Verschiedene Techniken zur Ersatzplastik des vorderen Kreuzbands
作者： W. Petersen , K.P. Benedetto
DOI: 10.1007/S00142-012-0718-8
关键词:
摘要: Zur Versorgung der Ruptur des vorderen Kreuzbands (VKB) steht heute eine Vielzahl bewahrter Operationsmethoden zur Verfugung, um ein sehr heterogenes Patientenkollektiv zu versorgen. Als Goldstandard zum VKB-Ersatz gilt die anatomische Einzelbundelrekonstruktion. Hierfur konnen Beugesehnen-, Patellarsehnen- oder Quadrizepssehnentransplantate verwendet werden. Indikation fur Doppelbundelrekonstruktion werden Patienten mit grosen Insertionszonen gesehen. Zum Doppelbundelkonzept gehort auch partielle Bundelersatz bei einer Partialruptur „remnant augmentation“. Die Transplantatwahl sollte patientenadaptiert erfolgen. Dabei sollten Alter, Geschlecht, Aktivitat, Sportart, Beruf und religiose Gewohnheiten berucksichtigt
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