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Arthroskopische Frakturversorgung am Glenoid

Arthroscopic treatment of glenoid fractures

  • Leitthema
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Arthroskopie Aims and scope

Zusammenfassung

Verschiedenste arthroskopische Prozeduren sind für die Versorgung von Glenoidfrakturen beschrieben. Damit kann für die meisten Frakturtypen eine anatomische Reposition und stabile Refixation erreicht werden. Die arthroskopischen Verfahren sind mit besseren klinischen Ergebnissen vergesellschaftet als das offene Vorgehen, zumal das Risiko potenzieller Komplikationen deutlich reduziert wird. Zusätzlich können weitere intraartikuläre Begleitverletzungen simultan suffizient behandelt werden. Eine exzellente Vorbereitung, technische Fähigkeiten und Kenntnisse der Schulteranatomie sind die wesentlichen Voraussetzungen für eine sichere Durchführung.

Abstract

Very different arthroscopic procedures have been described for treatment of glenoid fractures. With these procedures anatomic reduction and stable refixation can be achieved for most glenoid fracture patterns. Arthroscopic techniques are associated with better clinical outcomes compared to open procedures and the risk of potential complications is clearly reduced. Additionally, concomitant intra-articular lesions can be sufficiently treated simultaneously. Excellent preparation, technical skills and knowledge of shoulder anatomy are the essential prerequisites for a safe performance.

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Authors and Affiliations

  1. Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Universität Witten/Herdecke am Klinikum Köln-Merheim, Ostmerheimer Str. 200, 51109, Köln, Deutschland

    Arasch Wafaisade, Andreas Karwatzke & Paola Kappel

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  1. Arasch Wafaisade
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  2. Andreas Karwatzke
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  3. Paola Kappel
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Correspondence to Arasch Wafaisade.

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Interessenkonflikt

A. Wafaisade erhielt Vortragshonorare von den Firmen Stryker, Smith&Nephew, DepuySynthes, Rymasis sowie Reisekostenerstattung durch die Firma Arthrex. A. Karwatzke gibt an, dass kein Interessenkonflikt besteht. P. Kappel erhielt Reisekostenerstattung durch die Firma Arthrex.

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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Redaktion

S. Siebenlist, München

P. Lobenhoffer, Hannover

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Wafaisade, A., Karwatzke, A. & Kappel, P. Arthroskopische Frakturversorgung am Glenoid. Arthroskopie 36, 80–87 (2023). https://doi.org/10.1007/s00142-023-00599-x

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