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Die laterale Retinaculumspaltung

Lateral retinacular release

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Zusammenfassung

Die vorliegende Arbeit beinhaltet eine Literaturrecherche über die laterale Retinaculumspaltung. Von den 30 beurteilten Arbeiten fand sich lediglich eine prospektive randomisierte Studie. Diese konnte keine signifikante Differenz zwischen arthroskopischer und offener lateraler Retinaculumspaltung dokumentieren. Generell wurden bei isolierter lateraler Retinaculumspaltung zur Therapie der Patellainstabilität schlechte Langzeitresultate gefunden. Dagegen stellt die laterale Retinaculumspaltung bei lateraler Hyperkompression mit stabiler Patella und fehlender Dysplasie eine Intervention mit guten Erfolgsaussichten dar. Die laterale Retinaculumspaltung mit gleichzeitiger Weichteilkorrektur vermindert die Häufigkeit der weiteren Patellaluxationen und ist der isolierten lateralen Retinaculumspaltung vorzuziehen. Bei der patellofemoralen Arthrose führt die isolierte laterale Retinaculumspaltung nur kurzfristig zu einer Verbesserung.

Abstract

This overview of numerous studies discusses, based on short-term and long-term results, which diagnoses are indications for lateral retinacular release. No significant differences in outcome between arthroscopic and open lateral release could be documented. Isolated lateral release offers a good success rate for treating a stable patella with excessive lateral pressure. In patellar instability, the results are less favorable in long-term follow-up evaluation. Hyperlaxity with hypermobility of the patella is an absolute contraindication. Lateral release provides only temporary benefit for patellofemoral osteoarthritis. Proximal and/or distal realignment of the extensor mechanism gives better results than isolated lateral release.

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Authors and Affiliations

  1. Knee Surgery & Sports Traumatology, Department of Orthopaedic Surgery, Ghent University Hospital, De Pintelaan 185, B-9000, Gent, Belgium

    P. Verdonk MD PhD, F. Bonte & R. Verdonk

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  1. P. Verdonk MD PhD
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  2. F. Bonte
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  3. R. Verdonk
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Correspondence to P. Verdonk MD PhD.

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Verdonk, P., Bonte, F. & Verdonk, R. Die laterale Retinaculumspaltung. Orthopäde 37, 884–889 (2008). https://doi.org/10.1007/s00132-008-1295-4

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