Evaluation von bedeutsamen operativen Eingriffen in der Sporttraumatologie

• Forschungsstelle: BASPO
• Projektnummer: 2000.34110.2020.01

Schlüsselwörter (Deutsch)

Traumatologie, Sportverletzung, Operationstechnik

Kurzbeschreibung (Deutsch)

Zwei häufige sporttraumatologische operative Eingriffe sollen evaluiert werden:

1. Operative Therapie des Symphysensyndroms

2. Operative Versorgung des AC-Gelenkes mit der Balser-Platte

Projektziele (Deutsch)

Folgende Fragen sollen untersucht werden:

1. Symphysensyndrom
· Bewirkt die operative Therapie des Symphysensyndroms eine vollständige Beschwerdefreiheit im Alltag und unter sportlicher Belastung?
· Unter welchen Vorraussetzungen kann die operative Therapie empfohlen werden, und welches ist der günstigste Zeitpunkt?

2. Balser-Platte
· Wie sind die postoperativen Ergebnisse nach Versorgung des AC-Gelenkes mit einer Balser-Platte?
· Müssen analog der Resultate Operationsindikation, Technik und Nachbehandlung angepasst werden?

Abstract (Deutsch)

ABSTRACT
We evaluated the results of surgical treatment on athletes presenting with chronic symphysis syndrome, a combination of groin and abdominal pain and adductor tendonitis. Twenty patients had a spreading of the lateral border of the rectus abdominis sheath together with an adductor muscle release, four patients had only the reconstruction of the rectus abdominis sheath. Subjective (with questionnaire) and objective (clinical examination and radiographs) follow-up were obtained at a mean of 6.6 years after surgery. Both the subjective and objective evaluations were scored in points.
The mean point score in the subjective overall rating was 10.2 (maximum 12), and in the objective rating, the mean score was 12.0 (maximum 13). Twenty-one athletes were very content, two content, and one was not content with the results. All patients were without relapse at the weak groin and free of pain at all adductor insertions. Full sports activity was noted in 19 of the 20 athletes (96%). The results of the presented surgical treatment were positive and the overall rating good. Nevertheless prevention and rehabilitation of these injuries, at least a part of them, should be intensified to avoid surgical interventions. This includes stabilization techniques followed by specific muscle strengthening procedures, always adapted to the sports-specific movement patterns.