Operative Orthopadie Und Traumatologie最新文献

{"title":"[Surgical treatment of secondary patella baja following total knee arthroplasty].","authors":"Mara Hold, Henning Windhagen, Lars-Rene Tuecking","doi":"10.1007/s00064-026-00937-w","DOIUrl":"https://doi.org/10.1007/s00064-026-00937-w","url":null,"abstract":"<p><strong>Surgical objective: </strong>Improvement of knee joint function through proximalisation of the patella, increase in range of motion (ROM) and reduction of anterior knee pain.</p><p><strong>Indications: </strong>Secondary patella baja following implantation of total knee arthroplasty with shortening of the patellar tendon or scarring of periarticular soft tissues (e.g. Hoffa's fat pad). Particularly in cases of functional impairment of the extensor mechanism and failure of conservative measures.</p><p><strong>Contraindications: </strong>Infection (preoperative joint aspiration recommended), lack of compliance, inability to undergo postoperative rehabilitation, and pseudo-patella baja due to joint line proximalisation.</p><p><strong>Surgical technique: </strong>Release/arthrolysis: release of infrapatellar, anterolateral and femoral adhesions; tendon lengthening using Z‑plasty, if necessary. Tuberosity osteotomy: oblique osteotomy of the tibial tuberosity with distal shift of the fragment and screw fixation.</p><p><strong>Postoperative management: </strong>Early functional physical therapy and continuous passive motion device for the knee. Full weight-bearing possible immediately after surgery. After tuberosity osteotomy, partial weight-bearing (approximately 15 kg for 6 weeks) with gradual increase in weight-bearing after radiological consolidation.</p><p><strong>Results: </strong>The literature on isolated release is limited, with isolated case reports showing functional improvements. For tuberosity osteotomy, there are case series reporting improvements in clinical scores (e.g. Kujala, Knee Society Score) and patella height indices. Nevertheless, postoperative limitations remain possible.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Talonavicular arthrodesis].","authors":"Dariusch Arbab, Bertil Bouillon, Sebastian Schilde, Natalia Gutteck, Philipp Lichte, Eugen Ulrich","doi":"10.1007/s00064-024-00875-5","DOIUrl":"10.1007/s00064-024-00875-5","url":null,"abstract":"<p><strong>Objective: </strong>Realignment of the hindfoot by talonavicular arthrodesis.</p><p><strong>Indications: </strong>Idiopathic and posttraumatic arthritis of the talonavicular joint with or without malalignment. Optional in flatfoot reconstruction.</p><p><strong>Contraindications: </strong>General medical contraindications to surgical interventions.</p><p><strong>Infection: </strong></p><p><strong>Surgical technique: </strong>Medial, dorsomedial, or dorsal skin incision. Exposure of the talonavicular joint and cartilage removal. Decortication. Reposition of the joint if malaligned. Optional transplantation of corticocancellous bone. Temporary stabilization with Kirschner wires and stabilization with screws, optional with cramps or plates.</p><p><strong>Postoperative management: </strong>Six weeks nonweightbearing in a long walker boot. Afterwards 2 weeks of progressively weight bearing in a long walker boot. Then full weightbearing in walking shoes with stiff soles. Physiotherapy.</p><p><strong>Results: </strong>A total of 18 feet in 18 patients with isolated talonavicular arthritis were treated with isolated talonavicular fusion and corticocancellous bone thorough a midline incision. For postoperative management, patients had nonweightbearing for 6 weeks in a long walker boot. Mean follow-up was 14.5 months (range 8-35 months). Mean age was 63.2 years (range 54-72 years). Preoperative Manchester-Oxford Foot Questionnaire (MOXFQ) score was 65.3 (± 5.2); postoperative MOXFQ score was 28.5 (± 7.0). One revision surgery performed due to pseudarthrosis.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"91-103"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical technique of low-profile dual plating for midshaft clavicle fractures.","authors":"Bryan J M van de Wall, Nadine Diwersi, Lukas Scheuble, Yannic Lecoultre, Björn Christian Link, Reto Babst, Frank J P Beeres","doi":"10.1007/s00064-025-00903-y","DOIUrl":"10.1007/s00064-025-00903-y","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this surgical technique is fracture healing with anatomical alignment and less implant irritation due to smaller, low-profile plates. Equal to superior stability is provided compared to single superior- or anterior-based plates.</p><p><strong>Indications: </strong>The same general indications for surgical stabilization of clavicle fractures apply for low-profile double plating and include fracture displacement of one or more shaft width, shortening of more than 1 cm in length, and patients with high physical activity levels. Double plating is especially suitable for fractures in the midportion of the clavicle.</p><p><strong>Contraindications: </strong>Fractures in the far lateral portion of the clavicle due to physiological thinning of the clavicle potentially causing problems with screw purchase of screws fitted in the anterior plate.</p><p><strong>Surgical technique: </strong>A 2.0 mm low-profile mini plate is used on the superior and a 2.4 or 2.7 mm on the anterior surface of the clavicle. The plates are fixated with a minimum of two cortical or locking screws on each side of the fracture in each plate. A lag screw can be used if absolute stability can be obtained in simple fractures.</p><p><strong>Postoperative management: </strong>A standard functional postoperative regime can be followed after plate fixation with free mobilization up to 90° without weight bearing for 6 weeks. Afterwards free range of motion and weight bearing are allowed.</p><p><strong>Results: </strong>A biomechanical study, meta-analysis, and retrospective analysis have shown that low profile double plating offers equal to superior stability, lower rates of implant irritation and subsequent removal compared to conventional single plating with equal healing potential.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"131-136"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined direct anterior approach and navigation-assisted percutaneous anterograde posterior column fixation for acetabular periprosthetic fractures.","authors":"Gautier Beckers, Dominic Simon, Maximilian Lerchenberger, Wolfgang Böcker, Jörg Arnholdt, Boris M Holzapfel","doi":"10.1007/s00064-025-00900-1","DOIUrl":"10.1007/s00064-025-00900-1","url":null,"abstract":"<p><strong>Objective: </strong>Management of acetabular periprosthetic fractures using a combined direct anterior approach (DAA) with or without proximal intrapelvic Levine extension and navigation-assisted percutaneous anterograde posterior column screw fixation.</p><p><strong>Indications: </strong>Acute and subacute non-displaced or minimally displaced periprosthetic posterior column fracture, pathological fracture, or osteolysis of the posterior column.</p><p><strong>Contraindications: </strong>Highly displaced posterior column, and/or comminuted fractures, narrow osseous corridor, large abdominal pannus, and inguinal skin infection.</p><p><strong>Surgical technique: </strong>A classic DAA approach with or without proximal extension is performed, as for acetabular revisions. The hip is then dislocated, and both the femoral head and insert are extracted. The stability of the acetabular component is assessed. If it is found to be loose, the acetabular component is removed, and the fracture line is evaluated. Following this step, if criteria for anterograde percutaneous screw fixation are met, a minimally invasive stab incision over the iliac crest is performed. After calibration of the navigation system and 3D computed tomography (CT) data acquisition, the fascia is sharply opened, and blunt dissection of the iliac muscle is performed using a Cobb elevator under hip flexion to protect the femoral nerve and iliac muscle. After defining the trajectory in three planes using the navigation system, pre-drilling is performed with a 2.8-mm K-wire. Subsequently, a 7.5-mm fully threaded screw is inserted, and intraoperative CT is repeated to verify the correct screw position. The procedure is then completed by replacing the acetabular component via the DAA if it was loose. Additional screw fixation through the acetabular implant is advised.</p><p><strong>Results: </strong>Based on our preliminary experience, this technique offers a safe alternative with favorable outcomes compared to combined anterior and posterior approaches. It diminishes soft tissue trauma and procedural complexity while retaining the advantages of the anterior approach. The utilization of navigation allows for precise screw positioning and enhances surgical accuracy. Consequently, this surgical technique enables the increasing number of DAA surgeons to address rare complications using their preferred approach.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"104-118"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Michael Blauth","doi":"10.1007/s00064-026-00936-x","DOIUrl":"https://doi.org/10.1007/s00064-026-00936-x","url":null,"abstract":"","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":"38 2","pages":"89-90"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Radial tunnel syndrome/supinator lodge syndrome-neurolysis facilitating the anterolateral approach].","authors":"Florian Flock, F Unglaub, L P Müller, T Leschinger, Christian K Spies","doi":"10.1007/s00064-025-00906-9","DOIUrl":"10.1007/s00064-025-00906-9","url":null,"abstract":"<p><strong>Objective: </strong>Treatment of pain and hypaesthesia caused by radial tunnel syndrome and functional deficits caused by supinator lodge syndrome. The objective for chronic nerve compression is containment to prevent further damage.</p><p><strong>Indications: </strong>Radial tunnel syndrome, supinator lodge syndrome, tumour compressing the nerve, unsuccessful conservative therapy for at least 6 weeks and up to 4-6 months.</p><p><strong>Contraindications: </strong>Infection or skin disease at the surgical area, severe scarring from previous surgery, systemic diseases that prevent anaesthesia, and nerve entrapment outside the radial tunnel and supinator tunnel.</p><p><strong>Surgical technique: </strong>Decompression of the radial nerve both by addressing the entrapments within the radial tunnel and incising the supinator tunnel facilitating the anterolateral approach via the internerval plane between the brachioradialis and brachialis muscles.