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Das ist die Frage, die sich die Kindertraumatologie seit vielen Jahren hinsichtlich der Therapie von Gr\u00fcnholzfrakturen des Unterarmschafts stellt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>H\u00e4ufigkeit der Gr\u00fcnholzfrakturen des diaphys\u00e4ren Unterarms im Kindes- und Jugendalter; Einfluss des Durchbrechens der Gegenkortikalis auf die Refrakturrate.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methode<\/jats:title>\n                <jats:p>Analyse und Diskussion relevanter Arbeiten, Analyse der Refrakturrate von kindlichen Gr\u00fcnholzfrakturen des Unterarmschafts im eigenen Patientenkollektiv.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Gr\u00fcnholzfrakturen treten im Bereich des Unterarmschafts h\u00e4ufig auf, und eine inkomplette Konsolidierung f\u00fchrt zu einer erh\u00f6hten Refrakturrate. Im Patientenkollektiv der Autoren von 420 Kindern mit Gr\u00fcnholzfrakturen des Unterarmschafts zeigte sich eine Refrakturrate von 9,5\u202f%, wobei die Rate bei nichtkomplettierten Frakturen signifikant h\u00f6her war, im Vergleich zur Gruppe der komplettierten Frakturen (15,2\u202f% vs.\u00a03\u202f%). W\u00e4hrend in der Subgruppe der konservativ behandelten Gr\u00fcnholzfrakturen (<jats:italic>n<\/jats:italic>\u202f=\u2009234) das Durchbrechen der Gegenkortikalis die Refrakturrate signifikant verringerte, f\u00fchrte das Durchbrechen im Rahmen einer operativen Versorgung mithilfe der elastisch-stabilen intramedull\u00e4ren Nagelung (ESIN) zu keiner Ver\u00e4nderung der Refrakturrate.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerungen<\/jats:title>\n                <jats:p>Im Rahmen der konservativen Therapie von Gr\u00fcnholzfrakturen des diaphys\u00e4ren Unterarms kann das Durchbrechen der Gegenkortikalis empfohlen werden, um die Refrakturrate zu minimieren. Das Komplettieren der Gr\u00fcnholzfraktur scheint im Rahmen einer operativen Behandlung mithilfe der ESIN nicht n\u00f6tig zu sein.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-024-01477-3","type":"journal-article","created":{"date-parts":[[2024,9,16]],"date-time":"2024-09-16T11:02:26Z","timestamp":1726484546000},"page":"713-721","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Gr\u00fcnholzfraktur des Unterarmschafts\u00a0\u2013 \u00dcberbrechen obligatorisch oder fakultativ?","Greenstick fractures of the forearm shaft\u2014Is it obligatory or facultative to break the cortex?"],"prefix":"10.1007","volume":"127","author":[{"given":"Thomas","family":"Petnehazy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"M\u00fcnnich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand","family":"F\u00fcsi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia","family":"Hankel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Erker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Friehs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hesham","family":"Elsayed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holger","family":"Till","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg","family":"Singer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"issue":"3","key":"1477_CR1","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1007\/s12306-020-00684-6","volume":"105","author":"G Caruso","year":"2021","unstructured":"Caruso\u00a0G, Caldari\u00a0E, Sturla\u00a0FD, Caldaria\u00a0A, Re\u00a0DL, Pagetti\u00a0P et\u00a0al (2021) Management of pediatric forearm fractures: what is the best therapeutic choice? 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