{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T10:11:09Z","timestamp":1775902269663,"version":"3.50.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"3-4","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100022308","name":"Karl Landsteiner Privatuniversit\u00e4t f\u00fcr Gesundheitswissenschaften","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100022308","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":[[2025,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Operationsziel<\/jats:title>\n            <jats:p>Stellungskorrektur mittels Gipskeilung, wodurch es zu einem Redressement und einer Retention des Knochenbruches in lokalisations- und altersabh\u00e4ngig tolerabler Frakturstellung kommt. Effiziente und zumutbare Behandlung ohne Notwendigkeit einer operativen Intervention.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Indikationen<\/jats:title>\n            <jats:p>Unterarmfrakturen distales Schaftdrittel sowie Frakturen der distalen Radiusmetaphyse. Unterschenkel- bzw. Tibiaschaftfrakturen ab Midschaft sowie Frakturen der distalen Tibiametaphyse.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Kontraindikationen<\/jats:title>\n            <jats:p>Proximale und mittlere Vorderarmfrakturen. Vollst\u00e4ndige Dislokation ohne Knochenkontakt der Frakturenden. Gelenkfrakturen (ausschlie\u00dflich epiphys\u00e4re Verletzungen). Sehr junge Patienten, weil eine konklusive R\u00fcckmeldung des Kindes bez\u00fcglich Schmerz\/Neurologie h\u00e4ufig sehr schwierig ist. Offene Frakturen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Operationstechnik<\/jats:title>\n            <jats:p>Anlage eines zum Keilen vorbereiteten Gipsverbandes, am 8. bis 10.\u00a0Tag nach Trauma Stellungskorrektur durch aufklappende Gipskeilung, die in der maximalen Konkavit\u00e4t der Fraktur zur Wirkung kommen soll.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Weiterbehandlung<\/jats:title>\n            <jats:p>W\u00f6chentliche Kontrollen der Verbandsanordnung bis zur Gipsabnahme, vorzeitige selbstst\u00e4ndige Wiedervorstellung bei Schmerzen (Aufkl\u00e4rung!). Fixationsdauer beim Kind 4\u00a0Wochen, bei Adoleszenten 4 bis 6\u00a0Wochen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Im Rahmen einer Studie der Autoren mit einem Beobachtungszeitraum von 8\u00a0Jahren wurden in der Klinik in Sankt P\u00f6lten 199\u00a0Frakturen bei Kindern nachkontrolliert. In lediglich 2\u00a0F\u00e4llen frustrane Keilung mit operativem Verfahrenswechsel (proximaler Radius \u2013\u00a0ESIN [elastische stabile intramedull\u00e4re Nagelosteosynthese], distale Tibiametaphyse\u00a0\u2013 K[Kirschner]-Dr\u00e4hte), weiter Refraktur nach Gipsabnahme bei\u00a04 von insgesamt 78 gekeilten Gr\u00fcnholzfrakturen an der Speiche (Refrakturrate von 5\u202f%, weit unter den \u00fcblichen Literaturangaben). Bei 96\u202f% des Patientenguts konnte das Therapieziel durch die Gipskeilung erreicht werden.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00064-025-00897-7","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T11:00:17Z","timestamp":1746529217000},"page":"228-241","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Die Kunst der Gipskeilung im Kindes- und Jugendlichenalter","The art of cast wedging in children and adolescents"],"prefix":"10.1007","volume":"37","author":[{"given":"Daniel","family":"Fr\u00fchwirt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Ziebarth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"897_CR1","doi-asserted-by":"publisher","first-page":"895","DOI":"10.1016\/j.clinbiomech.2008.04.003","volume":"23","author":"T Berberich","year":"2008","unstructured":"Berberich\u00a0T, Reimann\u00a0P, Steinacher\u00a0M, Erb\u00a0TO, Mayr\u00a0J (2008) Evaluation of cast wedging in a\u00a0forearm fracture model. Clin Biomech 23:895\u2013899","journal-title":"Clin Biomech"},{"key":"897_CR2","first-page":"1237","volume-title":"Die Technik der Knochenbruchbehandlung im Frieden und im Kriege","author":"L B\u00f6hler","year":"1943","unstructured":"B\u00f6hler\u00a0L (1943) Die Technik der Knochenbruchbehandlung im Frieden und im Kriege, 11.\u00a0Aufl. Bd.\u00a09. II.