The Experts below are selected from a list of 24759 Experts worldwide ranked by ideXlab platform
Robert A Kaufmann - One of the best experts on this subject based on the ideXlab platform.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. Methods: We reviewed the most current literature on various treatment methods of proximal phalanx Fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. Results: Stable Fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. Conclusions: Clinical success is achieved when acceptable Fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons...
-
Distal Radius Fracture Management in Elderly Patients
Operative Techniques in Orthopaedics, 2009Co-Authors: Robert A Kaufmann, S. V. GehrmannAbstract:Distal radius Fracture Management in elderly patients remains without consensus regarding the appropriate treatment or anticipated outcome. Multiple treatment methods, such as pins and plaster, external fixation, K-wires, bone cement and open reduction, and internal fixation with plates have been compared with higher rates of infection being observed with external fixation and K-wire stabilization. Stratification into low and high demand groups may improve the Management of distal radius Fractures in elderly patients. In sedentary people with low demands, functional outcomes are good despite the presence of deformity. Patients with higher demands may benefit from locking volar plate Fracture stabilization. This method may be particularly suitable for the elderly that take longer to heal a Fracture, are more susceptible to pin tract infection, and demonstrate earlier tendon irritation leading to rupture.
-
distal radius Fracture Management in elderly patients a literature review
Journal of Hand Surgery (European Volume), 2008Co-Authors: Sebastian Gehrmann, J Windolf, Robert A KaufmannAbstract:Distal radius Fracture Management in elderly patients remains without consensus regarding the appropriate treatment or anticipated outcome. Forty-one studies that included at least 10 patients with a minimum mean age of 65 years and that were indexed in Medline or Embase were reviewed. Treatment methods included pins and plaster, external fixation, K-wires, bone cement, and open reduction and internal fixation with plates. The methodological quality of each study was evaluated through use of a grading scale. Despite study heterogeneity, higher rates of infection were noted with external fixation and K-wire stabilization. Stratifying patients into low-demand and high-demand groups may improve the Management of distal radius Fractures in elderly patients. In sedentary patients with low demands, functional outcomes are good despite the presence of deformity. Patients with higher demands may benefit from Fracture stabilization with locking volar plates. Volar plating with fixed-angle screws may be particularly suitable for elderly patients who may take longer to heal a Fracture, be more susceptible to pin-track infection, and demonstrate earlier tendon irritation leading to rupture.
Emmanuel M. Illical - One of the best experts on this subject based on the ideXlab platform.
-
Current Concepts in Talar Neck Fracture Management
Current Reviews in Musculoskeletal Medicine, 2018Co-Authors: Colin Whitaker, Blake Turvey, Emmanuel M. IllicalAbstract:Purpose of the review Talar neck Fractures are a rare but potentially devastating injury, which require a comprehensive understanding of the unique osteology, vasculature, and surrounding anatomy to recognize pathology and treat correctly. The purpose of this article is to describe both classic and current literature to better understand the evolution of talar neck Fracture Management. Recent findings Urgent reduction of displaced Fractures and dislocations remains the standard of care to protect the soft tissue envelope and neurovascular structures. Delayed definitive fixation has proven to be safe. CT is the imaging modality of choice to fully identify the Fracture pattern and associated injuries. Anatomic reduction and restoration of the peritalar articular surfaces are the pillars of talar neck Fracture treatment. Dual incision approach with plate and screw fixation has become the modern surgical strategy of choice to accomplish these goals. Although complications such as osteonecrosis (ON) and posttraumatic arthritis (PTA) can still occur at high rates, treatment should be dictated by patient symptoms. Summary Talar neck Fractures pose treatment challenges with both initial injury and potential sequelae. Future research will determine whether modern treatment algorithms will decrease complication rate and improve patient outcome.
-
Current Concepts in Talar Neck Fracture Management.
Current reviews in musculoskeletal medicine, 2018Co-Authors: Colin M Whitaker, Blake Ryan Turvey, Emmanuel M. IllicalAbstract:Purpose of the review Talar neck Fractures are a rare but potentially devastating injury, which require a comprehensive understanding of the unique osteology, vasculature, and surrounding anatomy to recognize pathology and treat correctly. The purpose of this article is to describe both classic and current literature to better understand the evolution of talar neck Fracture Management.
