Operative Orthopädie und Traumatologie (Operat Orthop Traumatol )

Publisher: Springer Verlag

Description

Die Operative Orthopädie und Traumatologie wendet sich an alle operativ tätigen Orthopäden Traumatologen Handchirurgen Sportärzte Ärzte anderer chirurgischer Fachrichtungen und niedergelassene Unfallchirurgen und Orthopäden die zur Patientenberatung und Operationsvorbereitung wie auch zur Nachsorge fundierte Informationen zu aktuellen Operationsmethoden benötigen. Die Zeitschrift erscheint in deutscher englischer und spanischer Sprache und stellt bewährte sowie neue Operationsverfahren in einheitlich strukturierten und aufwendig illustrierten Beiträgen dar. Jeder Operationsschritt wird durch eine eigene Zeichnung illustriert und in der Legende ausführlich beschrieben. Von den Indikationen Kontraindikationen der Patientenaufklärung und Operationsvorbereitung bis hin zur Nachsorge werden alle Gesichtspunkte Schritt für Schritt vorgestellt. Auch auf Vor- und Nachteile mögliche Komplikationen Fehler und Gefahren der Methoden sowie aussagekräftige Ergebnisse mit ihren Bewertungskriterien wird ausführlich eingegangen. Damit ermöglicht die Operative Orthopädie und Traumatologie allen orthopädisch traumatologisch und chirurgisch Tätigen eine effektive Fort- und Weiterbildung und Hilfestellung im Alltag und bietet eine ständig wachsende und aktualisierte Operationslehre.

  • Impact factor
    0.47
  • 5-year impact
    0.00
  • Cited half-life
    5.50
  • Immediacy index
    0.02
  • Eigenfactor
    0.00
  • Article influence
    0.00
  • Website
    Operative Orthopädie und Traumatologie website
  • Other titles
    Operative Orthopädie und Traumatologie (Online)
  • ISSN
    0934-6694
  • OCLC
    43323270
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Springer Verlag

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author can archive a post-print version
  • Conditions
    • Author's pre-print on pre-print servers such as arXiv.org
    • Author's post-print on author's personal website immediately
    • Author's post-print on any open access repository after 12 months after publication
    • Publisher's version/PDF cannot be used
    • Published source must be acknowledged
    • Must link to publisher version
    • Set phrase to accompany link to published version (see policy)
    • Articles in some journals can be made Open Access on payment of additional charge
  • Classification
    ​ green

