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08.03.2024 | Übersicht

Operative Versorgung proximaler Humerusfrakturen mittels Kombinationsosteosynthesen

Ein narratives Review

verfasst von: Prof. Dr. Pierre Hepp, Ralf Henkelmann, Tobias Schöbel, Jan Theopold

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Zusammenfassung

Die Osteosynthese komplexer proximaler Humerusfrakturen stellt nach wie vor eine Herausforderung dar. Neben der anatomischen Reposition ist die Stabilität der Osteosynthese von besonderer Bedeutung. Die winkelstabile Plattenosteosynthese hat sich als Standardimplantat durchgesetzt, dennoch zeigen sich insbesondere bei komplexen Fraktursituationen und bei Patienten mit reduzierter Knochenqualität relevante Komplikationsraten. In den letzten Jahren haben additive Verfahren wie Augmentation, Kalkarschraube, Fibulagraft und Doppelplattenosteosynthesen Einzug in das Versorgungsportfolio erhalten. Biomechanische und erste klinische Studien weisen auf höhere Stabilität und Verringerung der Komplikationen hin. Allerdings ist es noch zu früh, ein spezielles Verfahren hervorzuheben und so werden mehr hochwertige und vergleichende klinische Studien benötigt, um evidenzbasierte Behandlungsempfehlungen abzugeben.

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Titel: Operative Versorgung proximaler Humerusfrakturen mittels Kombinationsosteosynthesen
Ein narratives Review
verfasst von: Prof. Dr. Pierre Hepp
Ralf Henkelmann
Tobias Schöbel
Jan Theopold
Publikationsdatum: 08.03.2024
Verlag: Springer Medizin
Erschienen in: Obere Extremität
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
DOI: https://doi.org/10.1007/s11678-024-00793-9

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Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Operative Versorgung proximaler Humerusfrakturen mittels Kombinationsosteosynthesen

Ein narratives Review

Zusammenfassung

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Die Highlights vom Kongress des American College of Cardiology 2024

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Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

TEP mit Roboterhilfe führt nicht zu größerer Zufriedenheit

Lever-Sign-Test hilft beim Verdacht auf Kreuzbandriss

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

Update Orthopädie und Unfallchirurgie