Zusammenfassung
Geschlossene oder offene Kniegelenkluxationen mit Gefäß- oder Nervenverletzungen erfordern die sofortige Versorgung und können eine Indikation zur Anlage eines äußeren Kraftträgers darstellen. Eine definitive Rekonstruktion der regelhaft komplex zerstörten Kapsel- und Bandsituation ist in der Notfallsituation oft unmöglich. Die mediale Anlage eines transartikulären Bewegungsfixateurs am Kniegelenk kombiniert die Behandlung einer verbliebenen Restinstabilität mit dem Vorteil einer frühzeitigen Gelenkbewegung. Die Nachteile einer längerfristigen Gelenkruhigstellung bis zur definitiven Stabilisierung werden reduziert.
Abstract
Closed and open dislocations of the knee joint with vascular and nerve injuries are treated immediately and may present an indication for external fixation. In acute trauma definitive treatment and reconstruction of the complex capsule and ligamentous injuries are often impossible. The application of a medial transarticular external fixator with motion capacity combines the treatment of remaining joint instability with the benefit of early joint movement. Disadvantages of prolonged joint immobilisation until definitive stabilisation of the knee are reduced.
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Koslowsky, T., Schadt, R., Mader, K. et al. Der Bewegungsfixateur bei komplexer Kniegelenkluxation mit Begleitverletzung. Unfallchirurg 114, 136–140 (2011). https://doi.org/10.1007/s00113-010-1932-3
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DOI: https://doi.org/10.1007/s00113-010-1932-3