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Technik und Stellenwert der arthroskopischen Implantatentfernung an der Schulter

Technique and value of arthroscopic implant removal in the shoulder

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Zusammenfassung

Die arthroskopische Implantatentfernung beinhaltet innovative minimalinvasive Operationsverfahren, die im Vergleich zu offenen Techniken neben den Vorteilen der minimalinvasiven Chirurgie die Möglichkeit der glenohumeralen Inspektion, Arthrolyse und ggf. Therapie von Begleitpathologien bieten. Im Folgenden werden Techniken und Stellenwert arthroskopischer Materialentfernungen an der Schulter dargestellt.

Erste eigene Ergebnisse nach vollständiger arthroskopischer Plattenentfernung am proximalen Humerus ergeben im Vergleich zu offenen Verfahren eine höhere subjektive Patientenzufriedenheit sowie eine schnellere Schmerzfreiheit und Verbesserung der Schulterfunktion in der frühen postoperativen Phase, die sich im weiteren Verlauf wieder annähern.

Abstract

Arthroscopic implant removal involves innovative minimally invasive surgical techniques which offer the advantages of minimally invasive surgery in addition to the possibility of glenohumeral inspection, arthrolysis and treatment of concomitant intraarticular pathologies compared to open surgical procedures. In the following article the surgical techniques and significance of arthroscopic implant removal from the shoulder joint will be described.

The first results of a complete arthroscopic plate removal from the humeral head will be described. Compared to the open technique, greater satisfaction of the patients, more rapid pain relief and improvement of the shoulder function in the early postoperative time could be observed. During the follow-up interval the results of the two techniques converge.

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Authors and Affiliations

  1. Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH Hannover, Humboldtstr. 5, 30169, Hannover, Deutschland

    H. Lill, C. Katthagen & C. Voigt

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  1. H. Lill
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  2. C. Katthagen
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  3. C. Voigt
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Correspondence to H. Lill.

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Lill, H., Katthagen, C. & Voigt, C. Technik und Stellenwert der arthroskopischen Implantatentfernung an der Schulter. Orthopäde 40, 79–84 (2011). https://doi.org/10.1007/s00132-010-1683-4

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  • DOI: https://doi.org/10.1007/s00132-010-1683-4

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