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/ZeitungSCORING: ReviewForschung

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Bibtex

@article{26f484eee4fd4fb298e7fe12d46659aa,
title = "Posttraumatische Deformit{\"a}ten am Kniegelenk: Intraartikul{\"a}re Korrekturosteotomien nach fehlverheilter Tibiakopffraktur",
abstract = "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. ",
keywords = "Arthroplasty, Evidence-Based Medicine, Fracture Fixation, Internal, Humans, Knee Injuries, Knee Joint, Osteoarthritis, Knee, Osteotomy, Tibial Fractures, Treatment Outcome, Journal Article, Review",
author = "K-H Frosch and M Krause and J Frings and T Drenck and R Akoto and G M{\"u}ller and J Madert",
year = "2016",
month = oct,
doi = "10.1007/s00113-016-0234-9",
language = "Deutsch",
volume = "119",
pages = "859--76",
journal = "UNFALLCHIRURGIE",
issn = "0177-5537",
publisher = "Springer",
number = "10",

}

RIS

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 -