M. Mentzel's research while affiliated with Ulm University and other places
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Publications (109)
Background:
Denervation is a surgical option in ankle arthrosis when conservative therapy has failed. Sectioning all joint branches is essential for its success. The locations of the articular branches of the saphenous (Sa), tibial (Ti), sural (Su), superficial (Ps) and deep peroneal (Pp) nerves are specified.
Methods:
In 16 cryopreserved specim...
Die Hand ist der am häufigsten verletzte Körperteil bei Kindern und Jugendlichen. Wunden der Hand reichen von kleinen Verletzungen, die kaum einer Behandlung bedürfen, bis zu schweren komplexen Verletzungen mit Durchtrennung von Sehnen, Nerven, Gefäßen und Substanzverlust. Bei jeder auch noch so unscheinbaren Wunde ist jedoch zu beachten, dass auch...
Zusammenfassung
Hintergrund Die Versteifung des Fingerendgelenks ist eine bewährte Methode zur Behandlung der Endgelenksarthrose. Da es sich bei der oberen Gliedmaße um eine Gliederkette handelt, die von vernetzten, gelenkübergreifenden Muskel-Sehnen-Einheiten bewegt wird, sind durch die Versteifung eines Gelenks Auswirkungen auf die Beweglichkeit...
Zusammenfassung
Hintergrund Die diaphysäre Ulnaverkürzungsosteotomie (UVO) als operative Behandlung des Ulnaimpaktionssyndromes ist heutzutage standardisiert mit guten bis sehr guten Ergebnissen. Demgegenüber findet sich in der aktuellen Literatur ein breites Spektrum an verschiedenen postoperativen Behandlungsschemata. Die Ergebnisse nach UVO mit...
Zusammenfassung
Hintergrund Eine seltene, aber typische perioperative Komplikation bei der operativen Versorgung von kindlichen Unterarmfrakturen ist die Verletzung der Extensor pollicis longus (EPL) Sehne. Im vorliegenden Artikel werden die Langzeitergebnisse nach Rekonstruktion der EPL-Sehne mit Transposition der Extensor-indicis-Sehne (EI-Sehne)...
Zusammenfassung
Ziel In dieser Studie werden Ergebnisse nach Korrekturosteotomie an der Basis des ersten Mittelhandknochens vorgestellt.
Patienten und Methoden Das Kollektiv umfasst 24 Patienten. Neunzehnmal bestand eine Fehlstellung nach Bennett-Fraktur, 3-mal nach Rolando-Fraktur und 2-mal nach Winterstein-Fraktur. Zum Zeitpunkt der Korrekturoste...
Zusammenfassung
Hintergrund Sekundäre Beugesehnenrekonstruktionen sind durch die Erfolge der primären Beugesehnennähte in der heutigen Zeit selten indiziert und einem speziellen Patientenkollektiv vorbehalten. Die Ergebnisse sekundärer Beugesehnenplastiken einer überregionalen, spezialisierten handchirurgischen Einrichtung werden präsentiert und im...
Background
Depressed fractures of the base of the middle phalanges are problematic because of frequent subluxations and centrally depressed fragments. There are two minimally invasive procedures available: 1) the less known intramedullary padding technique according to Hintringer and 2) the widely used distraction fixator of Suzuki. This article de...
Injuries to the flexor tendons in children are less common than in adults. The clinical examination and diagnostics require extensive experience. Leaving flexor tendons untreated will result in growth disorders of the affected finger. Therefore, the indications for operative exploration of any type of open injury in a child's hand should be liberal...
Zusammenfassung
Ziel Ziel dieser Studie war es, die mittelfristigen Ergebnisse nach Impressionsfrakturen der Mittelgliedbasis, die ausschließlich mittels perkutaner Aufstopfung und K-Draht-Osteosynthese versorgt wurden, zu ermitteln.
Patienten und Methoden 19 Männer und 2 Frauen mit einem Durchschnittsalter von 31,9 (18–57) Jahren, bei denen eine z...
Ulnar nerve injuries can cause deficient hand movement patterns. Their assessment is important for diagnosis and rehabilitation in hand surgery cases. The purpose of this study was to quantify the changes in temporal coordination of the finger joints during different power grips with an ulnar nerve block by means of a sensor glove. In 21 healthy su...
Study design:
A within-subject research design was used in this study. The difference of the range of motion (ROM) with and without ulnar nerve block was analyzed.
