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Schulterendoprothetik

Operatives Management

Shoulder Arthroplasty

Surgical management

  • Leitthema
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Zusammenfassung

Die Schulterendoprothetik umspannt ein weitreichendes Indikationsspektrum von den degenerativen, entzündlichen über die infektiösen, tumorösen, instabilitätsassoziierten und neurogenen bis hin zu den traumatischen und posttraumatischen Gelenkflächendefekten. Jeder dieser Erkrankungs- und Traumaformen erfordert ein eigenes Regime und entsprechendes Implantat. Ziel dieses Leitthemas ist es, für die Omarthrose als zahlenmäßig häufigste Indikationsform ein prinzipielles operatives Management darzustellen, das herstellerunspezifisch allgemeine Richtlinien aufzeigt und dabei Gelenkmechanik und Operationstechnik in Einklang bringt. Die Grundzüge des Implantateinbaus beziehen sich auf die anatomische Adaptabilität der 3. Generation von Schulterendoprothesen, die erst die exakte Rekonstruktion der glenohumeralen Gelenkzentrierung zulässt. Weite Abschnitte der nachfolgenden Seiten finden jedoch auch für die anderen Indikationsstellungen ihre Gültigkeit, sodass dieser Beitrag auch weiterreichende prinzipielle Grundlagen für die gesamte Schulterendoprothetik beinhaltet.

Abstract

Shoulder arthroplasty covers an extensive indication spectrum of degenerative, inflammatory to infectious, tumorous, instability-associated and neurogenic disease to acute trauma and posttraumatic joint destruction. Each of these indications requires its own regime and an appropriate implant. Osteoarthritis is the most frequent indication, and will be used as an example for surgical management, bringing the manufacturer-nonspecific general guidelines, joint mechanics and surgical technology into agreement. The fundamentals of the technique of implantation refer to the anatomical adaptability of the third generation of shoulder prostheses, which permits an accurate reconstruction of glenohumeralen joint centring. This article also describes far-reaching principles, which are generally applicable to all indications for shoulder arthroplasty.

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Interessenkonflikt:

Der korrespondierende Autor weist auf eine Verbindung mit folgender Firma/Firmen hin: Der Autor P. Habermeyer bezieht Patentlizenzen der Fa. Arthrex GmbH, Karlsfeld.

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Authors and Affiliations

  1. ATOS-Klinik Heidelberg

    P. Habermeyer, S. Lichtenberg & P. Magosch

  2. ATOS-Klinik, Bismarckstraße 9–15, 69115, Heidelberg

    P. Habermeyer

Authors
  1. P. Habermeyer
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  2. S. Lichtenberg
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  3. P. Magosch
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Correspondence to P. Habermeyer.

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Habermeyer, P., Lichtenberg, S. & Magosch, P. Schulterendoprothetik. Unfallchirurg 107, 1008–1025 (2004). https://doi.org/10.1007/s00113-004-0859-y

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  • DOI: https://doi.org/10.1007/s00113-004-0859-y

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