OP-Techniken des vorderen Kreuzbands im Wachstumsalter

Zusammenfassung

Verletzungen des vorderen Kreuzbands (VKB) im Kindes- und Jugendalter stellen eine schwerwiegende Verletzung des Kniegelenks dar. In den vergangenen 20 Jahren stiegen die Inzidenzen weltweit erheblich. Bei der Behandlung sind neben Begleitverletzungen unbedingt die Besonderheiten des noch wachsenden Bewegungsapparats für eine erfolgreiche Therapie zu berücksichtigen. Zahlreiche Behandlungsstrategien wurden über die Jahrzehnte angewandt. In Langzeitdaten zeigen sich nun signifikant bessere Ergebnisse nach operativer Stabilisierung. Dabei hat sich die transepiphysäre VKB-Plastik als Goldstandard etabliert hinsichtlich funktioneller Outcomes und (Leistungs-)Sportfähigkeit.

Abstract

Anterior cruciate ligament (ACL) injuries in children and adolescents represent a serious injury to the knee joint. Over the past 20 years, the incidence has increased significantly worldwide. In treatment, it is essential to consider not only associated injuries but also the unique characteristics of the still-growing musculoskeletal system to achieve successful therapy. Numerous treatment strategies have been used over the decades. Long-term data now show significantly better outcomes after surgical stabilization. In this context, transepiphyseal ACL reconstruction has established itself as the gold standard in terms of functional outcome and the ability to return to (competitive) sports.

Schlüsselwörter

Vorderes Kreuzband - Ruptur - Kindesalter - jugendliches Alter - Therapie

Keywords

anterior cruciate ligament - rupture - childhood - young age - therapy

Publication History

Article published online:
18 July 2025

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