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Die Behandlung der akuten Luxation und Luxationsfraktur des Ellenbogens

Bewegungsfixateur

External fixation with motion capacity in acute dislocations and fracture dislocations of the elbow

Fixation with motion capacity

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Zusammenfassung

Luxationen und Luxationsfrakturen des Ellenbogens können mit ihren typischen Verletzungsmustern wesentlich die komplexe Anatomie und Integrität des Ellenbogengelenks beeinträchtigen. Je mehr Komponenten des Ellenbogengelenks verletzt sind, desto differenzierter und technisch anspruchsvoller wird die Therapie. Standardisierte diagnostische und therapeutische Algorithmen helfen, Fehlinterpretationen bezüglich der Schwere der Verletzung und die daraus resultierenden Komplikationen zu verhindern. Der Bewegungsfixateur ermöglicht bei Luxationen und komplexen osteoligamentären Ellenbogenverletzungen mit persistierender Instabilität nach interner Osteosynthese eine stabile Gelenkführung sowie die für ein gutes funktionelles Ergebnis essentielle frühfunktionelle Nachbehandlung.

Abstract

Dislocations and fracture dislocations with their typical fracture patterns may substantially affect the complex anatomy and integrity of the elbow joint. The more components of the joint are injured, the more technically demanding is the therapy. Standardized diagnostic and therapeutic algorithms help to avoid misinterpretations regarding the severity of the injury and the subsequent complications. In elbow dislocations and fracture dislocations with persistent instability the hinged external fixator is an excellent device to improve joint stability and allows physiotherapeutic assistance at an early stage.

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  1. Klinik für Unfallchirurgie/Orthopädie, Hand- und Wiederherstellungschirurgie, St. Vinzenz-Hospital Köln, Akademisches Lehrkrankenhaus der Universität zu Köln, Merheimer Straße 221-223, 50733, Köln, Deutschland

    S. Heck, S. Gick, J. Dargel & D. Pennig

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  1. S. Heck
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Heck, S., Gick, S., Dargel, J. et al. Die Behandlung der akuten Luxation und Luxationsfraktur des Ellenbogens. Unfallchirurg 114, 114–122 (2011). https://doi.org/10.1007/s00113-010-1929-y

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  • DOI: https://doi.org/10.1007/s00113-010-1929-y

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