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Sportphysio 2020; 08(03): 118-124
DOI: 10.1055/a-1167-7430
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Multiligamentäre Kniegelenkverletzungen – Therapieempfehlungen für die Frührehabilitation

Thomas Stein
,
Wolfgang Schoch
,
Daniel Niederer
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Multiligamentäre Kniegelenkverletzungen gehören zu den schwerwiegenden Verletzungen der unteren Extremität. Sie sind aufgrund ihrer Komplexität und Heterogenität kaum miteinander zu vergleichen. Daher gibt es keine evidenzbasierten einheitlichen Therapieempfehlungen – aber Erfahrungswerte, an denen sich Sport- und Physiotherapeuten orientieren können, um in der Nachbehandlung ein optimales Ergebnis für den Patienten zu erzielen.



Publication History

Article published online:
03 July 2020

© Georg Thieme Verlag KG
Stuttgart · New York

 

  • Literatur

  • 1 Ahn S, Lee YS, Song YD. et al. Does surgical reconstruction produce better stability than conservative treatment in the isolated PCL injuries?. Archives of Orthopaedic and Trauma Surgery 2016; 136 (06) 811-819
    CrossrefPubMedGoogle Scholar
  • 2 Ateschrang A, Ahrend MD, Ahmad S. et al. Kombinierte Rekonstruktion des hinteren und vorderen Kreuzbandes. Operative Orthopädie und Traumatologie 2019; 31 (01) 20-35
    CrossrefPubMedGoogle Scholar
  • 3 Bodendorfer BM, Keeling LE, Michaelson EM. et al. Predictors of knee arthrofibrosis and outcomes after arthroscopic lysis of adhesions following ligamentous reconstruction: A retrospective case-control study with over two years’ average follow-up. The Journal of Knee Surgery 2019; 32 (06) 536-543
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Fanelli GC, Giannotti BF, Edson CJ. Arthroscopically assisted combined posterior cruciate ligament/posterior lateral complex reconstruction. Arthroscopy: The Journal of Arthroscopic & Related Surgery 1996; 12 (05) 521-530
    CrossrefPubMedGoogle Scholar
  • 5 Fanelli GC, Orcutt DR, Edson CJ. The multiple-ligament injured knee: Evaluation, treatment, and results. Arthroscopy: The Journal of Arthroscopic & Related Surgery 2005; 21 (04) 471-486
    CrossrefPubMedGoogle Scholar
  • 6 Glasgow P. Eisanwendung in der Sportphysiotherapie. In: Sportphysio 2013; 01 (01) 37-44
    Google Scholar
  • 7 Heitmann M, Akoto R, Krause M. et al. Management of acute knee dislocations: Anatomic repair and ligament bracing as a new treatment option – results of a multicentre study. Knee Surgery, Sports Traumatology, Arthroscopy 2019; 27 (08) 2710-2718
    CrossrefPubMedGoogle Scholar
  • 8 Heitmann M, Gerau M, Hötzel J. et al. Ligament bracing – Augmentierte Primärnaht bei multiligamentären Verletzungen des Kniegelenks. Operative Orthopädie und Traumatologie 2014; 26 (01) 19-29
    CrossrefPubMedGoogle Scholar
  • 9 Howells NR, Brunton LR, Robinson J. et al. Acute knee dislocation: An evidence based approach to the management of the multiligament injured knee. Injury 2011; 42 (11) 1198-1204
    CrossrefPubMedGoogle Scholar
  • 10 Kim K-M, Croy T, Hertel J. et al. Effects of neuromuscular electrical stimulation after anterior cruciate ligament reconstruction on quadriceps strength, function, and patient-oriented outcomes: A systematic review. The Journal of Orthopaedic and Sports Physical Therapy 2010; 40 (07) 383-391
    CrossrefPubMedGoogle Scholar
  • 11 Klose M, Diermeier T, Beitzel K. et al. Rehabilitation nach multiligamentären Rekonstruktionen. Arthroskopie 2017; 30 (01) 60-66
    CrossrefGoogle Scholar
  • 12 Lambiris E, Stoboy H. Thermographie bei Sportverletzungen des Kniegelnks. In: Deutsche Zeitschrift für Sportmedizin 1985; 36: 144-146
    Google Scholar
  • 13 Lynch AD, Chmielewski T, Bailey L. et al. Current concepts and controversies in rehabilitation after surgery for multiple ligament knee injury. Current Reviews in Musculoskeletal Medicine 2017; 10 (03) 328-345
    CrossrefPubMedGoogle Scholar
  • 14 Marom N, Ruzbarsky JJ, Roselaar N. et al. Knee MLI injuries: Common problems and solutions. Clinics in Sports Medicine 2018; 37 (02) 281-291
    CrossrefPubMedGoogle Scholar
  • 15 Mueller BT, O’Brien LT. Multiligament knee injuries in athletes, is it possible to return to play? A rehabilitation perspective. Ann Joint 2018; 3: 92
    CrossrefGoogle Scholar
  • 16 Schenck RC. Classification of Knee Dislocations. In: Fanelli GC. (Hg.). Multiple ligament injured knee. New York, NY: Springer; 2011: 37-49
    Google Scholar
  • 17 Shelbourne KD, Patel DV, Martini DJ. Classification and management of arthrofibrosis of the knee after anterior cruciate ligament reconstruction. The American Journal of Sports Medicine 1996; 24 (06) 857-862
    CrossrefPubMedGoogle Scholar
  • 18 Silbernagel KG, Thomeé R, Eriksson BI. et al. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: A randomized controlled study. The American Journal of Sports Medicine 2007; 35 (06) 897-906
    CrossrefPubMedGoogle Scholar
  • 19 Skendzel JG, Sekiya JK, Wojtys EM. Diagnosis and management of the multiligament-injured knee. The Journal of Orthopaedic and Sports Physical Therapy 2012; 42 (03) 234-242
    CrossrefPubMedGoogle Scholar
  • 20 Welsch F, Köhler K, Buckup J. et al. Komplexe Kniebandinstabilitäten einschließlich Luxation – Teil 1. In: Orthopädie und Unfallchirurgie up2date 2016; 11 (05) 379-403
    Google Scholar