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