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Z Orthop Unfall
DOI: 10.1055/a-2121-6538
DOI: 10.1055/a-2121-6538
Leitlinie
S2k-Leitlinie Tibiakopffraktur – Klassifikation, Diagnostik und Therapie
Article in several languages: deutsch | English
Zusammenfassung
Tibiakopffrakturen stellen mehrheitlich komplexe und chirurgisch anspruchsvolle Gelenkfrakturen dar, die für ein zufriedenstellendes Ergebnis ein umfassendes Verständnis der Frakturmorphologie, der ligamentären und neurovaskulären Begleitverletzungen sowie der diagnostischen und therapeutischen Optionen erfordern. Hierzu ist ein standardisiertes und strukturiertes Vorgehen erforderlich. Der Erfolg einer Behandlung von Tibiakopffrakturen liegt zu großen Teilen auch an der interdisziplinären Zusammenarbeit von operativ und konservativ tätigen Behandlern im ambulanten und stationären Bereich, Physiotherapeuten, Patienten und Leistungserbringern (Krankenkassen, gesetzliche Unfallversicherung, Rentenversicherungsträger). Im Auftrag der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie e. V. (DGOU), der Deutschen Gesellschaft für Unfallchirurgie (DGU) und der Gesellschaft für Arthroskopie und Gelenkchirurgie (AGA) wurde unter Federführung des Frakturen-Komitees der Deutschen Kniegesellschaft (DKG) ein leitliniengerechter Behandlungspfad zur Tibiakopffraktur erstellt, der im Rahmen eines Delphi-Prozesses in mehreren Abstimmungsrunden erarbeitet wurde. Dieser Behandlungspfad soll unter Berücksichtigung der aktuellen Literatur Empfehlungen aussprechen und die wichtigsten Behandlungsschritte der Diagnostik, Therapie und Nachbehandlung darlegen. Mit dem Ziel einer Konsensbildung wurden zudem 25 Aussagen unter Anwendung der Likert-Skala durch die Autoren in mehreren Befragungsrunden revidiert.
Publication History
Received: 13 April 2022
Accepted after revision: 29 June 2023
Article published online:
06 September 2023
© 2023. Thieme. All rights reserved.
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Literatur
- 1 Elsoe R, Larsen P, Nielsen NP. et al. Population-Based Epidemiology of Tibial Plateau Fractures. Orthopedics 2015; 38: e780-e786 DOI: 10.3928/01477447-20150902-55. (PMID: 26375535)
- 2 Krause M, Preiss A, Müller G. et al. Intra-articular tibial plateau fracture characteristics according to the “Ten segment classification”. Injury 2016; 47: 2551-2557
- 3 Krause M, Alm L, Berninger M. et al. Bone metabolism is a key factor for clinical outcome of tibial plateau fractures. Eur J Trauma Emerg Surg 2020; 46: 1227-1237 DOI: 10.1007/s00068-020-01537-4. (PMID: 33151357)
- 4 Henkelmann R, Frosch KH, Glaab R. et al. Infection following fractures of the proximal tibia – a systematic review of incidence and outcome. BMC Musculoskelet Disord 2017; 18: 481 DOI: 10.1186/s12891-017-1847-z. (PMID: 29162084)
- 5 Bobrich E, Haupt C, Grass R. et al. Tibiakopffraktur und Luxationsfraktur. Trauma Berufskrankh 2009; 11 (Suppl. 02) 154-159 DOI: 10.1007/s10039-009-1504-3.
