{"id":4716,"date":"2023-01-29T00:44:46","date_gmt":"2023-01-29T00:44:46","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/ankle-fractures-de\/"},"modified":"2023-01-30T09:57:52","modified_gmt":"2023-01-30T09:57:52","slug":"ankle-fractures-de","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/de\/ankle-fractures-de\/","title":{"rendered":"Frakturen des Sprunggelenks"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\"> <b>Originale Autorin &#8211; <\/b> <a href=\"\/User:Ewa_Jaraczewska\" title=\"User:Ewa Jaraczewska\">Ewa Jaraczewska<\/a> basierend auf dem Kurs von <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/members.physio-pedia.com\/instructor\/helene-simpson\/\">Helene Simpson<\/a><br \/>\n<b>Top-Beitragende <\/b> &#8211; <a href=\"\/User:Ewa_Jaraczewska\" class=\"mw-userlink\" title=\"User:Ewa Jaraczewska\"><bdi>Ewa Jaraczewska<\/bdi><\/a>, <a href=\"\/User:Jess_Bell\" class=\"mw-userlink\" title=\"User:Jess Bell\"><bdi>Jess Bell<\/bdi><\/a> und <a href=\"\/User:Kim_Jackson\" class=\"mw-userlink\" title=\"User:Kim Jackson\"><bdi>Kim Jackson<\/bdi><\/a><\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input type=\"checkbox\" role=\"button\" id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display:none\"><\/p>\n<div class=\"toctitle\" lang=\"en\" dir=\"ltr\">\n<h2 id=\"mw-toc-heading\">Inhalt<\/h2>\n<p><span class=\"toctogglespan\"><label class=\"toctogglelabel\" for=\"toctogglecheckbox\"><\/label><\/span><\/p>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Einf\u00fchrung<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Clinically_Relevant_Anatomy\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Klinisch relevante Anatomie<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Ankle_Joint\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Sprunggelenk<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#Bones\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">Knochen<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Ligaments\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">B\u00e4nder<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-6\"><a href=\"#Muscles\"><span class=\"tocnumber\">2.1.3<\/span> <span class=\"toctext\">Muskeln<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Neural_and_Vascular\"><span class=\"tocnumber\">2.1.4<\/span> <span class=\"toctext\">Nerven und Gef\u00e4\u00dfe<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-8\"><a href=\"#Neural\"><span class=\"tocnumber\">2.1.4.1<\/span> <span class=\"toctext\">Nerven<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-9\"><a href=\"#Vascular\"><span class=\"tocnumber\">2.1.4.2<\/span> <span class=\"toctext\">Gef\u00e4\u00dfe<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-10\"><a href=\"#Classifications_of_Fractures\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Frakturklassifikationen<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-11\"><a href=\"#Clinical_Presentation\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Klinisches Bild<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-12\"><a href=\"#Diagnostic_Procedures\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Diagnostische Verfahren<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Outcome_Measures\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Ergebnismessungen<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#Management_.2F_Interventions\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Management \/ Interventionen<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-15\"><a href=\"#General_Considerations\"><span class=\"tocnumber\">7.1<\/span> <span class=\"toctext\">General Considerations<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-16\"><a href=\"#Early_Mobilisation_Protocol\"><span class=\"tocnumber\">7.2<\/span> <span class=\"toctext\">Fr\u00fchfunktionelles Protokoll<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-17\"><a href=\"#Early_phase_.283_.E2.80.93_6_weeks_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.1<\/span> <span class=\"toctext\">Fr\u00fchphase (3 &#8211; 6 Wochen nach der Operation)<sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-18\"><a href=\"#Full_weight_bearing:_PWB_-_FWB_.284_-_6_weeks_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.2<\/span> <span class=\"toctext\">Vollbelastung: TB &#8211; VB (4 &#8211; 6 Wochen nach der Operation)<sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-19\"><a href=\"#Full_weight_bearing_.28week_6-8_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.3<\/span> <span class=\"toctext\">Vollbelastung (Woche 6-8 nach der Operation)<sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-20\"><a href=\"#Full_weight_bearing_.28week_8-10_post-surgery.29.5B22.5D\"><span class=\"tocnumber\">7.2.4<\/span> <span class=\"toctext\">Vollbelastung (Woche 8-10 nach der Operation)<sup>(22)<\/sup><\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-21\"><a href=\"#Week_10_to_final_phase.5B22.5D\"><span class=\"tocnumber\">7.2.5<\/span> <span class=\"toctext\">Woche 10 bis Endphase<sup>(22)<\/sup><\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-22\"><a href=\"#Resources\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">Ressourcen<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-23\"><a href=\"#References\"><span class=\"tocnumber\">9<\/span> <span class=\"toctext\">Referenzen<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Introduction\">Einleitung<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=1\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=1\" title=\"Edit section: Introduction\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h2><span class=\"mw-headline\" id=\"Clinically_Relevant_Anatomy\">Klinisch relevante Anatomie <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=2\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinically Relevant Anatomy\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=2\" title=\"Edit section: Clinically Relevant Anatomy\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Der Komplex des Sprunggelenks kann in drei Teile gegliedert werden: den talokruralen, den talokalkaneonavikularen und den subtalaren Teil. Das talokrurale Gelenk (oberes Sprunggelenk &#8211; OSG) wird von drei Knochen und einem komplexen Bandapparat gebildet. Tibia (Schienbein), Fibula (Wadenbein) und Talus (Sprungbein) sind durch die Seitenb\u00e4nder und den syndesmotischen Bandkomplex miteinander verbunden.