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Trauma und Berufskrankheit

, Volume 19, Issue 4, pp 198–203 | Cite as

Längenkorrekturen an der oberen Extremität

  • Sebastian Farr
  • Florian Schachinger
Leitthema

Zusammenfassung

Hintergrund

Verkürzte Extremitäten können aufgrund von Funktionseinschränkungen eine Herausforderung bei der Durchführung von Alltagstätigkeiten darstellen. Zusätzlich können Patienten neben der Funktionseinschränkung an Beschwerden als auch an dem kosmetischen Erscheinungsbild der betroffenen Extremität leiden.

Fragestellung

Es erfolgt eine Beschreibung der graduellen und akuten Knochenverlängerung anhand von häufigen Indikationen.

Material und Methode

Präsentiert werden die aktuelle Literaturlage und eigene klinische Beispiele und Erfahrungen bei der Verwendung der Kallusdistraktion und Akutverlängerung.

Ergebnisse

Obwohl die derzeitige Studienlage keine Erstellung von allgemein gültigen Guidelines erlaubt und jeder Patient individuell betrachtet werden muss, zeigt sich, dass die Kallusdistraktion bei gegebener Patienten-Compliance eine effiziente Methode zur Knochenverlängerung darstellt.

Schlussfolgerungen

Die Kallusdistraktion sowie die Methode der Akutkorrektur stellen eine gute, wenngleich komplikationsbehaftete Methode zur Knochenverlängerung dar. Die generelle Patientenzufriedenheit ist trotzdem hoch.

Schlüsselwörter

Kallusdistraktion Akutkorrektur Fixateur externe Osteotomie Compliance 

Length equalization of the upper extremities

Abstract

Background

Shortened limbs can be challenging for activities of daily life due tot he functional limitations. Moreover, in addition to the functional impairments affected patients may also suffer from pain and the disfigured cosmetic appearance of the affected limb.

Objective

Description of current gradual and acute bone lengthening indications and techniques in the upper limbs.

Material and methods

Presentation of the current literature and own clinical experiences and cases using gradual and acute bone lengthening techniques.

Results

Although there is a paucity of validated data for general recommendations concerning the use of distraction osteogenesis, the current literature and own experiences show that this technique is an effective surgical procedure to improve bone length in the upper limbs.

Conclusion

Distraction osteogenesis is a viable tool for lengthening of posttraumatically or congenitally shortened bones. A relatively high rate of complications has to be expected but nevertheless subjective patient satisfaction is high.

Keywords

Distraction osteogenesis Acute correction External fixator Osteotomy Compliance 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

S. Farr und F. Schachinger 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 2017

Authors and Affiliations

  1. 1.Orthopädisches Spital SpeisingWienÖsterreich

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