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Behandlungsstrategie bei posttraumatischer Komplexdeformität

Nach Femurschaftfraktur beidseits

Treatment strategy for posttraumatic complex deformity

After bilateral femoral shaft fractures

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Zusammenfassung

Berichtet wird über einen Fall mit komplexer posttraumatischer Deformität an beiden Beinen nach Femurschaftfraktur. Dargestellt werden Korrekturmöglichkeiten bei Kombinationsfehlstellung mit Genu valgum und Innentorsionsabweichung sowie mit Verkürzung und Außentorsionsabweichung. Dafür kommen zum einen die Schrägosteotomie und zum anderen ein motorisierter Verlängerungsnagel zur Anwendung.

Abstract

A case of complex posttraumatic deformity after bilateral femoral shaft fractures is reported. Different possibilities for correction in cases of valgus malalignment combined with internal rotation deformity as well as shortening combined with external rotation deformity are presented. Oblique osteotomy and a motorized femoral extension nail were used.

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Correspondence to S. Schröter.

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M. Ahrend, A. Ateschrang, U. Stöckle und S. Schröter geben an, dass kein Interessenkonflikt besteht.

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W. Mutschler, München

V. Braunstein, München

H. Polzer, München

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Ahrend, M., Ateschrang, A., Stöckle, U. et al. Behandlungsstrategie bei posttraumatischer Komplexdeformität. Unfallchirurg 119, 151–158 (2016). https://doi.org/10.1007/s00113-015-0038-3

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  • DOI: https://doi.org/10.1007/s00113-015-0038-3

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