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Wachstumslenkung bei Kindern und Jugendlichen

Korrektur von Beinlängendifferenzen und Beinachsendeformitäten

Guided growth in children and adolescents

Correction of leg length discrepancies and leg axis deformities

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Zusammenfassung

Die Behandlung krummer und unterschiedlich langer Beine zählt zu den fundamentalen Aufgaben der Orthopädie. Während beim ausgewachsenen Patienten meist aufwendige und invasive operative Eingriffe erforderlich sind, kann im Kindes- und Jugendalter das Wachstumspotenzial der Epiphysenfugen zur Korrektur dieser Beinlängendifferenzen und Beinachsendeformitäten genutzt werden. Diese Wachstumslenkung wird durch eine als Epiphysiodese bezeichnete, vorübergehende oder permanente, je nach Indikation teilweise oder vollständige Blockierung der Epiphysenfuge herbeigeführt. Obwohl es sich bei dieser Methode um ein grundsätzlich wenig invasives und komplikationsarmes Verfahren handelt, sind sorgfältige präoperative Indikationsstellungen und Planungen, präzise Operationstechniken sowie achtsame postoperative Kontrolluntersuchungen zwingende Voraussetzung für den gewünschten Therapieerfolg.

Abstract

The treatment of crooked legs and unequal leg length is one of the key tasks of orthopedic surgery. While mature patients usually require complex and invasive surgical interventions, the growth potential of the physes can be used to advantage for correction of these leg length discrepancies and axis deformities of the legs in growing children and adolescents. This guided growth is induced by temporary or permanent and partial or complete arrest of the growth plate, depending on the indications. This technique is called epiphysiodesis. Although these procedures are principally less invasive with few complications, accurate preoperative indications and planning, precise surgical techniques and careful postoperative follow-up examinations are mandatory prerequisites to achieve the desired therapeutic target.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. R. Rödl ist als Mitentwickler für die Firma Merete tätig. B. Vogt und F. Schiedel geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Abteilung für Kinderorthopädie, Deformitätenrekonstruktion und Fußchirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, Gebäude A1, 48149, Münster, Deutschland

    B. Vogt, F. Schiedel & R. Rödl

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  1. B. Vogt
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  2. F. Schiedel
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  3. R. Rödl
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Correspondence to B. Vogt.

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Vogt, B., Schiedel, F. & Rödl, R. Wachstumslenkung bei Kindern und Jugendlichen. Orthopäde 43, 267–284 (2014). https://doi.org/10.1007/s00132-014-2270-x

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  • DOI: https://doi.org/10.1007/s00132-014-2270-x

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