[The Quality of Hand Surgery Informed Consent Discussions: a Prospective Randomised Study].

Background: A preoperative informed consent discussion is an essential element of surgical treatment. Suspected errors in informed consent are frequently the subject of medical liability cases. To ensure a comprehensive documentation of the informed consent discussion, commercial documentation forms are available.

[Management of bite injuries].

Bite injuries cause contaminated wounds with a high risk of infection. It is a progressive process. The prognosis depends less on the extent of the surface area but more on the depth of penetration.

[Open Fractures of the Hand: is there No Alternative to Definitive Osteosynthetic Treatment in an Emergency Situation?].

There is an emergency indication for the treatment of open fractures. Fracture stabilisation and soft tissue care are equal prerequisites for an uncomplicated course of treatment and a good functional result. However, challenges arise in cases of extensive wound contamination and compromised perfusion, limiting options for stable osteosynthesis in emergency situations.

[Two-Stage Reconstruction in Bony Finger Joint Defects - Long-Term Results].

Background: Bony defects in finger injuries and infections impose high demands on their treatment due to the close anatomic relationships. Ideally, the injuries are entirely treated in emergency care. Due to the mechanism of the accident, contaminated and compromised soft tissues are often present and set limits to single-stage treatment.

Anatomical principles of ankle denervation - An update.

Background: Denervation is a surgical option in ankle arthrosis when conservative therapy has failed. Sectioning all joint branches is essential for its success. The locations of the articular branches of the saphenous (Sa), tibial (Ti), sural (Su), superficial (Ps) and deep peroneal (Pp) nerves are specified.

[Impact of a simulated DIPJ Arthrodesis on Movement and Force Patterns].

Purpose: Distal interphalangeal joint (DIPJ) arthrodesis is a well-proven therapy for osteoarthritis in the DIPJ. Since the upper limb is effectively a linked chain which is moved by interlinked, joint-overlapping muscle-tendon units, impacts on movement and force patterns are expected to occur in response to arthrodesis. In this context, a real-time quantitative analysis has not been performed to date.

[Ulnar Shortening Osteotomy - Two Weeks of Immobilization Sufficient].

Background: Diaphyseal ulnar shortening osteotomy (USO) as surgical treatment of ulnar impaction syndrome is standardized nowadays with good to very good results. In contrast, a wide spectrum of different postoperative treatment regimens can be found in the current literature. The results after USO with modern, angular stable implants with immobilization for 2 weeks are presented.

[Long-Term Results of Extensor Indicis Transposition Following Rupture of the Extensor Pollicis Longus Tendon after Paediatric Forearm Fracture].

Background: A rare but typical perioperative complication in the surgical treatment of pediatric forearm fractures is injury to the extensor pollicis longus (EPL) tendon. This article presents the long-term results after reconstruction of the EPL tendon with transposition of the extensor indicis (EI) tendon in children and adolescents after surgically treated forearm fracture.

Patients And Methods: Over a period of 15 years, 22 children up to the age of 16 were treated with EI transposition analogous to adult care.

[Corrective Osteotomy of malunited Fractures of the Base of the first Metacarpal Bone].

Purpose: In this study, the results after corrective osteotomy of the base of the first metacarpal bone are presented.

Patients And Methods: There were 24 malunion following a fracture of the base of the first metacarpal, these included 19 Bennett's fractures, 3 Rolando fractures, and 2 Winterstein fractures. The time between the corrective osteotomy and the initial trauma averaged 16 (range, 4 to 66) weeks.

[Secondary flexor tendon reconstructions - how good are they?].

Background: Secondary reconstructions of flexor tendons are nowadays seldom - due to developments in primary repairs of flexor tendon. They are however indicated in complex cases. The results of a tertiary, supraregionally operating hand centre are presented.