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Revisionen nach Bandplastiken am Ellenbogen

Revision surgery following elbow ligament reconstruction

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Zusammenfassung

Bandplastiken am Ellenbogen werden zur Stabilisierung des Ellenbogens bei medialer oder lateraler Instabilität durchgeführt. Rezidivinstabilitäten bei medialer Bandplastik treten bei ca. 2 %, nach lateraler Bandplastik bei ca. 8 % auf. Andere revisionspflichtigen Komplikationen sind tiefe oder oberflächliche Infektionen, störende Osteophyten am Olecranon (4,4–11,7 %), Frakturen am Bohrkanal (0–2,2 %) oder eine Neuropathie des N. ulnaris (0–24 %). Ziel des Artikels ist die Zusammenfassung der Ursachen und therapeutischen Strategien für eine Revision nach Bandplastiken am Ellenbogen.

Abstract

Ligament reconstruction surgery at the elbow can be performed to treat medial or lateral instabilities of the elbow joint. Recurring instability occurs in about 2% following medial ligament reconstruction and in about 8% following lateral ligament reconstruction. Other complications that require revision after ligament reconstruction are deep or superficial infections, olecranon osteopyhtes (4.4–11.7%), avulsion fractures (0–2.2%) and pathologies of the ulnar nerve (0–24%). This article aims to summarize causes and therapeutic strategies of revisions following elbow ligament reconstruction.

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Author information

Authors and Affiliations

  1. Schwerpunkt für Unfall‑, Hand- und Ellenbogenchirurgie, Uniklinik Köln, Kerpener Str. 62, 50937, Köln, Deutschland

    Valentin Rausch, Michael Hackl, Tim Leschinger, Lars P. Müller & Kilian Wegmann

  2. Chirurgische Klinik, BG Universitätsklinikum Bergmannsheil, Bürkle-de-la-Camp Platz 1, 44789, Bochum, Deutschland

    Valentin Rausch

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  1. Valentin Rausch
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  2. Michael Hackl
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Correspondence to Valentin Rausch.

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Interessenkonflikt

V. Rausch, M. Hackl, T. Leschinger, L.P. Müller und K. Wegmann 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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Rausch, V., Hackl, M., Leschinger, T. et al. Revisionen nach Bandplastiken am Ellenbogen. Obere Extremität 15, 21–27 (2020). https://doi.org/10.1007/s11678-019-00549-w

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