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup><\/p>\n<h3><span class=\"mw-headline\" id=\"Ankle_Joint\">Sprunggelenk <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=3\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Ankle Joint\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=3\" title=\"Edit section: Ankle Joint\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_image.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle image.jpeg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/300px-Ankle_image.jpeg\" decoding=\"async\" width=\"300\" height=\"450\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/450px-Ankle_image.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/4\/47\/Ankle_image.jpeg\/600px-Ankle_image.jpeg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_image.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Bones\">Knochen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=4\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Bones\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=4\" title=\"Edit section: Bones\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Das Sprunggelenk wird von drei Knochen gebildet: Talus, Tibia und Fibula. Die anatomische Struktur des Fu\u00dfes besteht aus dem R\u00fcckfu\u00df, dem Mittelfu\u00df und dem Vorfu\u00df. Jeder Teil des Fu\u00dfes setzt sich aus mehreren Knochen zusammen. Der Unterschenkel und der Fu\u00df bilden das Sprunggelenk. Die folgenden kn\u00f6chernen Elemente des Sprunggelenks geh\u00f6ren zu dieser Struktur:<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><\/p>\n<ul>\n<li>Distale <a href=\"\/Tibia\" title=\"Tibia\">Tibia<\/a><\/li>\n<li>Distale <a href=\"\/Fibula\" title=\"Fibula\">Fibula<\/a><\/li>\n<li><a href=\"\/Talus\" title=\"Talus\">Talus<\/a><\/li>\n<\/ul>\n<p>Das talokrurale Gelenk (Art. talocruralis, tibiotalares Gelenk) wird als <i>oberes Sprunggelenk<\/i> bezeichnet (OSG). Die Gelenkfl\u00e4chen sind die Malleoli lateralis et medialis, das distale Ende der Tibia und der Talus.<sup id=\"cite_ref-:0_3-0\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Die prim\u00e4ren Bewegungen des OSG sind Dorsalextension und Plantarflexion in der Sagittalebene.<\/p>\n<p>Im <i>R\u00fcckfu\u00df<\/i> bilden Talus und Calcaneus (Fersenbein) das <a href=\"\/Subtalar_Joint_Arthritis\" title=\"Subtalar Joint Arthritis\">subtalare Gelenk<\/a> (Art. talocalcanea, hinteres unteres Sprunggelenk). Das subtalare Gelenk hat drei Gelenke, und Talus und Calcaneus haben jeweils drei Gelenkfacetten. Die Hauptbewegungen an diesem Gelenk sind die Inversion und Eversion des Sprunggelenks und des R\u00fcckfu\u00dfes.<sup id=\"cite_ref-:0_3-1\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>Das talokalkaneonavikulare Gelenk (Art. talocalcaneonavicularis, vorderes unteres Sprunggelenk) bildet zusammen mit dem Kuboid das Chopart-Gelenk, die &#8222;Verbindung&#8220; zwischen <i>R\u00fcckfu\u00df und Mittelfu\u00df<\/i>.<sup id=\"cite_ref-:0_3-2\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup> Das Chopart-Gelenk (Art. tarsi transversa) umfasst die Art. talocalcaneonavicularis und die Art. calcaneocuboidea und erm\u00f6glicht die Rotation des Vorfu\u00dfes. Das Os naviculare (Kahnbein) bildet distal mit allen drei Ossa cuneiformia (Keilbeinknochen) jeweils ein Gelenk. Neben dem Os naviculare und den Ossa cuneiformia hat das Os cuboideum (W\u00fcrfelbein) eine distale Verbindung mit der Basis des vierten und f\u00fcnften Os metatarsale (Mittelfu\u00dfknochen).<sup id=\"cite_ref-:0_3-3\" class=\"reference\"><a href=\"#cite_note-:0-3\">(3)<\/a><\/sup><\/p>\n<p>Nachfolgend finden Sie eine \u00dcbersicht \u00fcber den Sprunggelenkkomplex, wobei TC = talokrurales Gelenk, ST = subtalares Gelenk und MT = Chopart-Gelenk:<\/p>\n<p><a href=\"\/File:Ankle_joint.png\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle joint.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b2\/Ankle_joint.png\/700px-Ankle_joint.png\" decoding=\"async\" width=\"700\" height=\"250\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/b\/b2\/Ankle_joint.png\/1050px-Ankle_joint.png 1.5x, https:\/\/www.physio-pedia.com\/images\/b\/b2\/Ankle_joint.png 2x\"><\/a><\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:402px;\"><a href=\"\/File:Figure_3-Ankle_ligaments.PNG\" class=\"image\"><img loading=\"lazy\" alt=\"Figure 3-Ankle ligaments.PNG\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/65\/Figure_3-Ankle_ligaments.PNG\/400px-Figure_3-Ankle_ligaments.PNG\" decoding=\"async\" width=\"400\" height=\"174\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/6\/65\/Figure_3-Ankle_ligaments.PNG 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Figure_3-Ankle_ligaments.PNG\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Ligaments\">B\u00e4nder<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=5\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Ligaments\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=5\" title=\"Edit section: Ligaments\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Die B\u00e4nder des Sprunggelenks bestehen aus:<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"#cite_note-4\">(4)<\/a><\/sup><\/p>\n<ul>\n<li>den medialen B\u00e4ndern (bilden das Lig. deltoideum)\n<ul>\n<li>Das mediale Seitenband (Lig. collaterale mediale, Lig. deltoideum, Innenband) ist in zwei Schichten unterteilt: oberfl\u00e4chlich und tief.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>den lateralen B\u00e4ndern\n<ul>\n<li>Der laterale Seitenbandkomplex (Lig. collaterale laterale, Au\u00dfenband) besteht aus drei B\u00e4ndern: dem Lig. talofibulare anterius, Lig. talofibulare posterius und Lig. calcaneofibulare.