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Arthrolyse des Ellenbogens

Wann, wie und mit welchen Ergebnissen?

Arthrolysis of the elbow

When, how and with which results?

  • Leitthema
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Die Ellenbogensteife stellt die häufigste Komplikation nach Ellenbogentraumata dar. Durch den Verlust an Beweglichkeit kann es zu schwerwiegenden Einschränkungen für den Patienten kommen. Die Indikation zur Arthrolyse wird abhängig vom Bewegungsausmaß und dem Anspruch des Patienten gestellt, wenn die konservative Therapie nicht zu einem zufriedenstellenden Ergebnis geführt hat. Während die offene Arthrolyse in Deutschland immer noch den Goldstandard vor allem bei schwergradigen Ellenbogensteifen darstellt, gewinnt die arthroskopische Technik immer mehr an Bedeutung. Dieser Artikel beschreibt die unterschiedlichen Techniken der Arthrolyse, deren Indikation und Ergebnisse.

Abstract

Elbow stiffness represents the most common complication after elbow trauma. The loss of motion may lead to severe restrictions for the patient. Operative release of a stiff elbow by arthrolysis is indicated when conservative treatment does not lead to a satsfactory result and depending on patient demands and needs. While open arthrolysis is still the gold standard in Germany especially for severe contractures, arthroscopic techniques are becoming more important. This article describes the various techniques for arthrolysis, the indications and results.

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Correspondence to K.J. Burkhart.

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Interessenkonflikt

M. Hackl, K. Wegmann, L.P. Müller, F. Gohlke und K.J. Burkhart geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Hackl, M., Wegmann, K., Müller, L. et al. Arthrolyse des Ellenbogens. Trauma Berufskrankh 17, 39–47 (2015). https://doi.org/10.1007/s10039-015-0014-8

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  • DOI: https://doi.org/10.1007/s10039-015-0014-8

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