Intraartikuläre Tibiakopffrakturen

Maike Reul; Stefaan Nijs; Pol Maria Rommens; Harm Hoekstra

doi:10.1055/s-0042-116779

Zeitschrift für Orthopädie und Unfallchirurgie, Inhaltsverzeichnis

Z Orthop Unfall 2017; 155(03): 352-370
DOI: 10.1055/s-0042-116779

CME-Fortbildung

Georg Thieme Verlag KG Stuttgart · New York

Intraartikuläre Tibiakopffrakturen

Intra-articulair tibial Plateau Fractures

Autor*innen

Maike Reul
Stefaan Nijs
Pol Maria Rommens
Harm Hoekstra

Abstract

Zusammenfassung

Tibiakopffrakturen sind komplexe Gelenkfrakturen, deren adäquate Behandlung eine dezidierte klinische und radiologische Diagnostik erfordert. Bei der Behandlung hat sich das 3-Pfeiler-Konzept als ausgezeichnetes chirurgisches Planungsinstrument dieses komplexen Traumas erwiesen. Der Standard der Therapie ist die offene interne Stabilisierung (ORIF) mit anatomischer Rekonstruktion des Gelenks. Bei der Wahl der korrekten Behandlungsstrategie können gute funktionelle Resultate erreicht werden.

Tibiakopffrakturen sind Gelenkfrakturen, deren adäquate Behandlung eine dezidierte klinische und radiologische Diagnostik erfordert. Bei der Behandlung hat sich das 3-Pfeiler-Konzept als ausgezeichnetes chirurgisches Planungsinstrument dieses komplexen Traumas erwiesen. Der Standard der Therapie ist die offene interne Stabilisierung (ORIF) mit anatomischer Rekonstruktion des Gelenks. Bei Wahl der korrekten Behandlungsstrategie können gute funktionelle Resultate erreicht werden.

Abstract

Tibial plateau fractures are complex articular injuries, especially if caused by high energy. For adequate treatment a decidedly clinical and radiographic diagnostic is required. The three-column-concept has proven as excellent surgical planningstool in this complex trauma. By (1) precisely considering the specific characteristics of the fracture, (2) careful treatment of soft-tissue envelope and (3) choosing the right treatment strategy, a good functional outcome can be achieved.

Schlüsselwörter

Tibiakopffraktur - Frakturmorphologie - 3-Pfeiler-Konzept - Osteosynthese - funktionelles Ergebnis

Key words

tibial plateau fracture - fracture morphology - three-column-concept - osteosynthesis - functional outcome

Volltext

Referenzen

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