Kurzgefasste Handchirurgie

Rudigier, Jürgen

doi:10.1055/b-002-6241

Cited by 7 publications

(8 citation statements)

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“…Their application mostly depends on the SLD-stage and reported results are ambiguous and variable [1–10]. Therefore, the optimal method of choice remains a matter of controversy and there is still no real gold standard treatment for SLD.…”

Section: Discussionmentioning

confidence: 99%

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Modified minimally invasive extensor carpi radialis longus tenodesis for scapholunate dissociation: a prospective observational study

Kaltenborn

Hoffmann²,

Settje

et al. 2017

BMC Musculoskelet Disord

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BackgroundScapholunate dissociation is the most common form of carpal instability. However, there is no gold standard for operative treatment. In this prospective observational study on 54 patients, a modified minimally invasive dynamic extensor carpi radialis longus tenodesis is described, which is characterized by a smaller approach and application of a cannulated screw and washer for tendon fixation.MethodsQuick-Disabilities of Arm, Shoulder and Hand (DASH)-questionnaire results, post-operative satisfaction, range of motion and grip strength are analyzed.ResultsA median Quick-DASH of 54.6 was observed pre-operatively which significantly improved to a median of 28.4 after the procedure (p < 0.001). Median follow-up was 24 months. Of 46 completely followed-up patients, 31 patients (67.4%) reported that they were satisfied with the outcome. Thirty-seven patients (80.4%) would recommend the procedure to a friend. Thirty-five patients (76.1%) reported some kind of complaint in the operated hand during follow-up. There was no association of severity of symptoms and co-morbidities with the outcome. Neither palmar flexion, nor dorsal extension was significantly different between the operated and non-operated wrist. The operated wrists were observed to have less grip strength than non-operated wrists.ConclusionsThe presented method seems to be as successful as other techniques described in literature. It is less invasive, thus more patient friendly without harming feasibility of future salvage options. However, post-operative complaint rate was quite high.

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Section: Discussionmentioning

confidence: 99%

“…Scapholunate dissociation was categorized in three stages according to recent guidelines of the German Society for Hand Surgery, SLD I° - pre-dynamic stage, SLD II° - dynamic stage, and SLD III° - static stage [10]. Mean follow-up was 24 months after surgery (median 24; range 2.5–46.5 months).…”

Section: Methodsmentioning

confidence: 99%

Modified minimally invasive extensor carpi radialis longus tenodesis for scapholunate dissociation: a prospective observational study

Kaltenborn

Hoffmann²,

Settje

et al. 2017

BMC Musculoskelet Disord

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“…Grundsätzlich lässt sich die Schienenbehandlung durch vier Aufgabengebiete definieren (▶ Tab. 1) [1,4], [5,6]: ▪ Lagerungsschienen zur Ruhigstellung, ▪ frühfunktionelle Übungssysteme, ▪ Korrekturschienen und ▪ Ersatzschienen.…”

Section: Introductionunclassified

Orthesen- und Schienenversorgung nach handchirurgischen Eingriffen

Bergmeister¹,

Wendt²,

Kneser³

et al. 2018

Orthopädie und Unfallchirurgie up2date

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“…Grundsätzlich lässt sich die Schienenbehandlung durch vier Aufgabengebiete definieren (▶ Tab. 1) [1,2,5,6]: ▪ Lagerungsschienen zur Ruhigstellung, ▪ frühfunktionelle Übungssysteme, ▪ Korrekturschienen und ▪ Ersatzschienen.…”

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