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| Verfasst von: | Engel, Holger [VerfasserIn]  |
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| | Xiong, Lingyun [VerfasserIn] |
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| | Heffinger, Christian [VerfasserIn] |
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| | Kneser, Ulrich [VerfasserIn] |
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| | Hirche, Christoph [VerfasserIn] |
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| Titel: | Comparative outcome analysis of internal screw fixation and Kirschner wire fixation in the treatment of scaphoid nonunion |
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| Verf.angabe: | Holger Engel, Lingyun Xiong, Christian Heffinger, Ulrich Kneser, Christoph Hirche |
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| E-Jahr: | 2020 |
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| Jahr: | 6 May 2020 |
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| Umfang: | 8 S. |
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| Fussnoten: | Gesehen am 08.10.2020 |
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| Titel Quelle: | Enthalten in: Journal of plastic, reconstructive & aesthetic surgery |
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| Ort Quelle: | Amsterdam [u.a.] : Elsevier, 2006 |
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| Jahr Quelle: | 2020 |
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| Band/Heft Quelle: | 73(2020), 9, Seite 1675-1682 |
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| ISSN Quelle: | 1878-0539 |
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| Abstract: | In cases with difficult scaphoid screw placement due to small, fragile bone fragments, or transplants and insufficient space, the internal Kirschner wire fixation is a fallback option; however, controversy remains regarding its stability, safety, and outcome. Between 2001 and 2011, 95 patients were treated in our center (n=80 with cannulated compression screws and n=15 with Kirschner wires), and retrospectively analyzed. The outcome measurements included the analysis of patient data, union rate and analysis of functional measures, and quality of life. Bony reconstructions were performed with Vascularized Bone Grafts (VBG) based on the 1,2-Intercompartmental Supraretinacular Artery (ICSRA) , Medial Femoral Condyle (MFC)-VBG, cancellous bone, and iliac crest grafts. Bony healing and functional outcome showed no significant differences between Kirschner wire fixation and cannulated compression screws, although significantly more 1,2-ICSRA-VBG were treated with Kirschner wires. Although predominantly used as an intraoperative fallback option, our data demonstrate that Kirschner wire internal fixation can be safe and reliable, with comparable bony union rates and excellent functional outcomes. |
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| DOI: | doi:10.1016/j.bjps.2020.03.016 |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext ; Verlag: https://doi.org/10.1016/j.bjps.2020.03.016 |
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| | Volltext: http://www.sciencedirect.com/science/article/pii/S1748681520301479 |
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| | DOI: https://doi.org/10.1016/j.bjps.2020.03.016 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | Cannulated screw |
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| | Comparative study |
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| | Internal screw fixation |
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| | K wire |
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| | Kirschner wire |
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| | Scaphoid non-union |
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| K10plus-PPN: | 1735207292 |
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| Verknüpfungen: | → Zeitschrift |
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Comparative outcome analysis of internal screw fixation and Kirschner wire fixation in the treatment of scaphoid nonunion / Engel, Holger [VerfasserIn]; 6 May 2020 (Online-Ressource)
