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H\u00e4ufig handelt es sich hierbei um bikondyl\u00e4re Frakturen. Die initiale Versorgung dieser Frakturen mittels Fixateur externe (tEF) wird kontrovers diskutiert, und es gibt nur wenige Daten \u00fcber Komplikationen bei tempor\u00e4r angelegtem tEF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Das Ziel dieser Studie ist, die Komplikationsraten zwischen Patienten mit und ohne initiale tEF-Anlage in einem \u00e4hnlichen Patientenkollektiv zu untersuchen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Diese monozentrische retrospektive Studie analysiert die Komplikationsraten von bikondyl\u00e4ren Tibiakopffrakturen von Januar 2011 bis Dezember 2020 an einem universit\u00e4ren \u00fcberregionalen Traumazentrum. Die Frakturen wurden nach der jeweiligen initialen Therapie in 2\u00a0Gruppen eingeteilt (tempor\u00e4rer Fixateur externe (tEF)) und prim\u00e4re Immobilisierung in Gips\/Orthese (iGO). Das Komplikationsrisiko wurde mithilfe einer univariaten Regressionsanalyse ermittelt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      Insgesamt zeigte sich kein signifikant erh\u00f6htes relatives Risiko f\u00fcr Komplikationen zwischen tEF und iGO (Odds Ratio (OR) 1,97, 95\u202f%-KI 0,90\u20134,37,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,069). Die spezifische Komplikation einer postinterventionellen Infektion trat jedoch signifikant h\u00e4ufiger bei der Verwendung von tEF auf (OR 5,12, 95\u202f%-KI 1,27\u201329,88,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u20090,01), w\u00e4hrend die Gesamtrate der Komplikationen keine signifikante Zunahme zeigte. Der Einsatz von tEF war nicht mit einem eingeschr\u00e4nkten Bewegungsma\u00df (ROM) assoziiert.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die postoperative Gesamtkomplikationsrate bei Tibiakopffrakturen wird durch die initiale Versorgung mit einem Fixateur externe oder einem Gips nicht signifikant beeinflusst. Die Entscheidung f\u00fcr einen tempor\u00e4ren Fixateur sollte individuell und basierend auf klaren Indikationen getroffen werden. Die h\u00f6here Infektionsrate bei Patienten mit einem Fixateur externe stellt ein Risiko dar; dieses muss im Zusammenhang mit einem m\u00f6glichen Bias durch komplexere Weichteil- und Knochenverletzungen sowie Mehrfachverletzungen betrachtet werden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Graphic abstract<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-025-01604-8","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T14:15:49Z","timestamp":1753452949000},"page":"853-860","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Stellenwert der notfallm\u00e4\u00dfigen tempor\u00e4ren Fixateur-externe-Anlage bei bikondyl\u00e4ren Tibiakopffrakturen","Importance of emergency temporary external fixation for bicondylar tibial plateau fractures"],"prefix":"10.1007","volume":"128","author":[{"given":"Claas","family":"Neidlein","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel P.","family":"Berthold","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Winden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Boris Michael","family":"Holzapfel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"B\u00f6cker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"F\u00fcrmetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7024-3620","authenticated-orcid":false,"given":"Markus","family":"Bormann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"1604_CR1","doi-asserted-by":"publisher","first-page":"332","DOI":"10.2174\/1874325001509010332","volume":"9","author":"ML Bertrand","year":"2015","unstructured":"Bertrand\u00a0ML, Andr\u00e9s-Cano\u00a0P, Pascual-L\u00f3pez\u00a0FJ (2015) Periarticular fractures of the knee in polytrauma patients. 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