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1. Rekonstruktion nach Kompartmentsyndrom an Unterarm und Hand

Author

Prommersberger, K.-J., van Schoonhoven, J., Kalb, K., and Lanz, U.

Abstract

Zusammenfassung: Kommt es im Rahmen eines Kompartmentsyndroms des Unterarms und der Hand zu einer ischämischen Muskelnekrose resultieren mitunter schwerste funktionelle Defizite. Neben Kontrakturen infolge der Erstarrung der Muskelnekrose bzw. Narbenbildung prägen sensible und motorische Lähmungen das klinische Bild. Abhängig davon welche Muskeln bzw. Muskelgruppen wie schwer betroffen sind, ergeben sich sehr unterschiedliche Erscheinungsformen. Es ist in jedem Fall individuell zu planen, welches der zahlreichen zur Verfügung stehenden Therapieverfahren zur Anwendung kommen soll/kann. Hierbei erlaubt die Kombination der Klassifikationen nach Tsuge und nach Holden einen systematischen Zugang zur Therapie. Die Schwere der Muskel- und Gelenkkontrakturen sowie der Gefäß-Nerven-Schäden ist dabei ebenso zu berücksichtigen wie noch vorhandene Muskel- und Nervenfunktionen und die Verfügbarkeit intakter Muskeln für eine mögliche motorische Ersatzoperation.

Published
2024
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3. Kindliche Handverletzungen

Author

Prommersberger, K.-J., Lanz, U., Rueger, Johannes M., editor, Schlickewei, Wolfang, editor, Engert, Jürgen, editor, and Sommerfeldt, Dirk W., editor

Published
2004
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34. Frakturen des Handgelenkes

Author

Rehm, K., primary, Rueger, J. M., additional, Strohm, P. C., additional, Müller, C. A., additional, Boll, T., additional, Pfister, U., additional, Prommersberger, K. J., additional, Ring, D., additional, Jupiter, J. B., additional, Fernandez, D. L., additional, Lanz, U., additional, Schütz, L., additional, Schiefer, D., additional, Tiemann, A., additional, Josten, Ch., additional, Frank, J., additional, Rose, S., additional, Neumeyer, D., additional, Marzi, I., additional, Walz, M., additional, Möllenhoff, G., additional, Hopf, K. F., additional, Muhr, G., additional, Müller-Rath, R., additional, Ruße, K., additional, Brodowski, C., additional, Bolte, S., additional, Pommer, A., additional, Dávid, A., additional, Zettl, R. P., additional, Ruchholtz, S., additional, Taeger, G., additional, Waydhas, Ch., additional, and Nast-Kolb, D., additional

Published
2001
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35. Proximale Femurfrakturen

Author

Stürmer, K. M., primary, Bickert, B., additional, Westphal, T., additional, Piatek, S., additional, Schubert, S., additional, Schuschke, T., additional, Winckler, S., additional, Dumont, C., additional, Fuchs, M., additional, Dresing, K., additional, Diemer, M., additional, Westermann, U., additional, Neudeck, F., additional, Groenewold, U., additional, Sakhaii, M., additional, Reilmann, H., additional, Dorow, C., additional, Dorow, H., additional, Nestmann, H., additional, Rausch, S., additional, Markgraf, E., additional, Weißer, Ch., additional, Wagner, R., additional, Weckbach, A., additional, Beyermann, K., additional, Prommersberger, K.-J., additional, and Lanz, U., additional

Published
2001
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38. Fingergelenksverletzungen

Author

Breul, R., primary, Landgraf, J. W., additional, Scheck, R., additional, Germann, G., additional, Wieczorek, D., additional, Pelzer, M., additional, Das Gupta, K., additional, Bindl, G., additional, Foucher, G., additional, Wulke, A., additional, Pennig, D., additional, Liedtke, H., additional, Lukosch, S., additional, Gauspohl, T., additional, Koebke, J., additional, Ley, J., additional, Mader, K., additional, Homman, H.-H., additional, Lehnhardt, M., additional, Steinau, H.-U., additional, Dietrich, F. E., additional, Fink, J., additional, Meenen, N. M., additional, Katzer, A., additional, Rueger, J. M., additional, Sproedt, J., additional, Joosten, U., additional, Wetterkamp, D., additional, Rieger, H., additional, Olivier, L. C., additional, Bong, J., additional, Schmidt, G., additional, Siemers, F., additional, Schmit-Neuerburg, K. P., additional, Burck, C., additional, Laier, P., additional, Pfister, U., additional, Jezussek, D., additional, Holch, M., additional, Zwipp, H., additional, Rothe, M., additional, Rudy, T., additional, Stankovic, P., additional, Stümer, K. M., additional, Ebinger, T., additional, Mentzel, M., additional, Kinzl, L., additional, Beyermann, K., additional, Prommersberger, K.-J., additional, and Lanz, U., additional

Published
1999
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50. Die operative Korrektur posttraumatischer Deformitäten am Unterarm nach Frakturen im Wachstumsalter

Author

Meier R, Prommersberger Kj, and Lanz U

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Wrist, Osteotomy, medicine.disease, Surgery, body regions, Grip strength, medicine.anatomical_structure, Forearm, Orthopedic surgery, medicine, Deformity, Orthopedics and Sports Medicine, Malunion, medicine.symptom, Range of motion, business
Abstract

Aim: In our goal-oriented society the demands for a forearm with full function are increasing. Functional deficits are not acceptable even if they persist only for a limited period of time. Therefore a rising number of surgical corrections of malunited forearm fractures in the pediatric patient has been performed during the last years. However literature about indication, technique and outcome in these patients is rare. For that reason we report our experience about surgical correction of malunited fractures of the forearm in 14 children. Methods: Fourteen patients with an average age of 13 years at the time of surgical correction of a malunited fracture of the forearm were included. Seven had a deformity of the shaft, five at the distal forearm without and two with growth disturbance. Malunions without growth disturbance were corrected with an osteotomy and plate fixation. Those with growth disturbance were first treated with callus distraction. Previous to and 24 (3 to 100) months after surgical correction the patients were examined clinically and radiologically. Range of motion was noted. Additionally to the range of motion, grip strength and pain (VAS) were documented. Patients with correction of the distal forearm were asked to fill out the DASH questionnaire. Results: In all groups a significant increase of the range of motion was noted in pro-/supination of 61 per cent to 85-0-80 degrees. In patients with distal correction additionally the range of motion in extension/flexion of the wrist improved 30 per cent to 70-0-65 degrees and in ulnar/radialduction 22 per cent to 30-0-35 degrees. At follow-up the grip strength following distal corrections was 98 per cent of the opposite side. The patients had no pain (VAS < 3 points). The median subjective functional result was excellent with a median DASH score of 3.5 points. Conclusions: Our results show that potent techniques for surgical correction of malunited forearm fractures in the growing skeleton are available. These techniques allow excellent functional outcome.

Published
2003
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