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Rekonstruktion eines offenen Quadrizepssehnendefekts mit dem erweiterten lateralen Gastrocnemiussehnenlappen

Extended lateral gastrocnemius transposition flap for reconstruction of open knee extensor disruption

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Zusammenfassung

Allschichtige Quadrizepssehnendefekte sind für den behandelnden Chirurgen eine Herausforderung, da sowohl Sehnendefekt als auch Weichteilschaden suffizient behandelt werden müssen, um eine gute Kniegelenkbeweglichkeit zu erreichen. Wir berichten hier über den erfolgreich verwendeten erweiterten lateralen Gastrocnemiusmuskellappen, der aus dem Muskelbauch und Teilen der Achillessehne besteht. Der Patient erreichte nach mehreren Monaten eine „range of motion“ von 0-0-120°.

Abstract

We describe a modified technique to reconstruct a damaged knee extensor mechanism after infected patellar fracture. After resection of infected soft tissue and quadriceps tendon a compound suprapatellar defect existed. Due to compromised tissue on the medial aspect of the calf, we used this flap, which consists of the lateral gastrocnemius muscle with parts of the adjacent Achilles tendon. After a follow-up period of several months the range of movement is 0-0-120°.

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Authors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie, Universität Bonn, Sigmund Freud-Straße 23, 53127, Bonn, Deutschland

    O. Weber, M. Müller, P. Göbel, P. Pennekamp, D. Wirtz & C. Burger

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  1. O. Weber
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  2. M. Müller
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  3. P. Göbel
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  4. P. Pennekamp
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  5. D. Wirtz
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  6. C. Burger
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Correspondence to O. Weber.

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Weber, O., Müller, M., Göbel, P. et al. Rekonstruktion eines offenen Quadrizepssehnendefekts mit dem erweiterten lateralen Gastrocnemiussehnenlappen. Unfallchirurg 115, 746–749 (2012). https://doi.org/10.1007/s00113-011-2001-2

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  • DOI: https://doi.org/10.1007/s00113-011-2001-2

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