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Wenn konservative Ma\u00dfnahmen und gelenkerhaltende Therapien versagen, stellt die Arthrodese eine bew\u00e4hrte Option zu Schmerzreduktion und Funktionsverbesserung dar. Unter den verschiedenen Techniken hat sich insbesondere die Cup-and-Cone-Methode durch hohe Stabilit\u00e4t und intraoperative Flexibilit\u00e4t bei leichter Durchf\u00fchrbarkeit bew\u00e4hrt. Das Ziel der Arbeit ist es, dies anhand des Patientengutes eines Supramaximalversorgers zu eruieren.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material\/Methoden<\/jats:title>\n                    <jats:p>Zwischen 2015 und 2025 wurden retrospektiv 201 Fingergelenkarthrodesen bei 168 Patient*innen analysiert. Die Patient*innen waren durchschnittlich 60\u00a0Jahre alt, 71\u202f% m\u00e4nnlich. Die rechte Hand war bei 54\u202f% der Eingriffe betroffen. Es erfolgte die Erfassung von demografischen Daten, Lokalisation, \u00c4tiologie und Komplikationen. Subgruppenanalysen fokussierten sich auf arthrosebedingte Arthrodesen zur Messung pr\u00e4- und postoperativer Achsabweichung sowie Gelenkstellung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Die meisten Arthrodesen erfolgten an den PIP-Gelenken (104), gefolgt von DIP- (65) und IP-Gelenken\u00a0(16). Hauptursache war ein Trauma (48\u202f%), gefolgt von degenerativen Gelenkver\u00e4nderungen (20\u202f%). Komplikationen traten selten auf; h\u00e4ufigste war die postoperative Infektion. In der Subgruppe degenerativer Arthrosen zeigten sich signifikante postoperative Reduktionen der Achsabweichung (bis zu 25\u00b0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Fingergelenkarthrodesen sind bei therapierefrakt\u00e4ren Beschwerden eine effektive Ma\u00dfnahme zu Funktionsverbesserung und Beschwerdelinderung. Die Cup-and-Cone-Technik erwies sich als Verfahren mit hoher Erfolgsrate und niedriger Komplikationsh\u00e4ufigkeit. Die individuelle Planung der Gelenkstellung und sorgf\u00e4ltige Technikwahl sind entscheidend f\u00fcr das funktionelle Ergebnis. Zuk\u00fcnftige prospektive Studien sollten die Langzeiteffekte und Patient*innenzufriedenheit weiter untersuchen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00113-026-01698-8","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T09:57:40Z","timestamp":1773741460000},"page":"394-401","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fingergelenkarthrodesen mittels Cup-and-Cone-Technik","Finger joint arthrodesis with the cup and cone technique"],"prefix":"10.1007","volume":"129","author":[{"given":"Adrian","family":"Sebald","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Arkudas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6561-2353","authenticated-orcid":false,"given":"Raymund E.","family":"Horch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"issue":"2","key":"1698_CR1","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.jht.2018.01.001","volume":"32","author":"J Beasley","year":"2019","unstructured":"Beasley\u00a0J et\u00a0al (2019) Conservative therapeutic interventions for osteoarthritic finger joints: A systematic review. 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