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"#cite_note-6\">(6)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>der tibiofibularen Syndesmose &#8211; d. h. die B\u00e4nder, die die distalen Epiphysen von Tibia und Fibula verbinden\n<ul>\n<li>Die tibiofibulare Syndesmose umfasst das Lig. tibiofibulare anterius, das Lig. tibiofibulare posterius und das Lig. tibiofibulare transversum.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Mehr \u00fcber B\u00e4nder im Sprunggelenk k\u00f6nnen Sie <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Bones_and_Ligaments#Structure\" title=\"Grundlegende Anatomie von Fu\u00df und Sprunggelenk - Knochen und B\u00e4nder\">hier<\/a> lesen.<\/p>\n<h4><span class=\"mw-headline\" id=\"Muscles\">Muskeln<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=6\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Muscles\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=6\" title=\"Edit section: Muscles\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Die Unterschenkelmuskeln sind in vier Logen (oder Kompartimente) unterteilt: die oberfl\u00e4chliche Flexorenloge (oberfl\u00e4chliches hinteres Kompartiment), die tiefe Flexorenloge (tiefes hinteres Kompartiment), die Peronaeusloge (Fibularisloge oder laterales Kompartiment) und die Extensorenloge (vorderes Kompartiment). Die prim\u00e4ren Plantarflexoren des Sprunggelenks befinden sich in den Flexorenlogen. Die Muskeln der Peronaeusloge sorgen f\u00fcr die Plantarflexion des Sprunggelenks und Eversion des Fu\u00dfes. Alle Muskeln der Extensorenloge f\u00fchren die Dorsalextension des Sprunggelenks aus.<\/p>\n<p>Weitere Informationen \u00fcber die Muskeln und Faszien des Sprunggelenks finden Sie <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Muscles_and_Fascia#Lower_Leg_Muscle_Compartments\" title=\"Grundlegende Anatomie von Fu\u00df und Sprunggelenk \u2013 Muskeln und Faszien\">hier<\/a>.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Dermatomes_for_Thoracic_Spine_Course.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/300px-Dermatomes_for_Thoracic_Spine_Course.jpg\" decoding=\"async\" width=\"300\" height=\"250\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/450px-Dermatomes_for_Thoracic_Spine_Course.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Dermatomes_for_Thoracic_Spine_Course.jpg\/600px-Dermatomes_for_Thoracic_Spine_Course.jpg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Dermatomes_for_Thoracic_Spine_Course.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p>Dermatomes<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Anatomy_ankle_and_foot_5.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Anatomy ankle and foot 5.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/15\/Anatomy_ankle_and_foot_5.jpg\/300px-Anatomy_ankle_and_foot_5.jpg\" decoding=\"async\" width=\"300\" height=\"302\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/15\/Anatomy_ankle_and_foot_5.jpg 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Anatomy_ankle_and_foot_5.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h4><span class=\"mw-headline\" id=\"Neural_and_Vascular\">Nerven und Gef\u00e4\u00dfe <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=7\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neural and Vascular\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=7\" title=\"Edit section: Neural and Vascular\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<h5><span class=\"mw-headline\" id=\"Neural\">Nerven<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=8\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Neural\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=8\" title=\"Edit section: Neural\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Der <a href=\"\/Tibial_Nerve\" title=\"Tibial Nerve\">N. tibialis<\/a> und der <a href=\"\/Common_Peroneal_Nerve\" title=\"Common Peroneal Nerve\">N. peroneus communis<\/a> (auch als N. fibularis communis bezeichnet) entspringen an L5, S1 und S2. Der N. tibialis versorgt mit <i>motorischen Fasern<\/i> den M. gastrocnemius, den M. soleus, den M. tibialis posterior, den M. flexor digitorum longus und den M. flexor hallucis longus. Seine sensorischen Fasern <i>versorgen gelegentlich den Bereich, der normalerweise vom N. peroneus profundus innerviert wird.<sup id=\"cite_ref-:1_8-0\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8)<\/a><\/sup><\/i><\/p>\n<p>Der oberfl\u00e4chliche Ast (N. peroneus superficialis) des N. peroneus communis sendet <i>motorische Fasern<\/i> zu den M. peronaeus (fibularis) longus et brevis. Der tiefe Ast (N. peroneus profundus) sendet motorische Fasern zum <i>M. tibialis anterior, M. extensor digitorum longus, M. extensor hallucis longus, M. extensor digitorum brevis<\/i> (selten vom N. tibialis innerviert)<i>.<\/i> Die <i>sensorischen Fasern<\/i> des oberfl\u00e4chlichen Astes versorgen den anterolateralen Teil des Unterschenkels und einen Gro\u00dfteil des Fu\u00dfr\u00fcckens und der Zehen. Der tiefe Ast versorgt die Haut zwischen der ersten und zweiten Zehe.<sup id=\"cite_ref-:1_8-1\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8)<\/a><\/sup><sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup><\/p>\n<p>Der <a href=\"\/Sural_Nerve\" title=\"Sural Nerve\">N. suralis<\/a> entspringt aus dem N. tibialis und den kutanen \u00c4sten des N. peroneus communis. Er unterteilt sich in den Ramus communicans suralis und den Nervus cutaneus lateralis surae. Seine sensorischen Fasern <i>innervieren den posterioren Teil des distalen Unterschenkels und den lateralen Teil des Fu\u00dfes.<sup id=\"cite_ref-:1_8-2\" class=\"reference\"><a href=\"#cite_note-:1-8\">(8)<\/a><\/sup><\/i><\/p>\n<h5><span class=\"mw-headline\" id=\"Vascular\">Gef\u00e4\u00dfe<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=9\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Vascular\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=9\" title=\"Edit section: Vascular\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Die folgenden Arterien versorgen den distalen Teil des Unterschenkels:<\/p>\n<ul>\n<li>A. poplitea: oberfl\u00e4chliche Flexorenloge mit M. gastrocnemius, M. soleus und M. plantaris.