</p><p><strong>Postoperative management: </strong>Compressive dressing around the complete arm for 3 weeks.</p><p><strong>Results: </strong>Radial tunnel syndrome (RTS) and supinator lodge syndrome are nerve compression syndromes of the radial nerve. Proximal compression may cause mixed symptoms with pain, sensory, and motor deficits, while distal compression may cause either sensory or motor deficits. If symptoms persist for 4-6 months, surgical decompression is recommended, whereby the anterolateral approach is preferred due to better healing results and extensibility. The success rate after surgical decompression averages between 67 and 92%.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"119-130"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of unstable and displaced medial clavicle fractures with a contoured biplanar low profile angle stable implant.","authors":"J Schmalzl, J Zimmermann, L Hufnagel, R Meffert","doi":"10.1007/s00064-025-00901-0","DOIUrl":"10.1007/s00064-025-00901-0","url":null,"abstract":"<p><strong>Objective: </strong>To achieve stable fixation to allow early mobilization by using a low profile contoured biplanar implant to avoid soft tissue problems and to minimize need for implant removal.</p><p><strong>Indications: </strong>Unstable and displaced medial clavicle fractures in young patients with high functional demands.</p><p><strong>Contraindications: </strong>Open/contaminated fractures. Fractures in geriatric patients with low functional demands.</p><p><strong>Surgical technique: </strong>Saber cut incision over the medial clavicle. Perpendicular incision to open the calvipectoral fascia. Fracture reduction and temporary retention. Contouring and attachment of the plate. Definitive plate fixation. Radiological documentation.</p><p><strong>Postoperative management: </strong>Cryotherapy, anti-inflammatory medication on demand. Shoulder sling for comfort for 1-2 weeks. Physical therapy with active flexion and abduction limited to 90° for 6 weeks. Clinical and radiological follow up for 6-12 months.</p><p><strong>Results: </strong>In total, 5 patients were treated with the described technique. All patients were very satisfied with the result. The mean Constant-Murley score was 91 points and the mean Quick DASH (disabilities of shoulder and hand) was 3% after an average follow-up of 74 months. In none of the cases implant removal was necessary.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"137-143"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Surgical treatment for chronic rupture of the quadriceps tendon].","authors":"Wolf Petersen, Yizhoe Ge, Johanna Schulze Borges, Martin Häner, Philipp von Roth","doi":"10.1007/s00064-026-00934-z","DOIUrl":"10.1007/s00064-026-00934-z","url":null,"abstract":"<p><strong>Objective: </strong>Reconstruction of the quadriceps tendon to restore extensor function in cases of chronic rupture.</p><p><strong>Indications: </strong>Rupture of the quadriceps tendon due to delayed diagnosis, failure of primary refixation or after implantation of a knee endoprosthesis.</p><p><strong>Contraindications: </strong>Infections.</p><p><strong>Surgical technique: </strong>Reopen the old incision and verify whether the quadriceps tendon can be reattached to the patella. If there is no dehiscence, refixation with bone anchors (no bone defects) or transosseously (bone defects). If the tissue quality is poor (e.g., previous surgery, knee prosthesis), augmentation with local VY turnover flap, tubular autologous or allogeneic tendon graft or with a synthetic mesh. If the dehiscence is < 5 cm, a VY lengthening flap is recommended. For defects > 5 cm, an allogeneic Achilles tendon graft is used; if the patella is absent an allogeneic extensor graft is used. In cases of significant patella infera (Caton Index < 0.5), either a needling, a Z-plasty to lengthen the patellar tendon (2-3 cm length) or proximalization of the tibial tubercle is performed.</p><p><strong>Rehabilitation: </strong>In cases of refixation with augmentation, 6 weeks of partial weight-bearing (10 kg body weight) in a straight removable splint. Range of motion: 4 weeks 0‑0-60, 5-6 weeks 0‑0-90. In cases of augmentation (total knee arthroplasty): Partial weight-bearing of 10 kg body weight is permitted for 6 weeks in a straight removable brace. Subsequently, the patient transitions to an articulated brace for another 6 weeks with progressive range of motion limitations as follows: weeks 7-8: 0‑0-30°, weeks 9-10: 0‑0-60°, weeks 11-12: 0‑0-90°. Thereafter, unrestricted motion is allowed, and the brace may be discontinued.</p><p><strong>Results: </strong>To date, only small case series have been published on all techniques for managing chronic quadriceps tendon injuries, which were summarized in three systematic reviews. In the native knee refixation with or without augmentation can achieve good clinical results with low rerupture rates. High revision rates and unsatisfactory functional outcomes have been reported after the use of larger allogeneic grafts (Achilles tendon or extensor tendon), therefore these procedures should only be used when large defects cannot be reconstructed using other techniques.