{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T22:49:38Z","timestamp":1789166978309,"version":"build-2803163510"},"reference-count":52,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T00:00:00Z","timestamp":1662595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T00:00:00Z","timestamp":1662595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Private Universit\u00e4t Witten\/Herdecke gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Ziel ist die Wiederherstellung der ulnohumeralen Gelenkkongruenz mit Neutralisierung der posteromedialen Instabilit\u00e4t (PMRI) und der damit einhergehenden chronischen Fehlstellung des Ellenbogens.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Neben akuten Defekten, auf die im Artikel nicht n\u00e4her eingegangen werden soll, besteht die Indikation zum Coronoidaufbau bei chronischen Defekten der anteromedialen Facette des Coronoids mit PMRI.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Gegen die Durchf\u00fchrung der Operation sprechen fortgeschrittene Knorpelsch\u00e4den des Ellenbogens sowie allgemeine Kontraindikationen (akuter Infekt, Schwangerschaft, fehlende Operabilit\u00e4t des Patienten etc.)<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>\u00dcber einen medialen Zugang wird zun\u00e4chst das Coronoidbett pr\u00e4pariert. Im Anschluss wird ein autologer Beckenkammspan auf den Defekt aufgebracht, an die Gelenkfl\u00e4che anpasst und mittels Schrauben- oder Plattenosteosynthese dauerhaft fixiert. Additiv wird eine Rekonstruktion des anterioren B\u00fcndels des medialen Kollateralbandes durchgef\u00fchrt und die Kapsel bzw. Flexoren werden zum Ende der Operation verschlossen respektive rekonstruiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Postoperativ wird eine Bewegungsorthese angepasst, die f\u00fcr 6\u00a0Wochen getragen werden sollte. Der Ellenbogen kann unmittelbar nach Operation schmerzadaptiert frei funktionell be\u00fcbt werden. Die Therapie wird durch einen CPM-Ellenbogenstuhl unterst\u00fctzt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Zwischen 04\/2015 und 11\/2017 wurden 10\u00a0Patienten mit chronischen Coronoiddefekten mit dieser Technik operiert. Acht der 10\u00a0Patienten standen 86\u00a0Wochen postoperativ f\u00fcr ein Follow-up zur Verf\u00fcgung. Die durchschnittlich 41,4\u00a0Jahre alten Patienten wiesen postoperativ alle einen gesteigerten Bewegungsumfang, regelrechte radiologische Stellungskontrollen ohne Subluxationen und Verbesserungen in Funktionsscores auf. Ein Patient wurde ausgeschlossen, weil eine Konversion in eine Ellenbogenprothese notwendig wurde. Mit der beschriebenen Technik lie\u00df sich eine objektive wie subjektive Verbesserung der chronischen PMRI erreichen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-022-00783-6","type":"journal-article","created":{"date-parts":[[2022,9,8]],"date-time":"2022-09-08T12:02:43Z","timestamp":1662638563000},"page":"419-430","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Coronoidaufbau mittels Beckenkammspan \u00fcber einen medialen Zugang zur Therapie von chronischen Coronoiddefekten mit posteromedialer Rotationsinstabilit\u00e4t","Coronoid reconstruction with autologous iliac crest bone graft in chronic elbow instability through a\u00a0medial approach"],"prefix":"10.1007","volume":"34","author":[{"given":"M. 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