{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:08:39Z","timestamp":1777730919190,"version":"3.51.4"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Berufsgenossenschaftliches Klinikum Bergmannsheil gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Ziel der operativen Versorgung ist die prim\u00e4re Stabilisierung des instabilen Ellenbogens nach ligament\u00e4rer Ellenbogenluxation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Ligament\u00e4re Ellenbogenluxationen werden von unterschiedlichen Verletzungen der umgebenden Muskulatur sowie der Kollateralb\u00e4nder begleitet. Die operative Versorgung ist bei Versagen der konservativen Therapie indiziert, d.\u202fh. wenn eine Dezentrierung oder Reluxation nur durch Ruhigstellung in &gt;\u202f90\u00b0 Beugung und Pronation verhindert werden kann oder das Gelenk durch aktive muskul\u00e4re F\u00fchrung nach 5 bis 7\u00a0Tagen nicht zentriert werden kann.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Kontraindikationen f\u00fcr eine alleinige augmentierte Prim\u00e4rnaht bestehen in der Regel bei begleitenden kn\u00f6chernen Verletzungen im Rahmen der Luxation, bei ausgedehnten Weichteilverletzungen sowie im Falle eines Infektes am Ellenbogen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>Die Versorgung mittels augmentierter Prim\u00e4rnaht des Ellenbogens erfolgt kombiniert \u00fcber einen lateralen (Kocher) und medialen (FCU-Split) Zugang zum Ellenbogen. Nach Reposition des Ellenbogens werden jeweils zuerst die Kollateralb\u00e4nder mit hochfesten Polyethylenf\u00e4den augmentiert und gemeinsam mit einem weiteren hochfesten Polyethylenfaden im Humerus verankert. Dar\u00fcber werden die Extensoren bzw. Flexoren ebenfalls fadenaugmentiert am Epicondylus lateralis bzw. medialis refixiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Ziel der Weiterbehandlung ist die fr\u00fchfunktionelle Be\u00fcbung des Ellenbogens, die in einer Bewegungsorthese unter Vermeidung von Varus- und Valgusbelastung erfolgt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Im Zeitraum zwischen August 2018 und Januar 2020 wurden insgesamt 12\u00a0Patienten mit einer augmentieren Prim\u00e4rnaht nach instabiler rein ligament\u00e4rer Ellenbogenluxation versorgt. Nach einem mittleren Nachverfolgungszeitraum von 14\u202f\u00b1\u200912,7\u00a0Monaten zeigte sich ein Mayo-Elbow Performance Score von im Mittel 98,5\u00a0Punkten bei mittlerem funktionellem Bogen von 115\u00b0. Keiner der Patienten gab ein verbleibendes Instabilit\u00e4tsgef\u00fchl des Ellenbogens an.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-022-00788-1","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T14:03:06Z","timestamp":1670248986000},"page":"43-55","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Augmentierte Prim\u00e4rnaht \u201einternal bracing\u201c nach ligament\u00e4rer Ellenbogenluxation","Augmented primary sutures \u201cinternal bracing\u201d following ligamentous elbow dislocation"],"prefix":"10.1007","volume":"35","author":[{"given":"Valentin","family":"Rausch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"K\u00f6nigshausen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas A.","family":"Schildhauer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Ge\u00dfmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"788_CR1","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.1016\/j.jse.2017.02.019","volume":"26","author":"LE Adolfsson","year":"2017","unstructured":"Adolfsson\u00a0LE, Nestorson\u00a0JO, Scheer\u00a0JH (2017) Extensive soft tissue lesions in redislocated after simple elbow dislocations. 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