{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T22:43:12Z","timestamp":1750286592107,"version":"3.37.3"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n               Ziel Diese retrospektive, unizentrische Kohortenstudie untersucht die klinischen und subjektiven Ergebnisse nach tempor\u00e4rer K-Drahttransfixation in leichter \u00dcberstreckung des distalen Interphalangealgelenkes bei Strecksehnenabrissen.<\/jats:p><jats:p>\n               Patienten und Methoden Die demografischen Daten der Patienten, der Bewegungsumfang des Endgelenkes, der Quick-DASH-Score sowie die Patientenzufriedenheit (0\u2005=\u2005unzufrieden, 10\u2005=\u2005sehr zufrieden), fortbestehende Schmerzen (ja\/nein) und postoperative Komplikationen wurden anhand eines eigens entworfenen Fragebogens und einer zur Bestimmung des Bewegungsausma\u00dfes des Fingerendgelenkes durch die Patienten selbst entwickelten Schablone ermittelt. Fragebogen und Schablone wurden 132\u2005Patienten zugesandt, bei denen im Zeitraum von Januar 2009 bis Dezember 2019 ein Strecksehnenabriss am Fingerendgelenk mittels tempor\u00e4rer K-Drahttransfixation behandelt wurde. 65\u2005Patienten (49,2\u2005%) \u2013 40\u2005M\u00e4nner und 25\u2005Frauen mit einem durchschnittlichen Alter von 53,3\u2005Jahren \u2013 sandten Fragebogen und Schablone vollst\u00e4ndig ausgef\u00fcllt zur\u00fcck. 40-mal lag eine akute, 25-mal eine chronische Verletzung vor. 35-mal (54\u2005%) war der Mittel-, 19-mal (29\u2005%) der Klein-, 10-mal (15\u2005%) der Ring- und nur einmal (2\u2005%) der Zeigefinger betroffen. Das Gesamtergebnis wurde unter Ber\u00fccksichtigung des Streckdefizits entsprechend der Crawford-Klassifikation und dem Vorhandensein von persistierenden Schmerzen bewertet.<\/jats:p><jats:p>\n               Ergebnisse Entsprechend der modifizierten Crawford-Klassifikation fanden sich 75\u2005% exzellente, 14\u2005% gute und 11\u2005% befriedigende Ergebnisse. Die Patienten waren subjektiv im Durchschnitt mit 7,9 von 10\u2005Punkten sehr zufrieden. 15\u2005Patienten berichteten \u00fcber Komplikationen, 6 davon beklagten anhaltend Schmerzen. Der Quick-DASH-Score lag durchschnittlich bei 5,4\u2005Punkten.<\/jats:p><jats:p>\n               Schlussfolgerung Die tempor\u00e4re Transfixation des distalen Interphalangealgelenkes in Hyperextensionsstellung stellt ein effektives Verfahren zur Behandlung subkutaner Strecksehnenabrisse mit hoher Patientenzufriedenheit dar.<\/jats:p>","DOI":"10.1055\/a-1551-3481","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T22:34:59Z","timestamp":1632868499000},"page":"441-446","source":"Crossref","is-referenced-by-count":3,"title":["Tempor\u00e4re Endgelenkstransfixation bei subkutanen Strecksehnenabrissen der Zone 1 am Fingerendglied"],"prefix":"10.1055","volume":"53","author":[{"given":"Nadine","family":"Suffa","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline","family":"Merkel","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6561-2353","authenticated-orcid":false,"given":"Raymund E.","family":"Horch","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Arkudas","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingo","family":"Ludolph","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian Christoph","family":"Stumpfe","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Erlangen, Plastische und Handchirurgische Klinik"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1007\/PL00003722","article-title":"Die Verletzungen der Beuge- und Strecksehnen im Handbereich","volume":"29","author":"E Brug","year":"2000","journal-title":"Orthop\u00e4de"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1007\/s00113-005-0974-4","article-title":"Ergebnisse der konservativen Therapie beim frischen und alten Mallet-Finger","volume":"108","author":"A Reiter","year":"2005","journal-title":"Unfallchirurg"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/bf03365584","article-title":"Sehnenrupturen an der Hand. 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