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Innovationen und Prognosen

Innovations and prognoses

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Zusammenfassung

Die proximale Humerusfraktur ist ein immer aktuelles Thema des klinischen Alltags. Auch moderne Osteosynthesetechniken lösen nicht alle Probleme. So bleibt die proximale Humerusfraktur im Fokus des wissenschaftlichen Interesses. Daraus erwächst eine Vielzahl innovativer Ansätze. Folgende Trends lassen sich beobachten: (1) die arthroskopisch gestütze Frakturversorgung und Behandlung von Begleitpathologien/Folgezuständen, (2) winkelstabile Plattenosteosynthesen: Ergebnisse und Komplikationsraten der modernen Implantate, Bedeutung der Polyaxialität, Einfluss der Osteoporose, (3) Diskussion – „Minimalinvasivität“ am proximalen Humerus, (4) „medial support“, (5) Frakturprothetik – inverse Prothese als primäre Frakturprothese beim alten Patienten.

Abstract

Proximal humeral fractures are always a relevant topic in routine clinical practice. Modern surgical techniques and implants do not resolve all problems. So, this fracture remains the focus of current research. As a consequence, some innovative approaches have arisen. The following recent trends can be observed and analyzed in detail: (1) Arthroscopically assisted fracture treatment and therapy of concomitant injuries/fracture sequelae, (2) locking plates: results and complication rates of recent implants, relevance of polyaxiality, impact of osteoporotic bone structure, (3) debate: what is “minimally invasive?”, (4) “medial support”, (5) Arthroplasty in fracture situations – the reversed shoulder arthroplasty as primary fracture prosthesis in the elderly patient.

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  1. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30169, Hannover, Deutschland

    C. Voigt &  H. Lill

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Voigt, C., Lill, H. Innovationen und Prognosen. Unfallchirurg 114, 1083–1090 (2011). https://doi.org/10.1007/s00113-011-2056-0

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