{"id":1651,"date":"2023-09-13T15:46:56","date_gmt":"2023-09-13T13:46:56","guid":{"rendered":"https:\/\/atos-mvz.de\/wiesbaden\/?page_id=1651"},"modified":"2023-10-05T20:09:53","modified_gmt":"2023-10-05T18:09:53","slug":"calcaneus-verlaengerungsosteotomie-nach-hintermann","status":"publish","type":"page","link":"https:\/\/atos-mvz.de\/wiesbaden\/bereiche\/fuss\/calcaneus-verlaengerungsosteotomie-nach-hintermann\/","title":{"rendered":"Calcaneus Verl\u00e4ngerungsosteotomie nach Hintermann"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lmhshcth-478034ae66982a5de32f7bd2ff296a2b\">\n.avia-section.av-lmhshcth-478034ae66982a5de32f7bd2ff296a2b{\nbackground-repeat:no-repeat;\nbackground-image:url(https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2021\/01\/Fussschmerzen_1700x600.jpg);\nbackground-position:50% 50%;\nbackground-attachment:scroll;\n}\n.avia-section.av-lmhshcth-478034ae66982a5de32f7bd2ff296a2b .av-extra-border-element .av-extra-border-inner{\nbackground-color:#ffffff;\n}\n<\/style>\n<div id='header-img'  class='avia-section av-lmhshcth-478034ae66982a5de32f7bd2ff296a2b main_color avia-section-huge avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-full-stretch avia-bg-style-scroll container_wrap fullsize'  data-section-bg-repeat='stretch'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1651'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-euy80z-6e47f857f5b4926d83c58ef9101ae21e\">\n#top .hr.hr-invisible.av-euy80z-6e47f857f5b4926d83c58ef9101ae21e{\nheight:100px;\n}\n<\/style>\n<div  class='hr av-euy80z-6e47f857f5b4926d83c58ef9101ae21e hr-invisible  avia-builder-el-1  avia-builder-el-no-sibling '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><div class='av-extra-border-element border-extra-diagonal border-extra-diagonal-inverse '><div class='av-extra-border-outer'><div class='av-extra-border-inner'><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-179tir-b026e0873587505e291d6873ca2c064c\">\n.avia-section.av-179tir-b026e0873587505e291d6873ca2c064c .av-extra-border-element .av-extra-border-inner{\nbackground-color:#f1f0f5;\n}\n<\/style>\n<div id='av_section_2'  class='avia-section av-179tir-b026e0873587505e291d6873ca2c064c main_color avia-section-large avia-no-border-styling  avia-builder-el-2  el_after_av_section  avia-builder-el-last  small-container avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-1651'><div class='entry-content-wrapper clearfix'>\n<section  class='av_textblock_section av-lmhshimh-a882db9909fbd813052e6196321eb4d0 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h1><strong>Calcaneus Verl\u00e4ngerungsosteotomie nach Hintermann<\/strong><\/h1>\n<p>mittels Interposition eines atuologen Fibulaspans zur Therapie des Knick-Senk Fu\u00dfes<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-b2xqvn-f3ab45c9afe0e3e66c7c66082b663db8\">\n#top .hr.av-b2xqvn-f3ab45c9afe0e3e66c7c66082b663db8{\nmargin-top:0;\nmargin-bottom:30px;\n}\n.hr.av-b2xqvn-f3ab45c9afe0e3e66c7c66082b663db8 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-b2xqvn-f3ab45c9afe0e3e66c7c66082b663db8 hr-custom  avia-builder-el-4  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsim28-4322e8d9ff9cb01ac3bd00ac9c8d10be '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Einleitung<\/strong><\/h2>\n<div id=\"attachment_1652\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1652\" class=\"size-medium wp-image-1652\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_57j_pre_op-300x151.jpg\" alt=\"\" width=\"300\" height=\"151\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_57j_pre_op-300x151.jpg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_57j_pre_op.jpg 561w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1652\" class=\"wp-caption-text\">Patientin 1 57 J. pr\u00e4-OP<\/p><\/div>\n<p>Die Bildung eines Knick-Senkfu\u00dfes ist ma\u00dfgeblich gekennzeichnet durch die talonavikulare Instabilit\u00e4t im Rahmen einer Posticus-Insuffizienz. Dabei kommt es zu folgendem klinischen Erscheinungsbild:<\/p>\n<ul>\n<li>Kollaps des medialen L\u00e4ngsgew\u00f6lbes<\/li>\n<li>evertieren des Subtalargelenkes<\/li>\n<li>valgisieren der Ferse<\/li>\n<li>Abduktion des Vorfu\u00dfes im Talonavikulargelenk<\/li>\n<li>AS steht lateral der Achse und verk\u00fcrzt &gt; Verst\u00e4rkung der Eversion.