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Radiuskopfprothese bei akuten Frakturen – wann und welche?

Radial head prosthesis for acute fractures

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Zusammenfassung

Bei nichtrekonstruierbaren Radiuskopffrakturen mit Begleitverletzungen und konsekutiver Instabilität des Ellenbogens kommt es regelhaft zur Implantation von Radiuskopfprothesen. Verschiedene Prothesendesigns und Implantationstechniken sind verfügbar. Bei der Implantation sind diverse Fallstricke zu beachten. Dieser Beitrag gibt Tipps und Tricks für die erfolgreiche Implantation und Nachbehandlung sowie einen Überblick über mittlerweile verfügbare Langzeitergebnisse.

Abstract

Non-reconstructible radial head fractures with concomitant injuries and resultant instability of the elbow are often treated by implantation of a radial head prosthesis. Various prosthetic designs and implantation techniques are available. Several pitfalls have to be respected during implantation. This article provides tips and tricks for successful implantation and aftercare and gives an overview of long-term outcomes and revision rates.

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Authors and Affiliations

  1. Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland

    J. C. Katthagen, M. Langer & M. J. Raschke

Authors
  1. J. C. Katthagen
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  2. M. Langer
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  3. M. J. Raschke
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Correspondence to J. C. Katthagen.

Ethics declarations

Interessenkonflikt

M.J. Raschke und M. Langer sind Erfinder des ICARA Patents EP2747712 „Gelenk Prothese“. J.C. Katthagen gibt an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Helmut Lill, Hannover

Markus Scheibel, Zürich

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Katthagen, J.C., Langer, M. & Raschke, M.J. Radiuskopfprothese bei akuten Frakturen – wann und welche?. Unfallchirurgie 125, 709–715 (2022). https://doi.org/10.1007/s00113-022-01214-8

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  • DOI: https://doi.org/10.1007/s00113-022-01214-8

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