Publications in this journal

  • Operative Orthopädie und Traumatologie 12/2014; 26(6):537-8.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pain reduction in the affected metacarpophalangeal joint (MP joint) by synovectomy, loose body extraction and resection of intraarticular scars. Synovitis in rheumatoid arthritis (RA) not responding to antirheumatic treatment, primary and secondary degenerative arthritis, osteochondral lesions, loose bodies, foreign bodies, capsular contracture, septic arthritis, posttraumatic arthralgia (old collateral ligament injury), intraarticular fractures. Established biomechanical changes in RA such as ulnar deviation and palmar subluxation with extensor tendon luxation of the MP joint. Advanced radiologic changes in degenerative arthritis. Joint instability in posttraumatic conditions. Fresh skin lesion near portals. Longitudinal traction of the affected finger in a Chinese finger trap. The joint is filled with Ringer solution. Placement of a radial and ulnar dorsal portal at joint space level, through the extensor hood, at the dorsal border of the collateral ligaments. Diagnostic arthroscopy. In case of insufficient visibility (i.e., bulky synovitis in RA) "blind" shaving in the dorsal recess at first. Completion of synovectomy under sight. If necessary additional ablation of synovial tissue by a radiofrequency (RF) electrosurgical system. Use of arthroscope (1.9 mm) with a 30° angle of vision and shaver (aggressive cutter; 2.0 mm). Low-suction drain, soft padded dressing. Immediate postoperative mobilization for the full range of finger movement. In 106 MP joint arthroscopies from 2009-2011, very high patient satisfaction was achieved. Best results were obtained in RA, even in advanced radiologic changes (Larsen stages 1-3). Only in Larsen stage 4 results were rated lower. In early stages of degenerative arthritis (Kellgren-Lawrence 0-2), patient satisfaction was also very high, however decreased rapidly with increasing degree of radiologic changes. The results in posttraumatic cases are promising.
    Operative Orthopädie und Traumatologie 12/2014; 26(6):564-72.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Insertion of a small joint arthroscope into the proximal and distal parts of the distal radioulnar joint (DRUJ) allows visualization of the proximal pouch of the DRUJ, the joint surfaces of the sigmoid notch and the ulnar head, the convexity of the ulnar head and the proximal ulnar-sided surface of the triangular fibrocartilage complex (TFCC). Evaluation of joint pathologies in ulnar-sided wrist pain, especially in cases without diagnostic findings in standard X-rays and MRI, suspected cartilage lesions without osteochondral changes (signs of osteoarthritis), undefined swelling of the DRUJ in suspected synovitis, removal of loose bodies and arthroscopical synovialectomy, suspected lesions of the deep part of the TFCC, respectively foveal avulsions, wear or superficial tears of the proximal TFCC and arthroscopic-assisted ulnar shortening. Significant changes of the local topographical anatomy, extensive scar formation, ulna plus variance, local infection or open wounds, affected sensibility in the area of the dorsal branch of the ulnar nerve, fractures of the sigmoid notch or the ulnar head, capsular tears causing effusion of irrigation fluid. In vertical extension of the wrist, two portals are created on the dorsal side of the DRUJ between the extensor digiti minimi and extensor carpi ulnaris tendons. Partial visualization of the ulnar head, the sigmoid notch, the proximal pouch of the DRUJ, and the proximal surface of the TFCC. Following isolated diagnostic arthroscopies immobilization of the wrist in a semicircular ulnar-sided cast for 1 week. No extensive load to the wrist for 4 weeks. Still rarely performed procedure for diagnosis and therapy of ulnar-sided wrist pain. Technically demanding with a flat learning curve and anatomy-related obstacles. A complete view of the joint is not always accessible. Rare complications are injuries of the extensor digiti minimi tendon as well as contusion or sectioning of the transverse branch of the dorsal branch of the ulnar nerve. In distinct cases this procedure offers valuable additional information about the distal radioulnar joint.
    Operative Orthopädie und Traumatologie 12/2014; 26(6):547-55.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Minimally invasive approach to the wrist in order to diagnose and treat different wrist pathologies. Diagnosis of unclear chronic pain syndromes, cartilage status, intra-articular ligament structures as well as post-traumatic and inflammatory conditions of the wrist. Treatment of ulnar impaction syndrome, dorsal ganglia and also in fracture treatment and various different wrist interventions. Soft tissue infections around the wrist, severe scarring may impede access to the joint. Supine position with the forearm upright and in neutral position, the elbow flexed by 90°, axial traction of 3-4 kg. Superficial stab incision, blunt preparation through joint capsule, insertion of optic through 3-4 portal and probe through 4-5 portal, and radial and ulnar midcarpal portals, respectively. Either sodium chloride, CO2 or air is used as arthroscopy medium. Diagnostic round with standardized examination of all parts of the joint. Standardized written and high quality photo and/or video documentation to facilitate understandability of the findings. Forearm cast for 1 week, limited load for 2 more weeks, then load is increased to normal.
