Posttraumatische Deformitäten am Kniegelenk
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- 作者：Prof. Dr. K.-H. Frosch ; M. Krause ; J. Frings ; T. Drenck ; R. Akoto…
- 关键词：SchlüsselwörterGelenkfehlstellung ; Frakturreposition ; Deformitäten ; Zugang ; Arthroskopie ; Kniegelenkersatz
- 刊名：Der Unfallchirurg
- 出版年：2016
- 出版时间：October 2016
- 年：2016
- 卷：119
- 期：10
- 页码：859-876
- 全文大小：3,398 KB
- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Traumatic Surgery
Medicine/Public Health, general
Sports Medicine - 出版者：Springer Berlin / Heidelberg
- ISSN：1433-044X
- 卷排序：119
文摘
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.