Gernot Schmidle

Gernot Schmidle
Medizinische Universität Innsbruck · Department of Trauma surgery

Doctor of Medicine

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41
Publications
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281
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Introduction
Skills and Expertise

Publications

Publications (41)
Article
Introduction The aim of this study is to evaluate the injury risk profile of the two different styles of rock climbing, alpine climbing with minor route protection (AC) and alpine sport climbing on well-protected routes (SC), in order to develop preventive strategies for risk management. Patients and Methods 18 SC and 12 AC rock climbing accidents...
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Introduction Given the absence of a satisfying plate system to deal with multifragmentary or subcapital distal ulnar fractures, the Distal Ulna Locking Plate (DUL, I.T.S. GmbH, Graz, Austria) could become a useful treatment option. This study aimed to evaluate the results of this anatomically pre-contoured plate regarding patients with unstable or...
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Introduction The aim of this study was to provide a more precise statement on the outcome after surgical treatment of a bony mallet thumb and possibly give a treatment recommendation regarding the surgical fixation method. Patients and methods All patients ( n = 16) who underwent a surgical treatment for an acute bony mallet thumb fracture between...
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Introduction Distal radius fractures (DRFs) are very common. One of the most significant complications after intraarticular DRF is arthrofibrosis with loss of wrist motion and pain. Wrist arthroscopy has become increasingly popular in the treatment of DRF with the advantage of good visualization of the joint surface and soft tissue injuries. In int...
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Introduction Recently, the Cobra prostheses were introduced in the treatment of distal radius fractures (DRF) of elderly patients. Fracture prostheses provide an alternative treatment option for complex fractures where conservative therapy seems not acceptable and osteosynthesis seems not possible. Data reporting the feasibility of the Cobra prosth...
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Introduction A new technology (Sportwelding®) was recently presented, which uses ultrasonic energy to meld a resorbable suture anchor at the interface with the host bone. A standardized clinical use was not investigated yet. This study prospectively evaluated the surgical and clinical outcomes of the Fiji Anchor® (Sportwelding®, Schlieren, Switzerl...
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Introduction The aim of this study was to evaluate the difference of the clinical outcome of elderly patients who were treated surgically or conservatively for a displaced olecranon fracture (Mayo type IIA or IIB). Patients and methods Patients above the age of 70 years who were treated surgically (n = 11) for a displaced Mayo type IIA and IIB ole...
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The aim of this study was to evaluate the mid-term results of surgically treated scaphoid fractures since we were concerned that good results might deteriorate over time due to osteoarthritis or functional impairment. Thirty-three out of 121 surgically treated patients (isolated scaphoid fractures n = 23; scaphoid fractures with concomitant injurie...
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Background Epidemiological studies on tennis injuries are mainly conducted in either elite professional or junior players. Injury patterns might differ in the recreational tennis player. Purpose To investigate acute injuries in the recreational tennis–playing population with an additional focus on acute injuries that require surgical treatment. S...
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Zusammenfassung Die Behandlung von Kahnbeinpseudarthrosen ist nach wie vor eine Herausforderung für den behandelnden Handchirurgen – im Speziellen bei avaskulären, proximalen Kahnbeinpseudarthrosen oder vorangegangenen fehlgeschlagenen Operationen. Unterschiedliche operative Verfahren wurden etabliert und basieren auf der Rekonstruktion der korrekt...
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Zusammenfassung Ziel der vorliegenden Arbeit ist es, eine Übersicht über die Möglichkeiten der 3D-Bildgebung bei der Analyse von Frakturen und Pseudarthrosen des Kahnbeins zu geben und anhand von Fallbeispielen und der Literatur zu diskutieren.
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IntroductionThis 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 methodsThirty-eight avascular scaphoid non-unions in...
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Wrist arthroscopy is mainly used to assist fracture reduction and fixation and to diagnose and treat concomitant injuries mainly to the scapholunate (SL), lunotriquetral (LT) ligament and the triangular fibrocartilage complex (TFCC). Arthroscopy is beneficial in improving anatomical reduction of fracture steps and gaps in intra-articular distal rad...
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Introduction Several methods treating proximal interphalangeal joint (PIP) fracture dislocations have been established providing early joint mobilization. The aim of this study was to evaluate the clinical and radiological outcome of unstable fracture dislocations of the PIP treated with a parabolic dynamic external fixator consisting of two Kirsch...
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Introduction Since March 2011, the microbial collagenase of Clostridium histolyticum (Xiapex®, Swedish Orphan Biovitrum AB, Stockholm, Sweden) has become available in the European Union for treatment of Dupuytren’s disease. The purpose of this study was to evaluate potential safety risks of Xiapex® and to contribute to a better understanding for it...
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Background Volar locking plates with a central notch were designed to reduce the risk of flexor pollicis longus (FPL) tendon irritation after volar plating for distal radius fractures. Objective The purpose of this study was to evaluate the course of the FPL tendon after FPL-plate osteosynthesis to identify a plate position that avoids an impingeme...
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Many hand surgeons argue that vascularized bone grafting is indicated in proximal pole avascular necrosis, prior failed surgery, or long-standing scaphoid nonunion. However, the available evidence does not support improved treatment outcomes for vascularized bone grafting rather than traditional nonvascularized techniques. This article addresses th...
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Introduction: For the treatment of scaphoid non-unions (SNU), different surgical techniques, including vascularized and non-vascularized bone grafts, are applied. Besides stability, vascularity, and the biological situation at the non-union site are important for healing and the appropriate choice of treatment. We assessed the healing potential of...
