S2k-Leitlinie Tibiakopffraktur – Klassifikation, Diagnostik und Therapie

Markus Thomas Berninger; Jan Philipp Schüttrumpf; Stefan Barzen; Christoph Domnick; Lena Eggeling; Kai Fehske; Karl-Heinz Frosch; Elmar Herbst; Reinhard Hoffmann; Kaywan Izadpanah; Clemens Kösters; Mirjam Neumann-Langen; Michael Raschke; Johannes Zellner; Matthias Krause

doi:10.1055/a-2121-6538

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2024; 162(05): 510-520
DOI: 10.1055/a-2121-6538

Guideline

S2k-Leitlinie Tibiakopffraktur – Klassifikation, Diagnostik und Therapie

Article in several languages: English | deutsch

Markus Thomas Berninger

¹Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)

,

Jan Philipp Schüttrumpf

²Klinik für Unfallchirurgie, Universitätsklinikum Magdeburg, Magdeburg, Deutschland (Ringgold ID: RIN39067)

,

Stefan Barzen

³Unfallchirurgie und operative Orthopädie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Deutschland (Ringgold ID: RIN72067)

,

Christoph Domnick

⁴Klinik für Unfall- und Handchirurgie, Orthopädie, Euregio Klinik, Nordhorn, Deutschland (Ringgold ID: RIN502362)

,

Lena Eggeling

⁵Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Deutschland (Ringgold ID: RIN14889)

,

Kai Fehske

⁶Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland (Ringgold ID: RIN27207)

,

Karl-Heinz Frosch

¹Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)

⁵Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Deutschland (Ringgold ID: RIN14889)

,

Elmar Herbst

⁷Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Munster, Deutschland (Ringgold ID: RIN39069)

,

Reinhard Hoffmann

³Unfallchirurgie und operative Orthopädie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Deutschland (Ringgold ID: RIN72067)

,

Kaywan Izadpanah

⁸Department für Orthopädie und Traumatologie, Universitätsklinikum Freiburg, Freiburg, Deutschland (Ringgold ID: RIN14879)

,

Clemens Kösters

⁹Klinik für Orthopädie, Unfall- und Handchirurgie, Maria-Josef-Hospital Greven, Greven, Deutschland (Ringgold ID: RIN62554)

,

Mirjam Neumann-Langen

¹⁰Klinik für Unfallchirurgie, Handchirurgie und Orthopädie, Klinikum Konstanz, Konstanz, Deutschland (Ringgold ID: RIN15008)

,

Michael Raschke

⁷Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Munster, Deutschland (Ringgold ID: RIN39069)

,

Johannes Zellner

¹¹Orthopädie und Sportmedizin, Sporthopaedicum Regensburg, Regensburg, Deutschland

,

Matthias Krause

¹Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)

› Author Affiliations

Abstract

Zusammenfassung

Tibiakopffrakturen stellen mehrheitlich komplexe und chirurgisch anspruchsvolle Gelenkfrakturen dar, die für ein zufriedenstellendes Ergebnis ein umfassendes Verständnis der Frakturmorphologie, der ligamentären und neurovaskulären Begleitverletzungen sowie der diagnostischen und therapeutischen Optionen erfordern. Hierzu ist ein standardisiertes und strukturiertes Vorgehen erforderlich. Der Erfolg einer Behandlung von Tibiakopffrakturen liegt zu großen Teilen auch an der interdisziplinären Zusammenarbeit von operativ und konservativ tätigen Behandlern im ambulanten und stationären Bereich, Physiotherapeuten, Patienten und Leistungserbringern (Krankenkassen, gesetzliche Unfallversicherung, Rentenversicherungsträger). Im Auftrag der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie e. V. (DGOU), der Deutschen Gesellschaft für Unfallchirurgie (DGU) und der Gesellschaft für Arthroskopie und Gelenkchirurgie (AGA) wurde unter Federführung des Frakturen-Komitees der Deutschen Kniegesellschaft (DKG) ein leitliniengerechter Behandlungspfad zur Tibiakopffraktur erstellt, der im Rahmen eines Delphi-Prozesses in mehreren Abstimmungsrunden erarbeitet wurde. Dieser Behandlungspfad soll unter Berücksichtigung der aktuellen Literatur Empfehlungen aussprechen und die wichtigsten Behandlungsschritte der Diagnostik, Therapie und Nachbehandlung darlegen. Mit dem Ziel einer Konsensbildung wurden zudem 25 Aussagen unter Anwendung der Likert-Skala durch die Autoren in mehreren Befragungsrunden revidiert.

Schlüsselwörter

Tibiakopffraktur - Leitlinie - radiologische Diagnostik - Klassifikation - Therapie

Full Text

References

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