Verletzung großer Sehnen

Amlang, M.; Zwipp, H.

doi:10.1007/s00104-006-1205-4

Cited by 19 publications

(4 citation statements)

References 12 publications

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“…Ruptures are associated with tendinopathy caused by repetitive microtrauma, diabetes mellitus, rheumatoid arthritis, chronic renal failure, or steroid medication [10]. We reported 2 cases of patellar tendon disruption.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of a ruptured patellar tendon using ipsilateral semitendinosus and gracilis tendons with preserved distal insertions: two case reports

et al. 2013

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BackgroundAcute patellar tendon ruptures with poor tissue quality. Ruptures that have been neglected are difficult to repair. Several surgical techniques for the repair of the patellar tendon have been reported, however, these techniques remain difficult because of contractures, adhesions, and atrophy of the quadriceps muscle after surgery.Case presentationWe report the cases of 2 Japanese patients (Case 1: a 16-year-old male and Case 2: a 43-year-old male) with patellar tendon ruptures who were treated by reconstruction using semitendinosus-gracilis (STG) tendons with preserved distal insertions. Retaining the original insertion of the STG appears to preserve its viability and provide the revascularization necessary to accelerate healing. Both tendons were placed in front of the patella, in a figure-of-eight fashion, providing stability to the patella.ConclusionBoth patients recovered near normal strength and stability of the patellar tendon as well as restoration of function after the operation.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of a ruptured patellar tendon using ipsilateral semitendinosus and gracilis tendons with preserved distal insertions: two case reports

et al. 2013

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“…Although patellar tendon ruptures are seldom represented (4.1%), this injury requires surgery very often (86%). Etiology of these ruptures in young individuals without risk factors such as corticosteroid use, rheumatoid diseases or diabetes was usually direct trauma with or without open wounds in that region [16]. …”

Section: Discussionmentioning

confidence: 99%

Knee injuries in severe trauma patients: a trauma registry study in 3.458 patients

Andruszkow

Liodakis

Lefering

et al. 2012

J Trauma Manage Outcomes

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BackgroundPurpose of the presented study is to answer the following questions: Are knee injuries associated with trauma mechanisms or concomitant injuries? Do injuries of the knee region aggravate treatment costs or prolong hospital stay in polytraumatized patients?MethodsA retrospective analysis including 29.779 severely injured patients (Injury Severity Score [greater than or equal to] 16) from the Trauma Registry of the German Society for Trauma Surgery database (1993-2008) was conducted. Patients were subdivided into two groups; the "Knee" group (n=3.458, 11.6% of all patients) including all multiple trauma patients with knee injuries, and the "Non Knee" group (n=26.321) including the remaining patients. Patients with knee injuries were slightly younger, less often male gender and had a significantly increased ISS.ResultsPatients in the Knee group suffered significantly more traffic accidents compared to the Non Knee group (82% vs. 52%, p<0.001). These injuries were more often caused by car or motorbike accidents. Severe thoracic and limb injuries (AIS[greater than or equal to]3) were more frequently found in the Knee group (p<0.001) while head injury was distributed equally. The overall hospital stay, ICU stay, and treatment costs were significantly higher for the Knee group (38.1 vs. 25.5 days, 15.2 vs. 11.4 days, 40,116 vs. 25,336 Euro, respectively; all p<0.001).ConclusionsTraffic accidents are associated with an increased incidence of knee injuries than falls or attempted suicides. Furthermore, severe injuries of the limbs and chest are more common in polytraumatized patients with knee injuries. At last, treatment of these patients is prolonged and consequently more expensive.

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“…Dabei sind auch in sich widersprüchliche Erkenntnisse zu bedenken: Eine regelmäßige mechanische Beanspruchung der Sehnen verbessert sowohl die Nutrition der Sehnen, also auch ihre Reißfestigkeit, während andererseits hohe repetitive mechanische Belastungen das innere Gefüge der Sehne im elektronenmikroskopischen Bild verändern und damit wahrscheinlich auch die Entstehung einer Sehnenruptur begünstigen können [1].…”

Section: Pathogenese Von Sehnenrupturenunclassified

Kausalitätsbeurteilung nach Achillessehnenruptur

Schröter

2015

Trauma Berufskrankh

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Verletzung großer Sehnen

Cited by 19 publications

References 12 publications

Reconstruction of a ruptured patellar tendon using ipsilateral semitendinosus and gracilis tendons with preserved distal insertions: two case reports

Reconstruction of a ruptured patellar tendon using ipsilateral semitendinosus and gracilis tendons with preserved distal insertions: two case reports

Knee injuries in severe trauma patients: a trauma registry study in 3.458 patients

Kausalitätsbeurteilung nach Achillessehnenruptur

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