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...
Gespeichert in:
| Hauptverfasser: | , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Deutsch |
| Veröffentlicht: |
12 April 2019
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| In: |
Operative Orthopädie und Traumatologie
Year: 2019, Jahrgang: 31, Heft: 5, Pages: 408-421 |
| ISSN: | 1439-0981 |
| DOI: | 10.1007/s00064-019-0598-4 |
| Online-Zugang: | Verlag, Volltext: https://doi.org/10.1007/s00064-019-0598-4 |
| Verfasserangaben: | F. Unglaub, M.F. Langer, S. Löw, B. Hohendorff, C.K. Spies |
MARC
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| 520 | |a 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. | ||
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