<\/li>\n<li>A. tibialis\n<ul>\n<li><i>A. tibialis anterior<\/i>: proximales Tibiofibulargelenk, Kniegelenk, Sprunggelenk, Muskeln und Haut der Extensorenloge des Unterschenkels.<\/li>\n<li><i>A. tibialis posterior<b>:<\/b><\/i> M. soleus, M. popliteus, M. flexor hallucis longus, M. flexor digitorum longus und M. tibialis posterior.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>A. fibularis: M. popliteus, M. soleus, M. tibialis posterior und M. flexor hallucis longus.<\/li>\n<li>A. suralis: M. gastrocnemius, M. soleus und M. plantaris.<\/li>\n<\/ul>\n<p>Weitere Informationen \u00fcber das Nerven- und Gef\u00e4\u00dfsystem des Sprunggelenks finden Sie <a href=\"\/Basic_Foot_and_Ankle_Anatomy_-_Neural_and_Vascular\" title=\"Grundlegende Anatomie von Fu\u00df und Sprunggelenk \u2013 Nerven und Gef\u00e4\u00dfe\">hier<\/a>.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:Ankle_fracture.jpg\" class=\"image\"><img loading=\"lazy\" alt=\"Ankle fracture.jpg\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d1\/Ankle_fracture.jpg\/300px-Ankle_fracture.jpg\" decoding=\"async\" width=\"300\" height=\"529\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/d\/d1\/Ankle_fracture.jpg 1.5x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:Ankle_fracture.jpg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Classifications_of_Fractures\">Frakturklassifikationen <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=10\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Classifications of Fractures\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=10\" title=\"Edit section: Classifications of Fractures\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Zu den <i>klinisch relevanten Klassifikationen<\/i> von Frakturen des Sprunggelenks geh\u00f6ren die folgenden:<sup id=\"cite_ref-:2_10-0\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>Malleolarfrakturen (und ihre Unterkategorien nach der <a href=\"\/Danis-Weber_Classification_of_Ankle_Fractures\" title=\"Danis-Weber Classification of Ankle Fractures\">ABC-Klassifikation von Danis-Weber<\/a>)<sup id=\"cite_ref-:2_10-1\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/li>\n<li>Frakturen der distalen Tibia<\/li>\n<li>Fibulafrakturen<\/li>\n<\/ul>\n<p>Eine auf <i>Stabilit\u00e4tskriterien<\/i> basierende Klassifikation wurde von Michelson und Kollegen vorgeschlagen.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> Nach Michelson et al. werden die folgenden Frakturen als instabile Sprunggelenkfrakturen eingestuft:<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><\/p>\n<ul>\n<li>jede dislozierte Sprunggelenkfraktur;<\/li>\n<li>jede bimalleol\u00e4re oder trimalleol\u00e4re Sprunggelenkfraktur;<\/li>\n<li>jede laterale malleol\u00e4re Fraktur mit einer signifikanten Talusverschiebung auf einem beliebigen R\u00f6ntgenbild zu einem beliebigen Zeitpunkt.<\/li>\n<\/ul>\n<p>Eine Sprunggelenkfraktur gilt als stabil, wenn keines der oben genannten Kriterien erf\u00fcllt ist.<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><\/p>\n<p>Das AO\/OTA-System klassifiziert Frakturen f\u00fcr den gesamten K\u00f6rper. Am Sprunggelenk werden die Frakturen in Malleolar-, distale Tibia- und Fibulafrakturen unterteilt. Dieses Klassifikationssystem wird am h\u00e4ufigsten zur Klassifikation von Malleolarfrakturen verwendet und basiert auf der <i>Schwere und Komplexit\u00e4t<\/i> der Verletzung:<sup id=\"cite_ref-:3_14-0\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/p>\n<ul>\n<li>Typ A<b>:<\/b> infrasyndesmale Fibulal\u00e4sion (mit drei Untergruppen) <sup id=\"cite_ref-:3_14-1\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<li>Typ B: transsyndesmale Fibulafraktur (mit drei Untergruppen)<sup id=\"cite_ref-:3_14-2\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<li>Typ C: suprasyndesmale L\u00e4sion (mit drei Untergruppen)<sup id=\"cite_ref-:3_14-3\" class=\"reference\"><a href=\"#cite_note-:3-14\">(14)<\/a><\/sup><\/li>\n<\/ul>\n<p>In einer \u00fcberarbeiteten Version der AO\/OTA-Klassifikationen werden Frakturen in epiphys\u00e4re, metaphys\u00e4re und diaphys\u00e4re Frakturen unterteilt. Wenn mehrere Frakturen und Fraktursysteme auftreten, k\u00f6nnen mehrere Bezeichnungen verwendet werden. <sup id=\"cite_ref-:2_10-2\" class=\"reference\"><a href=\"#cite_note-:2-10\">(10)<\/a><\/sup><\/p>\n<p>Mehr \u00fcber die AO\/OTA-Klassifikation erfahren Sie <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aofoundation.org\/trauma\/clinical-library-and-tools\/journals-and-publications\/classification\">hier.<\/a><\/p>\n<h2><span class=\"mw-headline\" id=\"Clinical_Presentation\">Klinisches Bild <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=11\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Clinical Presentation\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=11\" title=\"Edit section: Clinical Presentation\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Patienten kommen mit Sprunggelenkfrakturen in die Notaufnahme, die durch St\u00fcrze, Inversionstraumata, Sportverletzungen oder leichte Traumata infolge von Diabetes, peripherer Neuropathie und anderen Erkrankungen verursacht wurden.<sup id=\"cite_ref-:4_15-0\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup> Zu den h\u00e4ufigsten Symptomen bei Verdacht auf eine Sprunggelenkfraktur geh\u00f6ren:<\/p>\n<ul>\n<li>Schmerzen<\/li>\n<li>Bluterg\u00fcsse (H\u00e4matome)<\/li>\n<li>Schwellung am Sprunggelenk<\/li>\n<li>Unf\u00e4higkeit zu belasten<sup id=\"cite_ref-:4_15-1\" class=\"reference\"><a href=\"#cite_note-:4-15\">(15)<\/a><\/sup><\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Diagnostic_Procedures\">Diagnostische Verfahren <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=12\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Diagnostic Procedures\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=12\" title=\"Edit section: Diagnostic Procedures\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p><a href=\"\/Foot_and_Ankle_Assessment-Investigations_and_Tests\" title=\"Befunderhebung von Fu\u00df und Sprunggelenk - Untersuchungen und Tests\">Hier<\/a> finden Sie Informationen \u00fcber Untersuchungen und Tests am Sprunggelenk.