- 6 Moore TM. Fracture--dislocation of the knee. Clin Orthop Relat Res 1981; (156) 128-140 (PMID: 7226641)
- 7 Lobenhoffer P, Krettek C, Tscherne H. Complex knee trauma. Orthopade 1997; 26: 1037-1045 DOI: 10.1007/PL00003359. (PMID: 28246870)
- 8 Coleman JJ, Tavoosi S, Zarzaur BL. et al. Arterial Injuries Associated with Blunt Fractures in the Lower Extremity. Am Surg 2016; 82: 820-824 (PMID: 27670570)
- 9 Mthethwa J, Chikate A. A review of the management of tibial plateau fractures. Musculoskelet Surg 2018; 102: 119-127 DOI: 10.1007/s12306-017-0514-8. (PMID: 29043562)
- 10 Gardner MJ, Yacoubian S, Geller D. et al. The incidence of soft tissue injury in operative tibial plateau fractures: a magnetic resonance imaging analysis of 103 patients. J Orthop Trauma 2005; 19: 79-84 DOI: 10.1097/00005131-200502000-00002. (PMID: 15677922)
- 11 Thürig G, Korthaus A, Frosch KH. et al. The value of magnetic resonance imaging in the preoperative diagnosis of tibial plateau fractures: a systematic literature review. Eur J Trauma Emerg Surg 2023; 49: 661-679 DOI: 10.1007/s00068-022-02127-2. (PMID: 36307588)
- 12 Kolb JP, Regier M, Vettorazzi E. et al. Prediction of Meniscal and Ligamentous Injuries in Lateral Tibial Plateau Fractures Based on Measurements of Lateral Plateau Widening on Multidetector Computed Tomography Scans. Biomed Res Int 2018; 2018: 5353820 DOI: 10.1155/2018/5353820. (PMID: 30151383)
- 13 Millar SC, Arnold JB, Thewlis D. et al. A systematic literature review of tibial plateau fractures: What classifications are used and how reliable and useful are they?. Injury 2018; 49: 473-490 DOI: 10.1016/j.injury.2018.01.025. (PMID: 29395219)
- 14 Meinberg EG, Agel J, Roberts CS. et al. Fracture and Dislocation Classification Compendium-2018. J Orthop Trauma 2018; 32 (Suppl. 01) S1-S170 DOI: 10.1097/BOT.0000000000001063. (PMID: 29256945)
- 15 Luo CF, Sun H, Zhang B. et al. Three-column fixation for complex tibial plateau fractures. J Orthop Trauma 2010; 24: 683-692 DOI: 10.1097/BOT.0b013e3181d436f3. (PMID: 20881634)
- 16 Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976; 58: 453-458 (PMID: 773941)
- 17 Gustilo RB, Mendoza RM, Williams DN. Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 1984; 24: 742-746 DOI: 10.1097/00005373-198408000-00009. (PMID: 6471139)
- 18 Tscherne H, Oestern HJ. [A new classification of soft-tissue damage in open and closed fractures (author’s transl)]. Unfallheilkunde 1982; 85: 111-115 (PMID: 7090085)
- 19 Howells NR, Brunton LR, Robinson J. et al. Acute knee dislocation: an evidence based approach to the management of the multiligament injured knee. Injury 2011; 42: 1198-1204 DOI: 10.1016/j.injury.2010.11.018. (PMID: 21156317)
- 20 Barnes CJ, Pietrobon R, Higgins LD. Does the pulse examination in patients with traumatic knee dislocation predict a surgical arterial injury? A meta-analysis. J Trauma 2002; 53: 1109-1114 DOI: 10.1097/00005373-200212000-00013. (PMID: 12478036)
- 21 Xu Y, Li Q, Su P. et al. MDCT and MRI for the diagnosis of complex fractures of the tibial plateau: A case control study. Exp Ther Med 2014; 7: 199-203 DOI: 10.3892/etm.2013.1380. (PMID: 24348790)
- 22 Stahl D, Serrano-Riera R, Collin K. et al. Operatively Treated Meniscal Tears Associated With Tibial Plateau Fractures: A Report on 661 Patients. J Orthop Trauma 2015; 29: 322-324 DOI: 10.1097/BOT.0000000000000290. (PMID: 25635356)
- 23 Liu XD, Wang HB, Zhang TC. et al. Comparison between computed tomography and magnetic resonance imaging in clinical diagnosis and treatment of tibial platform fractures. World J Clin Cases 2020; 8: 4067-4074 DOI: 10.12998/wjcc.v8.i18.4067. (PMID: 33024764)
