{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T23:50:29Z","timestamp":1654905029741},"reference-count":21,"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 Studie vergleicht die klinischen Ergebnisse der fr\u00fchfunktionellen Nachbehandlung mit den Ergebnissen mittels 6-w\u00f6chiger Schienenruhigstellung nachbehandelter Fingergrundgliedfrakturen nach perkutaner, antegrader K-Draht-Osteosynthese.<\/jats:p><jats:p>\n               Patienten und Methoden Von insgesamt 90\u2005Patienten, die zwischen 2010 und 2017 aufgrund einer isolierten Fingergrundgliedfraktur nach geschlossener Reposition mittels perkutaner, antegrader K-Draht-Osteosynthese operativ versorgt wurden, konnten 46 (17\u2005Frauen und 29\u2005M\u00e4nner mit einem mittleren Alter von 42,8\u2005Jahren) im Mittel nach 18,5\u2005Monaten nachuntersucht werden. Bei 28\u2005Patienten war eine fr\u00fchfunktionelle, bei 18 eine statische Nachbehandlung erfolgt. Beide Gruppen unterschieden sich nicht statistisch signifikant bzgl. des Alters, der Geschlechtsverteilung, der Frakturlokalisation und\u2005-morphologie, des Unfallmechanismus und der Dauer der Operation. Bei der Nachuntersuchung wurde die aktive und passive Beweglichkeit des operierten Fingers (total active motion [TAM] und total passive motion [TPM], Fingerkuppen-Hohlhand-Abstand [FKHA], Nagelrand-verl\u00e4ngerter-Handr\u00fcckenebenen-Abstand [NHREA]) und des korrespondierenden, unverletzten Fingers der Gegenseite gemessen und in Relation zueinander gesetzt (TAMrel, TPMrel). Des Weiteren wurde die Kraft bei verschiedenen Griffformen bestimmt und in Relation zur Kraft der unverletzten Gegenseite gesetzt. Intra- und postoperative Komplikationen, der DASH-Score und die Zeit bis zur Wiederaufnahme der Arbeitst\u00e4tigkeit wurden erfasst.<\/jats:p><jats:p>\n               Ergebnisse Keine signifikanten Unterschiede zwischen den beiden Gruppen konnten bzgl. der H\u00e4ufigkeit von Komplikationen und notwendiger Revisionen, der Fingerbeweglichkeit und Kraft festgestellt werden. Patienten mit aktiver Nachbehandlung kehrten im Vergleich zu Patienten mit statischer Nachbehandlung jedoch signifikant fr\u00fcher an ihre Arbeitspl\u00e4tze zur\u00fcck (2,5 vs. 9,0\u2005Wochen nach operativer Versorgung, p\u2005=\u20050,035). Der DASH-Score in der Gruppe mit aktiver Nachbehandlung war mit 1,7\u2005Punkten etwas niedriger als in der Gruppe mit statischer Nachbehandlung mit 2,5\u2005Punkten (p\u2005=\u20050,269).<\/jats:p><jats:p>\n               Schlussfolgerung Patienten mit fr\u00fchfunktioneller Nachbehandlung waren signifikant k\u00fcrzer arbeitsunf\u00e4hig. Zum Nachuntersuchungszeitpunkt fand sich kein Unterschied in der globalen Fingerbeweglichkeit beider Gruppen. Bei gegebener Compliance kann auf eine postoperative Ruhigstellung verzichtet werden.<\/jats:p>","DOI":"10.1055\/a-1559-2783","type":"journal-article","created":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T22:34:59Z","timestamp":1632868499000},"page":"467-474","source":"Crossref","is-referenced-by-count":2,"title":["Perkutane, antegrade K-Draht-Osteosynthese bei Fingergrundgliedfrakturen: Vergleich zwischen fr\u00fchfunktioneller und statischer Nachbehandlung"],"prefix":"10.1055","volume":"53","author":[{"given":"Ines Ana","family":"Ederer","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"},{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische Chirurgie, Wiederherstellungs- und Handchirurgie, Agaplesion Markus Krankenhaus Frankfurt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"von Fraunberg","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"},{"name":"Eberhards Karls Universit\u00e4t T\u00fcbingen, Universit\u00e4tsklinik f\u00fcr Hals-, Nasen- und Ohrenheilkunde"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Kolbenschlag","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Nusche","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrien","family":"Daigeler","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabian","family":"Medved","sequence":"additional","affiliation":[{"name":"BG Unfallklinik T\u00fcbingen an der Eberhard Karls Universit\u00e4t T\u00fcbingen; Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,28]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1080\/2000656X.2017.1313261","article-title":"Reoperations and postoperative complications after osteosynthesis of phalangeal fractures: a retrospective cohort 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