{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T11:41:41Z","timestamp":1659613301701},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"8","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":"Albert-Ludwigs-Universit\u00e4t Freiburg im Breisgau"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4die"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die patellofemorale Instabilit\u00e4t z\u00e4hlt zu den h\u00e4ufigsten Pathologien des Kniegelenks. Die Planung und Durchf\u00fchrung patellastabilisierender Operationen ist sehr variabel. Bez\u00fcglich der operativen Ma\u00dfnahmen kommt der pr\u00e4operativen Planung, gerade im Hinblick auf die h\u00e4ufig hohe Komplexit\u00e4t der zugrundeliegenden Pathologien, eine entscheidende Bedeutung zu.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Ziel dieser Studie war es, die aktuelle Versorgungsrealit\u00e4t in Bezug auf Planung und Durchf\u00fchrung patellastabilisierender Operationen unter Mitgliedern der Deutschen Gesellschaft f\u00fcr Orthop\u00e4die und Unfallchirurgie (DGOU) abzubilden. Des Weiteren sollte erhoben werden, ob ggf. automatisierte Analysen der zugrundeliegenden Anatomie die Planung und Durchf\u00fchrung patellastabilisierender Operationen (im Prim\u00e4r- und Revisionsfall) beeinflussen w\u00fcrden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Unter allen aktiven Mitgliedern der DGOU wurde per Mail eine anonymisierte Online-Umfrage mit 16\u00a0Fragen erhoben. 7974 Mitglieder wurden angeschrieben, 393 R\u00fcckmeldungen konnten anschlie\u00dfend analysiert werden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die MPFL-Plastik (89,8\u202f%) ist die am h\u00e4ufigsten durchgef\u00fchrte Operation zur Patellastabilisierung. Dahinter folgen Tuberositasversatzoperationen (64,9\u202f%), Korrekturosteotomien (51,2\u202f%) und Trochleaplastiken (19,9\u202f%). Die Wahl bez\u00fcglich des operativen Vorgehens f\u00e4llt \u00fcberwiegend auf Grundlage einer Kombination aus klinischen und radiologischen Befunden (90,3\u202f%). F\u00fcr die Entscheidung zur Operation werden haupts\u00e4chlich MRT-Bildgebung (81,2\u202f%), Standard-R\u00f6ntgenbilder (77,4\u202f%) und Beinganzaufnahmen (76,6\u202f%) herangezogen. Insgesamt w\u00fcrden 59,3\u202f% der Befragten eine automatisierte Analyse f\u00fcr eine vereinfachte pr\u00e4operative Planung und die Detektion von entscheidenden radiologischen Parametern (59,0\u202f%) in Anspruch nehmen, sofern diese zur Verf\u00fcgung st\u00fcnden.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Erhebungen dieser Umfrage unter Mitgliedern der DGOU weisen die MPFL-Plastik als zentralen Ansatzpunkt zur operativen Behandlung patellofemoraler Instabilit\u00e4ten aus, diagnostisch ist die MRT-Bildgebung essenziell. Durch eine zuk\u00fcnftige Etablierung automatisierter Software-gest\u00fctzter Analysemethoden k\u00f6nnte bei einer Vielzahl von Operateuren eine Erweiterung der radiologisch ber\u00fccksichtigten Parameter in der Planung patellastabilisierender Operationen erreicht werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00132-022-04264-3","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T17:13:58Z","timestamp":1653326038000},"page":"652-659","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Versorgungsrealit\u00e4t patellastabilisierender Operationen"],"prefix":"10.1007","volume":"51","author":[{"given":"Andreas","family":"Fuchs","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Frodl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tayfun","family":"Yilmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias J.","family":"Feucht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reinhard","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Dickschas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hagen","family":"Schmal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaywan","family":"Izadpanah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,5,23]]},"reference":[{"key":"4264_CR1","doi-asserted-by":"publisher","first-page":"472","DOI":"10.1177\/03635465000280040601","volume":"28","author":"DM Atkin","year":"2000","unstructured":"Atkin\u00a0DM, Fithian\u00a0DC, Marangi\u00a0KS et\u00a0al (2000) Characteristics of patients with primary acute lateral patellar dislocation and their recovery within the first 6\u00a0months of injury. 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