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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
1   Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)
,
Jan Philipp Schüttrumpf
2   Klinik für Unfallchirurgie, Universitätsklinikum Magdeburg, Magdeburg, Deutschland (Ringgold ID: RIN39067)
,
Stefan Barzen
3   Unfallchirurgie und operative Orthopädie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Deutschland (Ringgold ID: RIN72067)
,
Christoph Domnick
4   Klinik für Unfall- und Handchirurgie, Orthopädie, Euregio Klinik, Nordhorn, Deutschland (Ringgold ID: RIN502362)
,
Lena Eggeling
5   Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Deutschland (Ringgold ID: RIN14889)
,
Kai Fehske
6   Klinik und Poliklinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Würzburg, Würzburg, Deutschland (Ringgold ID: RIN27207)
,
Karl-Heinz Frosch
1   Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)
5   Abteilung für Unfallchirurgie, Orthopädie und Sporttraumatologie, BG Klinikum Hamburg, Hamburg, Deutschland (Ringgold ID: RIN14889)
,
Elmar Herbst
7   Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Munster, Deutschland (Ringgold ID: RIN39069)
,
Reinhard Hoffmann
3   Unfallchirurgie und operative Orthopädie, Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt am Main, Deutschland (Ringgold ID: RIN72067)
,
Kaywan Izadpanah
8   Department für Orthopädie und Traumatologie, Universitätsklinikum Freiburg, Freiburg, Deutschland (Ringgold ID: RIN14879)
,
Clemens Kösters
9   Klinik für Orthopädie, Unfall- und Handchirurgie, Maria-Josef-Hospital Greven, Greven, Deutschland (Ringgold ID: RIN62554)
,
Mirjam Neumann-Langen
10   Klinik für Unfallchirurgie, Handchirurgie und Orthopädie, Klinikum Konstanz, Konstanz, Deutschland (Ringgold ID: RIN15008)
,
Michael Raschke
7   Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Munster, Deutschland (Ringgold ID: RIN39069)
,
Johannes Zellner
11   Orthopädie und Sportmedizin, Sporthopaedicum Regensburg, Regensburg, Deutschland
,
Matthias Krause
1   Klinik und Poliklinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland (Ringgold ID: RIN37734)
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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


Publication History

Received: 13 April 2022

Accepted after revision: 29 June 2023

Article published online:
06 September 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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