{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T20:10:38Z","timestamp":1770754238698,"version":"3.50.0"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100009068","name":"University of Bern","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009068","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Die H\u00fcftkopfzirkulation schonende, anatomische Reposition und sichere Stabilisierung von Schenkelhalsfrakturen im Kindesalter \u00fcber einen transglutealen Zugang.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Intra-extraartikul\u00e4re proximale Femurfrakturen (Schenkelhalsfrakturen) AO 31-M\/2.1 I\u2011III; 31-M\/3.1 I\u2011III; 31-M\/3.2 I\u2011III.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Keine.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Pr\u00e4paration eines Muskellappens durch Abl\u00f6sen des proximalen M.\u00a0vastus lateralis inklusive des anterolateralen Anteils des M.\u00a0glutaeus medius vom proximalen Femur respektive Trochanter major. Abl\u00f6sen des glutaeus minimus von der Gelenkkapsel und Weghalten nach dorsal, ohne die Insertion des Muskels vollst\u00e4ndig abzul\u00f6sen. Die anterolaterale Gelenkkapsel kann nun vollst\u00e4ndig exponiert werden. Arthrotomie der Gelenkkapsel und Darstellen des Schenkelhalses. Unter Sicht nun vorsichtige, kontrollierte Reposition der Fraktur unter Schutz der retinakul\u00e4ren Gef\u00e4\u00dfe.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Mobilisation an Gehst\u00f6cken. Abstellen des Fu\u00dfes erlaubt. Zur vollst\u00e4ndigen Anheilung der H\u00fcftabduktoren sollte eine aktive Abduktion sowie passive Adduktion f\u00fcr 4 bis 6\u00a0Wochen (je nach Alter des Patienten) vermieden werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In der eigenen Klink zeigten sich in den letzten 10\u00a0Jahren exzellente Ergebnisse bei 29\u00a0Patienten nach Behandlung von kindlichen Schenkelhalsfrakturen mit diesem Operationszugang. Eine operationsbedingte Femurkopfnekrose trat nicht auf.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-020-00694-4","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T09:03:06Z","timestamp":1611219786000},"page":"36-45","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Zugangswege und Fixation kindlicher Schenkelhalsfrakturen\u00a0\u2013 transglutealer Zugang","Approaches and fixation of femoral neck fractures in children\u2014transgluteal approach"],"prefix":"10.1007","volume":"33","author":[{"given":"Kai","family":"Ziebarth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadine","family":"Kaiser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theddy","family":"Slongo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"issue":"12","key":"694_CR1","doi-asserted-by":"publisher","first-page":"411","DOI":"10.5435\/JAAOS-D-16-00362","volume":"26","author":"J Petterson","year":"2018","unstructured":"Petterson\u00a0J, Tangtiphaiboontana\u00a0J, Padya\u00a0N (2018) Management of pediatric femoral neck fractures. J\u00a0Am Acad Orthop Surg 26(12):411\u2013419","journal-title":"J Am Acad Orthop Surg"},{"key":"694_CR2","doi-asserted-by":"publisher","first-page":"1160","DOI":"10.1302\/0301-620X.101B9.BJJ-2019-0275.R1","volume":"101-B","author":"WT Wang","year":"2019","unstructured":"Wang\u00a0WT, Li\u00a0YQ, Guo\u00a0YM, Li\u00a0M, Mei\u00a0HB, Shao\u00a0JF, Xiong\u00a0Z, Canavese\u00a0F, Chen\u00a0SY (2019) Risk factors for the development of avascular necrosis after femoral neck fractures in children: a review of 239 cases. Bone Joint\u00a0J 101-B:1160\u20131167","journal-title":"Bone Joint J"},{"key":"694_CR3","doi-asserted-by":"publisher","first-page":"S27","DOI":"10.1097\/BOT.0000000000001645","volume":"33","author":"DF Barreto Rocha","year":"2019","unstructured":"Barreto Rocha\u00a0DF, Horwitz\u00a0DS, Sintenie\u00a0JB (2019) Femoral neck fractures in children: issues, challenges and solutions. J\u00a0Orthop Trauma 33:S27\u2013S32","journal-title":"J Orthop Trauma"},{"key":"694_CR4","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1302\/0301-620X.95B1.30161","volume":"95-B","author":"M Yeranosian","year":"2013","unstructured":"Yeranosian\u00a0M, Horneff\u00a0JG, Baldwin\u00a0K, Hosalkar\u00a0HS (2013) Factors affecting the outcome of fractures in the femoral neck in children and adolescents. Bone Joint\u00a0J 95-B:135\u2013141","journal-title":"Bone Joint J"},{"issue":"10","key":"694_CR5","doi-asserted-by":"publisher","first-page":"S135","DOI":"10.1097\/00005131-200711101-00020","volume":"21","author":"T Slongo","year":"2007","unstructured":"Slongo\u00a0T, Audig\u00e9\u00a0L (2007) Fracture and dislocation compendium for children\u2014the AO Pediatric Comprehensive Classification of long bone Fractures (PCCF). J\u00a0Orthop Trauma 21(10):S135\u2013S160","journal-title":"J Orthop Trauma"}],"container-title":["Operative Orthop\u00e4die und Traumatologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-020-00694-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00064-020-00694-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-020-00694-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T07:16:31Z","timestamp":1612336591000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00064-020-00694-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,21]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["694"],"URL":"https:\/\/doi.org\/10.1007\/s00064-020-00694-4","relation":{},"ISSN":["0934-6694","1439-0981"],"issn-type":[{"value":"0934-6694","type":"print"},{"value":"1439-0981","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,21]]},"assertion":[{"value":"14 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2020","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 September 2020","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"K.\u00a0Ziebarth, N.\u00a0Kaiser und T.\u00a0Slongo geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patienten zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}