Zusammenfassung
Dislozierte Tuberkelfrakturen finden sich bei unfallchirurgischen Patienten häufig. Die Osteosynthese beinhaltet die Gefahr einer sekundären Dislokation oder eines sekundären Impingements. Wir stellen ein neues und einfach anwendbares Implantat zur Versorgung von v. a. multipel frakturierten Tuberkeln vor, eine Kalkaneustitanplatte (Litos®), aus welcher eine kleine 6(oder mehr)-Loch-Platte angefertigt wird. Die Technik erwies sich bei 10 Patienten als komplikationsfrei und einfach anwendbar. Die Patienten zeigten ein sehr gutes Ergebnis im Constant-Murley-Score ohne sekundäre Dislokation. Die Bamberger Platte mit der beschriebenen Operationstechnik stellt eine einfache, effektive und preisgünstige Methode zur operativen Fixation von Tuberculum-majus-Frakturen dar, die quasi keine Lernkurve beinhaltet.
Abstract
Displaced fractures of the greater tuberosity are common findings in trauma surgical patients. Nevertheless osteosynthesis of these fractures bears the risk of secondary dislocation or secondary impingement due to the implant. We present a new and simple technique to perform in particular osteosynthesis of multiple fractures of the greater tuberosity. We use a self-adjusted calcaneus titanium plate (Litos®) which is cut into a small 6 (or more)-hole plate. We had excellent postoperative outcomes with no complications and no secondary loss of reduction in 10 patients. The patients had very good results in the Constant-Murley score and no secondary dislocation. The “Bamberg plate”, when used in combination with the surgical technique described, is a simple, efficient and cost-effective method for surgical fixation of displaced fractures of the greater tuberosity and requires almost no learning curve.
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Schöffl, V., Popp, D. & Strecker, W. Bamberger Platte. Trauma Berufskrankh 11, 247–250 (2009). https://doi.org/10.1007/s10039-009-1553-7
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DOI: https://doi.org/10.1007/s10039-009-1553-7