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Arthroskopisch gestützte Frakturversorgung am Kniegelenk – ein Videobeitrag

Arthroscopically assisted treatment of fractures of the knee joint—a video article

  • Operative Techniken: Standards
  • Published:
Knie Journal Aims and scope

Zusammenfassung

Die arthroskopische Reposition und interne Fixation (ARIF) von Tibiaplateaufrakturen spielt im klinischen Alltag zunehmend eine Rolle. Das Ziel dieser Arbeit ist es, technische Aspekte der arthroskopisch gestützten Tibiaplateaufrakturversorgung anhand einer AO-Typ-41B2-Fraktur zu beschreiben. Tibiaplateaufrakturen vom Typ B1 bis B3 nach AO und insbesondere die über den offenen OP-Zugang schwierig zu visualisierenden posterolateralen Segmente lassen sich in der Regel bei noch geringer Impression ohne Abkippung des Fragmentes nach dorsal mittels ARIF adäquat adressieren. Hierbei können auch weitere Portale, wie das posteromediale, posterolaterale oder das transseptale Portal angelegt werden. Unter arthroskopischer Sicht werden die Fragmente reponiert, hochgestößelt und subchondral mittels Schrauben- oder eingeschobener Plattenosteosynthese fixiert.

Abstract

Arthroscopic reduction and internal fixation (ARIF) of tibial plateau fractures is playing an increasing role in clinical practice. The aim of this technical note is to describe the individual steps of arthroscopically assisted treatment of tibial plateau fractures in an AO type 41B2 fracture. Usually, in tibial plateau fractures of AO type B1–B3, it is difficult to visualize posterolateral segments, but they can normally be adequately addressed using ARIF if the fragments are not tilted. Additional arthroscopic portals like the posteromedial, posterolateral or transseptal portal can be established to improve visualization. Via the arthroscopic view, the fragments can be reduced and fixed subchondrally by osteosynthesis screws or plates.

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Authors and Affiliations

  1. Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Deutschland

    L. Alm &  K.‑H. Frosch

  2. Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland

    M. Berninger,  K.‑H. Frosch &  M. Krause

Authors
  1. L. Alm
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  2. M. Berninger
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  3. K.‑H. Frosch
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  4. M. Krause
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Corresponding author

Correspondence to M. Krause.

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Interessenkonflikt

L. Alm, M. Berninger, K.-H. Frosch und M. Krause geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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S. Schröter, Siegen

Supplementary Information

Operationstechnik der arthroskopisch gestützten Frakturversorgung am Kniegelenk

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Alm, L., Berninger, M., Frosch, K. et al. Arthroskopisch gestützte Frakturversorgung am Kniegelenk – ein Videobeitrag. Knie J. 3, 196–201 (2021). https://doi.org/10.1007/s43205-021-00110-2

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  • DOI: https://doi.org/10.1007/s43205-021-00110-2

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