Introduction:
For the clinical evaluation of the functional effects of ulnar nerve palsy at the hand the relevance of clinical tests is in discussion.
Purpose of the study:
The aim...
Zusammenfassung
Die veraltete skapholunäre Dissoziation (SLD) Stadium 2 und 3 kann bei fehlender Therapie zu posttraumatischen Folgeschäden führen. Verschiedene Therapieansätze wie Kapsulodesen, Tenodesen oder andere Verfahren wurden beschrieben. Ziel aller Verfahren ist die Palmarkippung des Kahnbeines mit nachfolgender Arthrose (SLAC-wrist) zu ve...
Background:
These days there are different types of aftercare following flexor tendon injury. Patients in this study received a dynamic Kleinert protocol and additionally two different postoperative treatments. Both treatment groups were compared to each other and results were put into perspective when compared to other treatment options.
Methods...
Introduction:
In the assessment of hand and upper limb function, grip strength is of the major importance. The measurement by dynamometers has been established.
Purpose of the study:
In this study, the effect of a simulated ulnar nerve lesion on different grip force measurements was evaluated.
Methods:
In 25 healthy volunteers, grip force meas...
Background:
Peripheral lesions of the median nerve cause characteristic changes of the grip function of the hand. For evaluating grip force changes, measurement by dynamometers (JAMAR dynamometer and pinch dynamometer) is of high relevance. In this study the ability of grip force measurements of different grip forms was evaluated to discriminate b...
In the assessment of hand and upper limb function, detecting sincerity of effort (SOE) for grip strength is of major importance to identifying feigned loss of strength. Measuring maximal grip strength with a dynamometer is very common, often combined with calculating the coefficient of variation (CV), a measure of the variation over the three grip...
Introduction:
In the assessment of hand and upper limb function, grip strength is of major importance. Use of the JAMAR dynamometer has been an accepted test of grip strength and routinely part of the physical examination.
Purpose of the study:
The aim of this study was to determine by means of a median nerve block simulating a patient group if...
Hintergrund/Ziel: Die endoprothetische Versorgung gehört zu den etablierten Verfahren zur Behandlung der schmerzhaften Fingermittelgelenksarthrose. In unserem Haus wurden zwischen 1996 und 1999 bei 16 Patienten 19 DIGITOS-Fingermittelgelenkprothesen implantiert. Es handelt sich um eine scharniergeführte Prothese mit Kolbenmechanismus. Bereits 2007...
Background: Wrist fusion is still a common treatment for patients with advanced stage arthritis. Since patients are often intimidated by the functional limitations, we intended to evaluate the influence of the lack of wrist motion in different positions on the dynamic grip function and the grip strength of the hand. Methods: We simulated wrist fusi...
Der Streckapparat ist ein kompliziertes Geflecht von 2 unterschiedlichen Systemen, namlich dem intrinsischen und dem extrinsischen, und wird in 9 Zonen eingeteilt. Verletzungen in der Zone 1–3 konnen i. d. R. konservativ behandelt werden. Verletzungen in den ubrigen Zonen bedurfen einer operativen Therapie. Die Dauer der Ruhigstellung richtet sich...
Falling on the outstretched hand is a common trauma mechanism. In contrast to fractures of the distal radius, which usually are diagnosed on plain film radiographs, identifying wrist injuries requires further diagnostic methods, e.g., MRI or CT. This article provides a review of the use of MRI in the most common traumatic wrist injuries, including...
Der Sturz auf die Hand ist ein häufiger Unfallmechanismus. Während distale Radiusfrakturen meist mit konventionellen Röntgenaufnahmen diagnostiziert werden können, bedarf es zur Abklärung von Verletzungen des Handgelenks oft weiterführender Diagnostik wie Magnetresonanz- (MRT) oder Computertomographie (CT). Dieser Artikel gibt einen Überblick über...
Complications related to arthrodesis of the ankle or total ankle replacement require a critical assessment of the indication. Using denervation of the ankle, we have the possibility to delay the above-named surgical treatment for a number of years. The aim of this follow-up study was to review the results of ankle denervation after several years.
W...
BACKGROUND: In this study 56 dorsal phalangeal fractures of the distal segment were classified regarding morphological criteria. MATERIAL AND METHODS: Clinical and radiological results after 4 months were analyzed. Fractures including subluxation of the distal interphalangeal joint occurred rarely (n=3) and were treated by surgery. Fractures withou...
