{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T05:26:49Z","timestamp":1741325209116,"version":"3.38.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die vorliegende Arbeit analysiert anhand eines systematischen Reviews Faktoren, die mit der Rerupturrate bzw. Nichteinheilung nach superiorer Kapselplastik mit autologer langer Bizepssehne bei der Rekonstruktion der Rotatorenmanschette der Schulter assoziiert sind.<\/jats:p><jats:p>Im September 2021 wurde eine systematische Durchsicht der U.S. National Library of Medicine\/National Institutes of Health (PubMed) Datenbank und der Cochrane Library unter Anwendung der PRISMA-Checkliste durchgef\u00fchrt. Arbeiten, die Daten zur Rerupturrate nach superiorer Kapselplastik mit autologer langer Bizepssehne bei der Rekonstruktion der Rotatorenmanschette der Schulter enthalten wurden identifiziert und analysiert. Ziel war die Identifikation von Faktoren, die mit einer Reruptur bzw. Nichteinheilung assoziiert sind. Das Verzerrungsrisiko wurde mit der Newcastle-Ottawa-Scale bestimmt.<\/jats:p><jats:p>Es konnten prim\u00e4r 86 Treffer generiert werden. Sieben Artikel aus den Jahren 2020 und 2021 entsprachen den Einschlusskriterien und wurden weitergehend inhaltlich analysiert. Der Evidenzlevel lag bei III\u2013IV. Das Follow-up lag zwischen 12 Monaten (Minimum) und 24 bis 48 Monaten. Das Verzerrungsrisiko war nicht niedrig. Faktoren, die mit einer Reruptur bzw. Nichteinheilung assoziiert sein k\u00f6nnen, sind ein Diabetes mellitus und eine h\u00f6hergradige fettige Degeneration von Subscapularis, Infraspinatus oder Teres minor als pr\u00e4operative Faktoren. Nicht signifikant waren Alter, prozentuale Footprint-Abdeckung, Rupturgr\u00f6\u00dfe, Symptomdauer, Anzahl der B\u00fcndel, Durchf\u00fchrung einer Akromioplastik und Risskonfiguration. Unterschiedlich bewertet wurden Geschlecht, Verfettungsgrad des Supraspinatus und L\u00e4sionen der Subscapularissehne.<\/jats:p><jats:p>Gem\u00e4\u00df Literatur mit aktuell noch kurzfristigen Beobachtungszeitr\u00e4umen ist die superiore Kapselplastik mit autologer langer Bizepssehne auch bei massiven Rissen und \u00e4lteren Patienten eine Behandlungsoption, wenn keine h\u00f6hergradige fettige Degeneration von Subscapularis, Infraspinatus oder Teres minor vorliegen. Ein Diabetes mellitus ist prognostisch ung\u00fcnstig. Eine zus\u00e4tzliche Akromioplastik war bislang nicht mit besseren Ergebnissen assoziiert.<\/jats:p>","DOI":"10.1055\/a-2195-0790","type":"journal-article","created":{"date-parts":[[2023,11,16]],"date-time":"2023-11-16T00:29:15Z","timestamp":1700094555000},"page":"606-613","source":"Crossref","is-referenced-by-count":0,"title":["Welche Faktoren sind mit einer Reruptur nach superiorer Kapselrekonstruktion der Schulter mit autologer langer Bizepssehne assoziiert? \u2013 Ein systematischer Review"],"prefix":"10.1055","volume":"162","author":[{"given":"Marius","family":"von Knoch","sequence":"additional","affiliation":[{"name":"Schulterchirurgie, Kreiskrankenhaus Osterholz, Osterholz-Scharmbeck, Deutschland"},{"name":"Schulterchirurgie, AMEOS Klinikum Seepark Geestland, Geestland, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel B.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Orthop\u00e4die und 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