<\/p>\n<div class=\"thumb tright\">\n<div class=\"thumbinner\" style=\"width:302px;\"><a href=\"\/File:PROMs_for_ankle_instability.jpeg\" class=\"image\"><img loading=\"lazy\" alt=\"\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2c\/PROMs_for_ankle_instability.jpeg\/300px-PROMs_for_ankle_instability.jpeg\" decoding=\"async\" width=\"300\" height=\"445\" class=\"thumbimage\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2c\/PROMs_for_ankle_instability.jpeg\/450px-PROMs_for_ankle_instability.jpeg 1.5x, https:\/\/www.physio-pedia.com\/images\/2\/2c\/PROMs_for_ankle_instability.jpeg 2x\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><a href=\"\/File:PROMs_for_ankle_instability.jpeg\" class=\"internal\" title=\"Enlarge\"><\/a><\/div>\n<p><small><i>Patient Reported Outcome Measures (PROMs) bei Sprunggelenkinstabilit\u00e4t. Rot: unzureichend oder nicht bewertet. Gelb: inkonsistent oder geringf\u00fcgige Probleme. Gr\u00fcn: geeignet.<\/i>. Abgeleitet aus: Hansen CF, Obionu KC, Comins JD, Krogsgaard MR. The patient-reported outcome measures for ankle instability. An analysis of 17 existing questionnaires. Foot Ankle Surg. 2022 Apr;28(3):288-293<\/small><\/p>\n<\/div>\n<\/div>\n<\/div>\n<h2><span class=\"mw-headline\" id=\"Outcome_Measures\">Ergebnismessungen <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=13\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Outcome Measures\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=13\" title=\"Edit section: Outcome Measures\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>F\u00fcr Erwachsene mit Sprunggelenkfrakturen steht eine Vielzahl von Ergebnismessungen zur Verf\u00fcgung:<sup id=\"cite_ref-:5_16-0\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/p>\n<ul>\n<li>Olerud Molander Ankle Score (OMAS) &#8211; die am h\u00e4ufigsten erhobene prim\u00e4re Ergebnismessung<sup id=\"cite_ref-:5_16-1\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"#cite_note-17\">(17)<\/a><\/sup><\/li>\n<li>Messungen des Bewegungsausma\u00dfes des Sprunggelenks &#8211; die am zweith\u00e4ufigsten erhobene prim\u00e4re Ergebnismessung<sup id=\"cite_ref-:5_16-2\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><sup id=\"cite_ref-:6_18-0\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/orthotoolkit.com\/aofas-ankle-hindfoot\/\">American Orthopaedic Foot and Ankle Society Ankle Hind-Foot Scale (AOFAS)<\/a><sup id=\"cite_ref-:6_18-1\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li><a href=\"\/Lower_Extremity_Functional_Scale_(LEFS)\" title=\"Lower Extremity Functional Scale (LEFS)\">Lower Extremity Functional Scale<\/a> (LEFS)<sup id=\"cite_ref-:6_18-2\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li><a href=\"\/36-Item_Short_Form_Survey_(SF-36)\" title=\"36-Item Short Form Survey (SF-36)\">Short Form Gesundheitsfragebogen <\/a> (SF-36)<sup id=\"cite_ref-:5_16-3\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/li>\n<li><a href=\"\/Visual_Analogue_Scale\" title=\"Visual Analogue Scale\">Visuelle Analogskala f\u00fcr Schmerzen <\/a> (VAS-Schmerz)<sup id=\"cite_ref-:5_16-4\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><\/li>\n<li><a href=\"\/Manchester%E2%80%93Oxford_Foot_Questionnaire\" title=\"Manchester\u2013Oxford Foot Questionnaire\">Manchester Oxford Foot Questionnaire<\/a> (MOXFQ)<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<li>American Academy of Orthopaedic Surgeons Foot and Ankle Outcomes Score (AAOS)<sup id=\"cite_ref-:6_18-3\" class=\"reference\"><a href=\"#cite_note-:6-18\">(18)<\/a><\/sup><\/li>\n<li>Ankle Fracture Outcome of Rehabilitation Measure (A-FORM)<sup id=\"cite_ref-:5_16-5\" class=\"reference\"><a href=\"#cite_note-:5-16\">(16)<\/a><\/sup><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<li><a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.aaos.org\/globalassets\/quality-and-practice-resources\/patient-reported-outcome-measures\/lower-extremities\/foot-and-ankle-ability-measure.pdf\">Foot and Ankle Ability Measure (FAAM)<\/a><\/li>\n<li>Geeignete PROMs (Patient Reported Outcome Measures, etwa: vom Patienten selbstberichtete Ergebnismessungen) bei Sprunggelenkinstabilit\u00e4t, die von Hansen et al.<sup id=\"cite_ref-21\" class=\"reference\"><a href=\"#cite_note-21\">(21)<\/a><\/sup>verzeichnet wurden:\n<ul>\n<li>Modification of Functional Ankle Instability (IdFAI)<\/li>\n<li>Ankle Instability Instrument (AII)<\/li>\n<li>European Foot and Ankle Society Score (EFAS score)<\/li>\n<\/ul>\n<\/li>\n<li class=\"mw-empty-elt\"><\/li>\n<\/ul>\n<h2><span id=\"Management_\/_Interventions\"><\/span><span class=\"mw-headline\" id=\"Management_.2F_Interventions\">Management \/ Interventionen <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=14\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Management \/ Interventions\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=14\" title=\"Edit section: Management \/ Interventions\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span class=\"mw-headline\" id=\"General_Considerations\">Allgemeine \u00dcberlegungen <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=15\" class=\"mw-editsection-visualeditor\" title=\"Edit section: General Considerations\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=15\" title=\"Edit section: General Considerations\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Bei der Auswahl der am besten geeigneten Intervention nach einer Sprunggelenkfraktur muss der Physiotherapeut Folgendes ber\u00fccksichtigen:<\/p>\n<ul>\n<li>das Vorliegen einer &#8222;Vielfalt&#8220; von Protokollen mit einem Mangel an eindeutigen Empfehlungen;<sup id=\"cite_ref-:7_22-0\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23)<\/a><\/sup><sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><sup id=\"cite_ref-25\" class=\"reference\"><a href=\"#cite_note-25\">(25)<\/a><\/sup><\/li>\n<li>zwei Trends in der Literatur:\n<ul>\n<li>das <b>traditionelle Protokoll<\/b> <sup id=\"cite_ref-26\" class=\"reference\"><a href=\"#cite_note-26\">(26)<\/a><\/sup> sieht eine schrittweise Belastungssteigerung nach 6 Wochen und eine Vollbelastung nach 12 Wochen vor, je nach Verletzungsmechanismus und der Beteiligung anderer Weichteile.