Der Unfallchirurg
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There is no standard procedure regarding surgical treatment of multiligament knee injuries involving rupture of the posterior cruciate ligament. ⋯ The results of the two operation techniques were not significantly different. The arthroscopic approach is therefore regarded as the preferred method in this institute.
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Inflammatory rheumatic diseases in childhood and adolescence are a special challenge in the treatment of acute trauma. The pharmaceutical treatment strategies for children and adolescents have been modified. ⋯ An interdisciplinary concept can help to avoid disadvantages in the treatment of the underlying disease. Due to the special dysplastic anatomy and tissue alterations, trauma in these patients is a particular challenge.
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This article reports a case of medial dislocation of the talus as a rare injury caused by a fall from a low height. Treatment recommendations given in the literature for this rare injury are heterogeneous but closed reduction is predominant. ⋯ The known complications include posttraumatic arthritis and necrosis of the talus. A posttraumatic lesion of the tibial nerve has not been reported, which is why a treatment recommendation is illustrated and discussed based on this case report.