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Update Patellafrakturen

Ist die winkelstabile Plattenosteosynthese die Lösung aller Probleme?

Patella fracture update

Is locking plate osteosynthesis the solution to all problems?

  • Leitthema
  • Published:
Knie Journal Aims and scope

Zusammenfassung

Die Versorgung von Patellafrakturen ist ein technisch anspruchsvoller Eingriff. Nach wie vor kommt es zu vergleichsweise hohen Komplikationsraten aufgrund von Wundheilungsstörungen, Pseudarthrose, Implantatversagen oder sekundärem Repositionsverlust. Auch wenn moderne winkelstabile Plattensysteme biomechanische Vorteile aufweisen, findet die klassische Zuggurtungsosteosynthese mittels Kirschner-Drähten nach wie vor am häufigsten Verwendung. Dieser Artikel gibt einen Überblick über bisherige Versorgungsstrategien und Neuerungen in der Versorgung von Patellafrakturen und zeigt anhand einiger Beispiele auf, dass auch die Plattenosteosynthese nicht die Lösung aller Probleme ist und in die Hand erfahrener Operateure gehört.

Abstract

The treatment of patella fractures is a technically demanding procedure. It is still associated with a relatively high complication rate due to pseudarthrosis, secondary loss, reposition or tissue defect. Even if modern locking plates for the patella show biomechanical advantages, the classical tension band wire is still the most popular osteosynthesis for patella fractures. This review delivers an overview about treatment strategies and innovation in the treatment of patella fractures. Many presented cases show that the locking plate is not the solution of all problems and is to be used by an experienced surgeon.

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Author information

Authors and Affiliations

  1. Abteilung für Orthopädie und Unfallchirurgie, Johanniter Waldkrankenhaus Bonn, Waldstr. 73, 53177, Bonn, Deutschland

    K. Fehske M.A. (Sportwiss.)

  2. Klinik und Poliklinik für Unfall‑, Hand‑, Plastische- und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland

    K. Fehske M.A. (Sportwiss.)

  3. BG Unfallklinik Frankfurt am Main gGmbH, Frankfurt, Deutschland

    R. Hoffmann

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  1. K. Fehske M.A. (Sportwiss.)
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Correspondence to K. Fehske M.A. (Sportwiss.).

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Interessenkonflikt

K. Fehske und R. Hoffmann geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Reinhard Hoffmann, Frankfurt

Matthias Krause, Hamburg

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Fehske, K., Hoffmann, R. Update Patellafrakturen. Knie J. 4, 156–163 (2022). https://doi.org/10.1007/s43205-022-00158-8

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