<\/li>\n<li>das <b>fr\u00fchfunktionelle Protokoll<\/b> umfasst eine fr\u00fchzeitige Belastung (vor 6 Wochen), fr\u00fchzeitiger \u00dcbungsbeginn, allgemeine Konditionierung, Orthesen und manuelle Therapie.<sup id=\"cite_ref-27\" class=\"reference\"><a href=\"#cite_note-27\">(27)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Zu den ERGEBNISSEN des <b>traditionellen Protokolls<\/b> geh\u00f6ren:<sup id=\"cite_ref-:7_22-1\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup>\n<ul>\n<li>Steifheit des talokruralen und subtalaren Gelenks;<sup id=\"cite_ref-:8_28-0\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>verminderte Kraft;<sup id=\"cite_ref-:8_28-1\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>Atrophie des Oberschenkels nach 28 Tagen;<sup id=\"cite_ref-:8_28-2\" class=\"reference\"><a href=\"#cite_note-:8-28\">(28)<\/a><\/sup><\/li>\n<li>pathologisches Gangbild;<sup id=\"cite_ref-29\" class=\"reference\"><a href=\"#cite_note-29\">(29)<\/a><\/sup><\/li>\n<li>verminderte funktionelle Aktivit\u00e4t und Lebensqualit\u00e4t nach 6 Monaten;<sup id=\"cite_ref-30\" class=\"reference\"><a href=\"#cite_note-30\">(30)<\/a><\/sup><\/li>\n<li>selbstberichtete Ergebnismessungen (PROMs) korrelieren nicht mit den klinischen Befunden.<sup id=\"cite_ref-31\" class=\"reference\"><a href=\"#cite_note-31\">(31)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Zu den ERGEBNISSEN des <b>fr\u00fchfunktionellen Protokolls<\/b> geh\u00f6ren:<sup id=\"cite_ref-32\" class=\"reference\"><a href=\"#cite_note-32\">(32)<\/a><\/sup><sup id=\"cite_ref-33\" class=\"reference\"><a href=\"#cite_note-33\">(33)<\/a><\/sup>\n<ul>\n<li>nicht mehr Komplikationen als beim traditionellen Protokoll;<sup id=\"cite_ref-:9_34-0\" class=\"reference\"><a href=\"#cite_note-:9-34\">(34)<\/a><\/sup><\/li>\n<li>fr\u00fchere R\u00fcckkehr an den Arbeitsplatz als beim traditionellen Protokoll;<sup id=\"cite_ref-:9_34-1\" class=\"reference\"><a href=\"#cite_note-:9-34\">(34)<\/a><\/sup><\/li>\n<li>geringeres Risiko f\u00fcr Thromboembolien und Osteoporose;<sup id=\"cite_ref-:7_22-2\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>geringeres Risiko f\u00fcr ein <a href=\"\/Complex_Regional_Pain_Syndrome_(CRPS)\" title=\"Complex Regional Pain Syndrome (CRPS)\">komplexes regionales Schmerzsyndrom (CRPS)<\/a>;<sup id=\"cite_ref-:7_22-3\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>verbessertes allgemeines Wohlbefinden und soziale Wiedereingliederung des Patienten;<sup id=\"cite_ref-:7_22-4\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<li>geringere sozio\u00f6konomische Kosten.<sup id=\"cite_ref-:7_22-5\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span class=\"mw-headline\" id=\"Early_Mobilisation_Protocol\">Fr\u00fchfunktionelles Protokoll <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=16\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Early Mobilisation Protocol\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=16\" title=\"Edit section: Early Mobilisation Protocol\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Early_phase_(3_\u2013_6_weeks_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Early_phase_.283_.E2.80.93_6_weeks_post-surgery.29.5B22.5D\">Fr\u00fchphase (3 &#8211; 6 Wochen nach der Operation)<sup id=\"cite_ref-:7_22-6\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=17\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Early phase (3 \u2013 6 weeks post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=17\" title=\"Edit section: Early phase (3 \u2013 6 weeks post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Desensibilisierung bei CRPS: B\u00fcrsten, Spiegeltherapie<\/li>\n<li>Allgemeine Konditionierung bei Entlastung und Teilbelastung (TB): Armergometer, Beinergometer, Pilates auf dem Reformer, Zirkeltraining im Fitnessstudio<\/li>\n<li>Vorbereitung auf das Gehen mit Vollbelastung (VB) nach 6 Wochen<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:26.5px auto;\"><a href=\"\/File:Phase_1_Sitting_on_the_ball.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 Sitting on the ball.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/250px-Phase_1_Sitting_on_the_ball.png\" decoding=\"async\" width=\"250\" height=\"327\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/375px-Phase_1_Sitting_on_the_ball.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/74\/Phase_1_Sitting_on_the_ball.png\/500px-Phase_1_Sitting_on_the_ball.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:30.5px auto;\"><a href=\"\/File:Phase_1_Proprioception.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 Proprioception.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/250px-Phase_1_Proprioception.png\" decoding=\"async\" width=\"250\" height=\"319\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/375px-Phase_1_Proprioception.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/31\/Phase_1_Proprioception.png\/500px-Phase_1_Proprioception.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:28px auto;\"><a href=\"\/File:Phase_1_leg_lift.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 1 leg lift.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/250px-Phase_1_leg_lift.png\" decoding=\"async\" width=\"250\" height=\"324\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/375px-Phase_1_leg_lift.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/12\/Phase_1_leg_lift.png\/500px-Phase_1_leg_lift.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing:_PWB_-_FWB_(4_-_6_weeks_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing:_PWB_-_FWB_.284_-_6_weeks_post-surgery.29.5B22.5D\">Vollbelastung: TB &#8211; VB (4 &#8211; 6 Wochen nach der Operation)<sup id=\"cite_ref-:7_22-7\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=18\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing: PWB - FWB (4 - 6 weeks post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=18\" title=\"Edit section: Full weight bearing: PWB - FWB (4 - 6 weeks post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Funktionelle Rehabilitation:\n<ul>\n<li>kardiovaskul\u00e4re Fitness (Ergometer);\n<ul>\n<li>Radfahren (Spinning);<\/li>\n<li>Schwimmen (keine Beinschl\u00e4ge);<\/li>\n<\/ul>\n<\/li>\n<li>Kr\u00e4ftigungs\u00fcbungen mit weniger als 50% des K\u00f6rpergewichts;<\/li>\n<li>Propriozeptive \u00dcbungen (<a href=\"\/Balance_Error_Scoring_System\" title=\"Balance Error Scoring System\">Balance Error Scoring System<\/a> (BESS) mit Gehst\u00fctzen)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_leg_presses.