{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:04:25Z","timestamp":1779365065522,"version":"3.53.0"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum Leipzig"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Subtalare Luxationen (simultane Luxationen vom Talokalkanear- und Talonavikulargelenk) ohne begleitende Fraktur sind selten und machen 1\u20132\u202f% aller Luxationen aus. Die Versorgung wurde in mehreren Fallbeispielen beschrieben und besteht vorrangig aus einer geschlossenen Reposition unter An\u00e4sthesie mit anschlie\u00dfender Ruhigstellung.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Fall<\/jats:title>\n            <jats:p>Es wird \u00fcber einen 30-j\u00e4hrigen Patienten berichtet, der sich beim Klettern eine mehrdimensionale nichtfrakturierte Luxation des Sprunggelenks mit vorwiegend subtalerer Komponente (Luxatio subtalolateralis) zuzog. Eine geschlossene Reposition war, wie sich im sp\u00e4teren Verlauf herausstellte, wegen tendin\u00f6ser Interposition der Sehnen des M.\u00a0tibialis posterior und des M.\u00a0flexor digitorum pedis longus nicht m\u00f6glich, sodass eine offene Reposition durchgef\u00fchrt werden musste. Erst im Rahmen der operativen Exploration konnte das volle Ausma\u00df der Verletzung beurteilt werden. Der Patient wurde f\u00fcr 12\u00a0Wochen im Fixateur externe ausbehandelt. Danach wurde mit einer krankengymnastischen Be\u00fcbung begonnen. Bereits nach 6\u00a0Monaten postoperativ zeigte der Patient eine gute Mobilit\u00e4t, Funktionalit\u00e4t und Belastbarkeit im betroffenen Sprunggelenk. Nach 30\u00a0Monaten zeigte sich der Patient beschwerdefrei.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Zusammenfassung<\/jats:title>\n            <jats:p>Die in diesem Fallbericht durchgef\u00fchrte prolongierte Ruhigstellung nach subtalarer Luxation, mittels Fixateur externe f\u00fcr insgesamt 12\u00a0Wochen zeigte langfristig sehr gute funktionelle Ergebnisse.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00113-025-01583-w","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T11:09:45Z","timestamp":1748862585000},"page":"545-551","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prolongierte Ruhigstellung mittels Fixateur externe bei subtalarer Luxation ohne Fraktur","Prolonged immobilization with an external fixator for subtalar dislocation without fracture"],"prefix":"10.1007","volume":"128","author":[{"given":"Yasmin","family":"Youssef","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Sch\u00f6ffl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordian","family":"Weber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"R\u00f6ttel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Willy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Falko","family":"Patzsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"1583_CR1","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1580\/06-WEME-OR-071R1.1","volume":"18","author":"G Josephsen","year":"2007","unstructured":"Josephsen\u00a0G, Shinneman\u00a0S, Tamayo-Sarver\u00a0J et\u00a0al (2007) Injuries in Bouldering: A\u00a0Prospective Study. 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