Operative Orthopadie Und Traumatologie最新文献

{"title":"Percutaneous screw fixation of pubic symphysis diastasis.","authors":"Nicole M van Veelen, Julia J Chan, Björn-Christian Link, Peter D Bates","doi":"10.1007/s00064-026-00952-x","DOIUrl":"https://doi.org/10.1007/s00064-026-00952-x","url":null,"abstract":"<p><strong>Objective: </strong>Describe percutaneous screw fixation of symphyseal disruption as an alternative to open reduction and plate fixation.</p><p><strong>Indications: </strong>Pelvic ring fractures with symphyseal disruption ≥ 25 mm (anteroposterior compression [APC] type II, lateral compression [LC] type I and II).</p><p><strong>Contraindications: </strong>Open reduction is required if closed reduction fails. Obesity or hernia may hinder screw insertion.</p><p><strong>Surgical technique: </strong>Reduction with a Weber clamp placed percutaneously. Using C‑arm imaging, the first guide wire is introduced percutaneously from one pubic tubercle across the symphysis. The near cortex is drilled with a cannulated drill bit prior to inserting the 7.3 mm cannulated screw. The second screw is placed in the same fashion from the contralateral side. Either a V-configuration with the superior screw placed in a transverse direction and the inferior screw oblique, or an X‑configuration with both screws oblique and crossing at the symphysis can be used.</p><p><strong>Postoperative management: </strong>Thromboprophylaxis for 6-12 weeks. Obtain postoperative x‑rays with anteroposterior, inlet and outlet views. In case of bilateral posterior injury, the patient should remain nonweight-bearing for 6 weeks. If posterior injury is unilateral, the contralateral leg may fully weight-bear. Follow-up with x‑rays should be obtained 6 weeks postoperatively and weight-bearing can commence. Additional follow-up 6 months postoperatively.</p><p><strong>Results: </strong>The authors have performed and documented eight cases treated with this technique. One patient had an open fracture and developed an implant-associated infection requiring revision surgery. Follow-up information for one patient could not be obtained. Radiological signs of screw loosening or breakage was visible in four cases; however, all patients showed good outcomes, and no implant removal was required.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671280","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":"[Mucoid cysts at the distal interphalangeal joint of the finger : Excision technique including flap coverage].","authors":"Steffen Löw, Sebastian Kiesel","doi":"10.1007/s00064-026-00951-y","DOIUrl":"https://doi.org/10.1007/s00064-026-00951-y","url":null,"abstract":"<p><strong>Objective: </strong>Excision of the cyst and, if necessary, reconstructive coverage.</p><p><strong>Indications: </strong>Thinned skin over the distal joint or at the proximal nail fold with the risk of perforation. Perforated mucoid cysts with discharge of mucoid material, with the risk of infection up to joint infection. Occasionally, the mucoid cyst content drains from the proximal nail fold, and even more rarely, it emerges under the nail. Nail growth disorders caused by a cyst sac overlying the proximal nail plate.</p><p><strong>Contraindications: </strong>An existing infection requires at least simultaneous treatment of the infection, and possibly also of the joint infection. In cases of significantly painful distal joint osteoarthritis, simultaneous distal joint fusion should be considered.</p><p><strong>Surgical technique: </strong>Supine position with the pronated arm placed on the arm table. Digital nerve block anesthesia. Bloodless surgical field. Triangular excision of the thinned skin. If necessary, distal undermining of the skin and distal enucleation of the ganglion sac. Longitudinal incision towards the proximal end and dissecting the soft tissue envelope along the extensor aponeurosis. The skin should only be held back with a skin hook and not pinched with forceps. Excision of the joint capsule including the ganglion stalk and removal of osteophytes as needed. Flipping of the stretching flap and close-meshed skin suturing. Application of a stabilizing dressing and removal of the finger tab.</p><p><strong>Postoperative management: </strong>Keep the arm raised consistently. The stabilizing bandage should support wound healing for one week. Removal of stitches after 14 days.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594692","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":"Harvesting the tendon of the rectus femoris muscle as a graft for reconstructive ligament surgery on the knee joint.","authors":"Alvin Karaqi, Philipp Braken, Jana Nelson, Wolf Petersen, Sergio Canuto, Richard Glaab","doi":"10.1007/s00064-026-00947-8","DOIUrl":"https://doi.org/10.1007/s00064-026-00947-8","url":null,"abstract":"<p><strong>Objective: </strong>Harvesting a strip from the distal rectus femoris tendon as an autograft for ligament reconstruction of the knee or other joints.</p><p><strong>Indications: </strong>Ligament reconstructions of the knee, both primary and revision procedures.</p><p><strong>Contraindications: </strong>Relative: athletes in jumping sports requiring rapid recovery of explosive strength.