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Alternative Behandlungsoptionen am Glenoid

Ein Literaturüberblick

Alternatives in treating the glenoid bone

A review of current literature

  • Übersicht
  • Published:
Obere Extremität Aims and scope Submit manuscript

Zusammenfassung

Hintergrund

Die Lockerung der Glenoidkomponente stellt eine der bedeutendsten Langzeitkomplikationen in der totalen Schulterendoprothetik dar. Insbesondere bei jüngeren Patienten stellt dies ein relevantes Risiko für einen Revisionseingriff im Verlauf des Lebens dar. Daher wird intensiv an der Erforschung von Alternativen zum endoprothetischen Glenoidersatz gearbeitet.

Ziel der Arbeit

Die vorliegende Untersuchung soll einen Literaturüberblick über alternative Behandlungsoptionen am Glenoid geben.

Material und Methoden

Für die vorliegende Arbeit wurde eine Literaturrecherche über Medline durchgeführt.

Ergebnisse und Diskussion

Auf Basis der aktuellen Studienlage kann eine eindeutige Empfehlung hinsichtlich der alternativen Verfahrenswahl nicht gegeben werden. Insbesondere mangelt es an prospektiven Untersuchungen, welche die verschiedenen Verfahren miteinander vergleichen. Die Therapie der Omarthrose, insbesondere bei jungen Patienten, wird somit in Zukunft weiterhin Gegenstand wissenschaftlicher Untersuchungen bleiben. Aktuell stellt der künstliche Ersatz des Glenoids mittels zementierter Implantate die Behandlungsoption der Wahl auch beim jungen Patienten dar, um ein stabiles und langfristiges Ergebnis zu erreichen.

Abstract

Background

Loosening of the glenoid component represents one of the major long-term complications of total shoulder arthroplasty. Therefore, there is a relevant risk for revision surgery especially for younger patients in the course of a lifetime. In the past, intensive research has been done to find alternatives to arthroplasty of the glenoid component.

Objectives

The aim of this study is to give an overview of the literature about alternative treatment options for the glenoid bone.

Materials and methods

For the present work, a literature search on Medline was conducted.

Results and conclusion

Based on the current literature, it is not possible to give a clear recommendation which of the alternative treatment options should be used. In particular, there is a lack of prospective studies that compare the different methods. Thus, the treatment of osteoarthritis, especially in young patients remains a subject of scientific research. In order to achieve good long-term results, total shoulder arthroplasty using cemented glenoid components remains the treatment of choice even in young patients.

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Authors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie/Klinik für Paraplegiologie – Querschnittzentrum, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland

    Boris Sowa,  Felix Zeifang &  Patric Raiss

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  1. Boris Sowa
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Correspondence to Boris Sowa.

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Boris Sowa, Felix Zeifang und Patric Raiss geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Sowa, B., Zeifang, F. & Raiss, P. Alternative Behandlungsoptionen am Glenoid. Obere Extremität 10, 88–95 (2015). https://doi.org/10.1007/s11678-015-0319-z

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