{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T21:53:16Z","timestamp":1785880396211,"version":"3.56.0"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T00:00:00Z","timestamp":1682985600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Wiederherstellung der urspr\u00fcnglichen Anatomie mit Reduktion des aktuellen Beschwerdebildes sowie Risikominderung einer posttraumatischen Arthrose.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Symptomatische intra- oder extraartikul\u00e4re Malunion aufgrund von Bewegungseinschr\u00e4nkung und\/oder schmerzhafter Funktion, intraartikul\u00e4re Stufe von &gt;\u202f1\u202fmm, Instabilit\u00e4t distales Radioulnargelenk.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Minimale Fehlstellung. Bereits bestehende Arthrose Knirk und Jupiter\u00a0II oder h\u00f6her. Einfachere operative Alternative z.\u202fB. Ulnaverk\u00fcrzungsosteotomie. Raucher oder erh\u00f6htes Alter stellen keine Kontraindikation dar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Pr\u00e4operative Befunderhebung und Durchf\u00fchrung eines beidseitigen Computertomogramms. 3\u2011D-Fehlstellungsanalyse und Berechnung einer Korrektur. Planung der Korrekturosteotomie am 3\u2011D-Modell und Erstellung von patientenspezifischen Bohr- und S\u00e4geschablonen. Durchf\u00fchren der 3\u2011D-gest\u00fctzten Osteotomie.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Fr\u00fchfunktionelle unbelastete Mobilisation aus der Schiene f\u00fcr 8\u00a0Wochen bis zur Konsolidationskontrolle mit Computertomographie.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Reduktion der Stufe auf &lt;\u202f1\u202fmm (<jats:italic>p<\/jats:italic>\u202f=\u2009&lt;\u202f0,05) kann bei intraartikul\u00e4ren Korrekturen erreicht werden. Bei extraartikul\u00e4ren Korrekturen k\u00f6nnen im Mittel der resultierende Rotationsfehler von\u00a02,0\u00b0 (\u00b1\u202f2,2\u00b0) und ein Translationsfehler von 0,6\u202fmm (\u00b1\u202f0,2\u202fmm) erreicht werden. Einzelschnittosteotomien im Schaftbereich k\u00f6nnen auf wenige Grad genau erfolgen f\u00fcr Rotation (z.\u202fB. Pronation\/Supination\u00a04,9\u00b0) und f\u00fcr die Translation (z.\u202fB. proximal\/distal 0,8\u202fmm). Eine residuelle Abweichung des kombinierten 3\u2011dimenisionalen Winkels von\u00a05,8\u00b0 (SD\u00a03,6\u00b0) wird festgehalten. Weiter zeigt die 3\u2011D-gest\u00fctzte Operation eine signifikante Reduktion der Operationszeit im Vergleich zur konventionellen Technik (140\u202f\u00b1\u200937 vs. 108\u202f\u00b1\u200926\u202fmin [<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,05]). Somit kann die Progression einer Arthrose im mittelfristigen Verlauf reduziert werden, und eine gebesserte Beweglichkeit und Faustschlusskraft werden erreicht. Die klinischen Outcome-Parameter des Patient-Rated Wrist Evaluation (PRWE) Score und des Disablities of the Arm, Shoulder and Hand (DASH) Score sind in etwa vergleichbar.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-023-00808-8","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T10:02:17Z","timestamp":1683021737000},"page":"258-269","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Malunion der distalen Radiusfraktur: 3-D-Planung und Durchf\u00fchrung von intra- und extraartikul\u00e4ren Korrekturosteotomien","Malunion of the distal radius: 3D\u00a0planning and performance of intra- and extra-articular corrective osteotomy"],"prefix":"10.1007","volume":"35","author":[{"given":"Raffael","family":"Lab\u00e8r","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Schweizer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"808_CR1","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1016\/j.jhsa.2017.03.024","volume":"42","author":"DE Bauer","year":"2017","unstructured":"Bauer\u00a0DE, Zimmermann\u00a0S, Aichmair\u00a0A et al (2017) Conventional versus computer-assisted corrective osteotomy of the forearm: a\u00a0retrospective analysis of 56 consecutive cases. 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Weiter ist er Mitentwickler der Intercus Correctus-Platte. R.\u00a0Lab\u00e8r gibt an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die Verwendung der Computer generierten Modelle bedarf keiner spezifischen Einwilligung. Die Patienten unterzeichnen einen Generalkonsent bei Behandlungsbeginn.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}