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Die Behandlung von frischen kombinierten Kniebandverletzungen

  • Conference paper
Verhandlungen der Deutschen Gesellschaft für Chirurgie

Part of the book series: Langenbecks Archiv für Chirurgie ((KONGRESSBAND,volume 1989))

  • 27 Accesses

Summary

The stability of the knee joint is ensured by dynamic and static structures. The most important medial structures are the medial collateral ligament, medial capsular ligament, posterior oblique ligament, semimembranous muscle, and the pes anserinus group. The main supportive structures on the lateral side include the iliotibial band, lateral collateral ligament, lateral capsular ligament, popliteal tendon, arcuate ligament, and the biceps muscle. The cruciate ligament pillar is the center of rotation. The classification of knee instability requires new orientation that places the main emphasis on the translation of the joint compartments and the description of the injured structures.

Zusammenfassung

Die Stabilität des Kniegelenkes wird durch dynamische und statische Strukturen gesichert. Die wesentlichen medialen Strukturen sind: das med. Seitenbande, das med. Kapselband, das hintere Schrägband, der M. semimembranosus und die Pes anserinus-Gruppe. Lateral spielen Tractus iliotibialis, lat. Seitenband, lat. Kapselband, Popliteussehne,Lig. arcuatum und der M. biceps eine entscheidende Rolle. Der zentrale Angelpunkt ist der Kreuzbandpfeiler. Die Kreuzbänder gehorchen dabei dem kinematischen Prinzip einer überschlagenen Viergelenkskette. Die Klassifikation von Knieinstabilitäten bedarf einer Neuorientierung, wobei die Translation der Gelenkskompartimente bestimmt und die einzelnen Verletzungen deskriptiver dargestellt werden.

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Author information

Authors and Affiliations

  1. Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Konstanty-Gutschow-Str. 8, D-3000, Hannover 61, Deutschland

    N. Haas & P. Lobenhoffer

  2. Unfallchirurg. Abt.der Chirurg, Univ. Klinik Freiburg, Hugstetter Str. 55, 7800, Freiburg, Deutschland

    V. Hendrich

  3. Univ.-Klinik für Unfallchirurgie, Anichstr. 35, A-6020, Innsbruck, Österreich

    E. Beck

  4. Klinik für Unfallchirurgie und Klinik für Wiederherstellungschirurgie, Universitätsspital, Rämistraße 100, CH-8091, Zürich, Schweiz

    W. Glinz & V. E. Meyer

  5. Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Ludwig-Guttmann-Str. 13, 6700, Ludwigshafen-Oggersheim, Deutschland

    A. Wentzensen

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  1. N. Haas
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  2. P. Lobenhoffer
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  3. V. Hendrich
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Editors and Affiliations

  1. Steinbacher Hohl 28, D-6000, Frankfurt a.M. 90, Deutschland

    E. Ungeheuer (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie) (Generalsekretär d. Deutschen Gesellschaft f. Chirurgie)

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© 1989 Springer-Verlag Berlin Heidelberg

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Haas, N. et al. (1989). Die Behandlung von frischen kombinierten Kniebandverletzungen. In: Ungeheuer, E. (eds) Verhandlungen der Deutschen Gesellschaft für Chirurgie. Langenbecks Archiv für Chirurgie, vol 1989. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48162-8_16

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  • DOI: https://doi.org/10.1007/978-3-642-48162-8_16

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