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Die Anteromedialisierung der Tuberositas tibiae

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Zusammenfassung

Mit der Anteromedialisierung der Tuberositas tibiae (Fulkerson-Operation) steht ein zuverlässiges Verfahren zur Behandlung der beginnenden und mittelgradigen Retropatellararthrose zur Verfügung. Eigene Resultate und die Ergebnisse in der Literatur zeigen, dass sich durch die Fulkerson-Operation bei enger Indikationsstellung, abhängig vom klinischen, röntgenologischen und kernspintomographischen Bild, Schmerzreduktion und Funktionsgewinn erzielen lassen. Die Operation vereint Rezentrierung und Druckentlastung des patellotrochlearen Gelenks. Nachbehandlung und berufliche sowie sportliche Rehabilitation müssen einer temporären Destabilisierung des proximalen Tibiadrittels über 6–8 Monate Rechnung tragen. Frakturen in diesem Bereich sind eine typische Komplikation der Methode.

Abstract

Anteromedialization of the tibial tubercle (Fulkerson operation) predictably leads to pain reduction and better function in initial and moderate patellofemoral arthritis. This has been shown in the literature and is supported by our own results. The indication is based on symptoms, clinical evaluation, X-rays, and MRI. The Fulkerson operation combines recentering of the patella and reduction of patellofemoral pressure. Aftertreatment together with rehabilitation last for 6–8 months because anteromedialization leads to temporary destabilization of the proximal tibia. Proximal tibial fracture is a complication of Fulkerson operation if the tibia is stressed too early.

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Authors and Affiliations

  1. Orthopädische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar

    D. Kohn, O. Steimer & R. Seil

  2. Orthopädische Klinik und Poliklinik, Universitätskliniken des Saarlandes, Kirrberger Straße, Gebäude 37, 66421, Homburg/Saar

    D. Kohn

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  1. D. Kohn
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  2. O. Steimer
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  3. R. Seil
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Correspondence to D. Kohn.

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Kohn, D., Steimer, O. & Seil, R. Die Anteromedialisierung der Tuberositas tibiae. Orthopäde 33, 218–223 (2004). https://doi.org/10.1007/s00132-003-0592-1

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  • DOI: https://doi.org/10.1007/s00132-003-0592-1

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