Gelenkübergreifender Fixateur externe zur temporären Stabilisierung komplexer Frakturen des Kniegelenks
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Gelenkübergreifender Fixateur externe zur temporären Stabilisierung komplexer Frakturen des Kniegelenks. / Cramer, C; Frosch, K-H.
in: OPER ORTHOP TRAUMATO, Jahrgang 32, Nr. 5, 10.2020, S. 410-420.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Gelenkübergreifender Fixateur externe zur temporären Stabilisierung komplexer Frakturen des Kniegelenks
AU - Cramer, C
AU - Frosch, K-H
PY - 2020/10
Y1 - 2020/10
N2 - OBJECTIVE: Temporary stabilization of the knee joint in order to minimize soft tissue strain until definitive surgery is possible.INDICATIONS: Bicondylar distal femoral and tibial plateau fractures, additional vascular injury, open fractures (second or third degree), severe soft tissue damage, unicondylar fracture with contralateral ligament tear, (open) knee dislocation, polytrauma.CONTRAINDICATIONS: Unsafe pin placement, severe osteoporosis.SURGICAL TECHNIQUE: Two femoral and tibial pins are connected by two rods and are spanned over the knee with two additional longitudinal rods via a tube-to-tube clamp. Alternatively, this can be facilitated by a direct connection of two rods in case of anteriorly placed femoral pins. A reasonable distance should be kept to open wounds, the fracture, and later operative approaches. The knee is fixed in 5-15° of flexion.POSTOPERATIVE MANAGEMENT: Definitive treatment depending on patient well-being and amenable soft tissue.
AB - OBJECTIVE: Temporary stabilization of the knee joint in order to minimize soft tissue strain until definitive surgery is possible.INDICATIONS: Bicondylar distal femoral and tibial plateau fractures, additional vascular injury, open fractures (second or third degree), severe soft tissue damage, unicondylar fracture with contralateral ligament tear, (open) knee dislocation, polytrauma.CONTRAINDICATIONS: Unsafe pin placement, severe osteoporosis.SURGICAL TECHNIQUE: Two femoral and tibial pins are connected by two rods and are spanned over the knee with two additional longitudinal rods via a tube-to-tube clamp. Alternatively, this can be facilitated by a direct connection of two rods in case of anteriorly placed femoral pins. A reasonable distance should be kept to open wounds, the fracture, and later operative approaches. The knee is fixed in 5-15° of flexion.POSTOPERATIVE MANAGEMENT: Definitive treatment depending on patient well-being and amenable soft tissue.
U2 - 10.1007/s00064-020-00674-8
DO - 10.1007/s00064-020-00674-8
M3 - SCORING: Review
C2 - 32876757
VL - 32
SP - 410
EP - 420
JO - OPER ORTHOP TRAUMATO
JF - OPER ORTHOP TRAUMATO
SN - 0934-6694
IS - 5
ER -