Reconstruction of Complicated Achilles Tendon Ruptures with Soft Tissue Defects – a Systematic Overview and Development of a Treatment Algorithm

Roslind Karolina Hackenberg; Stefan Täger; Christian Prangenberg; Koroush Kabir; Kristian Welle

doi:10.1055/a-1073-8516

Zeitschrift für Orthopädie und Unfallchirurgie, Table of Contents

Z Orthop Unfall 2021; 159(03): 314-322
DOI: 10.1055/a-1073-8516

Review/Übersicht

Rekonstruktion komplizierter Achillessehnenrupturen mit Weichteildefekten – eine systematische Übersicht und Entwicklung eines Behandlungsalgorithmus

Article in several languages: English | deutsch

Authors

Roslind Karolina Hackenberg

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Hand- und Plastisch-Rekonstruktive Unfallchirurgie, Universitätsklinikum Bonn
Stefan Täger

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Hand- und Plastisch-Rekonstruktive Unfallchirurgie, Universitätsklinikum Bonn
Christian Prangenberg

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Hand- und Plastisch-Rekonstruktive Unfallchirurgie, Universitätsklinikum Bonn
Koroush Kabir

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Hand- und Plastisch-Rekonstruktive Unfallchirurgie, Universitätsklinikum Bonn
Kristian Welle

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Hand- und Plastisch-Rekonstruktive Unfallchirurgie, Universitätsklinikum Bonn

Abstract

Zusammenfassung

Achillessehnenrupturen gehören zu den häufigsten Rupturen großer Sehnen. Aufgrund des vulnerablen Weichteilgewebes besteht ein hohes Risiko für Weichteildefekte. Die Kombination von Achillessehnenrupturen mit Weichteildefekten bleibt eine Herausforderung für den Operateur. Trotz der verschiedenen operativen Versorgungsmöglichkeiten mangelt es an einer strukturierten Behandlungsempfehlung. Anhand einer systematischen Literaturrecherche und Erfahrungen aus eigenem Klinikstandard erfolgt ein Überblick über die stufenweise Versorgungsmöglichkeit sowie die Entwicklung eines Behandlungsalgorithmus für die Rekonstruktion von Achillessehnenrupturen mit Weichteildefekten in Abhängigkeit von der Defektstrecke der Achillessehne, der Größe des Weichteildefektes und patientenindividuellen Faktoren. Diese sollen dem Operateur als Entscheidungsgrundlage für die angestrebte Therapie dienen.

Schlüsselwörter

Achillessehne - Ruptur - Weichteildefekt - Rekonstruktion - Lappenplastik

Full Text

References

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