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Vordere Kreuzbandruptur im Wachstumsalter

Aktuelle operative Verfahren und Techniken

Anterior cruciate ligament rupture in the growth phase

Current operative procedures and techniques

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Arthroskopie Aims and scope

Zusammenfassung

Durch vermehrte sportliche Aktivität nehmen Verletzungen des vorderen Kreuzbands (VKB) im Wachstumsalter zu. Die Anatomie mit offenen Wachstumsfugen erfordert ein besonderes Vorgehen bei der Behandlung. Die klinischen Ergebnisse der konservativen Therapie bei Kreuzbandverletzungen im Wachstumsalter sind der operativen Versorgung unterlegen. Die transepiphysäre Rekonstruktion ist sicher durchführbar und zeigt gute klinische Ergebnisse. Zukünftig könnten augmentierte Kreuzbandnähte sowie die Verwendung von Allografts eine zunehmende Rolle spielen.

Abstract

Due to an increase in sporting activities, the number of injuries of the immature knee is continuously increasing. A rupture of the anterior cruciate ligament implies appropriate treatment regarding its particular anatomy, with open growth plates. Clinical results for conservative treatment of ruptures of the anterior cruciate ligament suggest that it is less efficacious compared to operative treatment. The transepiphyseal reconstruction has shown to be a safe treatment method and provides good clinical results. Future treatment may involve the use of allografts as well as augmented suture repair.

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Authors and Affiliations

  1. Sektion Knie- und Schulterchirurgie, Sporttraumatologie, Chirurgisch-Traumatologisches Zentrum, ASKLEPIOS Klinik St. Georg, Hamburg, Deutschland

    Tobias Claus Drenck, Achim Preiss, Ralph Akoto, Matthias Krause & Karl-Heinz Frosch

  2. Abteilung Unfall- und Wiederherstellungschirurgie mit Sektion Knie- und Schulterchirurgie, Sporttraumatologie, Chirurgisch-Traumatologisches Zentrum, ASKLEPIOS Klinik St. Georg, Lohmühlenstr. 5, 20099, Hamburg, Deutschland

    Karl-Heinz Frosch

Authors
  1. Tobias Claus Drenck
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  2. Achim Preiss
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  3. Ralph Akoto
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  4. Matthias Krause
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  5. Karl-Heinz Frosch
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Corresponding author

Correspondence to Karl-Heinz Frosch.

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Interessenkonflikt

T.C. Drenck, A. Preiss,R. Akoto, M. Krause undK.-H. Frosch geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Drenck, T.C., Preiss, A., Akoto, R. et al. Vordere Kreuzbandruptur im Wachstumsalter. Arthroskopie 31, 196–200 (2018). https://doi.org/10.1007/s00142-018-0206-x

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  • DOI: https://doi.org/10.1007/s00142-018-0206-x

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