- 24 Yan B, Sun J, Yin W. The prevalence of soft tissue injuries in operative Schatzker type IV tibial plateau fractures. Arch Orthop Trauma Surg 2021; 141: 1269-1275 DOI: 10.1007/s00402-020-03533-0. (PMID: 32705381)
- 25 Parkkinen M, Lindahl J, Makinen TJ. et al. Predictors of osteoarthritis following operative treatment of medial tibial plateau fractures. Injury 2018; 49: 370-375 DOI: 10.1016/j.injury.2017.11.014. (PMID: 29157843)
- 26 Parkkinen M, Madanat R, Mustonen A. et al. Factors predicting the development of early osteoarthritis following lateral tibial plateau fractures: mid-term clinical and radiographic outcomes of 73 operatively treated patients. Scand J Surg 2014; 103: 256-262 DOI: 10.1177/1457496914520854. (PMID: 24737855)
- 27 Singleton N, Sahakian V, Muir D. Outcome After Tibial Plateau Fracture: How Important Is Restoration of Articular Congruity?. J Orthop Trauma 2017; 31: 158-163 DOI: 10.1097/BOT.0000000000000762. (PMID: 27984441)
- 28 Xu YQ, Li Q, Shen TG. et al. An efficacy analysis of surgical timing and procedures for high-energy complex tibial plateau fractures. Orthop Surg 2013; 5: 188-195 DOI: 10.1111/os.12057. (PMID: 24002836)
- 29 Giordano V, do Amaral NP, Koch HA. et al. Outcome evaluation of staged treatment for bicondylar tibial plateau fractures. Injury 2017; 48 (Suppl. 04) S34-S40 DOI: 10.1016/S0020-1383(17)30773-8. (PMID: 29145966)
- 30 Wang Z, Lu Y, Wang Q. et al. Comparison of the effectiveness and safety of intravenous and topical regimens of tranexamic acid in complex tibial plateau fracture: a retrospective study. BMC Musculoskelet Disord 2020; 21: 739 DOI: 10.1186/s12891-020-03772-7. (PMID: 33183258)
- 31 Feldman V, Biadsi A, Slavin O. et al. Pulmonary Embolism After Application of a Sterile Elastic Exsanguination Tourniquet. Orthopedics 2015; 38: e1160-e1163 DOI: 10.3928/01477447-20151123-08. (PMID: 26652340)
- 32 Raschke MJ, Kittl C, Domnick C. Partial proximal tibia fractures. EFORT Open Rev 2017; 2: 241-249 DOI: 10.1302/2058-5241.2.160067. (PMID: 28630761)
- 33 King 3rd JJ, Cerynik DL, Blair JA. et al. Surgical outcomes after traumatic open knee dislocation. Knee Surg Sports Traumatol Arthrosc 2009; 17: 1027-1032 DOI: 10.1007/s00167-009-0721-4. (PMID: 19205664)
- 34 Pape HC, Tornetta 3rd P, Tarkin I. et al. Timing of fracture fixation in multitrauma patients: the role of early total care and damage control surgery. J Am Acad Orthop Surg 2009; 17: 541-549 DOI: 10.5435/00124635-200909000-00001. (PMID: 19726738)
- 35 Bertrand ML, Andres-Cano P, Pascual-Lopez FJ. Periarticular Fractures of the Knee in Polytrauma Patients. Open Orthop J 2015; 9: 332-346 DOI: 10.2174/1874325001509010332. (PMID: 26312118)
- 36 Metcalfe D, Hickson CJ, McKee L. et al. External versus internal fixation for bicondylar tibial plateau fractures: systematic review and meta-analysis. J Orthop Traumatol 2015; 16: 275-285 DOI: 10.1007/s10195-015-0372-9. (PMID: 26307153)
- 37 Dubina AG, Paryavi E, Manson TT. et al. Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome. Injury 2017; 48: 495-500 DOI: 10.1016/j.injury.2016.10.017. (PMID: 27914662)
- 38 Zura RD, Adams jr. SB, Jeray KJ. et al. Timing of definitive fixation of severe tibial plateau fractures with compartment syndrome does not have an effect on the rate of infection. J Trauma 2010; 69: 1523-1526 DOI: 10.1097/TA.0b013e3181d40403. (PMID: 20495494)
