{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T20:40:43Z","timestamp":1750192843932},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Durch die funktionelle Kopplung der Fingergelenke\n                    untereinander und den Quadriga-Effekt ist ein ver\u00e4ndertes Greifmuster\n                    und damit auch eine ver\u00e4nderte Kraftverteilung der Hand nach\n                    Mittelgelenksversteifung zu vermuten.<\/jats:p><jats:p>\n          Patienten und Methoden Zehn Patienten mit isolierter Arthrodese eines\n                    Mittelgelenkes (PIP) aufgrund einer posttraumatischen Arthrose (4\u00d7PIP\n                    II, 4\u00d7PIP III, 2\u00d7PIP IV) wurden im Mittel 59 (17\u2013121)\n                    Monate postoperativ untersucht. Der Arthrodesenwinkel wurde auf den\n                    R\u00f6ntgenbildern bestimmt. Die Kraft und die Druckverteilung beider\n                    H\u00e4nde wurden mittels Manugraphie mit drei Zylindergr\u00f6\u00dfen\n                    gemessen und die Kraft der H\u00e4nde, einzelner Finger und Fingerglieder\n                    miteinander verglichen.<\/jats:p><jats:p>\n          Ergebnisse Die durchschnittliche Gesamtkraft der betroffenen Seite betrug\n                    beim kleinen Zylinder 74% (38\u2013136%) der gesunden\n                    Gegenseite, 104% (68\u2013180%) beim mittleren Zylinder und\n                    110% (69\u2013240%) beim gro\u00dfen Zylinder.\n                    Versteifungen des Zeigefingermittelgelenkes f\u00fchrten zur Minderung der\n                    gesamten Handkraft auf 91% beim kleinen Zylinder, einer Steigerung auf\n                    120% beim mittleren Zylinder und 139% beim gro\u00dfen\n                    Zylinder. Die Gesamtkraft bei versteiftem PIP III betrug 56%,\n                    88% und 91% f\u00fcr die drei Zylinder. Bei Arthrodese des\n                    PIP IV ergaben sich 76%, 105% und 91%. Das\n                    Kraftverteilungsmuster zeigte nach PIP-Arthrodese meist eine verminderte Kraft\n                    des betroffenen Fingers, nur nach Versteifung des PIP II war die Kraft des\n                    betroffenen Zeigefingers beim gro\u00dfen Zylinder gr\u00f6\u00dfer als\n                    auf der gesunden Seite. Des Weiteren waren die \u00fcbrigen Finger der\n                    betroffenen Hand kr\u00e4ftiger im Vergleich zur anderen Seite, was die\n                    Steigerung der Gesamtkraft der betroffenen Hand vor allem am gro\u00dfen und\n                    mittleren Zylinder gegen\u00fcber der gesunden Hand bewirkte. Die\n                    Kraftverteilung an den einzelnen Fingergliedern zeigte eine Kraftminderung vor\n                    allem des Mittelglieds, aber auch des Endglieds am versteiften Finger.<\/jats:p><jats:p>\n          Schlussfolgerung Die Versteifung des Mittelgelenks f\u00fchrt fast\n                    immer zur Kraftminderung des betroffenen Fingers am Mittel- und Endglied. Jedoch\n                    wird die Gesamtkraft h\u00e4ufig durch eine vermehrte Kraft der\n                    \u00fcbrigen Finger ausgeglichen, bzw. \u00fcbersteigt diese teilweise\n                    auch die Kraft der gesunden Gegenseite. Beim Greifen kleinerer Umf\u00e4nge\n                    jedoch ist die Gesamtkraft nach Mittelgelenksarthrodese deutlich reduziert.<\/jats:p>","DOI":"10.1055\/a-1750-9586","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T22:59:37Z","timestamp":1661813977000},"page":"409-417","source":"Crossref","is-referenced-by-count":2,"title":["Auswirkungen der Arthrodese eines einzelnen Mittelgelenkes von\n                    Zeige-, Mittel- oder Ringfinger auf Hand- und Fingerkraft sowie auf die\n                    Druckverteilung der Hand"],"prefix":"10.1055","volume":"54","author":[{"given":"Polina","family":"Dimitrova","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum Campus Bad Neustadt, Klinik f\u00fcr\n                    Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela","family":"Reger","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum Campus Bad Neustadt, Klinik f\u00fcr\n                    Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl-Josef","family":"Prommersberger","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum Campus Bad Neustadt, Klinik f\u00fcr\n                    Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum Campus Bad Neustadt, Klinik f\u00fcr\n                    Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion","family":"M\u00fchldorfer-Fodor","sequence":"additional","affiliation":[{"name":"Rh\u00f6n-Klinikum Campus Bad Neustadt, Klinik f\u00fcr\n                    Handchirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,8,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1021","DOI":"10.1093\/aje\/kwf14","article-title":"Prevalence of symptomatic hand osteoarthritis and its impact on functional\n                    status among the elderly: The Framingham Study","volume":"156","author":"Y Zhang","year":"2002","journal-title":"Am J Epidemiol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/0363-5023(90)90096-a.","article-title":"Osteoarthritis of the proximal interphalangeal joint of the hand: arthroplasty\n                    or fusion?","volume":"15","author":"V D Pellegrini","year":"1990","journal-title":"J Hand Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1016\/j.hcl.2017.04.002.","article-title":"Current European Practice in the Treatment of Proximal Interphalangeal Joint\n                    Arthritis","volume":"33","author":"DB. 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