Zusammenfassung
Im Leistungssport hat sich eine primäre Versorgung der vorderen Kreuzband- (VKB-)Ruptur und ihrer Begleitverletzungen durchgesetzt. Es erfolgte eine selektive Literaturrecherche zum Vergleich mit eigenen Erfahrungen. Die operative Versorgung sollte nach spätestens 48 h erfolgen. Der wesentliche Vorteil für den Athleten ist der Zeitgewinn und die damit frühere Rückkehr zu Training und Wettkampfsport. Die frühzeitige Mitversorgung und -behandlung von Begleitverletzungen lassen hier sogar eine bessere Heilungstendenz vermuten. Für den Operateur stellt die Primärversorgung jedoch eine größere Herausforderung im Vergleich zur Operation im Intervall dar.
Abstract
For elite athletes with anterior cruciate ligament (ACL) rupture, surgical management in the acute phase has become widespread practice. After performing a selective review of the literature using PubMed, these results were compared with our own experience. Surgery including concomitant injuries should be performed within the first 48 h. The principal advantage for athletes is the possibility of an earlier return to training and competition. The acute treatment of concomitant injuries may also improve outcome. Treatment in the acute phase, however, may be more demanding for the surgeon than surgery at a later point in time.
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Interessenkonflikt. J. Schneider gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Schneider, J. Primärversorgung meniskoligamentärer Verletzungen im Leistungssport. Unfallchirurg 117, 19–23 (2014). https://doi.org/10.1007/s00113-013-2465-3
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DOI: https://doi.org/10.1007/s00113-013-2465-3