Proximale Humerusfrakturen – Primäre Endoprothetik View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-03

AUTHORS

D. Wincheringer, U. Schweigkofler, M. Kremer, R. Hoffmann

ABSTRACT

Frakturen des proximalen Humerus sind in der täglichen unfallchirurgischen Routine häufig zu finden und zeigen eine steigende Inzidenz in der älteren Bevölkerung. Gerade bei komplexen Frakturmustern ist die Entscheidung zwischen gelenkerhaltenden Verfahren oder einem prothetischen Ersatz schwierig. Bei jüngeren Patienten sollte generell eine Gelenkrekonstruktion angestrebt werden. Sollte es zu einem sekundären Osteosyntheseversagen kommen, ist meist eine Konversion auf eine inverse Prothese indiziert. Hier ist mit einem geringeren Bewegungsumfang sowie einer höheren Komplikationsrate verglichen mit einer Primärimplantation zu rechnen. Sollte keine Osteosynthese möglich sein, besteht bereits primär die Indikation zum endoprothetischen Ersatz. Entscheidend für das funktionelle Outcome einer anatomischen Prothese ist das Einheilen der Tuberkula. Bei älteren Patienten geht daher der Trend zur primären inversen Prothesenimplantation mit einem deutlich homogeneren klinischen Ergebnis unabhängig von der Rotatorenmanschettenfunktion. Der folgende Beitrag stellt die aktuelle Literatur vor und soll bei der Entscheidung im Alltag helfen. More... »

PAGES

2-8

References to SciGraph publications

Journal

TITLE

Trauma und Berufskrankheit

ISSUE

1

VOLUME

21

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10039-019-0419-x

DOI

http://dx.doi.org/10.1007/s10039-019-0419-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112158470


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