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Objective: Anesthesiologic method with low bleeding level, risk level, and complication rate for surgical procedures on the hand without a tourniquet on an unsedated patient with the possibility for functional testing during surgery. Indications: Surgical procedures of the hand can be carried out using the wide awake technique depending on the p...
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The scaphoid is the most frequently fractured carpal bone and prone to non-union due to mechanical and biological factors. Whereas the importance of stability is well documented, the evaluation of biological activity is mostly limited to the assessment of vascularity. The purpose of this study was to select histological and immunocytochemical param...
Chapter
Scaphoid nonunions are well known to be problematic, especially in cases with humpback deformity, long-standing nonunions with cysts and bone loss and fragmented proximal pole, nonunions with several previous surgeries, and nonunions with avascular proximal pole necrosis. The aim of this systematic review is to examine the published evidence for th...
Article
Objectives: To quantitatively assess carpal tunnel syndrome (CTS) with DTI by evaluating two approaches to determine cut-off values. Methods: In forty patients with CTS diagnosis confirmed by nerve conduction studies (NCs) and 14 healthy subjects (mean age 58.54 and 57.8 years), cross-sectional area (CSA), apparent diffusion coefficient (ADC) an...
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We report on a patient who developed septic wrist arthritis with destruction of the entire carpus due to osteomyelitis following percutaneous pinning of a fifth metacarpal base fracture. Arthrodesis was performed using a 6 cm vascularized iliac bone graft. This case report may sharpen the surgeon’s awareness of risks in orthopedic surgeries, even t...
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Background: This study evaluates the results of ulnar shortening using the ulna osteotomy locking plate system (UOL; I.T.S. GmbH, Graz, Austria) with special regard to the time-dependent recovery of subjective and objective outcome parameters and surgeons' experiences. Methods: Ulnar shortening using the UOL was performed on 11 patients (3 men,...
Article
Background: Dupuytren's disease as a benign fibroproliferative disease leads to hyperplasia of the collagen fibers of the fascia of the palm, which can result in severe impairment of the functionality of the hand. Objectives: Examination of the significance of non-operative treatment of Dupuytren's disease with injectable collagenase clostridium...
Article
Objectives: Palmar locking plates enabling early active motion are successfully used in distal radius fracture treatment. But some fracture types can necessitate to place a plate distally to the watershed line with the risk of rupture of the flexor pollicis longus (FPL) tendon. In addition, the indication for implant removal following palmar platin...
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Purpose The purpose of this study was to assess characteristics of radiocarpal arthrofibrosis after intra-articular distal radius fractures (DRF). Patients and methods In this study 20 patients who underwent wrist arthroscopy at the time of implant removal after volar plating for intra-articular DRF were included retrospectively. The direction of f...
Article
Fractures of the distal radius are most commonly caused by hyperextension injuries of the wrist. Tensile forces and force vectors, strength of impact, bone strength and soft tissue tension create individually different fracture patterns. Metaphyseal comminution, loss of cortical support, ligament avulsion and shear fragments are defining parameters...
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Background Complete dislocation of the distal radioulnar joint (DRUJ) is a rare injury. Dislocation can present as uni- or multidirectional, acute or chronic, reducible or irreducible. It can occur due to isolated loss of ligamentous restraints or more frequent in Galeazzi - or Essex-Lopresti-type fractures. Case Description A 28-year-old man susta...
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Objective: Nonsurgical treatment of Dupuytren's disease using collagenase Clostridium histolyticum (CCH). Indications: Metacarpophalangeal (MP) joint (20-100°) and proximal interphalangeal (PIP) joint (20-80°) contractures. Contraindications: Pregnancy, previous hypersensitivity to collagenase or excipients, anticoagulant use within 7 days pri...
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Rapid recovery of the skin and soft tissue of the affected knee joint with surgical debridement of the wound and gentle, as well as risk-balanced partial resection of the traumatic lacerated prepatellar bursa. Functional aftercare with directed administration of antibiotics only. Acute, traumatic laceration of the prepatellar bursa. Heavy contamina...
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The purpose of this study was to assess intraosseous rotation as the third dimension of scaphoid anatomy on a 3D CT model using common volume rendering software to impact anatomical reconstruction of scaphoid fractures. CT images of 13 cadaver wrist pairs were acquired. Reference axes for the alignment of distal and proximal scaphoid poles were def...
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Ulnar shortening for ulnocarpal unloading using a new device enabling parallel osteotomy, rotation-secured compressive shortening, lag screw placement and hybrid stabilization combined in a solely locking plate construct. Idiopathic ulnar impaction syndrome. Posttraumatic radial shortening without major tilting of the radius in the sagittal or fron...
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Diatal radius fractures (DRFs) are typical fractures of relatively fit persons with osteoporotic bone who remain active into older age. Traditionally, DRFs in older patients have been treated with closed reduction and cast immobilization. Considering the increasing life expectancy of the elderly population, appropriate management of these fractures...
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Reconstruction of the extensor mechanism of the knee joint by stable suture of the quadriceps tendon. Early functional treatment. Acute or partial disruption of the quadriceps tendon close to the proximal patella pole with loss of extensor function of the knee joint. Open rupture of the quadriceps tendon with extended soft-tissue damage and high ri...
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OperationszielWiederherstellung des Streckapparats an der unteren Extremität durch stabile Naht der Quadrizepssehne. Frühe funktionelle Nachbehandlung. IndikationenAkute ansatznahe vollständige oder partielle Ruptur der Quadrizepssehne mit Verlust der Streckfunktion im Kniegelenk. KontraindikationenOffene Sehnendurchtrennung mit deutlichem Weicht...

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