Hintergrund
Nach morphologischen Kriterien wurden 56 dorsale Endgliedbasisfrakturen unterteilt und retrospektiv nach 4 Monaten hinsichtlich ihres radiologischen Ausheilungsbildes und ihrer klinischen Funktion ausgewertet.
Material und Methode
Frakturen mit einer Subluxation waren mit 3 Fällen selten und wurden operiert. Die Frakturen ohne Subluxat...
Purpose:
In the treatment of small bone fractures, such as the scaphoid bone, conventional navigation is limited by its dependence on fixed reference arrays. We introduce a new technique based on reference markers in surgical instruments. If visible on a standard fluoroscopic image, static trajectories are overlaid in this image to guide implant i...
Bei Gelenkfrakturen der Grundphalanxbasis wurde nach der Frakturreposition eine funktionelle Behandlung durch aktives Bewegen
der PIP- und DIP-Gelenke in einem Schienensystem durchgeführt. Die Therapie baut auf den periartikulären Weichteilen und deren
funktioneller Anatomie auf. Der das Grundgelenk umgebende Zancolli-Haltekomplex führt zu einer St...
The purpose of this study was to assess whether there is a universal pattern of movement of the finger joints while performing a cylinder grip. A sensor glove was used to record the finger joint motion of 48 participants. Our observations showed that when examining the fingers, flexion motion began either at the metacarpophalangeal (MP) or proximal...
In a prospective study a total of 49 fractures in 47 patients were treated with open reduction and palmar plate osteosynthesis. The results were evaluated radiologically, clinically and with the disability of arm-shoulder-hand (DASH) score. The emphasis was on early postoperative results. The patients consisted of 11 men and 36 women aged 21–85 yea...
In a prospective study a total of 49 fractures in 47 patients were treated with open reduction and palmar plate osteosynthesis. The results were evaluated radiologically, clinically and with the disability of arm-shoulder-hand (DASH) score. The emphasis was on early postoperative results.
The patients consisted of 11 men and 36 women aged 21–85 yea...
In the case of a patient with a large pyogenic granuloma of the thumb about three months after the bite of a sheep, we covered the defect after resection with a split thickness skin graft. Although at first amputation was discussed, after a few months a very good functional and aesthetic result was achieved.
Georg Thieme Verlag KG Stuttgart · New Y...
Complex regional pain syndrome I (CRPS I) is a frequent and debilitating condition with unclear etiology. Hypothesizing that maladaptive central processes play a crucial role in CRPS, the current study set out to explore cerebral activation during a task to suppress the feeling of pain under constant painful stimulation.
Ten individuals with CRPS I...
The purpose of this study was to analyse motion patterns of the finger joints dynamically while making a fist. 10 subjects were examined using the TUB-sensor glove, which was equipped with 14 joint angle sensors. The median time it takes the finger joints to complete flexion until reaching the state of a closed fist ranges between 0.5 to 1.0 s. A s...
The present study analyses force distribution patterns during primary grips. 10 subjects were examined using the TUB-sensor glove, which was equipped with 10 pressure sensors. 5 proximal sensors at the MCP joints and 5 distal sensors at the DIP joints were attached palmarly. 9 different gripping motions were examined: the cylinder grip using 4 diff...
Zusammenfassung Bei einem Patienten mit großem, beginnend exulzerierendem Leiomyosarkom der Thoraxwand wurde nach Resektion der Defekt mit
einem übergroßen gestielten myokutanen Latissimuslappen gedeckt. Trotz schwerwiegender Begleiterkrankung mit einer Hämophilie,
gelang es, ein befriedigendes klinisches Ergebnis zu erzielen. Der Patient verstarb...
Although the etiology of complex regional pain syndrome type 1 (CRPS 1) is still debated, many arguments favor central maladaptive changes in pain processing as an important causative factor.
To look for the suspected alterations, 10 patients with CRPS affecting the left hand were explored with functional magnetic resonance imaging during graded el...
To determine whether the grip of a healthy subject's hand shows certain universal characteristics. To accomplish this, we examined the complex interactions of the fingers during gripping of different-size cylindrical objects.
A total of 48 subjects (11 women, 37 men) performed 5 cylinder grips with different object sizes. The 14 joint angular profi...
