Update Endoprothetik des Handgelenkes

Zusammenfassung

Die Auseinandersetzung mit der Handgelenkendoprothetik bleibt weiterhin schwierig, weil die komplexe Bewegungsdynamik mit einer Endoprothese nicht kopiert werden kann. Dennoch stellt der Eingriff sich als sehr verlässlich schmerzreduzierend dar. Die Zufriedenheit der RA Patienten ist hoch, wenngleich der Bewegungs- und Kraftzugewinn nur moderat ausfällt. Neuere Arbeiten zeigen günstigere Standzeiten der optimierten Prothesensysteme bei allerdings weiterhin kleinen Fallzahlen und kurzen Nachuntersuchungszeiträumen.

Abstract

The discussion about wrist arthroplasties remains a controversial because the complex movement dynamics of the wrist cannot be reproduced by a prosthesis. Even so the operation has proved to be a very reliable method to reduce pain. The satisfaction level of rheumatoid arthritis patients is high although the gains in freedom of movement and strength may be only moderate. Recent reports demonstrate more favourable life-times for the optimised prosthetic systems, albeit still with only small case numbers and short follow-up times.

Schlüsselwörter

Handgelenkendoprothese - carpaler Implantatlockerungen - Handgelenkarthrodese - toroidale Ringkerndesign - Wrightington-Klassifikation

Key words

wrist arthroplasty - carpal loosening - wrist fusion - toroidale design - Wrightington classification

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