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Anatomische Prothese bei Frakturfolgen am proximalen Humerus

Anatomic shoulder arthroplasty for fracture sequelae of the proximal humerus

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Zusammenfassung

Hintergrund

Nach proximaler Humerusfraktur zeigen sich diverse Frakturfolgen, die teils konservativ, häufig aber auch operativ behandelt werden.

Ziel der Arbeit

Aktuelle Indikationen für die anatomische Prothese bei Frakturfolgen am proximalen Humerus werden dargestellt.

Material und Methoden

Aktuelle Literatur zur Behandlung von Frakturfolgen am proximalen Humerus mittels anatomischer Prothetik wird analysiert.

Ergebnisse und Schlussfolgerung

Der Großteil der Frakturfolgen nach proximaler Humerusfraktur wird humeruskopferhaltend oder mittels inverser Schulterprothese behandelt. Das Indikationsspektrum für die Implantation einer anatomischen Prothese beschränkt sich auf wenige Fälle, größtenteils bei Humeruskopfnekrose oder größeren Impressionsdefekten des Humeruskopfs. Eine intakte und funktionsfähige Rotatorenmanschette sowie ein stabiles, zentriertes Schultergelenk sind für den klinischen Erfolg essentiell.

Abstract

Background

Following proximal humeral fractures, several different fracture sequelae may occur. Treatment can be nonoperative, but surgical treatment is commonly needed.

Objectives

To present current indications for anatomic prosthesis for the treatment of proximal humeral fracture sequelae.

Materials and methods

Analysis of the current literature regarding treatment of proximal humeral fracture sequelae with anatomic shoulder arthroplasty.

Results and conclusions

The majority of proximal humeral fracture sequelae are treated with humeral head-preserving strategies or with reverse total shoulder arthroplasty. The indication for the implantation of an anatomic shoulder prosthesis is limited to a few cases with humeral head necrosis or humeral head impression fractures. An intact and functioning rotator cuff as well as a stable and centered humeral head are essential for clinical success.

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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, P. A. Michel & M. J. Raschke

Authors
  1. J. C. Katthagen
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  2. P. A. Michel
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  3. M. J. Raschke
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Corresponding author

Correspondence to J. C. Katthagen.

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Interessenkonflikt

J.C. Katthagen, P.A. Michel und M.J. Raschke geben 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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Katthagen, J.C., Michel, P.A. & Raschke, M.J. Anatomische Prothese bei Frakturfolgen am proximalen Humerus. Obere Extremität 18, 19–23 (2023). https://doi.org/10.1007/s11678-023-00728-w

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  • DOI: https://doi.org/10.1007/s11678-023-00728-w

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