{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:53:37Z","timestamp":1773708817437,"version":"3.50.1"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die Handgelenksarthroskopie (HG-ASK) ist ein etabliertes Verfahren zur\nDiagnostik und Therapie von Handgelenksbeschwerden. Sie wird regelhaft im\nOperationssaal unter Handgelenksdistraktion durchgef\u00fchrt. Ein Arthroskop mit\ngeringstm\u00f6glichem Durchmesser k\u00f6nnte die Durchf\u00fchrung diagnostischer\n\u201ein-office\u201c HG-ASK in Untersuchungsr\u00e4umen ohne Distraktion an einer\nwaagrecht liegenden Hand erm\u00f6glichen. Ziel dieses Kooperationsprojekts mit\nder Firma Polydiagnost GmbH (P) war die Entwicklung eines solchen\nArthroskops, dessen Erprobung und der Vergleich mit bestehenden\nArthroskopiesystemen der Firmen Karl Storz SE &amp; Co. KG (KS) und Arthrex\nGmbH (A).<\/jats:p>\n                  <jats:p>Der Prototyp des neu entwickelten Miniatur-Arthroskops mit einem\nGesamtdurchmesser von 1,3\u2009mm wurde an zw\u00f6lf fresh-frozen\nHandgelenkspr\u00e4paraten randomisiert durch einen Handchirurgen mit\nlangj\u00e4hriger Erfahrung getestet und mit dem \u201cNanoneedle Scope\u201c von A mit\n2,4\u2009mm Arthroskopschaft und einem Arthroskopiesystem von KS mit 2,5\u2009mm\nSchaft verglichen. Es wurden standardisierte diagnostische Rundg\u00e4nge\ndurchgef\u00fchrt und aufgezeichnet. Die Systeme wurden in den folgenden Punkten\nbewertet und verglichen: Pr\u00e4paration der Arbeitsportale, Arthroskopiedauer,\nHandhabung und Man\u00f6vrierbarkeit, diagnostische Beurteilbarkeit der\nStrukturen sowie die Eignung f\u00fcr die diagnostische und therapeutische\nArthroskopie.<\/jats:p>\n                  <jats:p>Der neu entwickelte Prototyp wurde in dem Erhebungsbogen zur Handhabung,\nErgonomie, Bedien- und Navigierbarkeit signifikant besser bewertet, als das\nVergleichssystem von KS. In der Dauer der Portaler\u00f6ffnung und des\ndiagnostischen Rundgangs konnten keine signifikanten Unterschiede beobachtet\nwerden. Die Bildqualit\u00e4t des Prototyps und die Eignung f\u00fcr die diagnostische\nund therapeutische Arthroskopie zeigten sich im Vergleich zu den\nArthroskopen von KS und A noch unterlegen.<\/jats:p>\n                  <jats:p>Wir konnten die erfolgreiche Durchf\u00fchrbarkeit einer distraktionslosen HG-ASK\nmit einem miniaturisierten Arthroskop mit zufriedenstellenden\nBildergebnissen demonstrieren. Der neu entwickelte Prototyp zeigt sich den\nVergleichssystemen in der Handhabung \u00fcberlegen, in der Bildqualit\u00e4t noch\nunterlegen. Mit einer Verbesserung der Bildqualit\u00e4t k\u00f6nnte der Prototyp in\nZukunft klinische Anwendung finden. Die Verk\u00fcrzung der Eingriffsdauer durch\ndie Punktions-Portaler\u00f6ffnung konnte nicht abschlie\u00dfend bewiesen werden. Die\nVerwendung kleinerer ASK-Systeme k\u00f6nnte die ASK-Dauer verringern und\nNebenwirkungen reduzieren.<\/jats:p>","DOI":"10.1055\/a-2681-8732","type":"journal-article","created":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T23:40:50Z","timestamp":1762213250000},"page":"83-91","source":"Crossref","is-referenced-by-count":0,"title":["Entwicklung und Erprobung eines miniaturisierten Arthroskops zur\nVerwendung in der ambulanten Handgelenksarthroskopie"],"prefix":"10.1055","volume":"58","author":[{"given":"Vincent","family":"Hiller","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0458-4122","authenticated-orcid":false,"given":"Elisabeth Maria","family":"Haas-L\u00fctzenberger","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"M\u00f6llhoff","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7893-3976","authenticated-orcid":false,"given":"Wolfram","family":"Demmer","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sinan","family":"Mert","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Giunta","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Handchirurgie, Plastische und \u00c4sthetische Chirurgie, LMU\nKlinikum, M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,3]]},"reference":[{"key":"ref1","first-page":"723","article-title":"Arthroscopy of the wrist and finger joints","volume":"10","author":"Y C Chen","year":"1979","journal-title":"Orthop Clin North Am"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1016\/j.arthro.2007.01.026","article-title":"Arthroscopic repair of triangular fibrocartilage complex tears","volume":"23","author":"E P Estrella","year":"2007","journal-title":"Arthroscopy"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1054\/jhsb.1999.0290","article-title":"Arthroscopic resection of dorsal wrist ganglia and treatment of recurrences","volume":"25","author":"R Luchetti","year":"2000","journal-title":"J Hand Surg Br"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.hcl.2011.06.001","article-title":"Arthroscopic synovectomy of the wrist","volume":"27","author":"L Adolfsson","year":"2011","journal-title":"Hand Clin"},{"key":"ref6","first-page":"52","article-title":"Bauliche und funktionelle Anforderungen an Eingriffsra\u0308ume","volume":"46","author":"DGKH DGfrKGSoHH","year":"2021","journal-title":"Hygiene & Medizin"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e23.00124","DOI":"10.5435\/JAAOSGlobal-D-23-00124","article-title":"In-Office Needle Arthroscopy: Indications, Surgical Techniques, Tips, and\nTricks","volume":"8","author":"A L Gianakos","year":"2024","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2014-20.e2","DOI":"10.1016\/j.arthro.2015.04.090","article-title":"Efficacy of Magnetic Resonance Imaging and Clinical Tests in Diagnostics of\nWrist Ligament Injuries: A Systematic Review","volume":"31","author":"J K Andersson","year":"2015","journal-title":"Arthroscopy"},{"key":"ref9","volume-title":"Karl Storz Arthroskopiesch\u00e4fte.In","author":"KG KSSC","year":"2021"},{"key":"ref10","volume-title":"Nano Arthroscopy \u2013 Small, Made smaller. 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