\u00a0Band, Maudrich, Wien, S\u00a01237\u20131241","edition":"11"},{"key":"897_CR3","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1302\/1863-2548.11.170109","volume":"11","author":"S Gaukel","year":"2017","unstructured":"Gaukel\u00a0S, Leu\u00a0S, Fink\u00a0L, Skovgaard\u00a0SR, Ramseier\u00a0LE, Vuille-dit-Bille\u00a0RN (2017) Cast wedging: a\u00a0systematic review of the present evidence. Child Orthop 11:398\u2013403","journal-title":"Child Orthop"},{"issue":"2","key":"897_CR4","first-page":"33","volume":"4","author":"N Jacobson","year":"2014","unstructured":"Jacobson\u00a0N, Lee\u00a0Ch (2014) Some Historical Treatments should not be Forgotten: A\u00a0Review of Cast Wedging and A Trick to Normalize Non-Standardized Digital X\u2011rays. JOCR 4(2):33\u201337","journal-title":"JOCR"},{"key":"897_CR5","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1097\/BPB.0000000000000099","volume":"23","author":"JM Kattan","year":"2017","unstructured":"Kattan\u00a0JM, Leathers\u00a0MP, Barad\u00a0JH, Silva\u00a0M (2017) The effectiveness of cast wedging for the treatment of pediatric fractures. Pediatr Orthop\u00a0B 23:566\u2013571","journal-title":"Pediatr Orthop B"},{"key":"897_CR6","unstructured":"Kr\u00f6mer K, Heuritsch J (1936) Zur Technik der Keilausschneidung bei Gipsverb\u00e4nden. Chirurg: 850\u2013854"},{"key":"897_CR7","doi-asserted-by":"crossref","unstructured":"Lieber J Wachstumsverhalten nach Frakturen des distalen Unterarms. Unfallchirurg 2014\u2013117:1092\u20131098","DOI":"10.1007\/s00113-014-2633-0"},{"key":"897_CR8","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1007\/s00113-024-01477-3","volume":"127","author":"T Petnehazy","year":"2024","unstructured":"Petnehazy\u00a0T, M\u00fcnnich\u00a0M, F\u00fcsi\u00a0F, Hankel\u00a0S, Erker\u00a0A, Fries\u00a0E, Elsayed\u00a0H, Till\u00a0H, Singer\u00a0S (2024) Gr\u00fcnholzfraktur des Unterarmschafts \u2013 \u00dcberbrechen obligatorisch oder falkutativ? Unfallchirurgie 127:713\u2013721","journal-title":"Unfallchirurgie"},{"key":"897_CR9","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1097\/BPO.0000000000000091","volume":"B34","author":"JB Samora","year":"2014","unstructured":"Samora\u00a0JB, Klingele\u00a0KE, Beebe\u00a0AC, Kean\u00a0JR, Klamar\u00a0J, Beran\u00a0MC, Willis\u00a0LM, Yin\u00a0H, Samora\u00a0WP (2014) Is There Still a\u00a0Place for Cast Wedging in Pediatric Forearm Fractures? Pediatr Orthop B34:246\u2013252","journal-title":"Pediatr Orthop"},{"key":"897_CR10","volume-title":"A\u00a0Theoretical Analysis of Cast Wedging with Practical Applications","author":"D Schulak","year":"1977","unstructured":"Schulak\u00a0D, Duyar\u00a0A, Schlicke\u00a0L, Gradisar\u00a0I (1977) A\u00a0Theoretical Analysis of Cast Wedging with Practical Applications. J.B.\u00a0Lippincott Company"},{"key":"897_CR11","first-page":"367","volume-title":"Frakturen und Luxationen im Wachstumsalter","author":"L Von Laer","year":"2012","unstructured":"Von Laer\u00a0L, Kraus\u00a0R, Linhart\u00a0W (2012) Frakturen und Luxationen im Wachstumsalter, 6.\u00a0Aufl., S\u00a0367\u2013394","edition":"6"}],"container-title":["Operative Orthop\u00e4die und Traumatologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00897-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00064-025-00897-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00064-025-00897-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:08:10Z","timestamp":1749017290000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00064-025-00897-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,6]]},"references-count":11,"journal-issue":{"issue":"3-4","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["897"],"URL":"https:\/\/doi.org\/10.1007\/s00064-025-00897-7","relation":{},"ISSN":["0934-6694","1439-0981"],"issn-type":[{"value":"0934-6694","type":"print"},{"value":"1439-0981","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,6]]},"assertion":[{"value":"28 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 January 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"D.\u00a0Fr\u00fchwirt und K.\u00a0Ziebarth geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}