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Erschienen in: Der Unfallchirurg 8/2013

01.08.2013 | Leitthema

Endoprothetik der akuten Radiuskopffraktur

verfasst von: PD Dr. K.J. Burkhart, K. Wegmann, C. Ries, L.P. Müller

Erschienen in: Die Unfallchirurgie | Ausgabe 8/2013

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Zusammenfassung

Die Radiuskopfprothese stellt die Therapie der Wahl für nicht rekonstruierbare Radiuskopffrakturen dar. Solide Prothesen aus Metall oder Pyocarbon können unabhängig vom Design oder Verankerungsoptionen die Valgusstabilität des Ellenbogens wiederherstellen. Kurz- und mittelfristige Ergebnisse zeigen überwiegend gute und sehr gute Ergebnisse, ohne dass bisher wesentliche Unterschiede zwischen den verschiedenen Prothesenphilosophien ausgemacht werden können. Wichtig für das Erreichen eines guten Ergebnisses sind die korrekte Implantationstechnik unter Vermeidung eines „Overstuffing“ und die korrekte Einschätzung der ligamentären Begleitverletzungen. Dieser Artikel diskutiert die anatomischen und biomechanischen Grundlagen der Radiuskopfendoprothetik, die Operationstechnik und die radiologische Diagnostik des „Overstuffing“.
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Zurück zum Zitat Zhao J, Yang S, Hu Y (2007) The early outcomes with titanium radial head implants in the treatment of radial head comminuted fractures. J Huazhong Univ Sci Technolog Med Sci 27:681–683PubMedCrossRef Zhao J, Yang S, Hu Y (2007) The early outcomes with titanium radial head implants in the treatment of radial head comminuted fractures. J Huazhong Univ Sci Technolog Med Sci 27:681–683PubMedCrossRef
Metadaten
Titel
Endoprothetik der akuten Radiuskopffraktur
verfasst von
PD Dr. K.J. Burkhart
K. Wegmann
C. Ries
L.P. Müller
Publikationsdatum
01.08.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
Die Unfallchirurgie / Ausgabe 8/2013
Print ISSN: 2731-7021
Elektronische ISSN: 2731-703X
DOI
https://doi.org/10.1007/s00113-013-2412-3

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