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Handchir Mikrochir Plast Chir 2025; 57(05): 376-385
DOI: 10.1055/a-2579-9277
Originalarbeit

Daumensattelgelenksarthrose: Aktuelle Therapiekonzepte im deutschsprachigen Raum

Thumb Carpometacarpal Joint Osteoarthritis: Current Concepts in German-Speaking Countries

Authors

  • Stefan Meuser 

    1   Klinik für Hand- und Plastische Chirurgie, Helios Klinik Bonn/ Rhein-Sieg, Bonn, Germany

  • Elvira Bodmer

    2   Handchirurgie, Zuger Kantonsspital AG, Baar, Switzerland

  • Nadine Briefer

    3   Handchirurgie/ Obere Extremität, Schulthess Klinik, Zürich, Switzerland

  • Vanessa Reischenböck

    3   Handchirurgie/ Obere Extremität, Schulthess Klinik, Zürich, Switzerland

  • Stephan Franz Schindele

    3   Handchirurgie/ Obere Extremität, Schulthess Klinik, Zürich, Switzerland
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Zusammenfassung

Seit Einführung der 3. Generation der Daumensattelgelenksprothese mit dessen dual-mobility Prinzip haben sich die Therapiealgorithmen bezüglich der fortgeschrittenen, konservativ austherapierten Daumensattelgelenksarthrose im deutschsprachigen Raum teils erheblich geändert. Immer mehr Kliniken verwenden das Kunstgelenk als Therapie der ersten Wahl. Die Grenzen des endoprothetischen Gelenkersatzes werden neu definiert. Anhand des ersten Websymposiums der deutschsprachigen Arbeitsgemeinschaft für Handchirurgie (DAH) am 29.11.2023 wurden diese Fragen adressiert und mit einer breiten Zuhörerschaft diskutiert. Diese Arbeit soll einen Überblick über die stadienabhängigen Therapiekonzepte der Sattelgelenksarthrose und eine Zusammenfassung der Erkenntnisse aus dem Websymposium geben.

Abstract

The introduction of third-generation thumb carpometacarpal joint implants with a dual-mobility concept has significantly redefined the treatment algorithm for advanced thumb carpometacarpal joint osteoarthritis. Prosthetic arthroplasty is increasingly being adopted as the primary treatment choice in many clinical centres. The boundaries of prosthetic arthroplasty are being newly defined. These aspects were addressed and discussed with a broad audience during the first web symposium of the German-speaking Working Group for Hand Surgery (DAH) on 29 November 2023. This article provides an overview of the stage-dependent treatment concept of thumb carpometacarpal joint osteoarthritis and summarizes the insights of the web symposium.

Schlüsselwörter

Arthroplastik - Resektions-Arthroplastik, Handchirurgie - Daumensattelgelenk - Endoprothese - Rhizarthrose

Keywords

thumb carpometacarpal joint - osteoarthritis - prosthesis - arthroplasty - resection arthroplasty


Publication History

Received: 21 October 2024

Accepted: 31 March 2025

Article published online:
22 May 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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