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Je ungünstiger die Hebelverhältnisse werden, desto schlechter wird der Prothesensitz. Instabilität und dauerhafte Weichteilirritationen sind die Folge.","Text",[],[],{"_uid":283,"image":284,"title":287,"component":288,"copyright":9,"image_style":289,"component_style":290},"a6ea42da-0565-4d49-b6b2-f4fa467f288b",{"id":285,"alt":9,"name":9,"focus":80,"title":9,"filename":286,"copyright":9,"fieldtype":11},2080707,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2330x3106\u002F34e24bfb03\u002Fstump_1.jpg","Oberarmstumpf","Image",[],[291],"lg:col-span-4",{"_uid":293,"image":294,"title":297,"component":288,"copyright":9,"image_style":298,"component_style":299},"7da8f1a6-75c7-4b1d-962d-2144943a65e9",{"id":295,"alt":9,"name":9,"focus":80,"title":9,"filename":296,"copyright":9,"fieldtype":11},2080708,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3000x4000\u002Fe00f6f5c16\u002Fstump_2.jpg","Oberschenkelstumpf",[],[291],{"_uid":301,"image":302,"title":305,"component":288,"copyright":9,"image_style":306,"component_style":307},"85052933-2159-4ce0-9a65-206e52b0d7ec",{"id":303,"alt":9,"name":9,"focus":80,"title":9,"filename":304,"copyright":9,"fieldtype":11},2080709,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2590x3454\u002F73c842d96f\u002Fstump_3.jpg","Unterschenkelstumpf",[],[291],{"_uid":309,"text":310,"component":279,"text_style":311,"component_style":312},"b9ee71d6-3c1f-4fff-b529-d8c79c32e658","## Nicht prothesenfähig – was nun?\n\nWenn ein Amputationsstumpf so kurz ist, dass die Prothesenversorgung erschwert oder gar unmöglich ist, kann mit einer Operation der Stumpf auf die optimale Länge gebracht werden, um eine Prothesenanpassung zu ermöglichen oder zu verbessern. Der verbliebene Knochen wird schonend durchtrennt und ein Distraktionsmarknagel wird implantiert, damit sich neues Knochengewebe bilden kann und die Weichteile gedehnt werden.",[],[],{"_uid":314,"text":315,"component":279,"text_style":316,"component_style":317},"9b0703b8-d07c-4a0a-b37a-0d260f5f7039","## Ein Distraktionsmarknagel kann auch einen Amputationsstumpf verlängern",[],[],{"_uid":319,"text":320,"component":279,"text_style":321,"component_style":322},"f6e1eb84-bc62-4351-80e1-9053dce14bbb","Die Verlängerung sowohl des Knochens als auch der umgebenden Weichteile mit einem Distraktionsmarknagel erfolgt in gleicher Weise wie die Verlängerung eines Beines. Limitierend kann eine extrem kurze Ausgangslänge des Stumpfes sein, sodass u.U. Sonderanfertigungen des Distraktionsmarknagels zum Einsatz kommen müssen. Sofern dieses vorteilhafte Implantat letztendlich aber zur Anwendung kommen kann, ist auch in diesen Situationen ein externer Fixateur entbehrlich, was insbesondere bei kurzen Oberschenkelstümpfen eine erhebliche Erleichterung bedeutet.",[],[323],"lg:col-span-8",{"_uid":325,"image":326,"title":329,"component":288,"copyright":9,"image_style":330,"component_style":333},"b4e4b13f-625a-4401-83db-c839cff440e2",{"id":327,"alt":9,"name":9,"focus":80,"title":9,"filename":328,"copyright":9,"fieldtype":11},2080736,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1862x3724\u002F4d5ac7549a\u002Fstump_4.jpg","Beidseitige Orthesen nach Unterschenkelverlängerung",[331,332],"object-contain","w-80",[291],{"id":80,"alt":80,"name":9,"focus":80,"title":80,"filename":9,"copyright":80,"fieldtype":11},"Ein Amputationsstumpf kann unter ungünstigen Voraussetzungen so kurz sein, dass eine Prothese trotz Ausreizung aller Möglichkeiten der Orthopädiemechanik nicht sicher befestigt werden kann. Erst nach einer Verlängerung von Knochen und umgebenden Weichteilen findet in diesen Fällen eine Prothese halt. Die Stumpfverlängerung mit einem ultrakurzen Distraktionsmarknagel ist eine Alternative zu einem externen Fixateur.","Page",[],[],"Ein zu kurzer Amputationsstumpf kann eine Prothesenanpassung unmöglich machen. 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