Operative Orthopädie und Traumatologie Journal Impact Factor & Information

Publisher: Springer Verlag

Journal 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.

Current impact factor: 0.72

Impact Factor Rankings

2015 Impact Factor Available summer 2016
2014 Impact Factor 0.719
2013 Impact Factor 0.57
2012 Impact Factor 0.474
2011 Impact Factor 0.459
2010 Impact Factor 0.433

Impact factor over time

Impact factor

Additional details

5-year impact 0.69
Cited half-life 5.80
Immediacy index 0.19
Eigenfactor 0.00
Article influence 0.20
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

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    • 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
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    • 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

Publications in this journal

  • Operative Orthopädie und Traumatologie 11/2015; DOI:10.1007/s00064-015-0430-8
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    ABSTRACT: Revision arthroplasty of the knee is often associated with substantial femoral and/or tibial bone loss. Tantalum cones are used to reconstruct these defects and to improve initial stability. This requires an implantation in the "press-fit" technique with maximum contact to the host bone. Tantalum cones may be used in grade 2-3 femoral and/or tibial defects according to the AORI (Anderson Orthopedic Research Institute) classification system. There are no contraindications described. After removal of the implant and cement remnants, bone defects have to be evaluated. A tantalum cone which adequately fills the bone defect is implanted using the "press-fit" technique. If necessary, saving resection of surplus bone to fit the cone properly. Gaps between the cone and the host bone are filled with cancellous bone in "impaction-bone-grafting" technique to increase the area of contact. Fitting the revision knee prosthesis and fixing with the use of bone cement. Postoperative physiotherapy is adjusted to the result of the reconstruction. In most cases with stable reconstruction, mobilization with full weight-bearing and the use of two crutches can be performed. Additional bone grafting may require a partial weight-bearing regimen for postoperative mobilization. Physiotherapy to improve range of motion is performed starting on postoperative day 1. Several studies reported promising midterm results (observation period about 36 months) after implantation of tantalum cones in revision knee arthroplasty. There is consistent evidence for stable osteointegration of the cones. The main intraoperative complication is fracture of the host bone during impaction of the cones.
    Operative Orthopädie und Traumatologie 02/2015; 27(1). DOI:10.1007/s00064-014-0332-1
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    Operative Orthopädie und Traumatologie 01/2015; 27(1). DOI:10.1007/s00064-014-0334-z
  • J Hamel · M Nell ·
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    ABSTRACT: A new method of osteosynthetic stabilization of talonavicular fusion is presented. Idiopathic and posttraumatic talonavicular arthritis, talonavicular destruction in rheumatoid arthritis, adult acquired flatfoot deformity, cavovarus deformity, talonavicular degenerative disease in tarsal coalition. Major hindfoot deformity or instability, severe osteopenic conditions of tarsal bones. Talonavicular fusion is stabilized with a medioplantar 6.5-mm lag screw in combination with a dorsolateral 3.5-mm claw plate (Charlotte(®) Claw(®) compression plate; Fa. Wright Medical Technology, Memphis, USA) by a dorsal surgical access. Nonweight-bearing in a cast or walker for 6 weeks; after radiologic control increasing weight-bearing is allowed. The technique was used in 44 patients, among them 31 cases of isolated talonavicular fusion. Complete bony healing was observed in 42 cases after medium follow-up time of 13.3 months. All 19 cases of isolated talonavicular fusion without posterior tibial tendon dysfunction healed uneventfully; two cases of non-union were observed in 12 patients with posterior tibial tendon dysfunction.
    Operative Orthopädie und Traumatologie 12/2014; DOI:10.1007/s00064-014-0301-8
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    ABSTRACT: To describe the technique of all-posterior vertebral body replacement using an expandable cage and angled instruments. This method facilitates implant seating with limited posterior decompression useful in the setting of metastatic disease. Patients with metastatic disease of the thoracic spine with or without spinal cord compression. Patients with a limited life expectancy of less than 6 months. Multiple foci of metastatic disease in the spine. A hemilaminectomy was performed followed by nerve root sacrifice. The pleura was mobilized away from the vertebral body, after which decompression and tumor resection was performed from an all-posterior approach. An expandable vertebral body cage was inserted with a rotational manoeuvre and expanded in situ. The patient was mobilized on postoperative day 1. A chest X-ray is also recommended to exclude incidental pneumothorax. Four patients were operated by an all-posterior vertebral body replacement during a 6-month period. The average length of surgical procedure was 187 min (range 165-220 min). No patient required a transthoracic approach. There were no intra- or postoperative complications and all patients could be discharged to home self-ambulating.
    Operative Orthopädie und Traumatologie 12/2014; 27(3). DOI:10.1007/s00064-014-0321-4
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    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. DOI:10.1007/s00064-014-0328-x
  • K Kalb ·
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    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. DOI:10.1007/s00064-014-0314-3
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    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. DOI:10.1007/s00064-014-0313-4
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    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. DOI:10.1007/s00064-014-0312-5
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    Operative Orthopädie und Traumatologie 12/2014; 26(6):537-8. DOI:10.1007/s00064-014-0355-7
