{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T18:52:27Z","timestamp":1725648747834},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T00:00:00Z","timestamp":1581033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Ulm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Hintergrund<\/jats:title>\n<jats:p>Mittelgliedbasisimpressionsfrakturen der Finger stellen aufgrund h\u00e4ufiger Subluxationen und der zentral imprimierten Fragmente ein Problem dar.<\/jats:p>\n<jats:p>Zwei minimalinvasive Verfahren stehen zur Verf\u00fcgung: 1.\u00a0die bisher wenig bekannte intramedull\u00e4re Aufstopfmethode nach Hintringer, 2.\u00a0der verbreitete Distraktionsfixateur nach Suzuki.<\/jats:p>\n<jats:p>Ziel dieser Untersuchung ist der Vergleich der Behandlungsergebnisse beider Verfahren.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methoden<\/jats:title>\n<jats:p>Das nachuntersuchte Kollektiv umfasst 42\u00a0Patienten, bei denen operativ eine Mittelgliedbasisimpressionsfraktur versorgt wurde. Dabei erfolgte 28-mal eine intramedull\u00e4re Aufstopfung mit perkutaner Kirschner-Draht-Retention (Gruppe\u00a0A) und 14-mal die Versorgung mittels Fixateur nach Suzuki (Gruppe\u00a0B). Untersucht wurden die Funktion, das radiologische Ergebnis und die subjektiven Beschwerden.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Es zeigt sich, dass in Gruppe\u00a0A nach Einteilung der \u201eAmerican Society for Surgery of the Hand\u201c (ASSH) 81\u202f% der Patienten ein gutes Ergebnis erreichen, in Gruppe\u00a0B hingegen 50\u202f%. F\u00fcr das Mittelgelenk ergeben sich im Median 82,5\u00b0 Bewegungsumfang nach Aufstopfung und 47,5\u00b0 nach Suzuki Anlage. Im Median konnte in der Gruppe\u00a0A die Impression von 2,35 auf 0,5\u202fmm reduziert werden, in Gruppe\u00a0B hingegen nur von 1,6 auf 1,15\u202fmm. Einschr\u00e4nkungen durch Schmerzen gaben in Gruppe\u00a0A 2 von 28\u00a0Patienten an und in Gruppe\u00a0B einer von 14.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Diskussion<\/jats:title>\n<jats:p>Mit der Aufstopfmethode nach Hintringer lassen sich Mittelgliedbasisimpressionsfrakturen gut behandeln. Die dorsale Subluxation kann ausgeglichen werden, und zentral imprimierte Fragmente lassen sich besser reponieren und retinieren als mit dem Distraktionsfixateur. Dar\u00fcber hinaus sind die radiologischen Verlaufskontrollen besser zu beurteilen als bei liegendem Distraktionsfixateur.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00113-020-00773-y","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T09:04:16Z","timestamp":1581066256000},"page":"634-640","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mittelgliedbasisimpressionsfrakturen\u00a0der\u00a0Finger"],"prefix":"10.1007","volume":"123","author":[{"given":"D.","family":"Vergote","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Mentzel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.-T.","family":"Moeller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Bauknecht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Sch\u00f6ll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,2,7]]},"reference":[{"key":"773_CR1","doi-asserted-by":"publisher","first-page":"152","DOI":"10.1177\/1558944715614856","volume":"11","author":"J Abboudi","year":"2016","unstructured":"Abboudi\u00a0J, Jones\u00a0CM (2016) Proximal interphalangeal joint extension block splint. Hand (N Y) 11:152\u2013160","journal-title":"Hand (N Y)"},{"key":"773_CR2","doi-asserted-by":"publisher","first-page":"680","DOI":"10.4103\/0019-5413.104213","volume":"46","author":"B