{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:35:55Z","timestamp":1740184555121,"version":"3.37.3"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T00:00:00Z","timestamp":1685836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T00:00:00Z","timestamp":1685836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100012681","name":"Universit\u00e4tsklinikum K\u00f6ln","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100012681","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Monteggia-like-Frakturen (MLF) sind komplexe Verletzungen mit hohen Komplikationsraten und h\u00e4ufig unbefriedigenden funktionellen Ergebnissen. Bei posttraumatischer Gelenkdestruktion nach MLF stellt die Implantation einer Ellenbogentotalendoprothese (EB-TEP) oftmals die einzige Option zum Erhalt der Funktionalit\u00e4t des Ellenbogens dar. Diese Fallserie beleuchtet die klinischen Ergebnisse der EB-TEP nach gescheiterter Behandlung einer MLF.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Alle Patienten mit EB-TEP-Implantation (2017\u20132022) nach Therapieversagen bei MLF wurden retrospektiv eingeschlossen. Die Komplikationen sowie Revisionen vor und nach EB-TEP und das funktionelle Ergebnis, bemessen mittels Broberg and Morrey-Score, wurden evaluiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In diese Studie wurden 9\u00a0Patienten mit einem Alter zum Zeitpunkt der EB-TEP-Implantation von 68 (\u00b17; 54 bis 79)\u00a0Jahren inkludiert. Der Nachbetrachtungszeitraum betrug 12 (\u00b19; 2 bis 27)\u00a0Monate. Die wesentlichen Ursachen, die zur Gelenkdestruktion f\u00fchrten, waren die chronische Osteomyelitis (44,4\u202f%), die kn\u00f6cherne Instabilit\u00e4t durch einen Processus-coronoideus-Defekt (33,3\u202f%) bzw. einen kombinierten Processus-coronoideus- und Radiuskopfdefekt (22,2\u202f%) sowie die Pseudarthrose der proximalen Ulna mit Radiuskopfnekrose (11,1\u202f%). Die Anzahl an Revisionsoperationen von der Prim\u00e4rversorgung bis zur EB-TEP lag bei 2,7 (\u00b11,8; 0\u00a0bis 6)\u00a0Eingriffen. Die Revisionsrate nach EB-TEP betrug 44\u202f%. Der Broberg\/Morrey Score lag zum Zeitpunkt der letzten Nachuntersuchung bei 83 (\u00b110; 71 bis 97)\u00a0Punkten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Zusammenfassung<\/jats:title>\n                <jats:p>Die chronische Osteomyelitis und der Defekt des Processus coronoideus sind die f\u00fchrenden Ursachen f\u00fcr eine Gelenkdestruktion nach MLF, die zur EB-TEP f\u00fchren. Wenngleich die klinischen Ergebnisse insgesamt zufriedenstellend sind, so muss angesichts der hohen Revisionsrate die Indikationsstellung streng selektiert werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-023-01335-8","type":"journal-article","created":{"date-parts":[[2023,6,4]],"date-time":"2023-06-04T11:01:30Z","timestamp":1685876490000},"page":"700-705","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Klinische Ergebnisse der Ellenbogentotalendoprothetik nach Therapieversagen bei Monteggia-like-Verletzungen","Clinical results of total elbow arthroplasty after treatment failure for Monteggia-like injuries"],"prefix":"10.1007","volume":"126","author":[{"given":"Jan","family":"Hockmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine","family":"Ott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Leschinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Peter","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hackl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,6,4]]},"reference":[{"key":"1335_CR1","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1097\/00003086-196701000-00008","volume":"50","author":"JL Bado","year":"1967","unstructured":"Bado\u00a0JL (1967) The Monteggia lesion. Clin Orthop Relat Res 50:71\u201386","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"1335_CR2","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1055\/s-0030-1271050","volume":"149","author":"L Becker","year":"2011","unstructured":"Becker\u00a0L et\u00a0al (2011) Total elbow arthroplasty as a\u00a0treatment option in complex injuries of the elbow in elderly patients. Z\u00a0Orthop Unfall 149(5):554\u2013559","journal-title":"Z Orthop Unfall"},{"issue":"1","key":"1335_CR3","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1007\/s11657-020-0706-y","volume":"15","author":"F Borgstr\u00f6m","year":"2020","unstructured":"Borgstr\u00f6m\u00a0F et\u00a0al (2020) Fragility fractures in Europe: burden, management and opportunities. Arch Osteoporos 15(1):59","journal-title":"Arch Osteoporos"},{"issue":"5","key":"1335_CR4","doi-asserted-by":"publisher","first-page":"669","DOI":"10.2106\/00004623-198668050-00005","volume":"68","author":"MA