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    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. DOI:10.1007/s00064-014-0311-6
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    ABSTRACT: Objective Treatment of posteromedial proximal tibia fracture dislocation (medial Moore type II, Schatzker IV) with a one-incision technique. Indications Posteromedial proximal tibia fracture dislocation Moore type II (medial). Contraindications All Moore type V fracture patterns requiring a bilateral approach. Surgical technique In supine position, an extended strictly medial incision is performed. It is mandatory to preserve the medial collateral ligament and the pes anserinus. In a first step, the posterolateral impressed zone is reduced directly through the main fracture gap using an image intensifier. The posteromedial main fragment is then reduced and preliminarily fixed with Kirschner wires. A posteromedial buttress plate slid in under the medial ligamentous structures supports this fragment. Anterior subcutaneous dissection revolves the medial boarder of the patellar ligament and a medial arthrotomy is performed. The bony avulsed anterior cruciate ligament (ACL) is reduced and suture fixation follows. Postoperative management Immediate partial weight bearing is possible. Results A collective of 26 patients could be evaluated after a median follow-up of 4 years (1–8 years). Median age was 51 years (20–77 years). All fractures healed without secondary displacement or infection. After a median of 4 years, 25 patients showed no to moderate osteoarthritis. One patient showed severe osteoarthritis after 8 years. All patients subjectively judged the clinical result as good to excellent. The average Lysholm score was 95 (75–100) and the average Tegner activity score 5 (3–7).
    Operative Orthopädie und Traumatologie 11/2014; 27(2). DOI:10.1007/s00064-014-0306-3
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    ABSTRACT: Objective Alternative sacrum fixation with double-plate osteosynthesis in vertical unstable pelvic fractures. The surgical technique allows anatomic reduction and osteosynthesis of the sacrum component. Indications All vertical unstable pelvic ring fractures 61-C type according to AO/OTA system with associated displaced sacrum fractures Contraindications Hemodynamic unstable patients, fractures with major sacroiliac joint involvement, nondisplaced sacrum fractures. Surgical technique In prone position, a midline incision exposing the sacrum fracture is needed. The fracture is distracted and interjacent bone fragments or hematoma can be evacuated. The fracture is anatomically reduced and compressed. Two anatomically bent 3.5-mm locked compression plates (LCP) are placed on the dorsal aspect of the sacrum. In Denis type II and III fractures, the lateral screws can be placed in the lateral aspect of the sacrum. In Denis type I fractures, the lateral screws are placed in the ilium lateral to the sacroiliac joint to improve purchase. Additional short monocortical locking screws in the middle part of the plates increase the vertical stability to the osteosynthesis. Fracture fixation of the anterior ring follows the dorsal procedure. Postoperative management The patient is mobilized with partial weight bearing. Clinical and radiological follow-up is planned after 6 and 12 weeks. Results A total of 27 patients with vertical unstable pelvic fractures were identified and treated with open reduction and double-plate osteosynthesis. The Iowa pelvic score was rated excellent in 83 % and good in 17 % of cases. One patient developed a nonunion and had to be revised.
    Operative Orthopädie und Traumatologie 11/2014; 27(1). DOI:10.1007/s00064-014-0307-2
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    ABSTRACT: Objective: Providing a surgical approach similar to the Kocher-Langenbeck but having improved anterosuperior access, less risk of injury to branches of the inferior gluteal nerve supplying the anterior portion of the gluteus maximus muscle, and improved cosmesis. Indications: Any surgery that would otherwise call for the Kocher-Langenbeck approach. Contraindications: Fractures of the anterior column and/or wall; transtectal T-shaped fractures. Transverse fractures and infra/juxtatectal T-shaped fractures having the major displacement anteriorly at the pelvic brim with only minor posterior displacement. Surgical technique: Exposure of the acetabulum fracture through a straight skin incision, developing the plane between the anterior border of the gluteus maximus muscle and the tensor fasciae latae. The gluteus maximus is reflected posteriorly to reveal the underlying deep anatomic structures. Postoperative management: Thromboprophylaxis and prophylaxis as indicated for the prevention of heterotopic ossification are instituted. The patient is mobilized as quickly as the associated injuries will allow. Toe-touch weight-bearing is continued for 10-12 weeks. However, progression to full weight-bearing should be individualized. Results: Between 1996 and 2000, 16 patients having a fracture of the acetabulum were operated on through the modified Gibson approach with 15 patients followed up for 1 year or more. Fracture types were posterior wall in eight patients, transverse in one, posterior column and wall in two, transverse and posterior wall in four, and T-shaped in one. There were no intraoperative or immediate postoperative complications. Clinical outcome was determined using a modification of the method developed by Merle d'Aubigné and Postel and was good-to-excellent in 14 patients and poor in one (a patient who developed osteonecrosis of the femoral head unrelated to the approach).
    Operative Orthopädie und Traumatologie 11/2014; 26(6). DOI:10.1007/s00064-011-0111-1
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    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. DOI:10.1007/s00064-014-0327-y
  • B Fink ·
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    ABSTRACT: Hip revision arthroplasty of a loose stem in the case of Vancouver type B2 and B3 periprosthetic fractures and cerclage wiring of the femoral shaft.
    Operative Orthopädie und Traumatologie 10/2014; 26(5):455-468. DOI:10.1007/s00064-014-0305-4