{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:56:52Z","timestamp":1781135812467,"version":"3.54.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Mittelgliedbasisimpressionsfrakturen stellen aufgrund zentraler\n                        Gelenkinkongruenzen und Subluxationstendenzen eine therapeutische\n                        Herausforderung dar. Ziel dieser Arbeit war es, die klinischen und\n                        radiologischen Ergebnisse eines gr\u00f6\u00dferen Patientenkollektivs nach Behandlung\n                        mit der Aufstopftechnik nach Hintringer und Ender darzustellen.<\/jats:p>\n                  <jats:p>Retrospektiv wurden 92 Patienten (2012\u20132024) mit instabilen\n                        Mittelgliedbasisfrakturen eingeschlossen. Die Reposition erfolgte perkutan\n                        \u00fcber einen vorgebogenen intramedull\u00e4r eingebrachten Kirschner-Draht und\n                        anschlie\u00dfende Retention mit weiteren Dr\u00e4hten. Erfasst wurden klinische und\n                        radiologische Endpunkte, funktionelle Ergebnisse gem\u00e4\u00df der Klassifikation\n                        der American Society for Surgery of the Hand (ASSH) sowie aufgetretene\n                        Komplikationen.<\/jats:p>\n                  <jats:p>Die Impression konnte im Median von 2,6\u2009mm (0,6\u20135,5\u2009mm) auf 0,7\u2009mm (0\u20132,9\u2009mm)\n                        reduziert werden. Der mediane Bewegungsumfang (ROM) lag bei 210\u00b0 (90\u00b0\u2013335\u00b0).\n                        19 Patienten erreichten ein exzellentes, 37 ein gutes, 32 ein regul\u00e4res und\n                        4 ein schlechtes Ergebnis. Das Alter hatte einen signifikanten Einfluss auf\n                        die erzielte Beweglichkeit, w\u00e4hrend Frakturtyp, Operationszeitpunkt und\n                        verbliebene Impression keinen signifikanten Zusammenhang zeigten. Die\n                        mediane Operationsdauer lag bei 18 Minuten. Es traten drei\n                        behandlungsrelevante Komplikationen auf.<\/jats:p>\n                  <jats:p>Die Aufstopftechnik nach Hintringer und Ender ist ein sicheres und\n                        zeit\u00f6konomisches Verfahren mit niedriger Komplikationsrate und guten\n                        funktionellen Ergebnissen. Sie erlaubt die direkte Reposition zentral\n                        imprimierter Fragmente und bleibt auch bei verz\u00f6gerter Vorstellung\n                        anwendbar.<\/jats:p>","DOI":"10.1055\/a-2809-2244","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:51:02Z","timestamp":1773705062000},"page":"236-242","source":"Crossref","is-referenced-by-count":0,"title":["Ergebnisse der Therapie instabiler Mittelgliedimpressionsfrakturen in\n                    der Technik nach Hintringer und Ender"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4623-6524","authenticated-orcid":false,"given":"Daniel","family":"Vergote","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lebelt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4866-2164","authenticated-orcid":false,"given":"Richard-Tobias","family":"Moeller","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Bauknecht","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand-, Plastische und Wiederherstellungschirurgie,\n                    Universit\u00e4tsklinikum Ulm, Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"647","DOI":"10.2106\/00004623-198668050-00003","article-title":"Intra-articular fractures of the distal end of the radius in young adults","volume":"68","author":"J L Knirk","year":"1986","journal-title":"J Bone Joint Surg Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s00113-013-2506-y","article-title":"Verletzungen der Mittelgelenke","volume":"117","author":"T 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Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2809-2244.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T23:04:25Z","timestamp":1781132665000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2809-2244"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,16]]},"references-count":20,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,10]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2809-2244","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"value":"0722-1819","type":"print"},{"value":"1439-3980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,16]]}}}