[Treatment reality of distal radius fractures in a center].

Distal radius fractures are the third most common type of fracture in Germany after fractures of the femoral neck and peritrochanteric femoral fractures. In 2019 a total of 72,087 cases were registered with an incidence of 106 cases per 100,000 inhabitants (81,570 fractures of the femoral neck, 73,785 peritrochanteric fractures). Many of these fractures are surgically treated also in this hospital but with controversial views on the optimal treatment.

[Physiolysis with Resection of Vickers' Ligament in Adolescent Patients with Madelung's Deformity].

Background: Madelung's deformity is a congenital or acquired growth disorder of the forearm that can lead to significant impairments in the quality of life of affected patients. Various surgical treatment options for the condition have been described in the literature. This study aimed to investigate whether physiolysis with resection of the Vickers ligament can successfully halt the progression of the disease in a cohort of young patients, as would be expected based on existing literature on this topic.

[Scaphoid fractures : Current diagnostic and treatment concepts].

Scaphoid fractures are by far the most frequent fractures of the carpal bones of the hand and often lead to problematic healing processes if the diagnostics and treatment are inadequate. The main complication of a scaphoid fracture is pseudarthrosis, which leads to carpal collapse and degenerative arthritis of the wrist if left untreated. Early diagnosis and individualized differentiated treatment aim to achieve bony healing with restoration of the scaphoid shape and preservation of the function of the wrist.

Results of primary radial corrective osteotomy in Madelung's deformity.

Introduction: The purpose of this study was the evaluation of surgical outcomes in a series of wrists with Madelung's deformity treated with radial corrective osteotomy. We hypothesize that this surgical technique is a suitable and safe way of treatment.

Materials And Methods: A retrospective review of patients with Madelung's deformity treated with radial corrective osteotomy between January 2001 and June 2017 at a single large department of hand surgery in Germany was performed.

[Differented Aproaches for Fracture Treatment in the Hand - when doing what?].

Treatment of finger fractures is demanding twice. Malunion and incongruence of the joints frequently result in severe functional restriction and should not be tolerated. On the other hand surgical access to the fracture site is frequently limited by the proximity of vulnerable structures like nerves, vessels, ligaments, and tendons.