- 39 Ruffolo MR, Gettys FK, Montijo HE. et al. Complications of high-energy bicondylar tibial plateau fractures treated with dual plating through 2 incisions. J Orthop Trauma 2015; 29: 85-90 DOI: 10.1097/BOT.0000000000000203. (PMID: 25050747)
- 40 Wang Y, Wang J, Tang J. et al. Arthroscopy Assisted Reduction Percutaneous Internal Fixation versus Open Reduction Internal Fixation for Low Energy Tibia Plateau Fractures. Sci Rep 2018; 8: 14068 DOI: 10.1038/s41598-018-32201-y. (PMID: 30232339)
- 41 Verona M, Marongiu G, Cardoni G. et al. Arthroscopically assisted reduction and internal fixation (ARIF) versus open reduction and internal fixation (ORIF) for lateral tibial plateau fractures: a comparative retrospective study. J Orthop Surg Res 2019; 14: 155 DOI: 10.1186/s13018-019-1186-x. (PMID: 31126304)
- 42 Weimann A, Heinkele T, Herbort M. et al. Minimally invasive reconstruction of lateral tibial plateau fractures using the jail technique: a biomechanical study. BMC Musculoskelet Disord 2013; 14: 120 DOI: 10.1186/1471-2474-14-120. (PMID: 23557098)
- 43 Prat-Fabregat S, Camacho-Carrasco P. Treatment strategy for tibial plateau fractures: an update. EFORT Open Rev 2016; 1: 225-232 DOI: 10.1302/2058-5241.1.000031. (PMID: 28461952)
- 44 Schatzker J, Kfuri M. Revisiting the management of tibial plateau fractures. Injury 2022; 53: 2207-2218 DOI: 10.1016/j.injury.2022.04.006. (PMID: 35491279)
- 45 Li Z, Wang P, Li L. et al. Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis. PLoS One 2020; 15: e0232911 DOI: 10.1371/journal.pone.0232911. (PMID: 32941429)
- 46 Boureau F, Benad K, Putman S. et al. Does primary total knee arthroplasty for acute knee joint fracture maintain autonomy in the elderly? A retrospective study of 21 cases. Orthop Traumatol Surg Res 2015; 101: 947-951 DOI: 10.1016/j.otsr.2015.09.021. (PMID: 26589193)
- 47 Parratte S, Bonnevialle P, Pietu G. et al. Primary total knee arthroplasty in the management of epiphyseal fracture around the knee. Orthop Traumatol Surg Res 2011; 97 (Suppl. 06) S87-S94 DOI: 10.1016/j.otsr.2011.06.008. (PMID: 21802385)
- 48 Tampere T, Ollivier M, Jacquet C. et al. Knee arthroplasty for acute fractures around the knee. EFORT Open Rev 2020; 5: 713-723 DOI: 10.1302/2058-5241.5.190059. (PMID: 33204515)
- 49 Goff T, Kanakaris NK, Giannoudis PV. Use of bone graft substitutes in the management of tibial plateau fractures. Injury 2013; 44 (Suppl. 01) S86-S94 DOI: 10.1016/S0020-1383(13)70019-6. (PMID: 23351879)
- 50 Dimitriou R, Mataliotakis GI, Angoules AG. et al. Complications following autologous bone graft harvesting from the iliac crest and using the RIA: a systematic review. Injury 2011; 42 (Suppl. 02) S3-S15 DOI: 10.1016/j.injury.2011.06.015. (PMID: 21704997)
- 51 Gracitelli GC, Tirico LE, McCauley JC. et al. Fresh Osteochondral Allograft Transplantation for Fractures of the Knee. Cartilage 2017; 8: 155-161 DOI: 10.1177/1947603516657640. (PMID: 28345414)
- 52 Alm L, Frings J, Krause M. et al. Intraarticular osteotomy of malunited tibial plateau fractures: an analysis of clinical results with a mean follow-up after 4 years. Eur J Trauma Emerg Surg 2020; 46: 1203-1209 DOI: 10.1007/s00068-020-01440-y. (PMID: 32712774)
- 53 Krause M, Müller G, Frosch KH. Surgical approaches to tibial plateau fractures. Unfallchirurg 2018; 121: 569-582 DOI: 10.1007/s00113-018-0515-6. (PMID: 29876647)
- 54 Frosch KH, Korthaus A, Thiesen D. et al. The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed. Eur J Trauma Emerg Surg 2020; 46: 1211-1219 DOI: 10.1007/s00068-020-01422-0. (PMID: 32607776)
