{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T22:44:45Z","timestamp":1774392285564,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Durch die Osteotomie des Ischium\u2011, Pubis- und Iliumknochens kann das Acetabulum \u00fcber den H\u00fcftkopf geschwenkt werden, sodass der meist anterolateral vorstehende Anteil des H\u00fcftkopfes wieder \u00fcberdacht wird. Das Ziel ist der Erhalt des Containments der H\u00fcfte, hiermit ist die Wiederherstellung der Kongruenz zwischen dem lateralisierten H\u00fcftkopf und dem Acetabulum gemeint. Das Acetabulum wirkt so als eine Art Schablone f\u00fcr den H\u00fcftkopf, um eine m\u00f6glichst sph\u00e4rische Ausheilung des H\u00fcftkopfes zu erreichen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Schwere Morbus-Perthes-Erkrankung mit radiologisch sichtbarer Lateralisation des H\u00fcftkopfes und Head-at-risk-Zeichen. Voraussetzung ist, dass der H\u00fcftkopf sich konzentrisch reponieren l\u00e4sst (Abduktionsaufnahme oder Arthrographie).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>\u201eHinged abduction\u201c. Keine konzentrische Reposition des H\u00fcftkopfes m\u00f6glich.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Arthrographie des H\u00fcftgelenkes zur Best\u00e4tigung der Operationsindikation. Darstellung und Osteotomie des Ischiums \u00fcber einen modifizierten Ludloff-Zugang, Osteotomie des Iliums und Pubis \u00fcber einen modifizierten Smith-Petersen-Zugang. Verbesserung der H\u00fcftkopf\u00fcberdachung durch Schwenken des Acetabulums \u00fcber den H\u00fcftkopf. Fixation des azetabul\u00e4ren Fragmentes mit Vollgewinde-Kirschner-Dr\u00e4hten oder 3,5-mm-Kortikalisschrauben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Mobilisation an Gehst\u00f6cken (kleine Kinder im Rollstuhl). Abstellen des Fu\u00dfes erlaubt. Teilbelastung f\u00fcr 4 bis 6\u00a0Wochen (je nach Alter des Patienten). Danach bei im R\u00f6ntgen guten Konsolidationszeichen Belastungsaufbau innerhalb 1 bis 2\u00a0Wochen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Sehr gute Ergebnisse hinsichtlich Operationstechnik und Ausheilung in der eigenen Klinik. In einer eigenen noch nicht ver\u00f6ffentlichten Studie mit einem durchschnittlichen Untersuchungszeitraum von 5\u00a0Jahren zeigten sich bei 30\u00a0Patienten sehr gute klinische und radiologische Ergebnisse nach Tripleosteotomie bei Morbus Perthes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-022-00784-5","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T12:05:22Z","timestamp":1663329922000},"page":"323-332","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Tripleosteotomie bei Morbus Perthes","Triple osteotomy for patients with Legg\u2013Calve\u2013Perthes disease"],"prefix":"10.1007","volume":"34","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":[[2022,9,16]]},"reference":[{"key":"784_CR1","doi-asserted-by":"publisher","first-page":"2121","DOI":"10.2106\/00004623-200410000-00002","volume":"86","author":"JA Herring","year":"2004","unstructured":"Herring\u00a0JA, Kim\u00a0HT, Browne\u00a0R (2004) Legg-calve\u2014perthes disease. 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