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Prothesenwechsel und Knochenaugmentation

  • Chapter
Schulter

Part of the book series: Meistertechniken in der operativen Orthopädie und Unfallchirurgie ((MTECH OPER ORTHO))

Zusammenfassung

Durch die stetig steigenden Schulterprothesenimplantationen pro Jahr sind auch die Zahlen an Komplikationen und Revisionseingriffen nach einer endoprothetischen Versorgung der Schulter gestiegen. Komplikationsraten nach einer anatomischen Schulterprothese werden in der Literatur mit 10 %, nach einer inversen Prothese mit 4,8–68 % angegeben. Unterteilt man die Revisionsart nach der Lokalisation, so ist man meist mit rein glenoidalen oder humeralen Revisionen konfrontiert und seltener mit einer Kombination aus beidem. Durch die Weiterentwicklung des humeralen Komponentendesigns hin zu modularen Schaftsystemen hat sich die Revisionsmöglichkeit der Prothesen deutlich vereinfacht. Es stehen zementierte und zementfreie Langschaftsysteme zur Verfügung, mit denen knöcherne Defekte auf humeraler Seite überbrückt werden können. Die glenoidale Komponente hat sich hingegen bezüglich der Revisionsmöglichkeiten der Systeme nur sehr langsam weiterentwickelt.

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Author information

Authors and Affiliations

  1. BG Uniklinikum Bergmannsheil GmbH, Chirurgische Klinik und Poliklinik, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland

    PD Dr. med. D. Seybold

  2. Chirurgische Klinik und Poliklinik, BG Uniklinikum Bergmannsheil GmbH, Bürkle-de-la-Camp-Platz 1, 44789, Bochum, Deutschland

    PD Dr. med. J. Geßmann

Authors
  1. PD Dr. med. D. Seybold
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  2. PD Dr. med. J. Geßmann
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Editor information

Editors and Affiliations

  1. St. Vincentius-Kliniken gAG, Karlsruhe, Deutschland

    Lars-Johannes Lehmann

  2. Deutsches Gelenkzentrum Heidelberg in der ATOS Klinik, Heidelberg, Deutschland

    Markus Loew

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Seybold, D., Geßmann, J. (2018). Prothesenwechsel und Knochenaugmentation. In: Lehmann, LJ., Loew, M. (eds) Schulter. Meistertechniken in der operativen Orthopädie und Unfallchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54746-5_24

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  • DOI: https://doi.org/10.1007/978-3-662-54746-5_24

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-54745-8

  • Online ISBN: 978-3-662-54746-5

  • eBook Packages: Medicine (German Language)

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