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Intraartikuläre Frakturen des distalen Humerus

Aspekte der operativen Behandlung bei geriatrischen Patienten

Intra-articular fractures of the distal humerus

Aspects of fracture treatment in geriatric patients

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Zusammenfassung

Hintergrund

Ungeachtet der allgemeinen Zunahme osteoporoseassoziierter Frakturen sind Frakturen des distalen Humerus in der Gruppe geriatrischer Patienten selten; für den einzelnen Operateur bedeutet dies eine entsprechend überschaubare Fallzahl.

Ziel der Arbeit

Damit ergibt sich die Frage, inwieweit Konzepte aus der Gruppe der jüngeren Patientengruppe übertragen werden können.

Material und Methoden

Berücksichtigt man die evidenzbasierte Literatur, können die Empfehlungen auf 3 prospektive Studien reduziert werden. Dies bedeutet jedoch nur, dass die verbliebene Literatur nicht die erforderliche statistische Sicherheit bietet, um hieraus Schlussfolgerungen zuzulassen.

Ergebnisse und Diskussion

Um für die Gruppe der geriatrischen Patienten Empfehlungen auszusprechen, ist daher die Zusammenschau der aktuellen Literatur erforderlich. Die folgende Übersicht der aktuellen Literatur versucht daher, die relevanten Aspekte der Frakturversorgung einzeln zu diskutieren und eine Schlussfolgerung für die Praxis zu entwickeln.

Abstract

Background

In the context of osteoporotic fractures, injuries to the distal humerus are quite uncommon, meaning that each surgeon will have only limited experience.

Objective

This leads automatically to the question to what extent treatment recommendations can be transferred to the geriatric population.

Methods

Looking at the evidence-based literature, recommendations could be limited to three prospective studies. However, this only means that the remaining literature sources do not provide sufficient statistical power to be able to draw conclusions.

Results and discussion

For the population of geriatric patients a thorough compilation of the contemporary literature is advisable. This review article on the currently available literature evaluates and individually discusses the relevant aspects of fracture treatment in order to develop recommendations for routine daily practice.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. T.G. Gerich gibt an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Traumatologie, Centre Hospitalier de Luxembourg, 4, rue Barblé, 1410, Luxembourg, Luxembourg

    T.G. Gerich

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Gerich, T. Intraartikuläre Frakturen des distalen Humerus. Orthopäde 43, 347–352 (2014). https://doi.org/10.1007/s00132-013-2162-5

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