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Auch wenn die radiologischen Ergebnisse zumeist zufriedenstellend sind, deckt sich dies h\u00e4ufig nicht mit der subjektiven Einsch\u00e4tzung der Patienten. Die klassische Versorgung mittels Drahtzuggurtung weist einige Komplikationen auf. Die winkelstabile Plattenosteosynthese hat sich in den letzten Jahren biomechanisch als vorteilhaft erwiesen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Fragestellung<\/jats:title><jats:p>Von wem werden Patellafrakturen in Deutschland versorgt? Wie sieht der aktuelle Versorgungsstandard aus? Haben sich \u201emoderne\u201c Osteosyntheseformen durchgesetzt? Was sind die h\u00e4ufigsten Komplikationen?<\/jats:p><\/jats:sec><jats:sec><jats:title>Material und Methoden<\/jats:title><jats:p>Die Mitglieder der Deutschen Gesellschaft f\u00fcr Orthop\u00e4die und Unfallchirurgie sowie der Deutschen Kniegesellschaft wurden aufgefordert, an einer Onlinebefragung teilzunehmen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Insgesamt wurden 511 komplett ausgef\u00fcllte Fragebogen ausgewertet. Die Befragten sind zum gr\u00f6\u00dften Teil auf Unfallchirurgie spezialisiert (51,5\u202f%) und verf\u00fcgen \u00fcber langj\u00e4hrige Berufserfahrung in Traumazentren. Die H\u00e4lfte der Operateure versorgt \u22645\u00a0Patellafrakturen j\u00e4hrlich. In knapp 40\u202f% der F\u00e4lle wird die pr\u00e4operative Bildgebung um eine Computertomographie erg\u00e4nzt. Die klassische Zuggurtung ist noch die bevorzugte Osteosyntheseform bei allen Frakturtypen (Querfraktur 52\u202f%, Mehrfragmentfrakturen 40\u202f%). Bei Mehrfragmentfrakturen entscheiden sich 30\u202f% der Operateure f\u00fcr eine winkelstabile Plattenosteosynthese. Bei Beteiligung des kaudalen Pols dient als zus\u00e4tzliche Sicherung die McLaughlin-Schlinge (60\u202f%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Diskussion<\/jats:title><jats:p>Der Versorgungsstandard von Patellafrakturen in Deutschland entspricht weitgehend der aktualisierten S2e-Leitlinie. Nach wie vor wird die klassische Zuggurtungsosteosynthese als Verfahren der Wahl genutzt. Weitere klinische (Langzeit\u2011)Studien werden ben\u00f6tigt, um die Vorteile der winkelstabilen Plattenosteosynthese zu verifizieren.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00113-020-00939-8","type":"journal-article","created":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T14:06:48Z","timestamp":1608214008000},"page":"832-838","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Aktueller Versorgungsstandard von Patellafrakturen in Deutschland","Current treatment standard for patella fractures in Germany"],"prefix":"10.1007","volume":"124","author":[{"given":"Kai","family":"Fehske","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus T.","family":"Berninger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Alm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Zellner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemens","family":"K\u00f6sters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Barzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaywan","family":"Izadpanah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elmar","family":"Herbst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Domnick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Philipp","family":"Sch\u00fcttrumpf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Krause","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Komitee Frakturen der Deutschen Kniegesellschaft (DKG)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,12,17]]},"reference":[{"key":"939_CR1","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.arthro.2017.08.267","volume":"34","author":"NA Bonazza","year":"2018","unstructured":"Bonazza\u00a0NA, Lewis\u00a0GS, Lukosius\u00a0EZ et\u00a0al (2018) Effect of transosseous tunnels on patella fracture risk after medial patellofemoral ligament reconstruction: a cadaveric study. 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