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 leg presses.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/250px-Phase_2_leg_presses.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/375px-Phase_2_leg_presses.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/67\/Phase_2_leg_presses.png\/500px-Phase_2_leg_presses.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:31px auto;\"><a href=\"\/File:Phase_2_hamstrings_curls.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 hamstrings curls.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/250px-Phase_2_hamstrings_curls.png\" decoding=\"async\" width=\"250\" height=\"318\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/375px-Phase_2_hamstrings_curls.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1f\/Phase_2_hamstrings_curls.png\/500px-Phase_2_hamstrings_curls.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_heel_raises.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 heel raises.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/250px-Phase_2_heel_raises.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/375px-Phase_2_heel_raises.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/1\/11\/Phase_2_heel_raises.png\/500px-Phase_2_heel_raises.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29px auto;\"><a href=\"\/File:Bosu_board.png\" class=\"image\"><img loading=\"lazy\" alt=\"Bosu board.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/250px-Bosu_board.png\" decoding=\"async\" width=\"250\" height=\"322\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/375px-Bosu_board.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Bosu_board.png\/500px-Bosu_board.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing_(week_6-8_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing_.28week_6-8_post-surgery.29.5B22.5D\">Vollbelastung (Woche 6-8 nach der Operation)<sup id=\"cite_ref-:7_22-8\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=19\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing (week 6-8 post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=19\" title=\"Edit section: Full weight bearing (week 6-8 post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Gangbild (Ergometer zum Aufw\u00e4rmen, dann Gehen)<\/li>\n<li>Decline Squats (Kniebeugen in abfallender Schr\u00e4ge)<\/li>\n<li>Propriozeptive \u00dcbungen: Tandem-Ausfallschritt im Stehen mit Drehungen, Perturbations\u00fcbungen (Ziehen mit stabiler Basis)<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:29.5px auto;\"><a href=\"\/File:Phase_2_deep_squads.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 2 deep squads.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/250px-Phase_2_deep_squads.png\" decoding=\"async\" width=\"250\" height=\"321\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/375px-Phase_2_deep_squads.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/a\/a6\/Phase_2_deep_squads.png\/500px-Phase_2_deep_squads.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:28.5px auto;\"><a href=\"\/File:Phase_3_trunk_rotation.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 3 trunk rotation.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/250px-Phase_3_trunk_rotation.png\" decoding=\"async\" width=\"250\" height=\"323\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/375px-Phase_3_trunk_rotation.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d6\/Phase_3_trunk_rotation.png\/500px-Phase_3_trunk_rotation.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:27.5px auto;\"><a href=\"\/File:Phase_3_walking.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 3 walking.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/250px-Phase_3_walking.png\" decoding=\"async\" width=\"250\" height=\"325\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/375px-Phase_3_walking.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/0\/0b\/Phase_3_walking.png\/500px-Phase_3_walking.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Full_weight_bearing_(week_8-10_post-surgery)(22)\"><\/span><span class=\"mw-headline\" id=\"Full_weight_bearing_.28week_8-10_post-surgery.29.5B22.5D\">Vollbelastung (Woche 8-10 nach der Operation)<sup id=\"cite_ref-:7_22-9\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22<\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=20\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Full weight bearing (week 8-10 post-surgery)(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=20\" title=\"Edit section: Full weight bearing (week 8-10 post-surgery)(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Gehen mit Fitnessb\u00e4ndern und Gewichten<\/li>\n<li>Step-Ups und Step-Overs<\/li>\n<li>Gleichgewicht im Einbeinstand \/ Flieger<\/li>\n<li><a href=\"\/Star_Excursion_Balance_Test\" title=\"Star Excursion Balance Test (SEBT)\">Star Excursion Balance Test<\/a> (SEBT)<\/li>\n<\/ul>\n<ul class=\"gallery mw-gallery-traditional\">\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:26.5px auto;\"><a href=\"\/File:Phase_4_SEBT.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 SEBT.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/250px-Phase_4_SEBT.png\" decoding=\"async\" width=\"250\" height=\"327\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/375px-Phase_4_SEBT.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d8\/Phase_4_SEBT.png\/500px-Phase_4_SEBT.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:31.5px auto;\"><a href=\"\/File:Phase_4_aeroplane.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 aeroplane.