<\/li>\n<\/ul>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9c389f-b3d2bb80aafb72b6c5719edbad00f056\">\n#top .hr.av-9c389f-b3d2bb80aafb72b6c5719edbad00f056{\nmargin-top:20px;\nmargin-bottom:30px;\n}\n.hr.av-9c389f-b3d2bb80aafb72b6c5719edbad00f056 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-9c389f-b3d2bb80aafb72b6c5719edbad00f056 hr-custom  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsj22a-7d82fa595290f17ec8eb64c994493f04 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Klinische Untersuchung<\/strong><\/h2>\n<p>In der Beurteilung hat sich Klinische Klassifikation nach Johnson und Storm (1989) etabliert:<\/p>\n<ul>\n<li>Stadium 1 (Degeneration)<\/li>\n<li>Stadium 2 (Elongation, korrigierbare Begleitdeformit\u00e4ten)<\/li>\n<li>Stadium 3 (beginnend nicht korrigierbare Begleitdeformit\u00e4ten)<\/li>\n<li>Stadium 4 (fixierte Fehlstellung)<\/li>\n<\/ul>\n<p>Zur Diagnostik ist eine standardisierte radiologische Diagnostik erforderlich. Hierzu werden R\u00f6ntgen Bilder des ganzen Fu\u00dfes in 2 Ebenen und ggf. auch OSG ap im Stehen angefertigt. Hierbei werden der Calcaneus Boden-Winkel stl. i.st. und der Talocalcanearer Winkel a.p. i.st bestimmt.<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7zs48j-0556730468352bcafbf2a10d8bec89b3\">\n#top .hr.av-7zs48j-0556730468352bcafbf2a10d8bec89b3{\nmargin-top:20px;\nmargin-bottom:30px;\n}\n.hr.av-7zs48j-0556730468352bcafbf2a10d8bec89b3 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-7zs48j-0556730468352bcafbf2a10d8bec89b3 hr-custom  avia-builder-el-8  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsl9n7-56f325a90532a0ed875c520e6d7f52ee '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Studie<\/strong><\/h2>\n<p>06\/2005 bis 03\/2008 wurden 56 Calcaneus Verl\u00e4ngerungs-Osteotomien in der Hintermann Technik (Hintermann, Valderraba-no, Kundert: Orthop\u00e4de. 1999 Sep; 28 (9) :760-9.) mit Interposition eines autologen Fibulaspans durchgef\u00fchrt.<\/p>\n<p>Zu den standardisierten operativen Ma\u00dfnahmen geh\u00f6ren die mediale Revision des Talo-Navicular-Gelenkes und dessen Stabilisierung mittels FDL Transfer. Gegenfalls sind weitere zus\u00e4tzliche kn\u00f6cherne Ma\u00dfnahmen notwendig , wie z.B.:<\/p>\n<ul>\n<li>medialisierende Kalkaneusverschiebosteotomie nach Dwyer<\/li>\n<li>plantarisierende MT-1 Osteotomie<\/li>\n<li>Selektive Mittelfu\u00dfarthrodese\/-subtraktive oder additive Verfahren wie subtalare bzw. auch isolierte talonavikulare Arthrodesen zur<\/li>\n<li>Schmerzbeseitigung und Stellungskorrektur<\/li>\n<\/ul>\n<p>Die Verwendung eines Fibulaspans zur Interposition bietet die Vorteile eines autologen Knochens mit stabiler kortikaler Struktur. Die L\u00e4nge der Resektion ist genau zu definieren. Es keine Beckenkammspan-Entnahme mit Komplikationsrisken &gt;10% n\u00f6tig.<\/p>\n<p>Bei den 56 nachuntersuchten Patienten wurde der interponierte Knochenspan 3x ohne, 49x mit 1 K-Draht, 4x mit 2K-Dr\u00e4hten fixiert. Es erfolgte eine klinische Kontrolle bei allen Patienten, Follow up 7,05 Monate (2-25).