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Implantate und Biomechanik des oberen Sprunggelenks

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Zusammenfassung

Das obere Sprunggelenk (OSG) gehört aufgrund seiner Morphologie und den biomechanischen Eigenschaften zu einer Sonderform der Scharniergelenke – zu den Kardangelenken. Das Gelenk zeichnet sich durch eine sehr hohe Kongruenz der Gelenkoberflächen aus. Zu den morphologischen und funktionellen Bestandteilen des OSG gehören drei Knochen (Tibia, Fibula und Talus) sowie ein komplexer Bandapparat (Abb. 4.1). Die Malleolengabel, welche von den distalen Enden der Tibia und der Fibula geformt wird, bildet dabei die konkave Gelenkfläche, der Talus die korrespondierende konvexe Gelenkfläche. Der Bandapparat setzt sich aus den medialen und lateralen Kollateralbändern sowie der Syndesmose zusammen. Eine wichtige Bedeutung bei der Funktionalität des Gelenks kommt den gelenkübergreifenden Sehnen und Muskeln zu.

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Danksagung:

Die Autoren bedanken sich bei Herren Professoren C.L. Saltzman und A.E. Anderson, Salt Lake City, USA, für zahlreiche konstruktive Diskussionen und bei den Kollegen Dr. med. A. Beck und Dr. med. T. Suter, Kantonsspital Liestal, für sorgfältige Korrektur des Kapitels.

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Authors and Affiliations

  1. Klinik für Orthopädie und Traumatologie des Bewegungsapparates, Kantonsspital Liestal, Rheinstrasse 26, 4410, Liestal, Schweiz

    Dr. med. A. Barg & Prof. Dr. med. Beat Hintermann

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  1. Dr. med. A. Barg
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  2. Prof. Dr. med. Beat Hintermann
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Editors and Affiliations

  1. Orthopädische Klinik, Universitätsklinikum Magdeburg, Leipziger Str. 44, Magdeburg, 39120, Germany

    Hans Wolfram Neumann

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Barg, A., Hintermann, B. (2011). Implantate und Biomechanik des oberen Sprunggelenks. In: Neumann, H. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14886-6_4

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  • DOI: https://doi.org/10.1007/978-3-642-14886-6_4

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-14885-9

  • Online ISBN: 978-3-642-14886-6

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