{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T13:28:16Z","timestamp":1759411696392,"version":"3.37.3"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T00:00:00Z","timestamp":1641168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T00:00:00Z","timestamp":1641168000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4de"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Ziel der Studie war es, den Einfluss der COVID-19-Pandemie auf die physiotherapeutische und \u00e4rztliche Nachsorge nach Rekonstruktion des vorderen Kreuzbandes (VKB) zu untersuchen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Insgesamt wurden 116 Patienten (72\u00a0M\u00e4nner und 44\u00a0Frauen) eingeschlossen, die zwischen September 2019 und Dezember 2020 eine Rekonstruktion des VKB erhalten hatten. Die Patienten wurden in eine 2019 vor der COVID-19(\u201ecoronavirus disease\u201c 2019)-Pandemie operierte Patientengruppe sowie eine 2020 operierte, von der COVID-19-Pandemie unmittelbar betroffene Patientengruppe eingeteilt. Anhand eines standardisierten Fragebogens wurden die Auswirkungen der Pandemie auf die \u00e4rztliche und physiotherapeutische Nachsorge sowie auf die Dauer der postoperativen Arbeitsunf\u00e4higkeit erhoben. Erg\u00e4nzend erfolgte eine Auswertung des Bewegungsumfanges des operierten Knies 3\u00a0Monate postoperativ.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es zeigte sich bei den 2020 operierten Patienten eine deutliche Tendenz zu einem h\u00f6heren Anteil an Streckdefiziten \u2265\u202f5\u00b0 (18,8\u202f% vs. 4,3\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,097) oder einer maximalen Beugef\u00e4higkeit von &lt;\u202f120\u00b0 (23,3\u202f% vs. 10\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,197) 3\u00a0Monate postoperativ, die allerdings nicht signifikant war. In der physiotherapeutischen und \u00e4rztlichen Nachsorge berichteten die 2020 operierten Patienten von signifikant l\u00e4ngeren Wartezeiten auf Termine, sp\u00e4teren Zeitpunkten des ersten postoperativen Termins, einer h\u00f6heren Anzahl vergeblicher Terminanfragen sowie einer h\u00f6heren Anzahl abgesagter Termine. 34,9\u202f% der 2020 operierten Patienten gaben an, die Dauer ihrer postoperativen Arbeitsunf\u00e4higkeit durch die M\u00f6glichkeiten zur Arbeit im Homeoffice verk\u00fcrzt haben zu k\u00f6nnen. Pandemiebedingte alternative Behandlungsangebote wurden den Patienten von 13,3\u202f% der Physiotherapeuten sowie 12,2\u202f% der \u00c4rzte angeboten.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Obwohl die physiotherapeutische und \u00e4rztliche Behandlung von keinem \u201eLockdown\u201c betroffen war, kam es aufgrund der Pandemie zu signifikanten Einschr\u00e4nkungen, welche sich auch in einer deutlichen Tendenz zu schlechteren klinischen Ergebnissen niederschlagen. Es besteht daher Bedarf an einem weiteren Ausbau alternativer Therapieoptionen, die bislang nur von 12\u201313\u202f% der Praxen zur Verf\u00fcgung gestellt werden und mutma\u00dflich auch f\u00fcr andere Erkrankungen von \u00e4hnlicher Bedeutung sind.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00132-021-04197-3","type":"journal-article","created":{"date-parts":[[2022,1,3]],"date-time":"2022-01-03T16:17:17Z","timestamp":1641226637000},"page":"403-409","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Einfluss der COVID-19-Pandemie auf die physiotherapeutische und \u00e4rztliche Nachsorge nach Rekonstruktionen des vorderen Kreuzbandes","Influence of the COVID-19 pandemic on the physiotherapeutic and medical follow-up care after reconstructions of the anterior cruciate ligament"],"prefix":"10.1007","volume":"51","author":[{"given":"Benjamin","family":"Bartek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Jung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonia","family":"Schwiedernoch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Perka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannick","family":"Palmowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,1,3]]},"reference":[{"issue":"11","key":"4197_CR1","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1007\/s00132-020-03997-3","volume":"49","author":"L Kohn","year":"2020","unstructured":"Kohn\u00a0L, Rembeck\u00a0E, Rauch\u00a0A (2020) Anterior cruciate ligament injury in adults : diagnostics and treatment. 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Von allen beteiligten Patienten liegt eine Einverst\u00e4ndniserkl\u00e4rung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}