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Home > Medicine & Health Science textbooks > Surgery > General surgery > Knieorthesen bei Kreuzbandverletzungen: (236 Hefte zur Zeitschrift "Der Unfallchirurg")
Knieorthesen bei Kreuzbandverletzungen: (236 Hefte zur Zeitschrift "Der Unfallchirurg")

Knieorthesen bei Kreuzbandverletzungen: (236 Hefte zur Zeitschrift "Der Unfallchirurg")


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About the Book

Kreuzbandverletzungen haben in den letzten Jahren erheblich zugenommen. Durch die [nderung des postoperativen Behandlungskonzeptes zugunsten einer fr}hzeitigen Bewegungstherapie kommt der zus{tzlichen {u~eren F}hrung und Sicherung operierter Kniegelenke eine besondere Bedeutung zu. Hierzu gibt es inzwischen auf dem Markt eine gro~e Zahl unterschiedlicher Knieorthesen sowohl f}r die Phase unmittelbar nach der Operation als auch f}r die Weiterbehandlung in der Rehabilitatin sowie bei fortbestehender Instabilit{t mit und ohne Operation. Die vorliegendeUntersuchung hatte zum Ziel, zu kl{ren, ob tats{chlich eine sicher mechanische F}hrung des Kniegelenkes durch heute gebr{uchliche Orthesengelenke m|glich ist und welchen Einflu~ Orthesen auf das Spannungsverhalten des vorderen und hinteren Kreuzbandes nehmen. Die Untersuchungen zeigen, da~ eine millimetergenaue Justierung der Orthesengelenke erforderlich ist, um eine ann{herungsweise Kongruenz von Kniegelenk und Orthese zu gew{hrleisten, was jedoch in der Praxis nicht erreicht werden kann. Eine starre Fixierung der Orthesengelenke am Knochen bei nicht idealer Plazierung, so wie sie am Probanden nahezu regelm{~ig anzutreffen ist, f}hrt dar}berhinaus zu pathologischen Spannungenin den Kreuzb{ndern, welche N{hte und Bandplastiken erheblich gef{hrden w}rden.

Table of Contents:
1 Einleitung.- 1.1 Fragestellungen.- 2 Methodik.- 2.1 Bestimmung der “Kompromißachse”.- 2.2 Meßgenauigkeit.- 2.3 Dreidimensionale Bestimmung der Kompromißachse am Leichenknie.- 2.4 Röntgenologische Vermessung der Kompromißachse.- 2.5 Relative Spannungsmessung im vorderen und hinteren Kreuzband.- 2.6 Methodenkritik.- 2.7 Messung von Zwangskräften bei äußerer Führung des Kniegelenks.- 3 Ergebnisse.- 3.1 Analyse der topometrisch ermittelten Kompromißachsenpunkte.- 3.2 Spannungs verlauf des vorderen Kreuzbandes bei passiver Gelenkbewegung.- 3.3 Spannungsverlauf des hinteren Kreuzbandes bei passiver Gelenkbewegung.- 3.4 Spannungsverlauf des vorderen und hinteren Kreuzbandes mit Meßtöpfen.- 3.5 Spannungsverlauf des vorderen und hinteren Kreuzbandes bei äußerer Führung des Gelenks über Scharniergelenke.- 3.6 Spannungsverhalten des vorderen und hinteren Kreuzbandes bei äußerer Führung des Gelenks mit Zahnsegmentgelenken.- 3.7 Spannungsverhalten des vorderen und hinteren Kreuzbandes mit Viergelenkschienen.- 3.8 Zwangskräfte.- 3.9 Analyse der Zwangskräfte, die am Probanden ermittelt wurden.- 3.10 Zusammenfassung der Ergebnisse.- 4 Diskussion.- 4.1 Kniegelenkkinematik.- 4.2 Kompromißachse.- 4.3 Bänderkinematik.- 4.4 Knieschienen.- 4.5 Zwangskräfte.- 4.6 Probandenversuche.- 4.7 Gelenkstabilisierung mit Orthesen.- 4.8 Schlußfolgerungen.- 5 Zusammenfassung.- Literatur.


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Product Details
  • ISBN-13: 9783540573586
  • Publisher: Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
  • Publisher Imprint: Springer-Verlag Berlin and Heidelberg GmbH & Co. K
  • Height: 235 mm
  • No of Pages: 76
  • Returnable: Y
  • Width: 155 mm
  • ISBN-10: 3540573585
  • Publisher Date: 19 Jan 1994
  • Binding: Paperback
  • Language: German
  • Returnable: Y
  • Series Title: 236 Hefte zur Zeitschrift "Der Unfallchirurg"


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Knieorthesen bei Kreuzbandverletzungen: (236 Hefte zur Zeitschrift "Der Unfallchirurg")
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