<\/p>\n<p><div id=\"attachment_1653\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1653\" class=\"size-medium wp-image-1653\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaentnahmestelle-300x226.jpeg\" alt=\"\" width=\"300\" height=\"226\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaentnahmestelle-300x226.jpeg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaentnahmestelle.jpeg 642w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1653\" class=\"wp-caption-text\">Fibulaentnahmestelle<\/p><\/div><br \/>\n<div id=\"attachment_1654\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1654\" class=\"size-medium wp-image-1654\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan-300x225.jpeg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan-300x225.jpeg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan-1030x772.jpeg 1030w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan-768x576.jpeg 768w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan-705x529.jpeg 705w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/Fibulaspan.jpeg 1043w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1654\" class=\"wp-caption-text\">Fibulaspan<\/p><\/div><\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5yx383-29d692c40439af56b702a18fbfc0ff00\">\n#top .hr.av-5yx383-29d692c40439af56b702a18fbfc0ff00{\nmargin-top:20px;\nmargin-bottom:30px;\n}\n.hr.av-5yx383-29d692c40439af56b702a18fbfc0ff00 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-5yx383-29d692c40439af56b702a18fbfc0ff00 hr-custom  avia-builder-el-10  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsm6s6-42a70a3513ddefcfa7c62cb8810938ba '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Nachbehandlung<\/strong><\/h2>\n<div id=\"attachment_1655\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1655\" class=\"size-medium wp-image-1655\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/span-implantation-300x225.jpeg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/span-implantation-300x225.jpeg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/span-implantation.jpeg 660w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1655\" class=\"wp-caption-text\">Span-Implantation Calcaneushals<\/p><\/div>\n<p>Die Nachbehandlung beinhaltet einer US-Schiene bis Wundheilung. Es erfolgt eine Mobilisation 3. Tag ohne Belastung, 12. Tag F\u00e4den ex und US-Gips o. Walker. Anschlie\u00dfend schmerz-abh\u00e4ngige Aufbelastung im Gips f\u00fcr 4 Wochen. Nach 6 Wochen erfolgt eine R\u00d6-Kontrolle und anschlie\u00dfend eine langsohlige, schalenf\u00f6rmige Einlagenversorgung mit Sustentaculum-St\u00fctze zur Abst\u00fctzung des L\u00e4ngsgew\u00f6lbes.<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4gmkkj-897c98a1f1c9b0f7f3e007d3c0641dc1\">\n#top .hr.av-4gmkkj-897c98a1f1c9b0f7f3e007d3c0641dc1{\nmargin-top:20px;\nmargin-bottom:30px;\n}\n.hr.av-4gmkkj-897c98a1f1c9b0f7f3e007d3c0641dc1 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-4gmkkj-897c98a1f1c9b0f7f3e007d3c0641dc1 hr-custom  avia-builder-el-12  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsoxji-065fbd573c96fb8e393f61bf03227f4b '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Ergebnisse<\/strong><\/h2>\n<p>Bei der klinischen Nachuntersuchung (n=56) an der Fibula-Ent-nahmestelle kam es post-OP zu keiner Nachblutung. Es wurde keine Revision durchgef\u00fchrt. Keiner der Patienten klagte \u00fcber Schmerzen, des Weiteren wurde weder eine Instabilit\u00e4t, noch eine Hernie bzw. eine OSG Instabilit\u00e4t festgestellt.