Daumensattelgelenksarthrose: Aktuelle Therapiekonzepte im deutschsprachigen Raum

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

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