{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T05:58:02Z","timestamp":1649138282724},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Hintergrund Die Ruptur der Extensor-pollicis-longus-Sehne wird in der Regel durch einen Transfer der Extensor-indicis-Sehne unter Verwendung einer Pulvertaft-Naht versorgt. In der Literatur besteht Uneinigkeit \u00fcber die anschlie\u00dfende Nachbehandlung. Die Seit-zu-Seit-Sehnennaht weist eine h\u00f6here Rei\u00dffestigkeit als die Pulvertaft-Naht auf und bietet deshalb die Grundlage f\u00fcr eine aktive Nachbehandlung. Wir stellen ein neues aktives Nachbehandlungsschema vor, welches durch eine einfache Durchf\u00fchrbarkeit und verk\u00fcrzte Dauer die Behandlung f\u00fcr Patient und Therapeut erleichtert.<\/jats:p><jats:p>\n               Patienten und Methoden Zwischen 07\/2016 und 08\/2017 f\u00fchrten wir 10 Extensor-indicis-Transfers unter Verwendung der Seit-zu-Seit-Naht durch und behandelten die Patienten mit unserem neu entwickelten aktiven Behandlungsschema nach. Verlaufskontrollen fanden nach 2,4 und 8 Wochen statt. Bestimmt wurden jeweils der Bewegungsumfang des Daumens, Pinch- und Greifkraft sowie subjektive Befunde wie Schmerzen und allgemeine Zufriedenheit.<\/jats:p><jats:p>\n               Ergebnisse Bei allen Patienten erholte sich der Bewegungsumfang des Daumens mit einer Retropulsion \u00fcber die Palmarebene vollst\u00e4ndig bereits nach 4 Wochen. Die Pinchkraft lag 4 Wochen postoperativ im Median bei 89 % und die Greifkraft bei 74 % der Gegenseite. Das aktive Nachbehandlungsprotokoll zeigte eine hohe Patientenzufriedenheit. Alle Patienten wurden ein Jahr postoperativ telefonisch kontaktiert. Im untersuchten Zeitraum kam es nicht zu einer sekund\u00e4ren Ruptur oder relevanten Verl\u00e4ngerung der Sehnennaht.<\/jats:p><jats:p>\n               Schlussfolgerung Das vorgestellte aktive Nachbehandlungsprotokoll nach Extensor-indicis-Transfer unter Verwendung der Seit-zu-Seit-Naht hat sich in unserer Klinik zum Standardverfahren entwickelt, da es sicher und f\u00fcr den Patienten und die Therapeuten mit deutlich weniger Aufwand verbunden ist.<\/jats:p>","DOI":"10.1055\/a-1326-1950","type":"journal-article","created":{"date-parts":[[2021,2,16]],"date-time":"2021-02-16T14:53:41Z","timestamp":1613487221000},"page":"67-71","source":"Crossref","is-referenced-by-count":0,"title":["Vereinfachte aktive Nachbehandlung nach Extensor-indicis auf Extensor-pollicis-longus-Sehnentransfer mit Seit-zu-Seit-Naht"],"prefix":"10.1055","volume":"53","author":[{"given":"Philipp Christian","family":"Boucke","sequence":"additional","affiliation":[{"name":"Kantonsspital Graub\u00fcnden, 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