The identification of pathological function of finger movement in nerve palsy is important for clinical diagnostics, rehabilitation and assessment in hand surgery. The goal of the study was to analyze grip pattern changes in simulated ulnar nerve palsy by a sensor glove.
In 20 volunteers, the movement patterns of the fingers were assessed by a sens...
This study examined patterns of grip strength when maximal and submaximal effort are applied. Using a sensor glove, 50 healthy subjects performed two different power grips. Both maximal and submaximal gripping showed characteristic patterns of strength distribution that were independent of the degree of power applied. Significant differences were a...
Most important methods for the surgical treatment of painful arthritis of the proximal interphalangeal joint are the joint fusion or the implantation of a prosthesis. There are a lot of different models for joint replacement. Sixteen patients received 19 middle joint replacements performed with the DIGITOS-prosthesis between 1996 and 1999. Over a p...
Hintergrund: Bei Handverletzungen besteht ein Interesse, möglichst frühzeitig anhand des Verletzungsmusters die voraussichtliche Dauer der Arbeitsunfähigkeit einzuschätzen. Existierende Bewertungsschemata wie z. B. der HISS-Score (Hand Injury Severity Scoring System) sind komplex und aufwändig zu bestimmen. Material und Methoden: Basierend auf bei...
Zur Behandlung der Panarthrose des Handgelenks stehen die Denervation, der Gelenkersatz und die Arthrodese zur Verfügung. Vor dem Hintergrund des zunehmend angewandten prothetischen Gelenkersatzes soll der Stellenwert der Handgelenksarthrodese erörtert werden. Bei 32 Patienten wurde wegen einer schmerzhaften Panarthrose eine Handgelenksarthrodese d...
The estimation of the time off work depending on the injury pattern and severity is of major interest in the treatment of hand injuries. The predictive value of the HISS score (Hand Injury Severity Scoring System) was evaluated.
According to this score, 184 work-related injuries (1999 to 2002) were analyzed prospectively, excluding injuries of both...
In contrast to the standard therapy of flexor tendon injuries in adults, the postoperative treatment program for children remains a controversial topic. Some prefer immobilization therapy in a variety of forms and for different periods of time. Others prefer early mobilization programs. We present results for twenty-eight children with thirty-seven...
A bone defect of 14 cm resulted after wrist implant removal because of loosening in a 46-year-old patient. Performing wrist arthrodesis the defect was reconstructed by a vascularized fibular transfer. Solid bone fusion was complete in six weeks. Free function of the digits was seen because of length reconstruction.
Nach Explantation einer gelockerten Handgelenkprothese bei einem 46-jährigen Patienten resultierte ein langstreckiger knöcherner
Defekt des Handgelenks.Dieser Defekt wurde im Rahmen einer Arthrodese mit einem freien Fibulatransplantat überbrückt. Die
knöcherne Fusion dauerte 6 Wochen und durch den Längenausgleich konnte eine freie Fingerfunktion er...
Zusammenfassung Das diagnostische Vorgehen mit Bild gebenden Verfahren richtet sich nach der Verdachtsdiagnose, die aus der Erhebung der Anamnese und der klinischen Untersuchung resultiert. Rntgenstandardaufnahmen und evtl. entsprechende Zielaufnahmen stehen an erster Stelle der Bild gebenden Verfahren. Nur wenn in diesen das Ausma der Verletzung o...
The occurrence of even small formation of heterotopic bone at the elbow leads to functional limitation. We performed early excision of heterotopic ossification about the elbow joint in 14 patients 13 weeks after initial trauma. To avoid recurrence all patients underwent a single dose irradiation therapy of 7 Gy. At a five year follow up the functio...
The aim of this study was to evaluate the influence of microstructural parameters, such as porosity and osteon dimensions, on strength. Therefore, the predictive value of bone mineral density (BMD) measured by quantitative computed tomography (QCT) for intracortical porosity and other microstructural parameters, as well as for strength of cortical...
The appearance of animal bite injuries varies in regard to location and extent. Injuries with puncture wounds involving the extremities carry great risk of infection. Managing the complications often requires substantial medical treatment and increased costs. The aim of this study is the evaluation of the course of disease, medical care, and treatm...
The anatomical studies conducted by us have confirmed the finding that all the major nerves of the lower leg–the saphenous, tibial, sural, superficial peroneal, and deep peroneal nerve–are involved in the sensory innervation of the ankle joint. All these nerves contribute to the innervation of both the ankle joint and the talo-calcaneonavicular joi...
