{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T05:01:49Z","timestamp":1785214909290,"version":"3.55.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T00:00:00Z","timestamp":1678924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001652","name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001652","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":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Operationsziel<\/jats:title>\n                <jats:p>Der Pararectus-Zugang wurde vor einigen Jahren f\u00fcr die Beckenchirurgie neu entdeckt und als alternativer Zugang insbesondere f\u00fcr die Behandlung von Acetabulumfrakturen des vorderen Pfeilers mit Beteiligung der quadrilateralen Fl\u00e4che beschrieben.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Indikationen<\/jats:title>\n                <jats:p>Zur optimalen Darstellung von Acetabulumfrakturen mit Beteiligung der quadrilateralen Fl\u00e4che, Frakturen der vorderen Wand und des vorderen Pfeilers, vorderen Pfeiler\/hinteren Hemiquerfrakturen und Frakturen mit zentraler Impression von Domfragmenten hat sich der Pararectus-Zugang bew\u00e4hrt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Kontraindikationen<\/jats:title>\n                <jats:p>Bei Frakturen des hinteren Pfeilers, der hinteren Wand, kombinierten Frakturen der hinteren Wand und des hinteren Pfeilers, Querfrakturen mit Dislokation des hinteren Pfeilers oder in Kombination mit Frakturen der hinteren Wand und bei T\u2011Frakturen mit Dislokation des hinteren Pfeilers oder in Kombination mit Frakturen der hinteren Wand findet der Pararectus-Zugang keine Anwendung, ebenso nicht bei Patienten mit Ileus.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Operationstechnik<\/jats:title>\n                <jats:p>\u00dcber den Pararectus-Zugang kann der gesamte Beckenring einschlie\u00dflich der quadrilateralen Fl\u00e4che erreicht werden. Die Auswahl der chirurgischen Fenster richtet sich nach der Frakturlokalisation und den Erfordernissen der Frakturreposition.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Weiterbehandlung<\/jats:title>\n                <jats:p>Grunds\u00e4tzlich sollte eine Teilbelastung f\u00fcr 6\u00a0Wochen eingehalten werden, wobei Fraktur- und Osteosynthese-abh\u00e4ngig ggf. eine fr\u00fchere Belastungsfreigabe m\u00f6glich ist. Insbesondere von geriatrischen Patienten kann h\u00e4ufig keine Teilbelastung eingehalten werden, sodass hier die fr\u00fchzeitige und oft relativ unkontrollierte Vollbelastung akzeptiert werden muss.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In einer vergleichenden instrumentellen Bewegungsanalyse zwischen Patienten nach operativer Stabilisierung einer isolierten unilateralen Acetabulumfraktur \u00fcber den Pararectus-Zugang und gesunden Probanden zeichnete sich schon in der fr\u00fchen postoperativen Phase eine suffiziente Stabilit\u00e4t und Bewegungsfunktion des Beckens und der H\u00fcfte w\u00e4hrend des Gehens ab.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00064-023-00800-2","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T14:02:46Z","timestamp":1678975366000},"page":"110-120","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Der Pararectus-Zugang: operatives Vorgehen in der Acetabulumchirurgie","The pararectus approach: surgical procedure for acetabular fractures"],"prefix":"10.1007","volume":"35","author":[{"given":"Christian","family":"von R\u00fcden","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Brand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Perl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,16]]},"reference":[{"key":"800_CR1","doi-asserted-by":"publisher","first-page":"1900","DOI":"10.1016\/j.injury.2014.10.040","volume":"45","author":"MJ Keel","year":"2014","unstructured":"Keel\u00a0MJ, Tomagra\u00a0S, Bonel\u00a0HM, Siebenrock\u00a0KA, Bastian\u00a0JD (2014) Clinical results of acetabular fracture management with the Pararectus approach. 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