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Arthroskopie

, Volume 31, Issue 3, pp 235–239 | Cite as

Laterale extraartikuläre Rotationsstabilisierung des Kniegelenks nach Lemaire

  • E. Herbst
  • K. Beitzel
  • A. B. Imhoff
  • P. Forkel
Leitthema
  • 175 Downloads

Zusammenfassung

Trotz anatomischer vorderer Kreuzbandplastik leiden bis zu 15 % der Patienten unter persistierender anterolateraler Rotationsinstabilität. Prädisponierende Faktoren sind neben Verletzungen des anterolateralen Komplexes ein erhöhter tibialer Slope, Meniskuspathologien, allgemeine Hyperlaxität sowie chronische vordere Kreuzbandinsuffizienzen. Um persistierende anterolaterale Rotationsinstabilitäten zu therapieren, bietet sich in ausgewählten Fällen eine laterale extraartikuläre Stabilisierung an. Diese kann auch in Kombination mit einer vorderen Kreuzbandplastik erfolgen. Neben der isolierten Rotationskontrolle können solche Stabilisierungen die Rerupturrate von vorderen Kreuzbandplastiken reduzieren. Eine gängige Technik ist dabei die modifizierte anterolaterale Stabilisierung nach Lemaire, welche in diesem Artikel beschrieben wird. Zusätzlich werden Tipps gegeben und Komplikationen erläutert.

Schlüsselwörter

Kniegelenk Vorderes Kreuzband Rotationsinstabilität Tractus iliotibialis Pivot-shift 

Lateral extra-articular rotatory stabilization of the knee joint according to Lemaire

Abstract

Despite anatomical anterior cruciate ligament (ACL) reconstruction, a subset of patients suffers from persistent rotatory knee instability. Factors contributing to excess anterolateral laxity are injuries to the anterolateral complex, a steep posterior tibial slope, injuries to the menisci, generalized hyperlaxity as well as chronic ACL deficiency. To treat patients with persistent anterolateral rotatory laxity, lateral extra-articular procedures might be beneficial for some patients if indicated. Such procedures enable better control of internal tibial rotation and have been shown to reduce the ACL graft failure rate. A common lateral extra-articular procedure is the modified Lemaire reconstruction. In this article, the modified Lemaire reconstruction is described, with special emphasis on technical tips and pitfalls.

Keywords

Knee joint Anterior cruciate ligament Rotatory instability Iliotibial tract Pivot shift 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

E. Herbst, K. Beitzel, A. B. Imhoff und P. Forkel geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • E. Herbst
    • 1
  • K. Beitzel
    • 1
  • A. B. Imhoff
    • 1
  • P. Forkel
    • 1
  1. 1.Abteilung für Sportorthopädie, Klinikum rechts der IsarTU MünchenMünchenDeutschland

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