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"144-160"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Hip arthroscopy for painful endoprosthesis].","authors":"Oliver Rühmann, Frederik Hoffmann, Patrik Puljić, Markus Wünsch, Solveig Lerch","doi":"10.1007/s00064-026-00933-0","DOIUrl":"https://doi.org/10.1007/s00064-026-00933-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Hip arthroscopy for a painful endoprosthesis is performed to confirm and evaluate or detect pathologies (sampling for microbiology/histology, function), which are treated during the procedure or can indicate treatment options for the further course of the procedure.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Indications: &lt;/strong&gt;Hip arthroscopy is indicated for the diagnostics of unclear persistent pain after implantation of a hip endoprosthesis (low-grade infection, metal reaction/metallosis, loosening/misplacement of prosthesis components) and for treatment (iliopsoas impingement, removal of biomechanically disruptive osteophytes, removal of free joint bodies and cam impingement in hip resurfacing arthroplasty, arthrolysis in cases of restricted movement).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Contraindications: &lt;/strong&gt;Local infections with the exception of the diagnostics of a low-grade infection, bone tumors near the joint, periprosthetic fractures and extensive periarticular ossification or arthrofibrosis with involvement of periarticular soft tissue (relative) are contraindications.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Surgical technique: &lt;/strong&gt;As with arthroscopy of native hip joints, the procedure is performed on a fracture table. Strict attention must be paid to precise positioning to avoid complications. Joint distraction is not performed in cases of an implanted endoprosthesis because no additional information can be expected from viewing the surfaces of the bearing couples and there is a risk of damaging the surfaces. Arthroscopy is carried out in the peripheral compartment in 10-30° flexion in the basic position via an anterolateral (AL) and anterior portal (A) as standard. Synovial fluid and tissue samples should be taken regularly for microbiological or histological examination. After adhesiolysis and synovectomy the exposed endoprosthesis is inspected and its function dynamically assessed. If iliopsoas impingement is present the release is performed using the transcapsular technique.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Postoperative management: &lt;/strong&gt;The postoperative treatment regimen includes pain-adapted mobilization with full weight-bearing after the day of the operation onwards. Crutches are indicated for ca. 5 days to harmonize the gait pattern. Physiotherapy exercises with permitted full range of motion are carried out from the 1st postoperative day and should generally be continued until the 6th postoperative week.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the period from 2010-2025, 22 hip arthroscopies were performed on 20 patients (14 female, 6 male; 2 female patients underwent arthroscopy twice) with an average age of 59 years (39-78 years) and an average of 3.5 years (0.75 months to 14.5 years) after arthroplasty. In each case 2 portals were created. The average operation time was 45 min (25-79 min). The results were evaluated after an average of 2.5 years (0.3-12.8 years), 4 patients underwent only diagnostic arthroscopy, an infection was detected twice and excluded two times. Of t","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Revision surgery after trapeziometacarpal joint arthroplasty].","authors":"Victoria Franziska Struckmann, Thomas Krohn, Ali Ayache, Benjamin Panzram","doi":"10.1007/s00064-026-00935-y","DOIUrl":"https://doi.org/10.1007/s00064-026-00935-y","url":null,"abstract":"<p><strong>Objective: </strong>Restoration of pain-free mobility of the trapeziometacarpal joint (TMJ) after a complicated course following arthoplasty through revision surgery with preservation of the prosthesis.</p><p><strong>Indications: </strong>Complications during or after implantation of a thumb carpometacarpal joint endoprosthesis, such as first metacarpal shaft fracture, cup malalignment, cup loosening, trapezium fracture, and impingement.</p><p><strong>Contraindications: </strong>Insufficient bone stock and/or the presence of infection may argue against revision surgery with preservation of the prosthesis.</p><p><strong>Surgical technique: </strong>Various techniques are employed depending on the indication for revision, as outlined below.</p><p><strong>Postoperative management: </strong>As with the primary operation, revision of the neck component usually requires only a short period of immobilization. Revision of the cup or stem may require a longer period of immobilization of up to 6 weeks, depending on the extent of the revision.</p><p><strong>Results: </strong>In our cohort, the postoperative outcome following the described revision procedures was comparable to that after primary thumb carpometacarpal arthroplasty without subsequent revision, with observed differences largely attributable to prolonged immobilization necessitated by revision of the components implanted in the bone.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}