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Z Orthop Unfall 2018; 156(03): 324-329
DOI: 10.1055/s-0044-101558
Leitlinie
Georg Thieme Verlag KG Stuttgart · New York

S2k-Leitlinie Meniskuserkrankung: konservative und operative Therapie

S2k-Guideline on Meniscal Disease: Non-operative and Surgical Management
Christian H. Siebert
1   Klinik für Orthopädie und Sporttraumalogie, Paracelsus Klinik Hannover-Langenhagen
,
Roland Becker
2   Hochschulklinikum der MHB Theodor Fontane, Städtisches Klinikum Brandenburg GmbH, Brandenburg an der Havel
,
Matthias Buchner
3   Orthopädische Gemeinschaftspraxis, Karlsruhe
,
Jürgen Förster
4   Zentralbereich für Physiotherapie, Universitätsklinikum Aachen
,
Karl-Heinz Frosch
5   Abteilung Unfall- und Wiederherstellungschirurgie, Asklepios Klinik St. Georg, Hamburg
,
Andreas Losch
6   Chirurgie, Unfallchirurgie, MedBaltic, Kiel
,
Philipp Niemeyer
7   Department für Orthopädie und Unfallchirurgie, Universitätsklinikum Freiburg
,
Sven Scheffler
8   Sporthopaedicum Berlin
› Institutsangaben
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Publikationsverlauf

Publikationsdatum:
12. März 2018 (online)

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Zusammenfassung

Die Diagnose „Meniskusverletzung“ darf auch heutzutage nicht automatisch zur Stellung einer Operationsindikation führen. Die konservative Therapie hat trotz aller Entwicklungen in der arthroskopischen Chirurgie weiterhin einen hohen Stellenwert. In diesem 2. Auszug aus der neuen Leitlinie sollen die Behandlungsmöglichkeiten dargestellt werden, um die Entscheidungsfindung für Behandler und Patienten zu erleichtern. Anhaltspunkte für den jeweiligen individuellen Therapiealgorithmus werden dargestellt. Im Auftrag der Fachgesellschaften haben sich Vertreter der verschiedenen deutschsprachigen Gruppierungen „rund um das Kniegelenk“ auf diese Leitlinie verständigt.

Abstract

A meniscal injury should not automatically lead to surgery. Even in light of all the developments in arthroscopic surgery, non-operative management still has a place in the treatment algorithms for lesions around the knee. In this second publication of the German guidelines for meniscal surgery, the authors describe the various treatment possibilities, their indications and offer critical insight into the various therapeutic options. This will allow the patient and physician alike to make the proper individual decisions. Various German speaking associations addressing topics surrounding the knee have joined forces to develop these guidelines for meniscal lesions. The hope is that these two publications on the topic will shed light on the ongoing debate and offer some guidance.

Schlüsselwörter

konservative Therapie - Meniskus - Meniskusläsion - Meniskuschirurgie

Key words

meniscus - meniscal lesion - meniscus surgery - non-operative management
 

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