{"title":"Pseudarthrosen des Metatarsale 5: Welche Fraktur ist „at risk“? Behandlungsstrategie der Pseudarthrose","authors":"Sebastian Felix Baumbach, Hans Polzer","doi":"10.1016/j.fuspru.2024.02.007","DOIUrl":"10.1016/j.fuspru.2024.02.007","url":null,"abstract":"<div><p>Fractures of the base of the fifth metatarsal bone are among the most common fractures of the foot. Some of these fractures heal quickly and without complications with non-operative therapy, while others often lead to symptomatic non-unions. Accordingly, proper classification is critical for a successful treatment. The best therapy for a non-union is to prevent it. Fractures at the distal end of articulation of fourth and fifth metatarsal (meta-diaphyseal fractures) have a high risk for non-unions when treated non-operatively. Operative treatment using intramedullary screw fixation on the other hand, leads to reproducibly good results. Accordingly, operative treatment should be recommended. If a non-union develops, it is result of non-operative treatment in most cases. Only symptomatic non-unions necessitate further treatment. Initially, shock wave therapy should be considered. Most authors recommend isolated intramedullary screw osteosynthesis. An open curettage of the non-union or even a bone grafting do not seem to be necessary.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 20-28"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000084/pdfft?md5=f334558fc7367b382c6258861841c029&pid=1-s2.0-S1619998724000084-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140278484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pseudarthrose nach modifizierter Lapidus-Arthrodese: Fusion erreichen, Längenverlust und Metatarsalgie vermeiden","authors":"Renée Fuhrmann","doi":"10.1016/j.fuspru.2023.10.007","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.10.007","url":null,"abstract":"<div><p>The modified Lapidus arthrodesis is a well-established procedure to adress pathologies of the first metatarso-cuneiform joint, i.e. metatarsus primus varus with concomitant hallux valgus deformity. Despite a standardized surgical technique complications like pseudarthrosis or metatarsalgia may occur.</p><p>This article includes measures to avoid these complications and gives strategies to manage postoperative adverse effects.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 12-19"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998723001861/pdfft?md5=0ec0c47250d1074ed31853dba3c2dff5&pid=1-s2.0-S1619998723001861-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Max C. Pilgrim, Jan von Recum, Paul Alfred Grützner, Gregor Reiter
{"title":"Die septische Pseudarthrose des Pilon tibiale: Lösung eines unlösbaren Problems","authors":"Max C. Pilgrim, Jan von Recum, Paul Alfred Grützner, Gregor Reiter","doi":"10.1016/j.fuspru.2024.02.002","DOIUrl":"10.1016/j.fuspru.2024.02.002","url":null,"abstract":"<div><p>Septic non-union of a tibial pilon or plafond fracture is a serious complication. Only a consistent procedure with multiple interventions and a long process promises a sustainable success. In the following, a current and practicable therapeutical concept of a septic non-union of the tibial pilon is presented, which is carried out in an established manner in our clinic and which, if carried out consistently, many of these complex patients can be healed with a good clinical result. The key points of the concept are radical bone and soft-tissue resection followed by local and systemic anti-infective therapy, and reconstruction of bone and soft tissue loss. Depending on the degree of bone loss, the authors describe local defect filling, if necessary, in combination with osteosynthetic treatment or primary arthrodesis. In the case of long-distance bone loss, there is the possibility of bone segment transport. Therefore, different techniques are presented, followed by docking-procedure or secondary arthrodesis depending on the condition of the joint.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 37-49"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000035/pdfft?md5=e145f4f20da3bb45d5666e2d83cf6f42&pid=1-s2.0-S1619998724000035-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Komplikationen der minimal invasiven Fußchirurgie: Vermeiden und Lösen","authors":"Lukas Deiss , Carla Weber , Kathrin Pfahl , Markus Walther","doi":"10.1016/j.fuspru.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.fuspru.2023.11.001","url":null,"abstract":"<div><p>Minimally invasive procedures have gained enormous popularity in recent years. Like any surgical procedure, these techniques have particular challenges and complications. In the meantime, a large amount of literature supports minimally invasive procedures so that today they can no longer be classified as outsider procedures.</p><p>The article considers minimally invasive hallux valgus correction (MICA), distal minimally invasive metatarsal osteotomies (DMMO), minimally invasive calcaneal osteotomy (MICO), and lesser toe corrections as the most common procedures.</p><p>This article aims to present the typical complications and to show possible solutions to avoid them or to deal with the problem should it materialize.</p></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Pages 2-11"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998723002052/pdfft?md5=55beca20e8c8ccb843503dc90a8ef99c&pid=1-s2.0-S1619998723002052-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140650091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neuafnahmen (Stand 01.01.2024)","authors":"","doi":"10.1016/j.fuspru.2024.01.001","DOIUrl":"10.1016/j.fuspru.2024.01.001","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"22 1","pages":"Page 66"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1619998724000011/pdfft?md5=aadde7d2c5224fde79b24fb57cbce77e&pid=1-s2.0-S1619998724000011-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140272022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}