Trapeziectomy versus Maïa Prosthesis in Trapeziometacarpal Osteoarthritis.

 Osteoarthritis at the base of the thumb is the most frequent osteoarthritis of the hand. Trapeziectomy in a broad variety of surgical methods have been proposed to achieve pain reduction and improvement of thumb function. A well-known disadvantage is the long recovery time.

First experiences with a new adjustable plate for osteosynthesis of scaphoid nonunions.

Background: Plate osteosynthesis of the scaphoid, as reported earlier by Ender, has lost its importance in the past few years, after Herbert's introduction of the simple and successful technique of screw osteosynthesis. Only in rare cases does one encounter failed healing or instability of the fragments. Even with a vascularized bone chip, it is not always possible to achieve consolidation.

Results of dynamic treatment of fractures of the proximal phalanx of the hand.

Background: The treatment of fractures of the proximal phalanx in three-phalanx fingers has for a long time been the domain of conservative static treatment in a plaster cast. After removal of the plaster, there was usually limitation of mobility of the interphalangeal joints. Fractures of the proximal phalanx are managed with conservative functional treatment in our clinic.

Unstable distal radius fractures in the elderly patient--volar fixed-angle plate osteosynthesis prevents secondary loss of reduction.

Background: Because of demographic changes in industrialized countries, signifying a growing population of the aged and a markedly increased life expectancy, the incidence of the distal radius fracture is expected to increase by a further 50% until the year 2030. Osteoporosis characterizes the radius fracture in elderly patients. Primarily weakening metaphyseal bone, osteoporosis renders simple fractures unstable and makes distal bone fixation a challenge.

The J-bone graft for anatomical glenoid reconstruction in recurrent posttraumatic anterior shoulder dislocation.

Background: Posttraumatic shoulder dislocations with glenoid rim fractures show high rates of dislocation recurrence. For glenoid rim defects exceeding a certain size, several investigators recommend bone grafting. Few reports on anatomical glenoid reconstruction addressing this problem are published.

Reasons for failure after surgical repair of anterior shoulder instability.

A total of 41 patients presenting with recurrent anterior instability of the shoulder after surgical repair were followed up after a mean period of 49 months (range, 24-81 months). The failed procedures were arthroscopic Bankart repair in 25 cases, open Bankart repair in 6 cases, Eden-Hybinette procedure in 4 cases, rotational osteotomy in 2 cases, capsular T- shift operation in 1 case, Bristow-Latarjet in one case, and a J-bone graft procedure in one case. In one case the index procedure was unknown.