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Arthroskopisch-assistierte Stabilisierung der akuten Schultereckgelenkinstabilität

Arthroscopically assisted stabilization of acute AC joint dislocation

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Zusammenfassung

Arthroskopische bzw. arthroskopisch-assistierte Techniken zur Stabilisierung akuter Schultereckgelenksprengungen haben in den vergangenen Jahren zunehmend an Bedeutung gewonnen. Neben den potenziellen Vorteilen, wie einer Senkung der Zugangsmorbidität, einer verbesserten Kosmetik und einer Reduktion der Infektionsrate, vermeiden aktuelle Methoden die Notwendigkeit eines obligaten Zweiteingriffes zur Implantatentfernung. Unter Berücksichtigung der gegenwärtig vorliegenden kurz- und mittelfristigen klinischen und radiologischen Ergebnisse sind die modernen arthroskopischen bzw. arthroskopisch-assistierten Verfahren, insbesondere unter Verwendung flaschenzugähnlicher Systeme, gegenüber den offenen Techniken wenigstens als gleichwertig zu betrachten.

Abstract

In recent years, arthroscopic and arthroscopically assisted stabilization techniques for acute AC-joint dislocation have gained in importance. Besides the potential advantages such as the reduction of surgical trauma and risk of infection as well as a cosmetically more pleasing result, modern techniques do not require obligatory implant removal. Regarding short- to mid-term clinical and radiological results, arthroscopic or arthroscopically assisted stabilization procedures, especially using pulley systems, lead to an at least similar outcome compared to that of open techniques.

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  1. Centrum für Muskuloskeletale Chirurgie, Campus-Mitte und Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland

    N. Kraus &  M. Scheibel

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  1. N. Kraus
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  2. M. Scheibel
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Correspondence to M. Scheibel.

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Kraus, N., Scheibel, M. Arthroskopisch-assistierte Stabilisierung der akuten Schultereckgelenkinstabilität. Obere Extremität 6, 90–98 (2011). https://doi.org/10.1007/s11678-011-0122-4

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