{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T10:10:50Z","timestamp":1793095850730,"version":"4.5.0"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Augsburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Einleitung<\/jats:title>\n                <jats:p>Die Therapie der Humerusschaftfraktur ist vielf\u00e4ltig und oft problematisch. Neben der konservativen Therapie konkurrieren Marknagel- und Plattenosteosynthese miteinander; bislang existiert kein Goldstandard. Aus biomechanischen \u00dcberlegungen bieten sich f\u00fcr die Versorgung von Spiralfrakturen additive Cerclagen an. Die Argumente gegen deren Verwendung sind zum einen die Gefahr von Radialisl\u00e4sionen, zum anderen eine mutma\u00dfliche St\u00f6rung der Fragmentdurchblutung. Ziel dieser\u00a0 Studie ist die Analyse sekund\u00e4rer Radialisl\u00e4sionen bei der Anwendung additiver, limitiert invasiver Cerclagen bei der antegraden Nagelosteosynthese von Humerusschaftfrakturen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>In dieser retrospektiven Studie erfolgen die klinische und die neurologische Untersuchung von 102 Patienten, welche im Zeitraum von 5\u00a0Jahren bei einer Humerusschaftfraktur operativ versorgt wurden. Insgesamt wurden zur Marknagelosteosynthese 193 Cerclagen durch einen limitiert invasiven Zugang eingebracht.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse und Schlussfolgerung<\/jats:title>\n                <jats:p>Bei 4\u00a0Patienten (3,9\u202f%) zeigte sich eine sekund\u00e4re Radialisl\u00e4sion im Rahmen der operativen Stabilisierung. Die neurophysiologische und neurosonographische Untersuchung zeigten in keinem Fall eine Kompromittierung des Nerven durch Einschlingen oder gar Durchtrennung durch die additive Cerclage. Zwei Nervenl\u00e4sionen erholten sich innerhalb von 3 bzw. 6\u00a0Monaten spontan. In den anderen 2 F\u00e4llen konnte der Verlauf aufgrund eines Exitus letalis nicht \u00fcber 12\u00a0Monate dokumentiert werden.<\/jats:p>\n                <jats:p>Mit 3,9\u202f% der iatrogenen Radialisl\u00e4sionen liegt die Rate an Nervenl\u00e4sionen im unteren Bereich dessen, was in der Literatur f\u00fcr die operative Therapie von Humerusschaftfrakturen beschrieben wird (3\u201312\u202f%). Durch die limitiert invasive, additive Cerclage ergibt sich somit kein erh\u00f6htes Risiko f\u00fcr die iatrogene Sch\u00e4digung des N.\u00a0radialis.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-021-00995-8","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T23:02:28Z","timestamp":1616626948000},"page":"138-144","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Kompromittierung durch additive Cerclagen","Compromising due to additive cerclages"],"prefix":"10.1007","volume":"125","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3954-8909","authenticated-orcid":false,"given":"F.","family":"von der Helm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Reuter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Adolf-Lisitano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"F\u00f6rch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"issue":"11","key":"995_CR1","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1302\/0301-620X.88B11.17634","volume":"88","author":"R Ekholm","year":"2006","unstructured":"Ekholm\u00a0R et\u00a0al (2006) Fractures of the shaft of the humerus. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Diese retrospektive Studie erfolgte nach Konsultation der zust\u00e4ndigen Ethikkommission und im Einklang mit nationalem Recht.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}