Skip to main content
Log in

Zugangsbedingte Osteotomien

Surgical-approach-related osteotomies

  • Leitthema
  • Published:
Trauma und Berufskrankheit


Bei orthopädisch-unfallchirurgischen Operationen ermöglichen Osteotomien durch Erweiterung des Zugangs eine verbesserte Übersicht und Versorgungsmöglichkeit von Gelenkverletzungen bzw. -erkrankungen. Im vorliegenden Beitrag wird ein Überblick über die möglichen zugangsbedingten Osteotomien der großen Gelenke gegeben; Indikationen, Durchführung und mögliche Komplikationen der klinisch relevanten Osteotomien werden dargestellt.


In trauma and orthopaedic surgery, osteotomies allow an extended approach to the major joints. In this article, an overview of the possible osteotomies of the different joints is given, and the indications, methods of performance, and possible complications of the clinically relevant osteotomies are discussed, with examples of clinical cases provided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7


  1. Archibeck MJ, Rosenberg AG, Berger RA et al. (2003) Trochanteric osteotomy and fixation during total hip arthroplasty. J Am Acad Orthop Surg 3: 163–173

    Google Scholar 

  2. Bal BS, Maurer BT, Harris WH (1998) Trochanteric union following revision total hip arthroplasty. J Arthroplasty 1: 29–33

    Article  Google Scholar 

  3. Bal BS, Kazmier P, Burd T et al. (2006) Anterior trochanteric slide osteotomy for primary total hip arthroplasty. Review of nonunion and complications. J Arthroplasty 1: 59–63

    Article  Google Scholar 

  4. Caldwell PE, Bohlen BA, Owen JR et al. (2004) Dynamic confirmation of fixation techniques of the tibial tubercle osteotomy. Clin Orthop Relat Res 424: 173–179

    Article  PubMed  Google Scholar 

  5. Coles CP, Barrei DP, Nork SE et al. (2006) The olecranon osteotomy: a six years experience in the treatment of intraerticular fractures of the humerus. J Orthop Trauma 20: 164–171

    PubMed  Google Scholar 

  6. Dakouré PW, Ndiaye A, Ndoye JM (2007) Posterior surgical approaches to the elbow: a simple method of comparison of the articular exposure. Surg Radiol Anat 8: 671–674

    Article  Google Scholar 

  7. Davis K, Caldwell P, Wayne J et al. (2000) Mechanical comparison of fixation techniques for the tibial tubercle osteotomy. Clin Orthop Relat Res 380: 241–249

    Article  PubMed  Google Scholar 

  8. Goodman S, Pressman A, Saastamoinen H et al. (2004) Modified sliding trochanteric osteotomy in revision total hip arthroplasty. J Arthroplasty 8: 1039–1041

    Article  Google Scholar 

  9. Henle P, Kloen P, Siebenrock KA (2007) Femoral head injuries: which treatment strategy can be recommended? Injury 4: 478–488

    Article  Google Scholar 

  10. Jarit GJ, Sathappan SS, Panchal A et al. (2007) Fixation systems of greater trochanteric osteotomies: bio-mechanical and clinical outcomes. J Am Acad Orthop Surg 10: 614–624

    Google Scholar 

  11. Jensen NF, Harris WH (1986) A system for trochanteric osteotomy and reattachment for total hip arthroplasty with a ninety-nine percent union rate. Clin Orthop Relat Res 208: 174–181

    PubMed  Google Scholar 

  12. Langlais F, Lambotte JC, Collin P et al. (003) Trochanteric slide osteotomy in revision total hip arthroplasty for loosening. J Bone Joint Surg Br 85: 510–516

    Article  Google Scholar 

  13. Laskin RS (2002) Ten steps to an easier revision total knee arthroplasty. J Arthroplasty [Suppl 1] 4: 78–82

    Google Scholar 

  14. McCarthy JC, Bono JV, Turner RH et al. (1999) The outcome of trochanteric reattachment in revision total hip arthroplasty with a cable grip system: mean 6-year follow-up. J Arthroplasty 14: 810–814

    Article  PubMed  CAS  Google Scholar 

  15. Mendes MW, Caldwell P, Jiranek WA (2004) The results of tibial tubercle osteotomy for revision total knee arthroplasty. J Arthroplasty 19: 167–174

    Article  PubMed  Google Scholar 

  16. Nicholson P, Mulcahy D, Fenelon G (2001) Trochanteric union in revision hip arthroplasty. J Arthroplasty 16: 65–69

    Article  PubMed  CAS  Google Scholar 

  17. Thordarson DB, Kaku SK (2006) Result of step-cut medial malleolar osteotomy. Foot Ankle Int 27: 1020–1024

    PubMed  Google Scholar 

  18. Van den Broek CM, Van Hellemondt GG, Jacobs WC et al. (2006) Step-cut tibial tubercle osteotomy for access in revision total knee replacement. Knee 13: 430–434

    Article  Google Scholar 

  19. Wülker N, Stephens M, Cracchiolo A (Hrsg) (1998) Operationsatlas Fuß und Sprunggelenk. Enke, Stuttgart

  20. Ziran BH, Abidi NA, Scheel MJ (2001) Medial malleolar osteotomy for exposure of complex talar body fractures. J Orthop Trauma 15: 513–518

    Article  PubMed  CAS  Google Scholar 

Download references


Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations


Corresponding author

Correspondence to B. Halfmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Halfmann, B., Kortmann, HR. Zugangsbedingte Osteotomien. Trauma Berufskrankh 10, 55–58 (2008).

Download citation

  • Published:

  • Issue Date:

  • DOI: