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Eine 3\u2011Schritte-Versorgung mit akuter dorsomedianer Kompartmentspaltung (\u201eHannover approach\u201c) plus tibiometatatarsaler Transfixation (Tag\u00a01), intermedi\u00e4rer Hautadaptation (Tag\u00a05) und definitiver offener, anatomischer Gelenkrekonstruktion des Kalkaneus (Tag\u00a08) erm\u00f6glichte einen komplikationslosen Heilverlauf. Sechs\u00a0Wochen nach der 3.\u00a0Operation folgten die Entfernung des Unterschenkelgipsverbandes und der K\u2011Dr\u00e4hte. Kein Schulsport f\u00fcr\u00a010, intermittierende Physiotherapie f\u00fcr 12\u00a0Monate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnis<\/jats:title>\n                    <jats:p>Der Patient ist 18\u00a0Jahre nach Komplextrauma des linken Fu\u00dfes als Lackier-Meister im 3\u2011Schicht-System uneingeschr\u00e4nkt arbeitsf\u00e4hig. Fu\u00dfball- und Kraftsport sind schmerzfrei m\u00f6glich\u00a0bei voller OSG-, Fu\u00df- und Zehenfunktion. Der American Orthopaedic Foot &amp; Ankle Society (AOFAS-)\u00a0Score betr\u00e4gt 100, der Foot Function Index 2,36 und der EuroQol-5L5D-Score 100 Punkte. Ein CT im Stand\u00a0zeigt nach 18\u00a0Jahren gut konservativ-verheilte Frakturen von Talus, Kuboid und Metatarsale\u00a0V sowie einen in Form und Achse anatomisch wiederhergestellten operativ versorgten Kalkaneus mit arthrosefreien und kongruenten posterioren, medialen und kuboidalen Gelenkfacetten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die dringliche Entlastung des akuten Fu\u00df-KS m\u00f6glichst innert 6\u202fh nach Trauma ist auch beim Kind unerl\u00e4sslich. Ein abgestuftes Vorgehen beim komplexen Fu\u00dftrauma ist empfehlenswert.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-026-01718-7","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T14:51:13Z","timestamp":1780411873000},"page":"578-586","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rennrodel-Hochrasanztrauma mit Komplextrauma des Fu\u00dfes und akutem Kompartmentsyndrom eines 8-j\u00e4hrigen Kindes","High-speed luge trauma with complex trauma of the foot and acute compartment syndrome in an 8-year-old child"],"prefix":"10.1007","volume":"129","author":[{"given":"Hans","family":"Zwipp","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Achim","family":"Biewener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Fitze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1141-6493","authenticated-orcid":false,"given":"Stefan","family":"Rammelt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"issue":"1","key":"1718_CR1","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2023-001158","volume":"8","author":"N Ahmed","year":"2023","unstructured":"Ahmed\u00a0N, Kuo\u00a0YH (2023) Factors associated with compartment syndrome after a tibial fracture in children. 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