{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:16:06Z","timestamp":1780506966480,"version":"3.54.1"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinik M\u00fcnchen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Bei Tibia-Osteotomien (TO) mit Marknagelfixierung kann eine minimal-invasive, prophylaktische Fasziotomie (PF) der Extensorenloge zur Pr\u00e4vention eines postoperativen akuten Kompartmentsyndroms (KS) erfolgen. Bislang sind keine Studien \u00fcber die Effekte von TO oder PF auf spezifische Funktionen der Extensoren bekannt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Die Untersuchung der Funktion nach PF und TO an Patient*innen ohne pr\u00e4operative funktionelle Einschr\u00e4nkung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>In 41\u00a0F\u00e4llen (28\u00a0Frauen, 13\u00a0M\u00e4nner) erfolgte durchschnittlich 6,1\u00a0Jahre nach elektiver TO mit PF und Marknagelfixierung eine Befragung zur klinischen Funktion. In 23\u00a0F\u00e4llen wurden die isometrische Kraft und der \u201erange of motion\u201c (ROM) der Dorsalextension (DE) des oberen Sprunggelenks (OSG) gemessen. Die Kraft wurde als Test auf klinische Relevanz mit der 10\u202f%-Normperzentile verglichen, sowie zur Gegenseite.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In durchschnittlich 86\u202f% der F\u00e4lle wurde von keinen oder geringen funktionellen Einschr\u00e4nkungen der Extensoren berichtetet. Die mittlere Kraft zeigte keine signifikante Abweichung von der geschlechterspezifischen 10\u202f%-Normperzentile, aber war im Seitenvergleich auf der operierten Seite mit 16,0\u202f\u00b1\u20096,5\u202fkgf signifikant geringer als auf der Gegenseite mit 17,5\u202f\u00b1\u20096,3\u202fkgf (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,01). Die subjektive Einschr\u00e4nkung der DE im OSG korrelierte deutlich negativ mit der ROM (r<jats:sub>s<\/jats:sub>\u202f=\u2009\u22120,46, <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Ergebnisse lassen auf eine geringe H\u00e4ufigkeit subjektiv relevanter funktioneller Einschr\u00e4nkungen der Extensoren schlie\u00dfen. Die vorgefundene Kraftminderung war nicht klinisch relevant. Subjektive Einschr\u00e4nkungen scheinen vorrangig durch Abnahme des ROM verursacht zu sein.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-021-01070-y","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T10:46:33Z","timestamp":1629888393000},"page":"716-722","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prophylaktische Fasziotomie bei Tibia-Osteotomien: funktionelle Ergebnisse","Prophylactic fasciotomy in tibial osteotomies: functional results"],"prefix":"10.1007","volume":"125","author":[{"given":"Nikolaus","family":"Degen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Randeu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Wolf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"F\u00fcrmetz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekkehard","family":"Euler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter Helmut","family":"Thaller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"1070_CR1","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1302\/0301-620X.92B1.22637","volume":"92","author":"FE Bilen","year":"2010","unstructured":"Bilen\u00a0FE, Kocaoglu\u00a0M, Eralp\u00a0L, Balci\u00a0HI (2010) Fixator-assisted nailing and consecutive lengthening over an intramedullary nail for the correction of tibial deformity. 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