE-627)544038339  |0 (DE-576)299810054  |4 aut 
245 1 4 |a Die Fingerendgelenkversteifung mit der Doppelgewindeschraube  |c C.K. Spies, B. Hohendorff, S. Löw, L.P. Müller, J. Oppermann, P. Hahn, F. Unglaub 
264 1 |c 14. Juni 2017 
300 |a 11 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Englische Zusammenfassung unter dem Titel: Arthrodesis of the distal interphalangeal joint using the headless compression screw 
500 |a Gesehen am 28.08.2018 
520 |a ObjectiveArthrodesis of the distal interphalangeal joint of the fingers and interphalangeal joint of the thumb in order to gain reliable stability and function.IndicationsPrimary and secondary osteoarthritis, rheumatoid arthritis, defect lesions, septic joint destruction, posttraumatic joint deviation, fatal joint instability, fatal tendon lesions.ContraindicationsPersistent infections (empyema, osteomyelitis, phlegmon), deficient soft tissue mantle, bone/screw mismatch.Surgical techniqueUsing Beasley’s approach the extensor tendon is identified and sectioned. Incision of the collateral ligaments enables good exposition. Precise resection of the joint surfaces. An orthograde guidewire is place into the distal phalanx. After adjustment of the arthrodesis which is controlled using x‑ray, the guide wire is drilled into the middle phalanx in retrograde fashion. An adequate headless compression screw is introduced via a transverse incision at the fingertip using the guide wire, the former screw is placed until sufficient compression is generated.Postoperative managementFinger splint reaching to the proximal interphalangeal joint for 4 weeks after arthrodesis, full weight bearing after 6 weeks.ResultsSeventeen patients were examined after arthrodesis of the distal interphalangeal joint using the headless compression screw. The arthrodesis proved to be reliable and safe with a low complication rate and a good functional outcome. The modified Mayo Wrist Score (MMWS) was on average 89 (range 55-100); the outcome parameter DASH (disabilities of arm, shoulder and hand) score was on average 27 (range 1-60). 
650 4 |a Arthrose 
650 4 |a Behandlungsergebnis 
650 4 |a Daumen 
650 4 |a Doppelgewindeschraube 
650 4 |a Finger joint 
650 4 |a Fingergelenk 
650 4 |a Headless compression screw 
650 4 |a Osteoarthritis 
650 4 |a Thumb 
650 4 |a Treatment outcome 
700 1 |a Unglaub, Frank  |d 1974-  |e VerfasserIn  |0 (DE-588)124402518  |0 (DE-627)36332254X  |0 (DE-576)294155422  |4 aut 
773 0 8 |i Enthalten in  |t Operative Orthopädie und Traumatologie  |d München : Urban & Vogel, 1989  |g 29(2017), 5, Seite 374-384  |h Online-Ressource  |w (DE-627)312407823  |w (DE-600)2001071-0  |w (DE-576)090857607  |x 1439-0981  |7 nnas  |a Die Fingerendgelenkversteifung mit der Doppelgewindeschraube 
773 1 8 |g volume:29  |g year:2017  |g number:5  |g pages:374-384  |g extent:11  |a Die Fingerendgelenkversteifung mit der Doppelgewindeschraube 
856 4 0 |u http://dx.doi.org/10.1007/s00064-017-0507-7  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u https://doi.org/10.1007/s00064-017-0507-7  |x Verlag  |3 Volltext 
951 |a AR 
992 |a 20180828 
993 |a Article 
994 |a 2017 
998 |g 124402518  |a Unglaub, Frank  |m 124402518:Unglaub, Frank  |d 60000  |e 60000PU124402518  |k 0/60000/  |p 7  |y j 
999 |a KXP-PPN1580445039  |e 3024044744 
BIB |a Y 
SER |a journal 
JSO |a {"person":[{"family":"Spies","display":"Spies, Christian","role":"aut","given":"Christian"},{"given":"Frank","role":"aut","display":"Unglaub, Frank","family":"Unglaub"}],"note":["Englische Zusammenfassung unter dem Titel: Arthrodesis of the distal interphalangeal joint using the headless compression screw","Gesehen am 28.08.2018"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"origin":[{"dateIssuedDisp":"14. Juni 2017","dateIssuedKey":"2017"}],"title":[{"title":"Die Fingerendgelenkversteifung mit der Doppelgewindeschraube","title_sort":"Fingerendgelenkversteifung mit der Doppelgewindeschraube"}],"language":["ger","eng"],"name":{"displayForm":["C.K. Spies, B. Hohendorff, S. Löw, L.P. Müller, J. Oppermann, P. Hahn, F. Unglaub"]},"physDesc":[{"extent":"11 S."}],"recId":"1580445039","relHost":[{"recId":"312407823","pubHistory":["1.1989 -"],"physDesc":[{"extent":"Online-Ressource"}],"id":{"issn":["1439-0981"],"eki":["312407823"],"zdb":["2001071-0"]},"disp":"Die Fingerendgelenkversteifung mit der DoppelgewindeschraubeOperative Orthopädie und Traumatologie","language":["ger"],"part":{"volume":"29","extent":"11","pages":"374-384","text":"29(2017), 5, Seite 374-384","year":"2017","issue":"5"},"note":["Gesehen am 06.12.05"],"title":[{"title_sort":"Operative Orthopädie und Traumatologie","title":"Operative Orthopädie und Traumatologie"}],"origin":[{"dateIssuedDisp":"1989-","publisherPlace":"München ; Berlin ; Heidelberg","dateIssuedKey":"1989","publisher":"Urban & Vogel ; Springer"}],"type":{"bibl":"periodical","media":"Online-Ressource"}}],"id":{"eki":["1580445039"],"doi":["10.1007/s00064-017-0507-7"]}} 
SRT |a SPIESCHRISFINGERENDG1420