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Osteotomie des distalen Femurs

Operationstechnik mit der „LCP Pediatric Condylar Plate 90°“

Osteotomy of the distal femur

Surgical technique using the LCP Pediatric Condylar Plate 90°

  • Operative Techniken
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Operative Orthopädie und Traumatologie Aims and scope Submit manuscript

Zusammenfassung

Operationsziel

Korrektur aller Deformitäten am distalen Femur (suprakondylär).

Indikationen

Flektierende, extendierende, innen,- und außenrotierende, valgisierende und varisierende sowie verkürzende Osteotomien am distalen Femur.

Kontraindikationen

Osteotomie durch unklaren ossären Prozess.

Operationstechnik

LCP-System gewährt eine winkelstabile Fixation. Mit dem neuen Implant wird zuerst das distale Fragment verschraubt und später das proximale Fragment in der gewünschten Korrektur durch indirekte Repositionsmanöver ebenfalls fixiert.

Weiterbehandlung

Ohne begleitende Eingriffe an den Weichteilen (z. B. Verkürzung des Ligamentum patellae) ist eine frühfunktionelle Nachbehandlung mit sofortiger Mobilisation möglich. Belastung bis 35 kg bei Kleinfragmentimplantaten und Belastung bis 70 kg bei Großfragmentimplantaten

Ergebnisse

Komplikationsarm und sicher. Gesamtkomplikationsrate von 3 % in einer eigenen Serie von 63 distalen Femurosteotomien.

Abstract

Objective

Correction of all kind of deformities at the distal part of the femur (supracondylar).

Indications

Flexion, extension osteotomies, and varus or valgus, and external or internal rotation osteotomies, and shortening osteotomies of the distal femur or combined surgical procedures (e.g., extension and de-rotation osteotomy).

Contraindications

Osteotomy through unknown bony process.

Surgical technique

LCP system provides angular stable fixation.

Postoperative management

Without concomitant surgical procedures of soft tissue (e.g., patellar tendon shortening), early functional rehabilitation is possible with immediate weight bearing (35 kg for small fragment plates and 70 kg for large fragment plates).

Results

The surgical procedure is safe and is associated with few complications. Overall complication rate in this series of patients was 3 %.

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Literatur

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Danksagung

Die Autoren bedanken sich bei DePuy Synthes für Bereitstellen der Zeichnungsvorlagen.

Author information

Authors and Affiliations

  1. Neuroorthopädie, Universitäts-Kinderspital beider Basel (UKBB), Spitalstrasse 33, Postfach, 4031, Basel, Schweiz

    E. Rutz, S. Thomas & R. Brunner

  2. Kinderchirurgie, Universitätskinder Spital Bern, Bern, Schweiz

    T. Slongo

Authors
  1. E. Rutz
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  2. S. Thomas
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  3. T. Slongo
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  4. R. Brunner
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Corresponding author

Correspondence to E. Rutz.

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Interessenkonflikt

E. Rutz, S. Thomas, T. Slongo und R. Brunner geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Rutz, E., Thomas, S., Slongo, T. et al. Osteotomie des distalen Femurs. Oper Orthop Traumatol 27, 221–236 (2015). https://doi.org/10.1007/s00064-015-0401-0

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  • DOI: https://doi.org/10.1007/s00064-015-0401-0

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