    Operative Orthopädie und Traumatologie 12/2014; 26(6):539-46.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Trapeziometacarpal arthroscopy improves diagnostic and therapeutic options in pathologies of the carpometacarpal (CMC) I joint. Pathologic conditions of the CMC I joint which are not sufficiently diagnosed by X-rays or MRI. Pathologic conditions of the CMC I joint in which trapeziometacarpal arthroscopy is not expected to make a contribution to diagnosis or therapy. Trapeziometacarpal arthroscopy using a 1.9 mm arthroscope after instillation of physiological solution. Thumb cast sparing the interphalangeal joint for 1 week, then functional therapy. Trapeziometacarpal arthroscopy improves diagnosis of CMC I pathologies and gives new therapeutic options, a field which is still rapidly expanding.
    Operative Orthopädie und Traumatologie 12/2014; 26(6):556-63.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of arthroscopically assisted treatment of tibial plateau fractures is to achieve minimally invasive reduction and internal fixation of the joint fracture of the tibial plateau. Using the arthroscopic procedure, both the approach morbidity and the control of the articular reduction can be optimized. Displaced tibia plateau fractures of AO type A1 and B1/2/3 or Tscherne P2. Strongly displaced tibial plateau fractures, which require an open surgical approach and stabilization with plate fixation (e.g., AO type C fractures or Moore type 5 fractures); 2nd and 3rd degree open fractures. Danger of compartment syndrome. Planning of the surgical approach and confirmation of the indication by CT imaging. Diagnostic arthroscopy of the knee joint with treatment of associated injuries and confirming the indications for arthroscopically assisted reduction. Under arthroscopic control, insertion of an ACL tibial aiming device. In the central portion of the dislocated fracture fragment, a 2.4 mm K-wire is placed with the help of the aiming device. Opening of the outer cortex using a cannulated drill (9-11 mm diameter), introduction of a cannulated plunger below the fracture resulting in reduction of the fracture and compression of the cancellous bone below the fracture. Simultaneously the reduction is controlled by arthroscopy. Finally, the fracture is fixed using minimally invasive screw fixation (3.5-7.3 mm cancellous screws with washers) or by plate osteosynthesis (e.g., support plate). The metaphyseal defect can optionally be filled with bone substitute material. Rehabilitation is dependent on the extent of the fracture. In arthroscopically treated fractures, partial weight bearing of 20 kg over a period of 6-12 weeks is usually necessary.
    Operative Orthopädie und Traumatologie 12/2014; 26(6):573-90.
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of the treatment is reduction of hip pain through arthroscopic synovectomy of the hip joint, reduction in activity of the synovial disease and removal of loose bodies in chondromatosis.
    Operative Orthopädie und Traumatologie 10/2014; 26(5):469-86.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Pain reduction and improvement of range of motion.
    Operative Orthopädie und Traumatologie 08/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of open anatomic reconstruction of the acromioclavicular (AC) joint is combined reconstruction of the AC and coracoclavicular ligaments using a tendon graft.
    Operative Orthopädie und Traumatologie 06/2014; 26(3):237-44.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Arthroscopic resection of the painful and degenerative altered acromioclavicular (AC) joint without destabilization of the joint and therefore pain relief and improvement in function.
    Operative Orthopädie und Traumatologie 06/2014; 26(3):245-53.
  • Operative Orthopädie und Traumatologie 06/2014; 26(3):217.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Elimination of the fixed lesser toe deformity by arthrodesis of the proximal or distal interphalangeal joints (PIP and DIP, respectively).
    Operative Orthopädie und Traumatologie 06/2014; 26(3):307-23.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Closure of the wound defect with a pedicled pectoralis major muscular flap after successful surgical treatment of septic arthritis of the sternoclavicular joint (SCJ).
    Operative Orthopädie und Traumatologie 06/2014; 26(3):288-95.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Reconstruction of the acromion, to achieve pain relief and better function of the deltoid muscle.
    Operative Orthopädie und Traumatologie 06/2014; 26(3):263-76.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Restoration of joint stability and unimpaired, painless shoulder function
    Operative Orthopädie und Traumatologie 06/2014; 26(3):218-27.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Reposition and fixation of unstable distal clavicle fractures with a low profile locking plate (Acumed, Hempshire, UK) in conjunction with a button/suture augmentation cerclage (DogBone/FibreTape, Arthrex, Naples, FL, USA).
    Operative Orthopädie und Traumatologie 06/2014; 26(3):254-62.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Full arthroscopic treatment of severe anterior shoulder instability due to glenoid bone loss, Hill-Sachs lesion and irreparable ligament damage.
    Operative Orthopädie und Traumatologie 06/2014; 26(3):296-306.