</p><p><strong>Surgical technique: </strong>Palpation of the distal quadriceps tendon at the \"fusion zone,\" approximately 5 cm proximal to the superior patellar pole. A 3-4 cm longitudinal skin incision is made at the junction of the lateral and middle third or centrally. The quadriceps tendon is exposed and identified proximally. After identification, two parallel incisions create an 8-10 mm wide graft. The tendon strip is mobilized with a clamp just above the fusion zone and separated from the deeper layers. Distal detachment of the graft can be performed either (a) with a scalpel after whipstitching of the free end or (b) with a closed tendon stripper following proximal release under tension. The preparation is then extended proximally by 7-8 cm with scissors and bluntly separated from deeper layers with the index finger. An open or closed tendon stripper (8-9 mm) is advanced proximally with the knee in 20° flexion until complete graft harvest. Rotational movements should be avoided.</p><p><strong>Postoperative management: </strong>Rehabilitation follows the protocol of the corresponding ligament reconstruction. No specific measures are required for the donor site.</p><p><strong>Results: </strong>Radiological assessment demonstrated a mean distal rectus femoris tendon length of 39 cm (32-47 cm). In cadaveric studies, the technique was feasible and reproducible. Clinically, the graft was used in 103 patients, with a mean graft diameter of 8.3 mm. In a few cases, hamstring augmentation was required. Complications such as arthrofibrosis or donor-site hematoma were rare and successfully treated. External studies confirmed the suitability of the rectus femoris tendon, particularly for revision anterior cruciate ligament reconstruction.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304040","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":"[Palmar approach for silicone interposition arthroplasty of the finger middle joint].","authors":"Ali Ayache, Christian K Spies, Adrian Cavalcanti Kußmaul, Frank Unglaub","doi":"10.1007/s00064-026-00942-z","DOIUrl":"https://doi.org/10.1007/s00064-026-00942-z","url":null,"abstract":"<p><strong>Objective: </strong>The implantation of a silicone endoprosthesis at the middle finger joint through a palmar approach without harming the sensitive extensor aponeurosis.</p><p><strong>Indications: </strong>In cases of significant, treatment-resistant, functionally limiting symptoms and significant restriction of motion due to radiologically confirmed joint destruction of the middle finger joint.</p><p><strong>Contraindications: </strong>General surgical contraindications, markedly insufficient collateral ligament apparatus, axial malalignment in the coronal plane of more than 30°, absence of function in the flexor or extensor tendons, extensive osteolysis, contracted complex deformities.</p><p><strong>Surgical technique: </strong>Modified palmar skin incision according to the Bruner technique. Mobilization of the ulnar and radial neurovascular bundles. Dissect and mobilize an intact tendon sheath distal to the A2 annulus, taking care to preserve the flexor tendons. Synovialectomy of the proximal interphalangeal (PIP) joint. Exposure and Resection of the proximal phalangeal head. Debridement of the former joint cavity. Dissection of the middle and proximal phalanges. Insertion of a trial prosthesis and reduction of the joint. If this reveals a good fit with free mobility and sufficient lateral stability with a physiological finger axis, the definitive implant can be inserted. Reconstruction of the tendon sheath.</p><p><strong>Postoperative management: </strong>Fitting of a metacarpal brace, physiotherapist-guided mobilization, gradual increase in weight-bearing starting in the 7th postoperative week.</p><p><strong>Results: </strong>Follow-up examinations of silicone prosthesis implantations via the palmar approach at the finger PIP joint demonstrated clinical outcomes that were at least comparable to those known from the dorsal approach.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220920","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":"[Harvesting the anterior half of the peroneus longus tendon].","authors":"Wolf Petersen, Johanna Schulze Borges, Yizhou Ge, Christina Bockelmann, Martin Häner","doi":"10.1007/s00064-026-00948-7","DOIUrl":"https://doi.org/10.1007/s00064-026-00948-7","url":null,"abstract":"<p><strong>Objective: </strong>Harvesting the anterior half of the peroneus longus tendon insertion as a graft for reconstructive ligament replacement of the knee joint or other joints.</p><p><strong>Indications: </strong>Ligament reconstruction of the knee joint or other joints requiring an autologous tendon graft.</p><p><strong>Contraindications: </strong>Chronic instability of the ankle joint.