{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:13:22Z","timestamp":1786979602268,"version":"build-2736575974"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T00:00:00Z","timestamp":1731542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Herzzentrum G\u00f6ttingen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Operationsziel<\/jats:title>\n                    <jats:p>Die Osteosynthese bei dislozierten diametaphys\u00e4ren Unterarmfrakturen dient der Wiederherstellung von Anatomie und Funktion. Durch die Versorgung mit einer antegraden intramedull\u00e4ren Nagelosteosynthese im Radius sollen L\u00e4nge, Rotation und Achse im Rahmen der altersspezifischen Korrekturgrenzen wiederhergestellt werden. Die ausreichende Stabilit\u00e4t gew\u00e4hrleistet eine fr\u00fchfunktionelle Nachbehandlung ohne Last.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indikationen<\/jats:title>\n                    <jats:p>Dislozierte diametaphys\u00e4re Unterarm- oder Radiusfrakturen, die sich nicht geschlossen, stabil reponieren lassen oder au\u00dferhalb der altersspezifischen Korrekturgrenzen verbleiben.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Kontraindikationen<\/jats:title>\n                    <jats:p>Radius- oder Unterarmfrakturen, die sich distal oder proximal des definierten Areals befinden. Im Zugangsweg befindliche Weichteildefekte, Kontaminationen oder Infekte.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Operationstechnik<\/jats:title>\n                    <jats:p>Im Verlauf des Thompson-Zugangs wird der Soft-Spot zwischen M.\u00a0extensor digitorum und M.\u00a0extensor carpi radialis brevis aufgesucht und eine ca.\u00a03\u20134\u202fcm Hautinzision durchgef\u00fchrt. Dann stumpfes Pr\u00e4parieren bis auf den Knochen unter Schonung des N.\u00a0radialis profundus und superficialis. Retraktion der Muskulatur mit 2\u00a0Langenbeck-Haken. Er\u00f6ffnen der Kortikalis mit einem Pfriem. Gegebenenfalls kann zuvor ein 2,5-mm-Bohrer mit Gewebeschutz bei sehr harter Kortikalis verwendet werden. Der TEN-Durchmesser (TEN\u202f=\u2009Titanium Elastic Nail) wird so gew\u00e4hlt, dass er etwa zwei Drittel des Markraumes ausf\u00fcllt. Es empfiehlt sich, ein Abflachen der TEN-Kufe mit einer Parallelflachzange durchzuf\u00fchren. Nach geschlossener Reposition wird der TEN dann bis vor die Wachstumsfuge unter leicht rotierenden Bewegungen gebracht. Der TEN wird am proximalen Ende umgebogen und oberhalb der Muskelb\u00e4uche abgekniffen. Alternative Verfahren sind die Kirschner-Draht-Osteosynthese oder der retrograde TEN von radial oder dorsal, mit oder ohne additive Biegung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Weiterbehandlung<\/jats:title>\n                    <jats:p>Ziel der Osteosynthese ist die fr\u00fchfunktionelle Nachbehandlung ohne Last. Sportkarenz wird f\u00fcr 8\u00a0Wochen empfohlen. Die Metallentfernung kann nach Konsolidierung zwischen 3 und 6\u00a0Monaten erfolgen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Deutlich dislozierte bzw. au\u00dferhalb der Korrekturgrenzen liegende Radius- und Unterarmfrakturen im Kindesalter zeigen nach beschriebener Osteosynthesetechnik sehr gute Behandlungsergebnisse bei geringem Risikoprofil. Eine Pseudarthrose konnte genauso wie Nervensch\u00e4den nicht beobachtet werden. Eine sekund\u00e4re Dislokation trat nicht ein.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00064-024-00877-3","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T09:35:49Z","timestamp":1731576949000},"page":"159-170","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Versorgung von diametaphys\u00e4ren\u00a0Unterarmfrakturen im Kindes- und Jugendalter","Treatment of diametaphyseal forearm fractures in children and adolescents"],"prefix":"10.1007","volume":"37","author":[{"given":"H.","family":"R\u00fcther","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Spering","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Fortini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Dresing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Lehmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Radebold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"877_CR1","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1007\/s001980200137","volume":"13","author":"I Jones","year":"2002","unstructured":"Jones\u00a0I et\u00a0al (2002) How many children remain fracture-free during growth? A\u00a0longitudinal study of children and adolescents participating in the Dunedin Multidisciplinary Health and Development Study. Osteoporos Int 13:990\u2013995","journal-title":"Osteoporos Int"},{"issue":"12","key":"877_CR2","first-page":"838","volume":"102","author":"R Kraus","year":"2005","unstructured":"Kraus\u00a0R, Schneidm\u00fcller\u00a0D, R\u00f6der\u00a0C (2005) H\u00e4ufigkeit von Frakturen der langen R\u00f6hrenknochen im Wachstumsalter. Dtsch \u00c4rztebl 102(12):838\u2013842","journal-title":"Dtsch \u00c4rztebl"},{"key":"877_CR3","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s00064-008-1401-0","volume":"20","author":"A-M Weinberg","year":"2008","unstructured":"Weinberg\u00a0A\u2011M, Castellani\u00a0C, Amerstorfer\u00a0F (2008) Elastic stable intramedullary nailing (ESIN) of forearm fractures. 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Universit\u00e4t Ulm"},{"issue":"4","key":"877_CR10","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1053\/jhsu.2002.34371","volume":"27","author":"O Sato","year":"2002","unstructured":"Sato\u00a0O et\u00a0al (2002) Antegrade intramedullary K\u2011wire fixation for distal radial fractures. J\u00a0Hand Surg Am 27(4):707\u2013713","journal-title":"J Hand Surg Am"},{"issue":"2","key":"877_CR11","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1016\/j.injury.2019.01.001","volume":"50","author":"M Du","year":"2019","unstructured":"Du\u00a0M, Han\u00a0J (2019) Antegrade elastic stable intramedullary nail fixation for paediatric distal radius diaphyseal metaphyseal junction fractures: a\u00a0new operative approach. Injury 50(2):598\u2013601","journal-title":"Injury"},{"key":"877_CR12","unstructured":"Urcola-Perez M et\u00a0al (2022) Antegrade ESIN-Technik bei dia-metaphys\u00e4ren Problemfrakturen des kindlichen Radius. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}