Broberg","year":"1986","unstructured":"Broberg\u00a0MA, Morrey\u00a0BF (1986) Results of delayed excision of the radial head after fracture. J\u00a0Bone Joint Surg Am 68(5):669\u2013674","journal-title":"J Bone Joint Surg Am"},{"key":"1335_CR5","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.amsu.2018.09.027","volume":"35","author":"F Calderazzi","year":"2018","unstructured":"Calderazzi\u00a0F et al (2018) How to approach Monteggia-like lesions in adults: A review. Ann Med Surg (lond) 35:108\u2013116","journal-title":"Ann Med Surg (lond)"},{"issue":"6","key":"1335_CR6","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1089\/sur.2017.089","volume":"18","author":"H Cheng","year":"2017","unstructured":"Cheng\u00a0H et\u00a0al (2017) Prolonged operative duration increases risk of surgical site infections: a systematic review. Surg Infect (larchmt) 18(6):722\u2013735","journal-title":"Surg Infect (larchmt)"},{"issue":"2","key":"1335_CR7","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1007\/s11999-015-4523-3","volume":"474","author":"FM Claessen","year":"2016","unstructured":"Claessen\u00a0FM et\u00a0al (2016) What factors are associated with a\u00a0surgical site infection after operative treatment of an elbow fracture? Clin Orthop Relat Res 474(2):562\u2013570","journal-title":"Clin Orthop Relat Res"},{"issue":"1s","key":"1335_CR8","doi-asserted-by":"publisher","first-page":"S113","DOI":"10.1016\/j.otsr.2017.04.014","volume":"104","author":"M Delpont","year":"2018","unstructured":"Delpont\u00a0M, Louahem\u00a0D, Cottalorda\u00a0J (2018) Monteggia injuries. Orthop Traumatol Surg Res 104(1s):S113\u2013s120","journal-title":"Orthop Traumatol Surg Res"},{"key":"1335_CR9","first-page":"1","volume":"p","author":"LJ Gonzalez","year":"2022","unstructured":"Gonzalez\u00a0LJ et al (2022) Fracture-dislocations of the elbow: a comparison of Monteggia and terrible triad fracture patterns. Orthopedics p:1\u20136","journal-title":"Orthopedics"},{"issue":"4","key":"1335_CR10","doi-asserted-by":"publisher","first-page":"453","DOI":"10.2106\/00004623-197658040-00004","volume":"58","author":"RB Gustilo","year":"1976","unstructured":"Gustilo\u00a0RB, Anderson\u00a0JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J\u00a0Bone Joint Surg Am 58(4):453\u2013458","journal-title":"J Bone Joint Surg Am"},{"issue":"12","key":"1335_CR11","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1007\/s00132-017-3493-4","volume":"46","author":"M Hackl","year":"2017","unstructured":"Hackl\u00a0M et al (2017) Total elbow arthroplasty in traumatic and post-traumatic bone defects. Orthopade 46(12):990\u20131000","journal-title":"Orthopade"},{"issue":"3","key":"1335_CR12","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1007\/s00068-008-8028-6","volume":"35","author":"C Josten","year":"2009","unstructured":"Josten\u00a0C, Freitag\u00a0S (2009) Monteggia and Monteggia-like-lesions: classification, indication, and techniques in operative treatment. Eur J Trauma Emerg Surg 35(3):296\u2013304","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"1335_CR13","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s13018-019-1540-z","volume":"15","author":"M Jung","year":"2020","unstructured":"Jung\u00a0M et al (2020) Monteggia-like lesions in adults treated with radial head arthroplasty-mid-term follow-up of 27\u00a0cases. J\u00a0Orthop Surg Res 15(1):5","journal-title":"J Orthop Surg Res"},{"issue":"2","key":"1335_CR14","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1302\/0301-620X.100B2.BJJ-2017-0398.R2","volume":"100","author":"P Jungbluth","year":"2018","unstructured":"Jungbluth\u00a0P et al (2018) The challenge of Monteggia-like lesions of the elbow: mid-term results of 46\u00a0cases. Bone Joint\u00a0J 100(2):212\u2013218","journal-title":"Bone Joint J"},{"issue":"4","key":"1335_CR15","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1097\/00005131-199112000-00003","volume":"5","author":"JB Jupiter","year":"1991","unstructured":"Jupiter\u00a0JB et\u00a0al (1991) The Posterior Monteggia Lesion. J\u00a0Orthop Trauma 5(4):395\u2013402","journal-title":"J Orthop Trauma"},{"issue":"12","key":"1335_CR16","doi-asserted-by":"publisher","first-page":"1512","DOI":"10.1302\/0301-620X.101B12.BJJ-2019-0547.R1","volume":"101-b","author":"A Klug","year":"2019","unstructured":"Klug\u00a0A et al (2019) Surgical treatment of the radial head is critical to the outcome of Monteggia-like lesions. Bone Joint\u00a0J 101-b(12):1512\u20131519","journal-title":"Bone Joint J"},{"issue":"11","key":"1335_CR17","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1007\/s00113-004-0825-8","volume":"107","author":"J