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Komplexe Achskorrekturen um das Kniegelenk

Correction of complex defomities around the Knee Joint

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Zusammenfassung

Komplexe Achsdeformitäten sind in der Regel schwer ausgeprägt und haben verschiedene Ursachen. Sie können in einer Ebene oder mehreren Ebenen auftreten, ebenso ist ihre Ausprägung sehr variabel. Die Entstehung und das Fortschreiten der Deformitäten werden möglicherweise von lokalen und systemischen Ursachen beeinflusst. Je nach Deformität, Ausprägung und Ursache werden zur Korrektur komplexer Deformitäten verschiedene Osteotomien verwendet. Die Osteosynthesemöglichkeiten sind vielfältig. Diese Art von Deformitäten benötigt eine gründliche Planung und präzise Ausführung der Korrektur, um das Ziel zu erreichen.

Abstract

Complex deformities around the knee joint are usually severe and have several aetiologies. They can be present in one or more planes, with variations in severity between planes. The occurrence and progression of the deformity can be influenced by local and systemic factors. Several types of osteotomies and fixation methods are available to correct these complex deformities. The selection of the osteotomy used to correct a deformity depends on the type of deformity, its severity and its aetiology. Therefore, precise planning taking into consideration the above factors is necessary to achieve the goal.

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Abbreviations

CIPA:

„Congenital insensitivity to pain“

CORA :

„Centre of rotation and angulation“

ICF :

International Classification of Functioning, Disability and Health

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Authors and Affiliations

  1. Orthopädische Kinderklinik Aschau, Bernauer Str. 18, 83229, Aschau/Chiemgau, Deutschland

    Chakravarthy U. Dussa

  2. Orthopädische Gemeinschaftspraxis in der Aukammklinik, Wiesbaden, Deutschland

    Leonhard Döderlein

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  1. Chakravarthy U. Dussa
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Correspondence to Chakravarthy U. Dussa.

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C.U. Dussa und L. Döderlein geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Dussa, C.U., Döderlein, L. Komplexe Achskorrekturen um das Kniegelenk. Orthopäde 50, 559–569 (2021). https://doi.org/10.1007/s00132-021-04117-5

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