- 55 Krause M, Krüger S, Müller G. et al. How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches. Arch Orthop Trauma Surg 2019; 139: 1369-1377 DOI: 10.1007/s00402-019-03200-z. (PMID: 31101980)
- 56 Eggli S, Hartel MJ, Kohl S. et al. Unstable bicondylar tibial plateau fractures: a clinical investigation. J Orthop Trauma 2008; 22: 673-679 DOI: 10.1097/BOT.0b013e31818b1452. (PMID: 18978541)
- 57 Krause M, Preiss A, Meenen NM. et al. “Fracturoscopy” is Superior to Fluoroscopy in the Articular Reconstruction of Complex Tibial Plateau Fractures-An Arthroscopy Assisted Fracture Reduction Technique. J Orthop Trauma 2016; 30: 437-444 DOI: 10.1097/BOT.0000000000000569. (PMID: 26978133)
- 58 Dehoust J, Münch M, Seide K. et al. Biomechanical aspects of the posteromedial split in bicondylar tibial plateau fractures-a finite-element investigation. Eur J Trauma Emerg Surg 2020; 46: 1257-1266 DOI: 10.1007/s00068-020-01538-3. (PMID: 33179130)
- 59 Krause M, Müller G, Frosch KH. [Surgical approaches to tibial plateau fractures]. Unfallchirurg 2018; 121: 569-582 DOI: 10.1007/s00113-018-0515-6. (PMID: 29876647)
- 60 Krause M, Müller G, Frosch KH. [Extended medial and extended lateral approach for tibial plateau fractures]. Oper Orthop Traumatol 2019; 31: 127-142 DOI: 10.1007/s00064-019-0593-9. (PMID: 30887093)
- 61 Bowers AL, Huffman GR. Lateral femoral epicondylar osteotomy: an extensile posterolateral knee approach. Clin Orthop Relat Res 2008; 466: 1671-1677 DOI: 10.1007/s11999-008-0232-5. (PMID: 18373126)
- 62 Lobenhoffer P, Gerich T, Bertram T. et al. [Particular posteromedial and posterolateral approaches for the treatment of tibial head fractures]. Unfallchirurg 1997; 100: 957-967 DOI: 10.1007/s001130050218. (PMID: 9492642)
- 63 Krause M, Frings J, Isik H. et al. Comparison of extended lateral approaches to the tibial plateau: The articular exposure of lateral epicondyle osteotomy with and without popliteus tendon vs. fibula osteotomy. Injury 2020; 51: 1874-1878 DOI: 10.1016/j.injury.2020.05.038. (PMID: 32482428)
- 64 Krause M, Frings J, Frosch KH. The lateral femoral epicondyle osteotomy – an extended surgical approach for comminuted tibial plateau fractures. Injury 2020; 51: 2993-2994 DOI: 10.1016/j.injury.2020.10.003. (PMID: 33036775)
- 65 Krause M, Krüger S, Müller G. et al. How can the articular surface of the tibial plateau be best exposed? A comparison of specific surgical approaches. Arch Orthop Trauma Surg 2019; 139: 1369-1377 DOI: 10.1007/s00402-019-03200-z. (PMID: 31101980)
- 66 Kotsianos D, Rock C, Wirth S. et al. [Detection of tibial condylar fractures using 3D imaging with a mobile image amplifier (Siemens ISO-C-3D): Comparison with plain films and spiral CT]. Rofo 2002; 174: 82-87 DOI: 10.1055/s-2002-19549. (PMID: 11793290)
- 67 von Recum J, Wendl K, Vock B. et al. [Intraoperative 3D C-arm imaging. State of the art]. Unfallchirurg 2012; 115: 196-201 DOI: 10.1007/s00113-011-2119-2. (PMID: 22367513)
- 68 Beisemann N, Keil H, Swartman B. et al. Intraoperative 3D imaging leads to substantial revision rate in management of tibial plateau fractures in 559 cases. J Orthop Surg Res 2019; 14: 236 DOI: 10.1186/s13018-019-1286-7. (PMID: 31340818)
- 69 Haller JM, O’Toole R, Graves M. et al. How much articular displacement can be detected using fluoroscopy for tibial plateau fractures?. Injury 2015; 46: 2243-2247 DOI: 10.1016/j.injury.2015.06.043. (PMID: 26199030)
