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DOI: 10.1055/a-1759-3416
Differentialtherapeutische Zugänge bei der prothetischen Versorgung von Fingergelenken
Differential therapeutic Approaches in the prosthetic Arthroplasty of Finger JointsZusammenfassung
Fortgeschrittene degenerative Veränderungen der Fingergelenke führen nicht selten zu chirurgischen Behandlungen unterschiedlicher Art. Dabei kommt neben der Arthrodese auch die bewegungserhaltende Therapie mittels eines Kunstgelenks in Frage. Hierfür kann der behandelnde Chirurg zwischen einer Vielzahl unterschiedlicher Zugänge wählen. Die verschiedenen Zugänge mit ihren charakteristischen intraoperativen Vor- und Nachteilen sowie für die postoperative Behandlung sollten patienten-, implantat- und nachbehandlungsspezifisch ausgewählt und angewendet werden. Im Folgenden wird eine Übersicht über die möglichen Zugänge sowie die damit einhergehenden Operationstechniken zum Fingergelenksersatz am Grund-, Mittel- und Endglied gegeben.
Abstract
Degenerative changes of the finger joints often lead to various surgical treatments such as arthrodesis or artificial joint replacement. There are a lot of surgical approaches for surgeons to choose from. The different approaches with their characteristic advantages and disadvantages during surgery and for the postoperative treatment should be selected and applied based on patient-, implant- and aftercare-specific indications. This article presents a short review of possible approaches and associated surgical techniques for finger joint replacement.
Schlüsselwörter
Kunstgelenk - Kunstgelenkersatz - Fingerarthrose - chirurgische Technik - ZugangswegeKey words
joint replacement - osteoarthritis - surgical technique - surgical approach - finger joint arthroplastyPublication History
Received: 13 January 2022
Accepted: 14 January 2022
Article published online:
10 June 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
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