Sebastian Gehrmann - One of the best experts on this subject based on the ideXlab platform.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. Methods: We reviewed the most current literature on various treatment methods of proximal phalanx Fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. Results: Stable Fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. Conclusions: Clinical success is achieved when acceptable Fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons...
-
distal radius Fracture Management in elderly patients a literature review
Journal of Hand Surgery (European Volume), 2008Co-Authors: Sebastian Gehrmann, J Windolf, Robert A KaufmannAbstract:Distal radius Fracture Management in elderly patients remains without consensus regarding the appropriate treatment or anticipated outcome. Forty-one studies that included at least 10 patients with a minimum mean age of 65 years and that were indexed in Medline or Embase were reviewed. Treatment methods included pins and plaster, external fixation, K-wires, bone cement, and open reduction and internal fixation with plates. The methodological quality of each study was evaluated through use of a grading scale. Despite study heterogeneity, higher rates of infection were noted with external fixation and K-wire stabilization. Stratifying patients into low-demand and high-demand groups may improve the Management of distal radius Fractures in elderly patients. In sedentary patients with low demands, functional outcomes are good despite the presence of deformity. Patients with higher demands may benefit from Fracture stabilization with locking volar plates. Volar plating with fixed-angle screws may be particularly suitable for elderly patients who may take longer to heal a Fracture, be more susceptible to pin-track infection, and demonstrate earlier tendon irritation leading to rupture.
J Windolf - One of the best experts on this subject based on the ideXlab platform.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. Methods: We reviewed the most current literature on various treatment methods of proximal phalanx Fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. Results: Stable Fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. Conclusions: Clinical success is achieved when acceptable Fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons...
-
distal radius Fracture Management in elderly patients a literature review
Journal of Hand Surgery (European Volume), 2008Co-Authors: Sebastian Gehrmann, J Windolf, Robert A KaufmannAbstract:Distal radius Fracture Management in elderly patients remains without consensus regarding the appropriate treatment or anticipated outcome. Forty-one studies that included at least 10 patients with a minimum mean age of 65 years and that were indexed in Medline or Embase were reviewed. Treatment methods included pins and plaster, external fixation, K-wires, bone cement, and open reduction and internal fixation with plates. The methodological quality of each study was evaluated through use of a grading scale. Despite study heterogeneity, higher rates of infection were noted with external fixation and K-wire stabilization. Stratifying patients into low-demand and high-demand groups may improve the Management of distal radius Fractures in elderly patients. In sedentary patients with low demands, functional outcomes are good despite the presence of deformity. Patients with higher demands may benefit from Fracture stabilization with locking volar plates. Volar plating with fixed-angle screws may be particularly suitable for elderly patients who may take longer to heal a Fracture, be more susceptible to pin-track infection, and demonstrate earlier tendon irritation leading to rupture.
Tim Logters - One of the best experts on this subject based on the ideXlab platform.
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons...
-
proximal phalanx Fracture Management
Hand, 2018Co-Authors: Tim Logters, Sebastian Gehrmann, J Windolf, Hannah H Lee, Robert A KaufmannAbstract:Background: The goal of proximal phalangeal Fracture Management is to allow for Fracture healing to occur in acceptable alignment while maintaining gliding motion of the extensor and flexor tendons. Methods: We reviewed the most current literature on various treatment methods of proximal phalanx Fractures, focusing on the indications and outcomes of nonoperative as well as operative interventions. Results: Stable Fractures can be successfully treated nonoperatively, whereas unstable injuries benefit from surgery. Regardless of the surgical intervention employed, the overriding goal is to restore anatomy and impart enough stability to allow for early motion. The surgical dissection contributes to soft tissue scarring and should be minimized. Conclusions: Clinical success is achieved when acceptable Fracture alignment and stability occur in the setting of unobstructed tendon gliding and early active range of motion.
