Zusammenfassung
Die akute hochgradige mediale Instabilität erfordert insbesondere im Fall multiligamentärer Knieverletzungen eine operative Versorgung. Dabei bedingt die Risslokalisation die Versorgungsart. Eine direkte Ankerfixation trägt zu einem gesicherten Band-Knochen-Kontakt bei. Intraligamentäre Risse sollten genäht werden. Eine zusätzliche Sicherung der genähten Strukturen kann durch ein „internal brace“ erreicht werden.
Abstract
Acute high-grade medial instability requires surgical intervention, especially in the case of multiligamentous knee injuries. The localization of the tear determines the type of individualized treatment. Avulsions are treated by direct anchor fixation to achieve a stable ligament-bone contact and intraligamentous ruptures are secured with sutures. An internal brace provides additional stabilization of the sutured reconstruction.
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A.B. Imhoff ist Berater für Arthrex GmbH, medi GmbH und Arthrosurface. W. Petersen ist Berater für Otto Bock, aap Implantate und Karl Storz. P. Forkel und J. Mehl geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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Forkel, P., Mehl, J., Petersen, W. et al. Anatomische Refixation der akuten medialen Kniegelenkinstabilität. Arthroskopie 30, 28–31 (2017). https://doi.org/10.1007/s00142-016-0110-1
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DOI: https://doi.org/10.1007/s00142-016-0110-1