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Möglichkeiten der Navigation bei der Versorgung von Verletzungen des Akromioklavikulargelenks

Possibilities of navigation in the treatment of injuries of the acromioclavicular joint

  • Leitthema
  • Published:
Arthroskopie Aims and scope

Zusammenfassung

Arthroskopische Techniken zur Augmentation der korakoklavikulären Bänder mittels Fadenzugsystemen werden zunehmend in der chirurgischen Versorgung von hochgradigen Verletzungen des Akromioklavikulargelenks (ACG) verwendet. Die anatomische Rekonstruktion beider korakoklavikulären Ligamente führt zu einer suffizienten Stabilisierung, allerdings ist die korrekte Durchführung technisch höchst anspruchsvoll. Durch die Unterstützung mit einer bildfreien Navigation kann das Risiko für ein Implantatversagen, einen Repositionsverlust oder iatrogene Frakturen und die intraoperative Strahlenbelastung reduziert werden.

Abstract

Arthroscopic techniques for augmentation of the coracoclavicular ligaments with a cord pulley system are increasingly being used in the surgical treatment of high-grade injuries of the acromioclavicular joint. The anatomical reconstruction of both coracoclavicular ligaments leads to sufficient stabilization but the correct execution is technically highly demanding. With the assistance of an image-free navigation technique, the risk of implant failure, loss of reduction and iatrogenic fractures as well as intraoperative exposure to radiation can be reduced.

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Authors and Affiliations

  1. Klinik für Orthopädie, Unfallchirurgie und Plastische Chirurgie, Bereich für arthroskopische und spezielle Gelenkchirurgie/Sportverletzungen, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland

    J. Theopold, T. Schöbel, R. Henkelmann, P. Melcher & P. Hepp

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  1. J. Theopold
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  2. T. Schöbel
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Correspondence to J. Theopold.

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Interessenkonflikt

J. Theopold, T. Schöbel, R. Henkelmann, P. Melcher und P. Hepp geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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K. Beitzel, Köln

A. M. Müller, Basel

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Supplementary Information

Video 1: Ablauf der operativen Versorgung einer arthroskopisch gestützten und navigiert assistierten Versorgung einer Acromioclaviculargelenksluxation

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Theopold, J., Schöbel, T., Henkelmann, R. et al. Möglichkeiten der Navigation bei der Versorgung von Verletzungen des Akromioklavikulargelenks. Arthroskopie 35, 288–292 (2022). https://doi.org/10.1007/s00142-022-00549-z

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