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Die operative Revision hat sich als Standardtherapie etabliert. Als alternatives, nichtoperatives Behandlungsverfahren kann die extrakorporale Sto\u00dfwellentherapie (ESWT) die M\u00f6glichkeit bieten, die potenziellen Komplikationen eines operativen Vorgehens zu vermeiden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Die Ergebnisse einer eigenen Fallserie sollen dargestellt und mit der aktuellen Literatur verglichen werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Im Zeitraum von 2007 bis 2016 wurden 97\u00a0Patienten mit posttraumatischer Knochenheilungsst\u00f6rung alternativ zu einer Revisionsoperation mittels ESWT behandelt. Klinische und demografische Parameter dieses Kollektivs wurden erhoben und ausgewertet. Prim\u00e4rer Endpunkt war die kn\u00f6cherne Ausheilung. Verschiedene Faktoren wurden hinsichtlich ihres Einflusses auf die Frakturkonsolidierung untersucht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Nach ESWT konnte eine Konsolidierungsrate von 60,8\u202f% erzielt werden. Eine pr\u00e4interventionelle Diastase \u2265\u202f5\u202fmm, eine initiale Dislokation &gt;\u202f\u00bd Schaftbreite, aktiver Nikotinkonsum sowie ein Zeitraum von der Fraktur bis zur ESWT &gt;\u202f6\u00a0Monate wurden als signifikant negative Einflussfaktoren identifiziert. Es traten keine relevanten Komplikationen auf.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die ESWT ist eine sichere und vielversprechende Therapiealternative bei posttraumatisch verz\u00f6gerter Knochenheilung. Unter Ber\u00fccksichtigung von vorab zu identifizierenden Risikofaktoren kann ihre Erfolgsrate gesteigert werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphic abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s00113-022-01225-5","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T09:02:41Z","timestamp":1661504561000},"page":"779-787","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Die extrakorporale Sto\u00dfwellentherapie als Therapiealternative bei posttraumatischer verz\u00f6gerter Knochenheilung","Extracorporeal shockwave therapy as an alternative treatment in cases of posttraumatic delayed bone union"],"prefix":"10.1007","volume":"126","author":[{"given":"Sebastian","family":"Hempe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0708-1259","authenticated-orcid":false,"given":"Dan","family":"Bieler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grit","family":"Braunegger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Schilling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Waldeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erwin","family":"Kollig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,26]]},"reference":[{"key":"1225_CR1","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s10195-019-0528-0","volume":"20","author":"P Andrzejowski","year":"2019","unstructured":"Andrzejowski\u00a0P, Giannoudis\u00a0PV (2019) The \u2018diamond concept\u2019 for long bone non-union management. 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