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Möglichkeiten und Grenzen der Beinlängenkorrektur in der Kinderorthopädie

Options and limits of leg length correction in paediatric orthopaedics

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Zusammenfassung

Wenn man als operativ tätige(r) Orthopäd:in Beinlängendifferenzen im Wachstumsalter behandeln möchte, ist die Kenntnis über die verfügbaren Verfahren und ihrer Möglichkeiten und Grenzen ebenso wichtig wie die Beherrschung der sehr unterschiedlichen Operationsmethoden und Implantate sowie der möglichen Komplikationen, um die Kinder und Jugendlichen und deren Eltern umfassend und im besten Sinne beraten und behandeln zu können. Sowohl die wachstumsbremsenden Prozeduren als auch die aufwendigen Verfahren zur Knochenverlängerung erfordern ein großes Maß an Erfahrung, um die Patient:innen und Familien erfolgreich durch den häufig langwierigen und teilweise komplikationsträchtigen Behandlungsprozess zu führen. Sorgfältige präoperative Indikationsstellungen und Planungen, präzise Operationstechniken mit geeigneten Instrumenten und Implantaten sowie achtsame postoperative Kontrolluntersuchungen sind zwingende Voraussetzungen für den gewünschten Therapieerfolg.

Abstract

For paediatric orthopaedic surgeons treating leg length discrepancy, knowledge of the available procedures and their options and limits is just as important as mastery of the very different surgical methods and implants, as well as the possible complications, in order to be able to advise and treat the children and adolescents and their parents comprehensively and in the best interests. Both the growth inhibiting procedures and the complex bone lengthening procedures require a great deal of experience to successfully guide patients and families through what is often a lengthy and sometimes complicated treatment process. Careful preoperative indications and planning, precise surgical techniques with suitable instruments and implants, and attentive postoperative check-ups are mandatory prerequisites for the desired therapeutic success.

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Abbreviations

BLD:

Beinlängendifferenzen

ED :

Epiphysiodese

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Authors and Affiliations

  1. Kinderorthopädie, Deformitätenrekonstruktion und Fußchirurgie, Universitätsklinikum Münster, 48149, Münster, Deutschland

    Björn Vogt, Jan Duedal Rölfing, Robert Rödl & Henning Tretow

  2. Children’s Orthopaedics and Reconstruction, Aarhus University Hospital, Aarhus, Dänemark

    Jan Duedal Rölfing

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  1. Björn Vogt
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  2. Jan Duedal Rölfing
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Correspondence to Björn Vogt.

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B. Vogt, R. Rödl und H. Tretow sind bezahlte Referenten und Berater von Merete Medical, Berlin, Deutschland, NuVasive Specialized Orthopedics, San Diego, USA, Orthofix, Verona, Italien und Smith+Nephew, Memphis, USA. J. D. Rölfing ist bezahlter Referent und Berater von Orthofix.

Beim vorliegenden Beitrag handelt es sich um eine Übersichtsarbeit. Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Vogt, B., Rölfing, J.D., Rödl, R. et al. Möglichkeiten und Grenzen der Beinlängenkorrektur in der Kinderorthopädie. Orthopädie 52, 719–728 (2023). https://doi.org/10.1007/s00132-023-04420-3

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