The appearance of animal bite injuries varies in regard to location and extent. Injuries with puncture wounds involving the extremities carry great risk of infection. Managing the complications often requires substantial medical treatment and increased costs. The aim of this study is the evaluation of the course of disease, medical care, and treatm...
Calcaneusfrakturen entstehen in der Regel durch eine axial einwirkende Kraft meist bei direktem Sturz auf die Ferse. Im Vordergrund des Unfallgeschehens steht der Sturz aus großer Höhe und schwere direkte Gewalteinwirkung von außen, wie z.B. bei Verkehrsunfällen. Dementsprechend ist die Calcaneusfraktur meist mit einem erheblichen Weichteiltrauma v...
Covering tertiary soft-tissue injuries on the ankle joint and on the calcaneal part of the foot has so far been the domain for free flap use. With the distally based neurocutaneous sural artery flap (sural flap) and the distally based lateral supramalleolar flap, there are now fasciocutaneous island flaps available which allow quick covering of inj...
In dynamic and static scapholunate instability after trauma, the repair of the scapholunate ligament is important to avoid scapholunate advanced collapse of the wrist. Direct suture even of fresh-torn ligaments can be technically demanding and occasionally unreliable, thus reconstruction may require additional tissue beside the ligament. Eighteen p...
Bei der posttraumatischen dynamischen oder statischen skapholunären Instabilität ist zur Vermeidung von Spätschäden die Rekonstruktion des rupturierten SL-Bandes angezeigt. Die Beschaffenheit der Bandstümpfe kann nicht nur bei veralteten Verletzungen, sondern auch bei frischen Unfällen eine direkte stabile Naht des SL-Bandes erschweren, so dass zus...
Objective of this study is to compare clinical and radiological results of two different methods of treatment for trapeziometacarpal osteoarthrosis of the thumb. Eighteen patients received operative treatment. An operation according to Epping was performed in eleven cases (collective I), while nine cases were treated with a trapeziectomy only (coll...
Hand fractures are common injuries in infants. Complications are rare because of potent remodeling dimension and rapid healing of growing bone. There is limited remodeling capacity for angular and rotational deformity so displaced fractures often require open reduction and internal fixation.
The authors present a splint system for a protected reduc...
Ziel der Arbeit ist der Vergleich der klinischen und radiologischen Ergebnisse zweier verschiedener Methoden der Rhizarthrosebehandlung. Achtzehn Patienten wurden wegen 20 schmerzhafter Daumensattelgelenkarthrosen operativ versorgt. Elfmal wurde eine Resektions-Suspensions-Arthroplastik nach Epping (Kollektiv I) und neunmal eine alleinige Trapezekt...
The purpose of this study was to assess the predictive value of the Singh index as well as quantitative computed tomography for the in vitro local mechanical competence of the cancellous bone of the proximal femur.
An experimental study examining the relation between mechanical properties and bone mineral density of the femoral neck determined in v...
The aim of this study was to evaluate the predictive value of bone mineral density and intracortical porosity measured by microcomputed tomography for the strength of cortical bone biopsies.
Experimental study comparing the predictive value of bone mineral density and of intracortical porosity determined in vitro by microcomputed tomography for the...
The essential problematic of the distal fracture of the radius lies in the quality of its reduction and retention. 35 patients with distal fractures of the radius and strain fractures of the styloid process of the ulna were followed up with regard to their functional and radiological results and their subjective symptoms. Patients with intra-articu...
The essential problematic of the distal fracture of the radius lies in the quality of its reduction and retention. 35 patients with distal fractures of the radius and strain fractures of the styloid process of the ulna were followed up with regard to their functional and radiological results and their subjective symptoms.
Patients with intra-articu...
The high importance of intracortical porosity for mechanical strength of cortical bone has been established. The contribution of other parameters of microstructure such as osteon dimensions for strength is in discussion. The aim of this study was to evaluate the predictive value of microcomputed tomography (mCT) for porosity and other microstructur...
Peripheral quantitative computed tomography (pQCT) is an established diagnostic method for assessment of bone mineral density in the diagnosis of osteoporosis. However, the capacity of structural parameters of cancellous bone measured by high-resolution computed tomography remains to be explored. In 33 patients, bone mineral density (BMD) of the pr...
