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Offene Reposition und Schrauben‑/Plattenosteosynthese von Fingergrundgliedfrakturen

ObjectiveAnatomical open reduction and internal fixation using screw/plate osteosynthesis.IndicationsExtra-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...

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Bibliographic Details
Main Authors: Unglaub, Frank (Author) , Langer, Martin Franz (Author) , Löw, Steffen (Author) , Hohendorff, Bernd (Author) , Spies, Christian (Author)
Format: Article (Journal)
Language:German
Published: 12 April 2019
In: Operative Orthopädie und Traumatologie
Year: 2019, Volume: 31, Issue: 5, Pages: 408-421
ISSN:1439-0981
DOI:10.1007/s00064-019-0598-4
Online Access:Verlag, Volltext: https://doi.org/10.1007/s00064-019-0598-4
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Author Notes:F. Unglaub, M.F. Langer, S. Löw, B. Hohendorff, C.K. Spies
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Summary:ObjectiveAnatomical open reduction and internal fixation using screw/plate osteosynthesis.IndicationsExtra-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.ContraindicationsGeneral operative limitations.Surgical techniqueDorsal, mediolateral, or palmar approach, temporary reduction using pincers or optional Kirschner wires; screw/plate osteosynthesis for internal fixation.Postoperative managementImmediate mobilization facilitated by buddy loops for the first 4-6 weeks, prevention of edema using elastic dressing, physiotherapy.ResultsOpen reduction and internal fixation using screw/plate osteosynthesis provides good results in combination with immediate mobilization. Nevertheless, adhesion of tendons or capsule tissue with restriction of range of motion is observed.
Item Description:Gesehen am 09.12.2019
Physical Description:Online Resource
ISSN:1439-0981
DOI:10.1007/s00064-019-0598-4

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