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Z Orthop Unfall 2024; 162(06): 614-622
DOI: 10.1055/a-2206-7242
Originalarbeit

Nachbehandlung nach Knorpeltherapie am Kniegelenk – eine Empfehlung der AG Klinische Geweberegeneration der DGOU

Article in several languages: deutsch | English
Thomas R. Niethammer
1   Muskuloskelettales Universitätszentrum München (MUM), Klinik für Orthopädie und Unfallchirurgie, Klinikum der Universität München, LMU München, München, Deutschland (Ringgold ID: RIN27192)
,
Matthias Aurich
2   Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Halle (Saale), Halle, Deutschland
3   Klinik für Unfall- und Wiederherstellungschirurgie, BG Klinikum Bergmannstrost, Halle (Saale), Deutschland
,
Peter U. Brucker
4   ATOS Klinik München, München, Deutschland
5   Biomechanik im Sport, Fakultät für Sport- und Gesundheitswissenschaft, Technische Universität München, München
,
Svea Faber
1   Muskuloskelettales Universitätszentrum München (MUM), Klinik für Orthopädie und Unfallchirurgie, Klinikum der Universität München, LMU München, München, Deutschland (Ringgold ID: RIN27192)
,
Frank Diemer
6   DIGOTOR GbR, Brackenheim, Deutschland
,
Matthias F. Pietschmann
1   Muskuloskelettales Universitätszentrum München (MUM), Klinik für Orthopädie und Unfallchirurgie, Klinikum der Universität München, LMU München, München, Deutschland (Ringgold ID: RIN27192)
7   OrthoPraxis Oberhaching, Oberhaching
,
Wolfgang Schoch
8   PULZ im Rieselfeld, Freiburg, Deutschland
,
Wolfgang Zinser
9   Orthoexpert, Knittelfeld, Österreich
10   Metagil Physikalisches Ambulatorium, Knittelfeld, Österreich
,
Peter E. Müller
1   Muskuloskelettales Universitätszentrum München (MUM), Klinik für Orthopädie und Unfallchirurgie, Klinikum der Universität München, LMU München, München, Deutschland (Ringgold ID: RIN27192)
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Zusammenfassung

Die erste Nachbehandlungsempfehlung der AG Klinische Geweberegeneration der DGOU stammt aus dem Jahr 2012. Neue wissenschaftliche Evidenz und veränderte Rahmenbedingungen machten eine Aktualisierung der Nachbehandlungsempfehlungen nach Knorpeltherapie erforderlich.

Im Rahmen einer mehrstufigen Mitgliederbefragung wurde ein Konsensus erzielt, der gemeinsam mit der wissenschaftlichen Evidenz die Basis für die vorliegende Nachbehandlungsempfehlung gibt.

Das maßgebliche Kriterium für die Nachbehandlung ist weiterhin die Defektlokalisation. Dabei wird zwischen femorotibialen und patellofemoralen Defekten unterschieden. Zudem werden nun auch weiterführende Kriterien bez. der Knorpeldefekte berücksichtigt (stabiler Knorpelrand, Lage außerhalb der Hauptbelastungszone) und auf die unterschiedlichen Verfahren der Knorpeltherapie (z. B. osteochondrale Transplantation, Minced Cartilage) eingegangen.

Die vorliegende aktualisierte Nachbehandlungsempfehlung beinhaltet unterschiedliche Aspekte der Nachbehandlung, beginnend vom frühen perioperativen Management bis zur Sportfreigabe und Wiederaufnahme von Kontaktsport nach erfolgter Knorpeltherapie.

Schlüsselwörter

Nachbehandlung - Knorpeltherapie - Knie - Rehabilitation


Publication History

Received: 24 February 2023

Accepted after revision: 01 November 2023

Article published online:
15 January 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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