Borgohain","year":"2012","unstructured":"Borgohain\u00a0B, Borgohain\u00a0N, Tittal\u00a0P (2012) Double parabolic Kirschner-wires as dynamic distractor for treatment of unstable intraarticular phalangeal fractures of hand. Indian J Orthop 46:680\u2013684","journal-title":"Indian J Orthop"},{"key":"773_CR3","first-page":"1025","volume":"1","author":"H Boussakri","year":"2015","unstructured":"Boussakri\u00a0H, Elibrahimi\u00a0A, Elmrini\u00a0A (2015) Dynamic distraction external fixation derived from the suzuki frame for pip joint fractures. SM J Orthop 1:1025","journal-title":"SM J Orthop"},{"key":"773_CR4","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1177\/1753193414554356","volume":"40","author":"FS Frueh","year":"2015","unstructured":"Frueh\u00a0FS, Calcagni\u00a0M, Lindenblatt\u00a0N (2015) The hemi-hamate autograft arthroplasty in proximal interphalangeal joint reconstruction: a\u00a0systematic review. J\u00a0Hand Surg Eur Vol 40:24\u201332","journal-title":"J Hand Surg Eur Vol"},{"key":"773_CR5","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1097\/BTH.0000000000000148","volume":"21","author":"M Henry","year":"2017","unstructured":"Henry\u00a0M (2017) Volar, dorsal, and lateral locking plate fixation for pilon fractures. Tech Hand Up Extrem Surg 21:22\u201327","journal-title":"Tech Hand Up Extrem Surg"},{"key":"773_CR6","first-page":"263","volume-title":"Finger bone and joint injuries","author":"W Hintringer","year":"1999","unstructured":"Hintringer\u00a0W (1999) Management of fracture dislocation: open reduction and internal fixation. In: Br\u00fcser\u00a0P, Gilbert\u00a0A (Hrsg) Finger bone and joint injuries. Martin Dunitz, London, S\u00a0263\u2013271"},{"key":"773_CR7","first-page":"356","volume":"18","author":"W Hintringer","year":"1986","unstructured":"Hintringer\u00a0W, Ender\u00a0HG (1986) Percutaneous management of intraarticular fractures of the interphalangeal joints of the fingers. Handchir Mikrochir Plast Chir 18:356\u2013362","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"5","key":"773_CR8","doi-asserted-by":"publisher","first-page":"647","DOI":"10.2106\/00004623-198668050-00003","volume":"68","author":"J Knirk","year":"1986","unstructured":"Knirk\u00a0J, Jupiter\u00a0J (1986) Intra-articular fractures of the distal end of the radius in young adults. J\u00a0Bone Joint Surg Am 68(5):647\u2013659","journal-title":"J Bone Joint Surg Am"},{"key":"773_CR9","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1007\/s10039-009-1539-5","volume":"11","author":"M Langer","year":"2009","unstructured":"Langer\u00a0M, Surke\u00a0C, Raschke\u00a0MJ, Ochman\u00a0S (2009) Palmare Mittelgliedbasisimpressionsfraktur des Fingers. Trauma Berufskrankh 11:366\u2013370","journal-title":"Trauma Berufskrankh"},{"key":"773_CR10","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/j.otsr.2012.02.009","volume":"98","author":"R Maalla","year":"2012","unstructured":"Maalla\u00a0R, Youssef\u00a0M, Ben Jdidia\u00a0G, Khimiri\u00a0C, Essadam\u00a0H (2012) Extension-block pinning for fracture-dislocation of the proximal interphalangeal joint. Orthop Traumatol Surg Res 98:559\u2013563","journal-title":"Orthop Traumatol Surg Res"},{"key":"773_CR11","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/0266-7681(94)90059-0","volume":"19","author":"Y Suzuki","year":"1994","unstructured":"Suzuki\u00a0Y, Matsunaga\u00a0T, Sato\u00a0S, Yokoi\u00a0T (1994) The pins and rubbers traction system for treatment of comminuted intraarticular fractures and fracture-dislocations in the hand. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}