<\/p>\n<div id=\"attachment_1656\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1656\" class=\"size-medium wp-image-1656\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_4tage_post_op-1-300x151.jpg\" alt=\"\" width=\"300\" height=\"151\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_4tage_post_op-1-300x151.jpg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_4tage_post_op-1.jpg 561w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1656\" class=\"wp-caption-text\">Abb. 2: Patientin 1, 4 Tage post OP<\/p><\/div>\n<p>Bei der Untersuchung der Implantationsstelle am Calcaneus fanden sich keine Pseudarthrosen, es war keine Revisionen n\u00f6tig. Radiologisch zeigte sich 55x eine komplette kn\u00f6cherne Einheilung. Eine verz\u00f6gerte Knochenheilung nach 6 Monaten konnte mit Sto\u00dfwellentherapie zur kompletten Ausheilung gebracht werden. Eine Implantat-Dislokation trat bei keinem Patienten auf, jedoch fanden sich bei 2 Patienten eine Suralis Irritation sowie bei einer Patientin (Krankenschwester) ein CRPS (fr\u00fcher M. Su-deck).<\/p>\n<p>Die Radiologische Nachuntersuchung (n=34) erfolgte durch die digitale Vermessung der Winkel pr\u00e4- und post-OP mit STARC-System.<\/p>\n<div id=\"attachment_1657\" style=\"width: 310px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1657\" class=\"size-medium wp-image-1657\" src=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_1jahr_post_op-300x151.jpg\" alt=\"\" width=\"300\" height=\"151\" srcset=\"https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_1jahr_post_op-300x151.jpg 300w, https:\/\/atos-mvz.de\/wiesbaden\/wp-content\/uploads\/sites\/22\/2023\/09\/patientin_1_1jahr_post_op.jpg 561w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-1657\" class=\"wp-caption-text\">Abb. 3: Patientin 1, 1 Jahr post OP<\/p><\/div>\n<p>Der Calcaneus-Boden Winkel nach Dennemann (1961) zeigte eine Ver\u00e4nderung von pr\u00e4-OP = 15,92\u00b0 (9-25,3\u00b0) auf post-OP= 19,5\u00b0 (12,5\u00b0-26,6\u00b0).<\/p>\n<p>Der talocalcaneare Winkel ap nach Piat und Goutalier (1998) zeigte eine Reduktion von pr\u00e4-OP = 20,78\u00b0 (13,1\u00b0-32,8\u00b0) auf post-OP= 18,07\u00b0 (10,3\u00b0-24,8\u00b0).<\/p>\n<\/div><\/section>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-21gplv-2554df0dd7059b8a45468d19d79bbf59\">\n#top .hr.av-21gplv-2554df0dd7059b8a45468d19d79bbf59{\nmargin-top:20px;\nmargin-bottom:30px;\n}\n.hr.av-21gplv-2554df0dd7059b8a45468d19d79bbf59 .hr-inner{\nwidth:100%;\nborder-color:#f1f0f5;\n}\n<\/style>\n<div  class='hr av-21gplv-2554df0dd7059b8a45468d19d79bbf59 hr-custom  avia-builder-el-14  el_after_av_textblock  el_before_av_textblock  hr-center hr-icon-no'><span class='hr-inner inner-border-av-border-thin'><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<section  class='av_textblock_section av-lmhsp7g7-d929c514b0d5d11d9cba4f90c136ec55 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2><strong>Fazit<\/strong><\/h2>\n<p>Die Nachuntersuchung der Patienten zeigt, dass es sich bei der Calcaneus Verl\u00e4ngerungs-Osteotomie mittels autologem Fibulaspan um eine komplikationsarme Technik handelt. Die Implantation eines Fibulaspans weist eine hohe prim\u00e4re Stabilit\u00e4t und eine gute kn\u00f6cherne Einheilung auf.<\/p>\n<p>Bei den nachuntersuchten Patienten zeigte sich, dass es sich bei dem Fibulaspan um einen geeigneten Knochen zur Interposition im Bereich des Calcaneus ohne weitere Spongiosaplastik handelt. Literatur beim Verfasser.<\/p>\n<p>Dr. med. Markus Preis<br \/>\nFacharzt f\u00fcr Orthop\u00e4die, Rheumatologie Chirotherapie, Sportmedizin<br \/>\nLtd. Arzt ATOS Klinik Wiesbaden<br \/>\nZentrum f\u00fcr Fu\u00dfchirurgie Wiesbaden<\/p>\n<\/div><\/section>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":1294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1651","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Calcaneus Verl\u00e4ngerungsosteotomie nach Hintermann - MVZ Wiesbaden<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atos-mvz.de\/wiesbaden\/bereiche\/fuss\/calcaneus-verlaengerungsosteotomie-nach-hintermann\/\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Calcaneus Verl\u00e4ngerungsosteotomie nach Hintermann - 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