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Erschienen in: Trauma und Berufskrankheit 4/2017

10.11.2017 | Konservative Therapie | Standards in der Unfallchirurgie

Standards: Humerusschaftfraktur

verfasst von: Dr. S. Lotzien, C. Hoberg, M. F. Hoffmann, J. Gessmann, D. Seybold, T. A. Schildhauer, M. Königshausen

Erschienen in: Trauma und Berufskrankheit | Ausgabe 4/2017

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Zusammenfassung

Hintergrund

Etwa 2–4 % aller Frakturen sind Humerusschaftfrakturen. Bezüglich der Therapie gibt es in der Literatur und in der Praxis keinen Goldstandard. Sowohl die konservative Therapie, die Plattenosteosynthese als auch intramedulläre Osteosyntheseverfahren werden mit großem Erfolg eingesetzt.

Ziel der Arbeit

Ziel des vorliegenden Beitrags ist es, eine Zusammenfassung der vorliegenden Evidenz zu geben und hieran einen klinischen Leitfaden für die Versorgung der Humerusschaftfraktur zu erarbeiten.

Material und Methoden

Einbezogen wurden die Ergebnisse einer selektiven Literaturrecherche in der Medline-Datenbank und klinische Erfahrung der Autoren.

Schlussfolgerung

Sowohl die bereits lange etablierte Plattenosteosynthese als auch die intramedulläre Marknagelung können mit großem Erfolg zur Behandlung der Humerusschaftfraktur eingesetzt werden. Trotz aller Neuerungen hinsichtlich weniger invasiver Operationstechniken und Implantatentwicklungen bleibt die konservative Therapie eine wichtige Therapieoption bei der Behandlung von Oberarmbrüchen.
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Metadaten
Titel
Standards: Humerusschaftfraktur
verfasst von
Dr. S. Lotzien
C. Hoberg
M. F. Hoffmann
J. Gessmann
D. Seybold
T. A. Schildhauer
M. Königshausen
Publikationsdatum
10.11.2017
Verlag
Springer Medizin
Erschienen in
Trauma und Berufskrankheit / Ausgabe 4/2017
Print ISSN: 1436-6274
Elektronische ISSN: 1436-6282
DOI
https://doi.org/10.1007/s10039-017-0332-0

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