</p><p><strong>Surgical technique: </strong>An approximately 2 cm long incision is made behind the distal fibula, approximately 3 cm above the tip of the lateral malleolus. Splitting of the fascia and exposure of the peroneal tendons. The peroneus longus tendon lies posterior to the peroneus brevis tendon. Circumcision of the peroneus longus tendon with a clamp and a central incision along the fibers. Reinforcement of the anterior half with baseball stitch sutures and separation of the graft distally. A round tendon stripper is advanced, separating the anterior portion of the tendon from the posterior tendon and detaching it from the peroneus longus muscle. The average graft length is approximately 29 cm.</p><p><strong>Postoperative management: </strong>Full weightbearing and free mobility of the ankle joint, no ankle orthosis. The exact follow-up protocol depends on the ligament reconstruction for which the graft is required.</p><p><strong>Results: </strong>Previous reports on this graft in the literature have been positive; however, there are isolated reports of donor ankle morbidity.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213474","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":"[Minimally invasive cotton osteotomy : Surgical technique and functional outcomes].","authors":"Felix Werneburg, Maria Felsberg, Juliane Beschauner, Constantin Rump, Darius Arbab, Alexander Zeh, Karl-Stefan Delank, Natalia Gutteck","doi":"10.1007/s00064-026-00946-9","DOIUrl":"https://doi.org/10.1007/s00064-026-00946-9","url":null,"abstract":"<p><strong>Objective: </strong>The primary objective of the minimally invasive Cotton osteotomy is to correct sagittal malalignment of the medial column by targeted plantarflexion, thereby restoring alignment and contributing to the reconstruction of complex pes planovalgus deformities within a joint-preserving surgical approach.</p><p><strong>Indications: </strong>The procedure is indicated in cases of flexible forefoot supination as part of a progressive collapsing foot deformity (PCFD), particularly when isolated hindfoot correction is insufficient to re-establish medial arch stability. Additional indications include tibialis posterior tendon insufficiency and overload syndromes of the medial column.</p><p><strong>Contraindications: </strong>Contraindications include general surgical inoperability and acute infection at the operative site. Relative contraindications comprise advanced peripheral arterial disease, severe osteoporosis, neuropathic foot deformities with loss of protective sensation, and symptomatic arthritis of the medial column joints.</p><p><strong>Surgical technique: </strong>The Cotton osteotomy is performed via a minimally invasive, closed-wedge technique through a small plantar-medial incision. A wedge-shaped bone fragment is resected from the medial cuneiform using a Shannon burr. The osteotomy gap is then closed by controlled compression to achieve plantarflexion of the medial ray. Fixation is accomplished with a percutaneously inserted, cannulated compression screw under fluoroscopic guidance.</p><p><strong>Postoperative management: </strong>Postoperatively, patients are immobilized in a below-knee walker boot with touch-down weight-bearing for six weeks. After radiographic confirmation of consolidation, progressive loading is initiated with transition to full weight-bearing and regular footwear around week 12. Physical therapy supports restoration of mobility and strength throughout the recovery period.</p><p><strong>Results: </strong>This retrospective study included 13 feet in 12 patients who underwent minimally invasive Cotton osteotomy as part of a combined hindfoot reconstruction. Significant functional improvement was observed, with the AOFAS score increasing from 71.5 ± 14.0 preoperatively to 91.0 ± 5.6 postoperatively (p < 0.05), corresponding to a very large effect size (Cohen's d = 2.20). One case of prolonged wound secretion occurred at the calcaneal osteotomy site and was managed conservatively without revision surgery.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159147","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 for inlay, neck and head failure of hip endoprostheses with fixed metal components].","authors":"Karl-Dieter Heller, Kalliopi Brachou-Keßler, Ulrike Seybt, David Krüger","doi":"10.1007/s00064-026-00940-1","DOIUrl":"10.1007/s00064-026-00940-1","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this technique is to minimize the extent of revision surgery in cases of inlay and/or head failure and fixed metal components of hip endoprostheses by replacing only the modular components, while still effectively solving the problem. In some cases, it may be justified to insert a nonprosthetic polyethylene inlay or a smaller polyethylene cup cemented into the fixed metal cup.</p><p><strong>Indications: </strong>Revision surgery for hip endoprostheses with inlay wear and fixed metal components, damage to a ceramic inlay or ceramic head, necessary head replacement due to instability, early infection or mismatch. Cementing a polyethylene inlay or polyethylene cup into the metal cup can be indicated in cases where the inlay is no longer available and the metal cup is firmly integrated and undamaged or only slightly damaged, in order to avoid major surgery and risk reduction in ill or very old patients.