Posttraumatische Deformitäten am Kniegelenk
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Posttraumatische Deformitäten am Kniegelenk : Intraartikuläre Korrekturosteotomien nach fehlverheilter Tibiakopffraktur. / Frosch, K-H; Krause, M; Frings, J; Drenck, T; Akoto, R; Müller, G; Madert, J.
in: UNFALLCHIRURG, Jahrgang 119, Nr. 10, 10.2016, S. 859-76.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Posttraumatische Deformitäten am Kniegelenk
T2 - Intraartikuläre Korrekturosteotomien nach fehlverheilter Tibiakopffraktur
AU - Frosch, K-H
AU - Krause, M
AU - Frings, J
AU - Drenck, T
AU - Akoto, R
AU - Müller, G
AU - Madert, J
PY - 2016/10
Y1 - 2016/10
N2 - Malreduction of tibial head fractures often leads to malalignment of the lower extremity, pain, limited range of motion and instability. The extent of the complaints and the degree of deformity requires an exact analysis and a standardized approach. True ligamentous instability should be distinguished from pseudoinstability of the joint. Also extra- and intra-articular deformities have to be differentiated. In intra-articular deformities the extent of articular surface displacement, defects and clefts must be accurately evaluated. A specific surgical approach is necessary, which allows adequate visualization, correct osteotomy and refixation of the fractured area of the tibial head. In the long-term course good clinical results are described for intra-articular osteotomies. If the joint is damaged to such an extent that it cannot be reconstructed or in cases of advanced posttraumatic osteoarthritis, total knee arthroplasty may be necessary; however, whenever possible and reasonable, anatomical reconstruction and preservation of the joint should be attempted.
AB - Malreduction of tibial head fractures often leads to malalignment of the lower extremity, pain, limited range of motion and instability. The extent of the complaints and the degree of deformity requires an exact analysis and a standardized approach. True ligamentous instability should be distinguished from pseudoinstability of the joint. Also extra- and intra-articular deformities have to be differentiated. In intra-articular deformities the extent of articular surface displacement, defects and clefts must be accurately evaluated. A specific surgical approach is necessary, which allows adequate visualization, correct osteotomy and refixation of the fractured area of the tibial head. In the long-term course good clinical results are described for intra-articular osteotomies. If the joint is damaged to such an extent that it cannot be reconstructed or in cases of advanced posttraumatic osteoarthritis, total knee arthroplasty may be necessary; however, whenever possible and reasonable, anatomical reconstruction and preservation of the joint should be attempted.
KW - Arthroplasty
KW - Evidence-Based Medicine
KW - Fracture Fixation, Internal
KW - Humans
KW - Knee Injuries
KW - Knee Joint
KW - Osteoarthritis, Knee
KW - Osteotomy
KW - Tibial Fractures
KW - Treatment Outcome
KW - Journal Article
KW - Review
U2 - 10.1007/s00113-016-0234-9
DO - 10.1007/s00113-016-0234-9
M3 - SCORING: Review
C2 - 27655027
VL - 119
SP - 859
EP - 876
JO - UNFALLCHIRURGIE
JF - UNFALLCHIRURGIE
SN - 0177-5537
IS - 10
ER -