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/250px-Phase_4_aeroplane.png\" decoding=\"async\" width=\"250\" height=\"317\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/375px-Phase_4_aeroplane.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Phase_4_aeroplane.png\/500px-Phase_4_aeroplane.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<li class=\"gallerybox\" style=\"width: 285px\">\n<div style=\"width: 285px\">\n<div class=\"thumb\" style=\"width: 280px;\">\n<div style=\"margin:27.5px auto;\"><a href=\"\/File:Phase_4_walking_backwards.png\" class=\"image\"><img loading=\"lazy\" alt=\"Phase 4 walking backwards.png\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/250px-Phase_4_walking_backwards.png\" decoding=\"async\" width=\"250\" height=\"325\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/375px-Phase_4_walking_backwards.png 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7f\/Phase_4_walking_backwards.png\/500px-Phase_4_walking_backwards.png 2x\"><\/a><\/div>\n<\/div>\n<div class=\"gallerytext\"><\/div>\n<\/div>\n<\/li>\n<\/ul>\n<h4><span id=\"Week_10_to_final_phase(22)\"><\/span><span class=\"mw-headline\" id=\"Week_10_to_final_phase.5B22.5D\">Woche 10 bis Endphase<sup id=\"cite_ref-:7_22-10\" class=\"reference\"><a href=\"#cite_note-:7-22\">(22) <\/a><\/sup><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=21\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Week 10 to final phase(22)\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=21\" title=\"Edit section: Week 10 to final phase(22)\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ul>\n<li>Gangausdauer mit Belastung (mit einem Rucksack zur Arbeit und zur\u00fcck gehen)<\/li>\n<li>Springen und Landen (Indoor-Kletterwand)<\/li>\n<li>Gesamtzeit seit Unfall &#8211; 14 Wochen: Wandern, posttraumatische Belastungstherapie<\/li>\n<li>Orthesen: Wanderschuhe, Einlegesohlen, Kompressionsbandage f\u00fcr den Unterschenkel<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"Resources\">Ressourcen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=22\" class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=22\" title=\"Edit section: Resources\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Henkelmann R, Schneider S, M\u00fcller D, Gahr R, Josten C, B\u00f6hme J. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/s12891-017-1461-0\">Outcome of patients after lower limb fracture with partial weight-bearing postoperatively treated with or without anti-gravity treadmill (alter G\u00ae) during six weeks of rehabilitation &#8211; a protocol of a prospective randomized trial.<\/a> BMC Musculoskelet Disord. 2017 Mar 14;18(1):104.<\/li>\n<li>Matthews PA, Scammell BE, Ali A, Coughlin T, Nightingale J, Khan T, Ollivere BJ. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.researchgate.net\/publication\/325481395_Early_motion_and_directed_exercise_EMADE_versus_usual_care_post_ankle_fracture_fixation_Study_protocol_for_a_pragmatic_randomised_controlled_trial\">Early motion and directed exercise (EMADE) versus usual care post ankle fracture fixation: study protocol for a pragmatic randomised controlled trial.<\/a> Trials. 2018 May 31;19(1):304.<\/li>\n<\/ul>\n<h2><span class=\"mw-headline\" id=\"References\">Referenzen<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;veaction=edit&amp;section=23\" class=\"mw-editsection-visualeditor\" title=\"Edit section: References\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a href=\"\/index.php?title=Ankle_Fractures&amp;action=edit&amp;section=23\" title=\"Edit section: References\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Pfl\u00fcger P, Braun KF, Mair O, Kirchhoff C, Biberthaler P, Cr\u00f6nlein M. <a rel=\"nofollow\" 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Early Weightbearing and Range of Motion Versus Non-Weightbearing and Immobilization After Open Reduction and Internal Fixation of Unstable Ankle Fractures: A Randomized Controlled Trial. J Orthop Trauma. 2016 Jul;30(7):345-52<\/span><\/li>\n<li id=\"cite_note-:9-34\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_34-0\">34.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_34-1\">34.1<\/a><\/sup><\/span> <span class=\"reference-text\">Smeeing DP, Houwert RM, Briet JP, Kelder JC, Segers MJ, Verleisdonk EJ, Leenen LP, Hietbrink F. <a rel=\"nofollow\" class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4335061\/\">Weight-bearing and mobilization in the postoperative care of ankle fractures: a systematic review and meta-analysis of randomized controlled trials and cohort studies<\/a>. PLoS One. 2015 Feb 19;10(2):e0118320.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20230109191911 Cache expiry: 0 Dynamic content: true Complications: () CPU time usage: 0.190 seconds Real time usage: 0.208 seconds Preprocessor visited node count: 642\/1000000 Post\u2010expand include size: 41\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/40 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 30411\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 10.158 1 Special:Contributors\/Ankle_Fractures 100.00% 10.158 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Originale Autorin &#8211; Ewa Jaraczewska basierend auf dem Kurs von Helene Simpson Top-Beitragende &#8211; Ewa Jaraczewska, Jess Bell und Kim Jackson Inhalt 1 Einf\u00fchrung 2 Klinisch relevante Anatomie 2.1 Sprunggelenk 2.1.1 Knochen 2.1.2 B\u00e4nder 2.1.3 Muskeln 2.1.4 Nerven und Gef\u00e4\u00dfe 2.1.4.1 Nerven 2.1.4.2 Gef\u00e4\u00dfe 3 Frakturklassifikationen 4 Klinisches Bild 5 Diagnostische Verfahren 6 Ergebnismessungen 7 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-4716","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/pages\/4716","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/comments?post=4716"}],"version-history":[{"count":2,"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/pages\/4716\/revisions"}],"predecessor-version":[{"id":4729,"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/pages\/4716\/revisions\/4729"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/de\/wp-json\/wp\/v2\/media?parent=4716"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}