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Operationstechnik posterolaterale Stabilisierung

Surgical technique for posterolateral stabilization

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Arthroskopie Aims and scope

Zusammenfassung

Die posterolateralen Strukturen (PLS) stellen den Hauptstabilisator für die tibiale Außenrotation in geringeren Flexionsgraden dar. Verletzungen der posterolateralen Gelenkecke treten dabei häufig in Kombination mit Verletzungen des hinteren Kreuzbands (HKB), seltener bei Rupturen des vorderen Kreuzbands (VKB) auf. Bei diesen kombinierten Verletzungsmustern sollte im Rahmen der HKB/VKB-Rekonstruktion ebenfalls eine Stabilisierung der posterolateralen Strukturen erfolgen. Aufgrund der guten Praktikabilität im Alltag sowie der klinischen Ergebnisse hat sich hier die posterolaterale Stabilisierung nach Larson als das am häufigsten angewendete Verfahren etabliert. Im folgenden Beitrag soll hier die Operationstechnik detailliert erläutert werden.

Abstract

The posterolateral corner (PLC) structures of the knee are the main restraint against external tibial rotation of the tibia near extension. Injuries of the PLC are most common in combination with posterior cruciate ligament (PCL), less frequent with anterior cruciate ligament (ACL) injuries. In cases of combined injuries, the PLC should be reconstructed in combination with PCL/ACL reconstruction. A modified Larson procedure is the most commonly used operative procedure because of its practicability and good clinical results. In the following article, the operative technique is described in detail.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. M. Schulz-Jahrsdörfer und J. Richter geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Abteilung für Sportorthopädie und arthroskopische Chirurgie, Orthopädische Klinik Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Deutschland

    M. Schulz-Jahrsdörfer & J. Richter

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  1. M. Schulz-Jahrsdörfer
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  2. J. Richter
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Correspondence to M. Schulz-Jahrsdörfer.

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Schulz-Jahrsdörfer, M., Richter, J. Operationstechnik posterolaterale Stabilisierung. Arthroskopie 27, 202–207 (2014). https://doi.org/10.1007/s00142-014-0820-1

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  • DOI: https://doi.org/10.1007/s00142-014-0820-1

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