Korner","year":"2004","unstructured":"Korner\u00a0J et\u00a0al (2004) Monteggia injuries in adults: Critical analysis of injury pattern, management, and results. Unfallchirurg 107(11):1026\u20131040","journal-title":"Unfallchirurg"},{"key":"1335_CR18","first-page":"Doc13","volume":"4","author":"R Laun","year":"2015","unstructured":"Laun\u00a0R et al (2015) Monteggia-like lesions\u2014treatment strategies and one-year results. GMS Interdiscip Plast Reconstr Surg DGPW 4:Doc13","journal-title":"GMS Interdiscip Plast Reconstr Surg DGPW"},{"issue":"9","key":"1335_CR19","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1007\/s00113-022-01215-7","volume":"125","author":"T Leschinger","year":"2022","unstructured":"Leschinger\u00a0T et\u00a0al (2022) Elbow prosthesis after acute fractures: Indications and technique. Unfallchirurgie 125(9):699\u2013708","journal-title":"Unfallchirurgie"},{"key":"1335_CR20","volume-title":"Istituzioni chirurgiche","author":"GB Monteggia","year":"1805","unstructured":"Monteggia\u00a0GB (1805) Istituzioni chirurgiche Bd. 5 (Pirotta)"},{"issue":"4","key":"1335_CR21","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1177\/1758573219881772","volume":"13","author":"T Ramazanian","year":"2021","unstructured":"Ramazanian\u00a0T et\u00a0al (2021) Effect of incremental increase in radial neck height on coronoid and capitellar contact pressures. Shoulder Elbow 13(4):445\u2013450","journal-title":"Shoulder Elbow"},{"issue":"1","key":"1335_CR22","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1590\/1413-785220162401152249","volume":"24","author":"R Suarez","year":"2016","unstructured":"Suarez\u00a0R, Barquet\u00a0A, Fresco\u00a0R (2016) Epidemiology and treatment of monteggia lesion in adults: series of 44 cases. Acta ortop bras 24(1):48\u201351","journal-title":"Acta ortop bras"},{"issue":"4","key":"1335_CR23","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/j.medengphy.2004.04.011","volume":"27","author":"F Van Glabbeek","year":"2005","unstructured":"Van Glabbeek\u00a0F et\u00a0al (2005) The kinematic importance of radial neck length in radial head replacement. Med Eng Phys 27(4):336\u2013342","journal-title":"Med Eng Phys"},{"issue":"3","key":"1335_CR24","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1302\/0301-620X.89B3.18099","volume":"89","author":"RP van Riet","year":"2007","unstructured":"van Riet\u00a0RP et\u00a0al (2007) Validation of the lesser sigmoid notch of the ulna as a\u00a0reference point for accurate placement of a\u00a0prosthesis for the head of the radius: a\u00a0cadaver study. J\u00a0Bone Joint Surg Br 89(3):413\u2013416","journal-title":"J Bone Joint Surg Br"},{"key":"1335_CR25","doi-asserted-by":"publisher","unstructured":"Weber MM et al (2022) Monteggia fractures and Monteggia-like-lesions: a systematic review. Arch Orthop Trauma Surg 2022 Sep 3. https:\/\/doi.org\/10.1007\/s00402-022-04576-1","DOI":"10.1007\/s00402-022-04576-1"},{"issue":"9","key":"1335_CR26","doi-asserted-by":"publisher","first-page":"1525","DOI":"10.1007\/s00402-020-03619-9","volume":"141","author":"K Wegmann","year":"2021","unstructured":"Wegmann\u00a0K et\u00a0al (2021) Overlengthening of the radial column in radial head replacement: a\u00a0review of the literature and presentation of a\u00a0classification system. Arch Orthop Trauma Surg 141(9):1525\u20131539","journal-title":"Arch Orthop Trauma Surg"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-023-01335-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-023-01335-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-023-01335-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T10:02:26Z","timestamp":1692871346000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-023-01335-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,4]]},"references-count":26,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["1335"],"URL":"https:\/\/doi.org\/10.1007\/s00113-023-01335-8","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"type":"print","value":"2731-7021"},{"type":"electronic","value":"2731-703X"}],"subject":[],"published":{"date-parts":[[2023,6,4]]},"assertion":[{"value":"24 April 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 June 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"J.\u00a0Hockmann, N.\u00a0Ott, T.\u00a0Leschinger, L.\u00a0P.\u00a0M\u00fcller und M.\u00a0Hackl geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Diese retrospektive Studie erfolgte nach Konsultation der zust\u00e4ndigen Ethikkommission und im Einklang mit nationalem Recht.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}