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Leitthema Orthopäde 2017 · 46:640–647 Valentin Rausch · Dominik Seybold · Matthias Königshausen · Manfred Köller · DOI 10.1007/s00132-017-3449-8 Thomas A. Schildhauer · Jan Geßmann Online publiziert: 17. Juli 2017 Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum © Springer Medizin Verlag GmbH 2017 Bergmannsheil, Bochum, Deutschland Grundlagen der Knochenbruchheilung Ziel einer Knochenbruchheilung ist chen Mechanismen der Frakturheilung schen Behandlung besteht die physiolo- es, die Funktion des zuvor intakten mit zum Teil erfolgsversprechenden An- gischeKnochenbruchheilungamehesten Knochens vollständig wiederherzu- sätzen. Dies spiegelt sich in verbesserten aus einer Kombination beider Mechanis- stellen. Im Gegensatz zu anderen klinischen Ergebnissen wider. men, in der eine der Heilungsarten do- Geweben im menschlichen Körper miniert. steht am Ende dieses Prozesses nicht Arten der Knochenbruchheilung nur eine Defektheilung, sondern es Ablauf der Knochenbruch- bildet sich dabei Ersatzknochen, der Die Knochenbruchheilung weist star- heilung in den biomechanischen Eigenschaf- ke Ähnlichkeiten mit der embryona- tendem Knochenvor der Fraktur len Skelettentwicklung auf: Knochen Generell wird die durch ein Trauma ein- gleicht. kann entweder über eine Vorstufe von wirkende mechanische Energie von dem Knorpelgewebe oder unter bestimmten umliegenden Gewebe absorbiert. Über- Voraussetzungen ohne diese Zwischen- steigt die einwirkende Energie die me- Einleitung stufe entstehen. In der embryonalen chanische Stabilität des Knochens, frak-
Der Orthopäde – Springer Journals
Published: Jul 17, 2017
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