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Osteologie 2023; 32(01): 12-18
DOI: 10.1055/a-1990-0275
Review

Operative Versorgung der Extremitäten und der Wirbelsäule bei Achondroplasie

Surgical Treatment of the Extremities and the Spine in Achondroplasia
Andreas Roth
1   Department für operative Medizin, Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Germany
,
Eckehardt Schumann
1   Department für operative Medizin, Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Germany
,
Mohamed Ghanem
1   Department für operative Medizin, Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Germany
,
Christoph-Eckhard Heyde
1   Department für operative Medizin, Klinik und Poliklinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Universitätsklinikum Leipzig AöR, Leipzig, Germany
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Zusammenfassung

Die Achondroplasie gilt als häufigste Form des genetisch bedingten Kleinwuchses. Zur Verbesserung des Wachstums erfolgen in Abhängigkeit vom klinischen Befund und vom Alter operative Eingriffe an den Extremitäten in Form von Korrektur- und Verlängerungsosteotomie. Nur ausgeprägte Beindeformitäten sollten korrigiert werden. Die regelmäßig auftretende flexible Kyphose wird in der Regel konservativ behandelt. Eine operative Versorgung der Wirbelsäule erfolgt bei spinaler Stenose. Die Ergebnisse der chirurgischen Therapie sind sehr gut. Insbesondere bei Knochenverlängerungen muss jedoch über häufig auftretende Komplikationen aufgeklärt werden. Neue medikamentöse Behandlungsmethoden zur Wachstumsbeeinflussung befinden sich in der Entwicklung.

Abstract

Achondroplasia is the most common form of genetic short stature. Depending on the clinical findings and age, surgical interventions on the extremities in the kind of corrective and lengthening osteotomy are carried out to improve growth. Only pronounced leg deformities should be corrected. The regularly occurring flexible kyphosis is usually treated conservatively. Surgical treatment of the spine is carried out in the case of spinal stenosis. The results of surgical therapy are very good. In the case of bone lengthening in particular, however, the frequently occurring complications must be explained. New medicinal treatment methods to influence growth are in development.

Schlüsselwörter

Achondroplasie - operative Therapie - Verlängerungsosteotomie - spinale Stenose

Key words

Achondroplasie - operative treatment - extension - spinal stenosis


Publication History

Received: 05 September 2022

Accepted: 29 November 2022

Article published online:
11 January 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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