Syndesmosenverletzungen

Sabine Ochman; Stella Gartung; Alexander Milstrey; Michael J. Raschke

doi:10.1055/a-2214-1953

OP-Journal, Table of Contents

OP-Journal 2024; 40(02): 124-135
DOI: 10.1055/a-2214-1953

Fachwissen

Syndesmosenverletzungen

Syndesmosis Injuries

Sabine Ochman‡

,

Stella Gartung‡

,

Alexander Milstrey

,

Michael J. Raschke

Abstract

Syndesmosenverletzungen entstehen bei Sprunggelenkfrakturen oder rein ligamentär. können stabil oder instabil sein. In den letzten Jahren konnten zunehmende Erkenntnisse über den Verletzungsmechanismus und die Therapie gewonnen werden, kontroverse Diskussionen werden über Diagnostik, neue operative Verfahren wie Suture-Button-Systeme und die Nachbehandlung geführt. Eine zunehmende Bedeutung erlangten die knöchernen Ausrisse der vorderen und hinteren Syndesmose, dessen Refixation großzügig erfolgen sollte. Bei chronischer Instabilität ist eine Ursachenanalyse entscheidend, operative Verfahren beinhalten dynamische Verfahren, Sehnenplastiken oder knöcherne Rekonstruktionen. Entscheidend für das Outcome ist bei allen Verfahren die anatomische Rekonstruktion der Sprunggelenkgabel.

Schlüsselwörter

Syndesmose - Stellschraube - Instabilität - Suture Button

Keywords

syndesmosis - set screw - instability - suture button

Full Text

References

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