- 70 Babst R, Hehli M, Regazzoni P. [LISS tractor. Combination of the „less invasive stabilization system“ (LISS) with the AO distractor for distal femur and proximal tibial fractures]. Unfallchirurg 2001; 104: 530-535 DOI: 10.1007/s001130170117. (PMID: 11460459)
- 71 von Rüden C, Trapp O, Augat P. et al. Evolution of imaging in surgical fracture management. Injury 2020; 51 (Suppl. 02) S51-S56 DOI: 10.1016/j.injury.2019.10.080. (PMID: 31706585)
- 72 Henkelmann R, Krause M, Alm L. et al. Effect of fracturoscopy on the incidence of surgical site infections post tibial plateau fracture surgery. Eur J Trauma Emerg Surg 2020; 46: 1249-1255 DOI: 10.1007/s00068-020-01486-y. (PMID: 32935161)
- 73 Elsoe R, Motahar I, Mahdi F. et al. Presence of magnetic resonance imaging verified soft tissue injuries did not significantly affect the patient-reported outcome 12 months following a lateral tibial plateau fracture: A 12-month prospective cohort study of 56 patients. Knee 2020; 27: 420-427 DOI: 10.1016/j.knee.2020.01.008. (PMID: 32035704)
- 74 Warner SJ, Garner MR, Schottel PC. et al. The Effect of Soft Tissue Injuries on Clinical Outcomes After Tibial Plateau Fracture Fixation. J Orthop Trauma 2018; 32: 141-147 DOI: 10.1097/BOT.0000000000001042. (PMID: 29065035)
- 75 Heitmann M, Dratzidis A, Jagodzinski M. et al. [Ligament bracing--augmented cruciate ligament sutures: biomechanical studies of a new treatment concept]. Unfallchirurg 2014; 117: 650-657 DOI: 10.1007/s00113-014-2563-x. (PMID: 24893725)
- 76 Otto A, Helal A, Imhoff FB. et al. Promising clinical and magnetic resonance imaging results after internal bracing of acute posterior cruciate ligament lesions in multiple injured knees. Knee Surg Sports Traumatol Arthrosc 2020; 28: 2543-2550 DOI: 10.1007/s00167-020-05852-6. (PMID: 32047998)
- 77 Dabis J, Wilson A. Repair and Augmentation with Internal Brace in the Multiligament Injured Knee. Clin Sports Med 2019; 38: 275-283 DOI: 10.1016/j.csm.2018.11.008. (PMID: 30878049)
- 78 Jaeger M, Maier D, Kern WV. et al. Antibiotics in trauma and orthopedic surgery -- a primer of evidence-based recommendations. Injury 2006; 37 (Suppl. 02) S74-S80 DOI: 10.1016/j.injury.2006.04.012. (PMID: 16651075)
- 79 Hefti F, Müller W, Jakob RP. et al. Evaluation of knee ligament injuries with the IKDC form. Knee Surg Sports Traumatol Arthrosc 1993; 1: 226-234 DOI: 10.1007/BF01560215. (PMID: 8536037)
- 80 Lysholm J, Gillquist J. Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 1982; 10: 150-154 DOI: 10.1177/036354658201000306. (PMID: 6896798)
- 81 Rasmussen PS. Tibial condylar fractures. Impairment of knee joint stability as an indication for surgical treatment. J Bone Joint Surg Am 1973; 55: 1331-1350 (PMID: 4586086)
- 82 Tegner Y, Lysholm J. Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 1985; (198) 43-49 (PMID: 4028566)
- 83 Bullinger M. [Assessment of health related quality of life with the SF-36 Health Survey]. Rehabilitation (Stuttg) 1996; 35: XVII-XXVII (PMID: 8975342)
- 84 Noyes FR, Barber SD, Mooar LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop Relat Res 1989; (246) 238-249 (PMID: 2670388)
- 85 Deutsche Gesetzliche Unfallversicherung (DGUV) e. V.. Berichtsjahre 2010–2019, Meldepflichtige Arbeits- und Wegeunfälle, neue Arbeits- und Wegeunfallrenten, Schienbeinkopffrakturen. Accessed March 13, 2022 at: https://publikationen.dguv.de/widgets/pdf/download/article/3893
- 86 Orthopädisch-unfallchirurgische Begutachtung – Handbuch der klinischen Begutachtung. Thomann KD, Grosser V, Schröter F. 3. München: Urban & Fischer/Elsevier GmbH; 2019