</p><p><strong>Contraindications: </strong>The general contraindications for planned surgery apply. Local infections, bone tumors near the joint, periprosthetic fractures, cup and/or stem loosening, late infections and uncontrollable instability are also contraindications for isolated replacement of the inlay and head.</p><p><strong>Surgical technique: </strong>The joint is usually surgically exposed via the pre-existing access. After removing the prosthesis head the socket is exposed. The polyethylene or ceramic inlay is removed as gently as possible. If no compatible inlay for the existing prosthesis is available, a nonmatching inlay or a polyethylene cup can be cemented in place; in this case, the inner surface of the metal cup is roughened to ensure adequate cement bonding. With respect to head replacement, the extent of cone damage must be taken into account. In any case, revision head systems with metal sleeves are required to prevent fracture of the ceramic head due to incongruity.</p><p><strong>Postoperative management: </strong>After isolated inlay or head replacement, early functional physiotherapy with mobilization under full weight bearing on forearm crutches can usually be started on the first postoperative day.</p><p><strong>Results: </strong>Good results can be achieved through revision surgery with isolated replacement of the prosthesis head in combination with the cementing of a polyethylene inlay into fixed metal cups. Even after 10 years there are significant increases in the scores and in 80-93% of cases, no further revision surgery is necessary. The rate of construct failure in the contact area between the inlay, cement and metal cup is less than 5%.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"174-183"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148036877","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 revision for instability following reverse shoulder arthroplasty].","authors":"Freya M Reeh, Jan N Riesselmann, Helmut Lill, Alexander Ellwein","doi":"10.1007/s00064-026-00931-2","DOIUrl":"10.1007/s00064-026-00931-2","url":null,"abstract":"<p><strong>Objective: </strong>In the case of unstable shoulder joint arthroplasty with recurrent dislocations, the aim of surgery is to restore increased soft tissue tension and, thus, joint stability.</p><p><strong>Indications: </strong>Indications include recurrent dislocations of the shoulder arthroplasty or instability of the arthroplasty in the case of obvious biomechanical weaknesses.</p><p><strong>Contraindications: </strong>In addition to general contraindications such as comorbidities that prevent surgery, surgery should initially be avoided in favor of infection remediation in the case of a critical soft tissue situation in the access area and an existing infection.</p><p><strong>Surgical technique: </strong>After positioning in the modified beach-chair position with the upper body elevated by 30° and the arm moving freely on a separate table, the deltoid-pectoral approach is performed. The arthroplasty is exposed and luxated using a Homann hook. Increased lateralization can now be achieved by changing the baseplate and/or the glenosphere (+2 or +4 mm in each case). The \"jumping distance\" can also be increased by selecting a larger glenosphere. If the glenohumeral inclination angle of the inserted arthroplasty is 155°, the epiphysis is changed to an angle of 135° (if necessary, with the addition of a spacer) so that additional humeral (bifocal) lateralization is achieved. If the tuberosities can no longer be refixed or are even missing, a tuberculoplasty is performed using a cement construct attached laterally to the arthroplasty epiphysis. After a final stability check and radiological control, a Redon drain is inserted and the wound is closed.</p><p><strong>Postoperative management: </strong>Immediately postoperatively, the patient is fitted with an abduction orthosis and the affected shoulder is immobilized for 2 weeks (formation of a neocapsule). This is followed by early functional active and passive therapy without weight-bearing on the arm for a total of 6 weeks.</p><p><strong>Results: </strong>For unstable arthroplasty, the surgical treatment described above can achieve a significant improvement in the stability of the arthroplasty with a low redislocation rate. Nevertheless, attention should be paid to biomechanically correct arthroplasty implantation with refixation of the tuberosity during the initial treatment.</p>","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":" ","pages":"163-173"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222182","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":"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":"184-200"},"PeriodicalIF":1.1,"publicationDate":"2026-06-01","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":"Schmerzhafte Endoprothese.","authors":"Oliver Rühmann","doi":"10.1007/s00064-026-00938-9","DOIUrl":"https://doi.org/10.1007/s00064-026-00938-9","url":null,"abstract":"","PeriodicalId":54677,"journal":{"name":"Operative Orthopadie Und Traumatologie","volume":"38 3-4","pages":"161-162"},"PeriodicalIF":1.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165532","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}