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Hohe Tibiakopfumstellungsosteotomie

Erfahrungen mit der computergesteuerten Navigation

High tibial osteotomy

Experience with computer-assisted navigation

  • Leitthema
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Die hohe valgisierende Tibiakopfumstellungsosteotomie (HTO) wird beim jungen und aktiven Patienten mit Varusgonarthrose als geeignete Methode zur Behandlung angesehen. Ihr Erfolg hängt von ihrer korrekten Planung und Durchführung ab. Für die intraoperative Überprüfung der Beinachse sind Navigationssysteme verfügbar, wobei sich der OrthoPilot® in der Handhabung als geeignet herausgestellt hat. Die klinische Relevanz der Navigationssysteme ist noch nicht nachgewiesen. Die computergestützte Navigation stellt ein Hilfsmittel zur Verbesserung der Genauigkeit dar. Eine präoperative Planung ist weiter erforderlich.

Abstract

High tibial osteotomy (HTO) is a well-established and commonly used treatment for medial unicompartmental osteoarthritis of the knee with varus malalignment in young and older active patients. Successful treatment depends on correct preoperative planning as well as the surgical technique. Intraoperative alignment control can be performed with the image-free navigation tool OrthoPilot® to enhance precision. Influence on clinical outcome has to be proven. Intraoperative navigation is not a substitute for preoperative planning.

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  1. Klinik für Unfall- und Wiederherstellungschirurgie, BG-Unfallklinik, Eberhard-Karls-Universität Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Deutschland

    S. Schröter, C. Gonser, A. Ateschrang, D. Albrecht & K. Weise

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  1. S. Schröter
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  2. C. Gonser
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Schröter, S., Gonser, C., Ateschrang, A. et al. Hohe Tibiakopfumstellungsosteotomie. Trauma Berufskrankh 12, 95–100 (2010). https://doi.org/10.1007/s10039-010-1628-5

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