Joint angles are measured using goniometers according to the neutral-zero method. These measurements are dependent on the examiner and are thus subject to great variation. With a newly developed sensor glove, the grip patterns of the hand can be captured with a computer-assisted technique. In a comparative study involving five subjects, the joint a...
Grip strength measurements with the aid of dynamometers are dependent on the cooperation and motivation of the individual examined. Recognising a simulated loss of grip is a hitherto unresolved problem. With a sensor glove developed at the Berlin University of Technology, the force distribution pattern of any form of grip can be captured via ten pr...
The high importance of intracortical porosity for mechanical strength of cortical bone has been established. The contribution
of other parameters of microstructure such as osteon dimensions for strength is in discussion. The aim of this study was to
evaluate the predictive value of microcomputed tomography (µCT) for porosity and other microstructur...
Griffkraftmessungen mit Dynamometern sind abhängig von der Mitarbeit und der Motivation des Untersuchten. Das Erkennen eines vorgetäuschten Kraftverlustes ist ein bislang ungelöstes Problem. Mit einem an der Technischen Universität Berlin entwickelten Sensorhandschuh können über zehn Drucksensoren die Kraftverteilungsmuster bei beliebigen Griffen e...
Die Messung der Gelenkwinkel wird mit Winkelmessern nach der Neutral-Null-Methode vorgenommen. Diese Messungen sind untersucherabhängig und unterliegen dadurch großen Schwankungen. Ein neuentwickelter Sensorhandschuh ermöglicht die computergestützte Erfassung der Greifmuster der Hand.
In einer vergleichenden Studie wurden die Fingergelenkwinkel an...
In a prospective randomized clinical trial, ADCON-T/N was investigated with regard to its effectiveness in fresh traumatic injuries of the flexor tendons in Zone II of the hand. Thirty patients participated in the trial. Following a standardized technique of tendon repair, the total active motion (TAM) and total extension lag (TEL) were determined...
We present a splint system for a protected mobilization program after closed reduction of articular proximal phalangeal base fractures. This therapy consists of the periarticular soft tissue and functional anatomy. The soft-tissue around the base of the proximal phalanx leads to a circular stabilization effect. This so called Zancolli Complex (Meta...
The reconstruction of soft-tissue damage on the part of the head which is covered with hair is aimed not only at repairing the damage in such a way that it will withstand mechanical strain but also at the restoring the hair on the scalp. In a 5-year-old boy with a scalping injury involving second- and third-degree soft-tissue damage over an area of...
Zusammenfassung
Die Rekonstruktion von Weichteilschäden am behaarten Kopf zielt neben einer mechanisch belastbaren Defektdeckung auf die Wiederherstellung
der Kopfhautbehaarung ab. Bei einem 5-jährigen Jungen mit einer Skalpierungsverletzung mit teils zweit-, teils drittgradigem
Weichteilschaden nach Hundebiss mit einer Ausdehnung von 20-mal 12 cm...
The treatment of osteoarthrosis of the proximal interphalangeal joint by prosthesis bears several specific problems. With the DIGITOS-prosthesis a new implant is now available. It is a cemented modular hinged prosthesis. We report our experiences with this implant from a prospective clinical trial. Seven patients with osteoarthrosis of the proximal...
Zusammenfassung
Zur Vermeidung irreversibler Kontrakturen führten wir bei 6 Patienten mit periartikulären Ossifikationen des Ellbogengelenks eine frühzeitige operative Ausräumung durch. Die Rezidivprophylaxe erfolgt durch eine Single-dose-Radiatio mit 7 Gy. Im Rahmen der Nachuntersuchung (6 Monate) zeigte sich eine dauerhafte Steigerung der Bewegu...
We report a splint system for a protected mobilization program (termed dynamic treatment) of proximal phalangeal fractures. This program can be used for nonoperative treatment or after operative treatment. Intra-articular fractures of the proximal phalanx at the metacarpophalangeal joint were included. The custom-molded 2-component thermoplastic sp...
Out of the enormous number of tendon transfers the most commonly used ones are mentioned. For radial nerve palsy FCU- ore FCR-Transfer, for median nerve palsy El- or FDS IV-transfer. Proximal phalanx power flexion in ulnar nerve palsy is achieved by Zancolli's lasso-transfer or Brand's many-tailed- grafts.
Die Dekubitusbehandlung und die Behandlung chronischer Wunden an der unteren Extremität erfordern ein klares Therapiekonzept.