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Bei O- oder X-Beinen kann es zu erheblichen einseitigen Überlastungen kommen, denen der Knorpel auf Dauer nicht standhalten kann. Fehlt dazu noch die Schutzfunktion des Meniskus, ist ein Gelenkuntergang vorprogrammiert.","Text",[],[],{"_uid":282,"text":283,"component":278,"text_style":284,"component_style":285},"4aebb6db-40c1-420c-9227-5adadd67ea2a","## Eine Korrektur kann Spätschäden vermeiden\n\nBei Fehlbelastungen kann nur eine rechtzeitige, operative Begradigung des Beines die Gelenkzerstörung aufhalten. Auch Drehabweichungen der Beine nach innen oder nach außen (Charlie Chaplin) können das Gangbild erheblich beeinträchtigen und haben häufig eine vorzeitige Ermüdbarkeit oder Gelenkschmerzen aufgrund einer ungünstigen Belastung zur Folge. Fast immer sind operative Korrekturen medizinisch indiziert, weil damit die Probleme ursächlich behoben und Spätschäden vorgebeugt wird. In vielen Fällen kann so ein künstliches Kniegelenk vermieden oder zumindest deutlich hinausgeschoben werden kann.",[],[],{"_uid":287,"text":288,"component":278,"text_style":289,"component_style":290},"a921add6-b613-4f5d-9413-3603f7d0eff8","## Exakte Planung und schonende Technik\n\nNach Abschluss des Längenwachstums sind Korrekturen an den Beinen immer mit einer Knochendurchtrennung verbunden. Eine genaue Analyse und Korrekturplanung sind eine unabdingbare Voraussetzung für den Erfolg der Behandlung. Im ZEM-Germany stehen hierfür modernste Techniken und eine jahrzehntelange Erfahrung zur Verfügung. Die Knochendurchtrennung erfolgt schonend und bereits während der Operation kann das Bein exakt vermessen werden. Die Stabilisierung ist meist mit einem innen liegenden Marknagel oder einer Platte möglich. Externe Fixateure sind eine Ausnahme und kommen nur zum Einsatz, wenn bei einer Akutkorrektur ein Nervenschaden drohen würde.",[],[],{"id":80,"alt":80,"name":9,"focus":80,"title":80,"filename":9,"copyright":80,"fieldtype":11},"Störungen der Beingeometrie können zu Fehlbelastungen und vorzeitigem Gelenkverschleiß führen. Sowohl bei jungen Menschen zur Vorbeugung als auch bei älteren Menschen, wenn der Verschleiß bereits eingetreten ist, sind Achsen- oder Torsionskorrekturen eine wichtige Behandlungsoption zum Gelenkerhalt und können in vielen Fällen als biologische Alternative eine Kniegelenks-Endoprothese vermeiden oder zumindest hinauszögern.","Page",[],[],"Fehlstellungen und Verdrehungen der Beine müssen exakt analysiert werden. 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