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Es wird kontrovers diskutiert, wie Risikofaktoren zur Auswahl zwischen arthroskopischer Bankart-Reparatur mit Kapselshift (ABRK), Latarjet- und Alternativtechniken gewichtet werden sollten. Als Risikofaktoren gelten Lebensalter, Hyperlaxizit\u00e4t, Sportprofil und Knochenverlust. Die ABRK geht mit hoher Patientenzufriedenheit und R\u00fcckkehr zum Sport einher. Rezidive treten, assoziiert mit Risikofaktoren, noch nach mehreren Jahren auf. Latarjet- oder Knocheneingriffe erzielen eine hohe Patientenzufriedenheit und dauerhafte Stabilit\u00e4t im Revisionsfall, k\u00f6nnen aber auch als Ersteingriff bei entsprechendem Risikoprofil indiziert sein, wobei von einer h\u00f6heren Rate meist leichter Komplikationen berichtet wurde. Jegliche Techniken unterliegen einer ernstzunehmenden Lernkurve. Bei korrekter Durchf\u00fchrung scheint das Risiko einer operationsbedingten Arthroseentwicklung nicht erh\u00f6ht zu sein; diese wird vielmehr durch die Anzahl der Rezidivluxationen und traumatische Gewalteinwirkung beeinflusst.<\/jats:p>","DOI":"10.1007\/s00113-022-01283-9","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T12:07:01Z","timestamp":1675339621000},"page":"145-154","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronische posttraumatische Schulterinstabilit\u00e4t","Chronic posttraumatic shoulder instability"],"prefix":"10.1007","volume":"126","author":[{"given":"S.","family":"Bauer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Dietz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Collin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Neyton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Blakeney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Zumstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"issue":"4","key":"1283_CR1","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s00113-005-0931-2","volume":"108","author":"S Lichtenberg","year":"2005","unstructured":"Lichtenberg\u00a0S, Magosch\u00a0P, Habermeyer\u00a0P (2005) Traumatic anterior shoulder dislocation. 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