{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,5]],"date-time":"2023-02-05T23:13:18Z","timestamp":1675638798049},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4die"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec><jats:title>Hintergrund<\/jats:title><jats:p>Dysplasie, FAI und femorale Fehlrotationen treten h\u00e4ufig gemeinsam auf und f\u00fchren zu einem Mischbild an Symptomen und biomechanischen Einschr\u00e4nkungen der H\u00fcfte.<\/jats:p><\/jats:sec><jats:sec><jats:title>Fragestellung<\/jats:title><jats:p>Was sind die aktuellen Empfehlungen zur bestm\u00f6glichen Diagnostik und Therapie bei Kombinationspathologien in der h\u00fcfterhaltenden Chirurgie.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methoden<\/jats:title><jats:p>Auswertung und Diskussion der relevanten Literatur mit Ber\u00fccksichtigung der eigenen Erfahrung in der Behandlung von komplexen kombinierten Pathomorphologien der H\u00fcfte.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Die Anamnese und klinische Untersuchung sind richtungsweisend zur Bestimmung der f\u00fcr die Beschwerden urs\u00e4chlichen Pathomorphologien. Ein korrekt zentriertes Becken\u00fcbersichtsbild sowie eine axiale Aufnahme der H\u00fcfte ist die Grundlage der radiologischen Beurteilung der H\u00fcfte, je nach Fall erg\u00e4nzt mit MRT, CT sowie Animationen der H\u00fcfte. Da sich die Pathologien funktionell gegenseitig beeinflussen, wird in der Behandlung ein schrittweises Vorgehen empfohlen mit vorerst Korrektur der funktionell relevantesten Pathologie, gefolgt von weiteren Korrekturen je nach Bedarf. Erreicht werden muss vornehmlich eine stabile, korrekt \u00fcberdachte H\u00fcfte, gefolgt von einem normalen Impingement-freien Bewegungsumfang und normalisierter Funktion der Muskulatur. Dabei ist bei der Wahl der Operationsmethode darauf zu achten, dass s\u00e4mtliche Pathologien suffizient behandelt werden k\u00f6nnen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>Mittels der Operationstechniken der h\u00fcfterhaltenden Chirurgie k\u00f6nnen komplexe, kombinierte Pathologien der H\u00fcfte suffizient behandelt werden. Wichtig ist eine gr\u00fcndliche Diagnostik, um die unterschiedlichen Pathologien und deren Zusammenspiel zu erkennen. Das Ziel der operativen Therapie ist eine m\u00f6glichst korrekt \u00fcberdachte, stabile H\u00fcfte mit normalem Bewegungsumfang.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00132-022-04252-7","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T11:04:16Z","timestamp":1653303856000},"page":"438-449","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Therapieentscheidung bei Kombinationspathologien Dysplasie \u2013\u00a0FAI\u00a0\u2013 Fehlrotation"],"prefix":"10.1007","volume":"51","author":[{"given":"Nicolas","family":"Vuillemin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon D.","family":"Steppacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malin K.","family":"Meier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenz","family":"B\u00fcchler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"4252_CR1","doi-asserted-by":"publisher","first-page":"1212","DOI":"10.1007\/s11999-014-4068-x","volume":"473","author":"CE Albers","year":"2015","unstructured":"Albers\u00a0CE, Steppacher\u00a0SD, Haefeli\u00a0PC et al (2015) Twelve percent of hips with a\u00a0primary cam deformity exhibit a\u00a0slip-like morphology resembling sequelae of slipped capital femoral epiphysis. 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