{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:53:09Z","timestamp":1726188789164},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2008,12]]},"abstract":"<jats:p>\n            Einleitung: Trauma oder Infektionen k\u00f6nnen die Epiphysenfuge des Kniegelenks zerst\u00f6ren und zu einer partiellen epiphys\u00e4ren Br\u00fcckenbildung f\u00fchren. Dies f\u00fchrt zu einer L\u00e4ngendifferenz und Achsabweichung. Es gibt nur wenig Informationen \u00fcber tumor\u00e4hnliche L\u00e4sionen als ausl\u00f6sender Faktor f\u00fcr diese Ver\u00e4nderungen. Wir suchten einen L\u00f6sungsansatz, der das Wachstumspotenzial als Einflussfaktor mit einbezieht und ausnutzt, um der Patientin sp\u00e4tere aufwendige Korrekturen zu ersparen. Methodik: Wir berichten \u00fcber ein 6-j\u00e4hriges M\u00e4dchen mit progredienter Varusdeformit\u00e4t des linken Kniegelenks und Abnahme der Gehstrecke. Nativ-R\u00f6ntgen und MRT-Diagnostik zeigten eine gutartige L\u00e4sion im Sinne eines Enchondroms des mediodistalen Femurs, wobei die mediale Epiphysenfuge betroffen war. Die fr\u00fchzeitig auftretende und rasch\n      fortschreitende Achsdeformit\u00e4t war Anlass f\u00fcr folgende Operationen: 1. Resektion der gutartigen L\u00e4sion und arthroskopisch gest\u00fctzte Resektion der epiphysealen Knochenbr\u00fccke mit Fettgewebs-Interponat. 2. Laterale Hemiepiphyseodese mittels Eight-plate. Histologisch zeigte sich ein kortikales Enchondrom als Ursache f\u00fcr die o.a. Wachstumsst\u00f6rung. W\u00e4hrend der Nachbeobachtung (viertelj\u00e4hrliche klinische und radiologische Untersuchung) stellten wir ein nahezu normales Wachstumsverhalten der mediodistalen Femurepiphyse mit konsekutiver Achskorrektur fest. Ergebnisse: 1 Jahr postoperativ erreichten wir durch operative Intervention (Resektion und tempor\u00e4re laterale Hemiepiphyseodese) eine vollst\u00e4ndige Achskorrektur in Bezug auf die Gegenseite. Die Eight-plate wurde bereits entfernt. Die Nachbeobachtung wird bis zum vollst\u00e4ndigen Wachstumsabschluss fortgef\u00fchrt. Schlussfolgerung: Eine\n      partielle epiphyseale Br\u00fcckenbildung wird nur in seltenen F\u00e4llen durch gutartige Knochentumoren verursacht. Durch Resektion mit anschlie\u00dfendem Fettgewebs-Interponat und tempor\u00e4rer Hemiepiphyseodese kann eine Achskorrektur w\u00e4hrend des Wachstums erzielt werden. Das Fortschreiten einer Deformit\u00e4t mit sp\u00e4ter resultierenden ausgedehnten chirurgischen Verfahren konnte vermieden werden.<\/jats:p>","DOI":"10.1055\/s-2008-1038999","type":"journal-article","created":{"date-parts":[[2008,12,13]],"date-time":"2008-12-13T01:31:01Z","timestamp":1229131861000},"page":"725-729","source":"Crossref","is-referenced-by-count":3,"title":["Partielle epiphyseale Br\u00fcckenbildung mit zunehmendem Genu varum bei kortikalem Enchondrom \u2013 ein Fallbericht"],"prefix":"10.1055","volume":"146","author":[{"given":"M.","family":"Niethard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rogalski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Deja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Zacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2008,12,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/S0030-5898(20)31927-1","article-title":"Deformity planning for frontal and sagittal plane corrective osteotomies","volume":"25","author":"D Paley","year":"1994","journal-title":"Orthop Clin North Am"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1302\/0301-620X.57B3.325","article-title":"An operation for partial closure of an epiphysial plate in children, and its experimental basis","volume":"57","author":"A Langenskiold","year":"1975","journal-title":"J Bone Joint Surg [Br]"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1302\/0301-620X.68B2.3514628","article-title":"The fate of fat transplants in operations for partial closure of the growth plate. Clinical examples and an experimental study","volume":"68","author":"A Langenskiold","year":"1986","journal-title":"J Bone Joint Surg [Br]"},{"key":"ref6","first-page":"65","article-title":"Partial growth arrest: identification, classification, and the results of treatment","volume":"6","author":"R Bright","year":"1982","journal-title":"Orthop Trans"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1097\/00003086-200212000-00031","article-title":"Secondary tethers after physeal bar resection: a common source of failure?","volume":"405","author":"C C Hasler","year":"2002","journal-title":"Clin Orthop Relat Res"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/01202412-200601000-00014","article-title":"Partial physeal growth arrest treated by bridge resection and artificial dura substitute interposition","volume":"15","author":"T Inoue","year":"2006","journal-title":"J Pediatr Orthop B"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01241398-200403000-00014","article-title":"Chitin as a scaffold for mesenchymal stem cells transfers in the treatment of partial growth arrest","volume":"24","author":"L Li","year":"2004","journal-title":"J Pediatr Orthop"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/01241398-199305000-00018","article-title":"Management of partial growth arrest: physis, fat, or silastic?","volume":"13","author":"E H Lee","year":"1993","journal-title":"J Pediatr Orthop"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-2008-1038999.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:25:20Z","timestamp":1667003120000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-2008-1038999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12]]},"references-count":8,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2008,12,12]]},"published-print":{"date-parts":[[2008,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-2008-1038999","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,12]]}}}