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Einfluss des Tuberositastransfers auf das patellofemorale Gelenk

Influence of tubercle transfer on the patellofemoral joint

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Zur operativen Therapie einer patellaren Instabilität oder degenerativer patellofemoraler Veränderungen werden im klinischen Alltag häufig knöcherne Eingriffe mit Transfers der Tuberositas tibiae eingesetzt. Dieser Eingriff hat Auswirkungen auf die retropatellare Druckbelastung und auf die Kinematik der Patella. Je nachdem in welche Richtung dieser Transfer stattfindet, werden Bereiche der retropatellaren Knorpeloberfläche entlastet und andere belastet. Die populärste Kombination der Transferrichtungen aus Medialisierung und Ventralisierung führt zu einer Entlastung der lateralen Patellafacette und zu einer Stabilisierung der Patellakinematik gegen laterale Auslenkungen und Luxationen.

Abstract

Transfer of the tibial tubercle is commonly used for treatment of an instable patella or degenerative changes of the patellofemoral joint. This treatment has significant effects on patellar kinematics as well as on retropatellar pressure. Retropatellar contact pressure is decreased or increased depending on the direction of the transfer. Representing one of the most popular combinations of transfer directions, ventromedialization of the tibial tubercle leads to decreased contact pressure of the lateral patellar facet and to stabilization of the patella against lateral dislocation.

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  1. Orthopädische Klinik, Medizinische Hochschule Hannover (MHH), Anna-von-Borries-Str. 1–7, 30625, Hannover, Deutschland

    S. Ostermeier & C. Becher

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  1. S. Ostermeier
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  2. C. Becher
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Correspondence to S. Ostermeier.

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Ostermeier, S., Becher, C. Einfluss des Tuberositastransfers auf das patellofemorale Gelenk. Arthroskopie 23, 208–214 (2010). https://doi.org/10.1007/s00142-010-0571-6

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  • DOI: https://doi.org/10.1007/s00142-010-0571-6

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