{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:49Z","timestamp":1740126829863,"version":"3.37.3"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund\u2002Arthrotische Ver\u00e4nderungen der Fingergelenke sind h\u00e4ufig, insbesondere in der \u00e4lteren Population. Unbehandelt k\u00f6nnen diese zu Schmerzen, Deformit\u00e4t, Instabilit\u00e4t oder Bewegungseinschr\u00e4nkung f\u00fchren. Nebst Denervation und Arthrodese ist der prothetische Gelenkersatz eine m\u00f6gliche operative Behandlungsmethode.<\/jats:p><jats:p>Patienten\/Material und Methode\u2002W\u00e4hrend der letzten Jahrzehnte erschienen diverse Prothesenmodelle zum Gelenkersatz des Fingergrund- und -mittelgelenkes auf dem Markt. Dieser Artikel bietet eine \u00dcbersicht \u00fcber deren Entwicklung, heutige Prothesenmodelle, klinische Ergebnisse sowie zukunftstr\u00e4chtige technische Neuheiten.<\/jats:p><jats:p>Ergebnisse\u2002Der seit den 1960er Jahren erh\u00e4ltliche Silikonspacer bleibt aufgrund guter klinischer Langzeitergebnisse, niedriger Revisionsraten sowie g\u00fcnstiger Kosten das Implantat der Wahl. Am Zeige- und Mittelfinger ist die laterale Stabilit\u00e4t wichtig, um dem Daumen beim Pr\u00e4zisionsgriff ein Widerlager zu bieten. Medull\u00e4r verankernde Prothesen und modulare Oberfl\u00e4chenersatz-Prothesen k\u00f6nnen hier durch ihre erh\u00f6hte intrinsische Stabilit\u00e4t einen Vorteil bieten. Neue derartige Implantate zeigen vielversprechende mittelfristige klinische Ergebnisse.<\/jats:p><jats:p>Schlussfolgerung\u2002Obwohl sich die technischen Fortschritte auf dem Gebiet der Endoprothetik der gro\u00dfen Gelenke in der Vergangenheit nur bedingt auf die der Fingergelenke und der restlichen Hand \u00fcbertragen lie\u00dfen, gewinnen langsam auch Neuheiten wie patientenspezifische oder auf 3D-Druck-Technologie basierende Implantate an Bedeutung.<\/jats:p>","DOI":"10.1055\/a-1268-8190","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:01:36Z","timestamp":1607990496000},"page":"40-46","source":"Crossref","is-referenced-by-count":0,"title":["\u00dcbersicht \u00fcber die Endoprothetik an den Fingergrund- und Mittelgelenken"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9986-5754","authenticated-orcid":false,"given":"Marco","family":"Keller","sequence":"additional","affiliation":[{"name":"Handchirurgie, Kantonsspital Baselland, Liestal, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alissa","family":"G\u00fcbeli","sequence":"additional","affiliation":[{"name":"Handchirurgie, Kantonsspital Baselland, Liestal, Schweiz"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Honigmann","sequence":"additional","affiliation":[{"name":"Handchirurgie, Kantonsspital Baselland, Liestal, Schweiz"},{"name":"Medical Additive Manufacturing Research Group, Department of Biomedical Engineering, Universit\u00e4t Basel, Basel, Schweiz"},{"name":"Department of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, 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