Palmare winkelstabile Verplattung von Pseudarthrosen und Trümmerfrakturen des Kahnbeins

Quadlbauer, S.; Pezzei, Ch.; Jurkowitsch, J.; Krimmer, H.; Sauerbier, Michael; Hausner, T.; Leixnering, M.

doi:10.1007/s00064-019-00623-0

Cited by 14 publications

(5 citation statements)

References 51 publications

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“…Surgical gloves with their thin layer of latex are the only mechanical barrier between the patient and the operating team and are intended, apart from various (constructional-) technical requirements in an operating theatre, to protect both sides against infection [1,2]. The sterile latex surgical glove is used in a variety of disciplines, for example in gastroscopy, cardiac catheter interventions or in invasive and minimally invasive orthopedic and traumatological procedures [3,4]. According to the European Committee for Standardization (CEN) standard EN 455, the gloves produced are randomly tested for waterproofness by means of a water tightening test (1L water for 2-3 min) and tear resistance (EN 455-2) with a maximum weight of 9 N as standard.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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Introduction Various orthopedic surgical procedures cause mechanical stress for gloves. In some cases, sharp-edged objects impact on the glove surfaces. The systematic description of lesions is still missing. Methods 2289 gloves from 409 surgeries [primary hip and knee arthroplasties (PA), revisions arthroplasties (RA) and arthroscopic shoulder, hip and knee surgery (AY)] from 3 clinics were examined for lesions using water tightening test according to the European norm EN 455-1. Results Arthroscopies showed the lowest rate of operations with damaged gloves (6.9%). Depending on clinic, 32.7% and 59.2% of PA surgeries generated damaged gloves, while in RA, these numbers rose to 76.0% and 72.8%, respectively. In PA and RA, the most affected finger was the index finger, whereas in arthroscopies, more damage occurred on the middle finger and the thumb. The size of the lesions was rather small with the vast majority being 1 mm or 2 mm in size. Conclusion All investigated interventions led to glove lesions. With increasing mechanical stress, the number of glove defects increased. EN 455 does not account for the intraoperative tear risk. Stricter requirements for gloves should be introduced. Glove change intervals should be defined and implemented, and new materials should be developed.

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Section: Introductionmentioning

confidence: 99%

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Enz

Kostuj

Warnke

et al. 2020

Arch Orthop Trauma Surg

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“…Recent studies by Quadlbauer et al showed a higher union rate in stabilization of scaphoid waist nonunions with two headless compression screws or a plate compared to stabilization with only one compression screw. This study cannot confirm or disprove these results, since the majority of fixations were conducted with K-wires in our population [32,33]. The authors used the palmar locking plate for difficult bony fixations or reduction of advanced instabilities.…”

Section: Discussionmentioning

confidence: 77%

Clinical and radiological results of the vascularized medial femoral condyle graft for scaphoid non-union

Keller

Kastenberger

Anoar

et al. 2020

Arch Orthop Trauma Surg

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Introduction This study evaluated the use of a free vascularized bone graft with and without cartilage from the medial femoral condyle (MFC) in patients with recalcitrant scaphoid non-union, with a special focus on union rates and the osteochondral graft for proximal pole destruction. Materials and methods Thirty-eight avascular scaphoid non-unions in 37 patients who were treated with a free osteoperiosteal or osteochondral MFC graft were retrospectively evaluated (mean follow-up 16 months). Bone union, the scapholunate and the radiolunate angles were evaluated on X-ray images. The range of motion, grip strength, VAS, DASH and PRWE scores were evaluated clinically. Results The overall union rate was 95%. Bone union was achieved in 27 out of 29 (93%) scaphoids treated with a free osteoperiosteal MFC grafts and in 9 out of 9 (100%) scaphoids treated with a free osteochondral MFC graft. The range of motion remained almost unchanged, while grip strength increased significantly (34 kg vs. 44 kg) and the VAS (22-5), DASH (59-19) and PRWE (62-30) score decreased significantly. The scapholunate (71°-65°) and radiolunate (28°-18°) angle decreased. No major donor site morbidity was observed. Postoperative complications were observed in eight cases (21%). Conclusions The vascularized medial femoral bone graft leads to a good functional outcome in the treatment of scaphoid non-unions. The graft provides adequate blood supply and structural stability to the scaphoid. A proximal pole destruction can be replaced using an osteochondral graft with promising short-term results preventing carpal osteoarthritis and collapse.

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“…An arm tourniquet was applied. The volar approach between the radial artery and flexor carpi radialis (FCR) was used to expose the scaphoid [ 6 ]. An incision was started about 4 cm proximal to the wrist crease and curved to the distal scaphoid tubercle distal to the wrist crease.…”

Section: Methodsmentioning

confidence: 99%

Scaphoid Plate Osteosynthesis in Complex Fractures and Wrist Trauma: A Case Series

Liau,

Liew,

Arsad

et al. 2023

Cureus

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Introduction Treatment of scaphoid fracture is challenging due to its unique blood supply and geometry. Traditionally, a headless compression screw is the standard treatment for unstable scaphoid fracture. Some fractures are complex, for example, comminution with bone loss. A scaphoid plate is an option in these difficult fractures providing adequate rotational stability. Aim To share our experience in using scaphoid plates in complex wrist trauma and comminuted fractures. Method and material Complex wrist trauma involving scaphoid fractures that were comminuted and multi-fragmentary fractures treated with plate osteosynthesis were retrospectively reviewed between July 2019 and September 2021. Patient demographic data, preoperative radiographs, CT scans, pain, wrist range of motion, and fracture union rate to union were reviewed. Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH®) score was recorded at 1-year postoperative follow-up. Results Nine patients associated with complex wrist trauma were included in this case series. The mean follow-up was 2.5 years (13-30 months). The union rate was 100%. The mean arc of motion was 105° (95-110°). QuickDASH® score was 19.96 at 1-year postoperative follow-up. Four patients had good outcomes, four satisfactory, and one poor outcome. One hardware complication was observed which was the impingement of the plate proximally over the articular surface of the distal radius. Conclusion A scaphoid plate is a reliable option for treating complex and difficult fractures. It provides adequate stability, especially in comminution, bone loss, or multi-fragmentary fractures which are not amendable using other fixation methods. We recommend the expansion of plate osteosynthesis beyond scaphoid nonunion into complex wrist trauma.

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Palmare winkelstabile Verplattung von Pseudarthrosen und Trümmerfrakturen des Kahnbeins

Cited by 14 publications

References 51 publications

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Intraoperative damage to surgical gloves during various operations on the musculoskeletal system: a multicenter study

Clinical and radiological results of the vascularized medial femoral condyle graft for scaphoid non-union

Scaphoid Plate Osteosynthesis in Complex Fractures and Wrist Trauma: A Case Series

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