{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T13:38:45Z","timestamp":1789220325467,"version":"build-2803163510"},"reference-count":29,"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 vollst\u00e4ndige Handgelenksversteifung ist eine fest etablierte Rettungsoperation, die allerdings zum Verlust der Handgelenksbeweglichkeit f\u00fchrt. Die Indikation ist gegeben bei fortgeschrittener schmerzhafter Arthrose des Radio- und Mediokarpalgelenkes (Panarthrose) nach der Aussch\u00f6pfung aller konservativen Therapiema\u00dfnahmen. Die gleiche Indikation besteht f\u00fcr die Handgelenksendoprothese, die eine zunehmende Beliebtheit durch den Vorteil der Bewegungserhaltung erf\u00e4hrt. Bei jungen Patienten mit schwerer k\u00f6rperlicher T\u00e4tigkeit ist diese jedoch nicht geeignet. Ziel unserer Studie war es unter anderem zu untersuchen, inwiefern sich die Vollversteifung des Handgelenkes auf die berufliche T\u00e4tigkeit der Patienten auswirkt.<\/jats:p>\n                  <jats:p>Insgesamt konnten 71 Handgelenke bei 68 Patienten retrospektiv 11,7 Jahre (Spanne 10\u201316 Jahre) nach vollst\u00e4ndiger Versteifung nachuntersucht werden. Neben der Erhebung funktioneller Langzeitergebnisse, der Analyse m\u00f6glicher Ursachen persistierender Schmerzen sowie der Anwendung mehrerer Patient-Reported Outcome Measures (PROMs) wurden auch Angaben zur pr\u00e4- und postoperativen beruflichen T\u00e4tigkeit ausgewertet.<\/jats:p>\n                  <jats:p>Pr\u00e4operativ war mit 83% ein gro\u00dfer Anteil der Patienten handwerklich t\u00e4tig. Davon f\u00fchrten 32 Patienten (46%) schwere k\u00f6rperliche Arbeiten aus. Nur 10 Patienten (14%) hatten B\u00fcrot\u00e4tigkeiten. Postoperativ mussten 12 Patienten (17%) ihren Beruf wechseln und die gleiche Anzahl musste aufgrund der Versteifung des Handgelenkes berentet werden. Bei detaillierten Angaben zu ihrem Beruf wurden bei den Handwerkern nochmal Untergruppen gebildet (R\u00fcckkehr zur Arbeit: schwere T\u00e4tigkeiten 22\/32, moderate 12\/21, leichte 6\/6). Bez\u00fcglich der Arbeitsf\u00e4higkeit gaben mit 35 Patienten fast die H\u00e4lfte der Patienten an, bei der Arbeit beeintr\u00e4chtigt zu sein. Nur dreizehn Patienten (18%) sahen postoperativ ihre Arbeitsf\u00e4higkeit als uneingeschr\u00e4nkt.<\/jats:p>\n                  <jats:p>Auch bei komplikationslosem Heilverlauf nach Handgelenksarthrodese ist eine R\u00fcckkehr in den urspr\u00fcnglichen Beruf nicht in jedem Fall m\u00f6glich. Besonders M\u00e4nner mit stark handbelastender handwerklicher T\u00e4tigkeit zeigen ein erh\u00f6htes Risiko eine posttraumatische Panarthrosen zu entwickeln und ben\u00f6tigen h\u00e4ufiger eine Vollversteifung als Personen mit geringer k\u00f6rperlicher Belastung. Die hohe Patientenzufriedenheit in unsere Studie insbesondere unter Ber\u00fccksichtigung der Ergebnisse unter Verwendung von PROMs demonstriert, dass die Handgelenksarthrodese bei einseitiger, schmerzhafter Panarthrose unver\u00e4ndert den Goldstandard darstellt.<\/jats:p>","DOI":"10.1055\/a-2793-3708","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:30:24Z","timestamp":1773703824000},"page":"73-82","source":"Crossref","is-referenced-by-count":1,"title":["Auswirkung der Handgelenksarthrodese bei Panarthrose auf die Berufsf\u00e4higkeit"],"prefix":"10.1055","volume":"58","author":[{"given":"Careen","family":"Knie","sequence":"additional","affiliation":[{"name":"Zentrum f\u00fcr Handchirurgie, Mikrochirurgie und Plastische Chirurgie, Sch\u00f6n Klinik M\u00fcnchen Harlaching, M\u00fcnchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, RH\u00d6N-KLINIKUM Campus Bad Neustadt, Bad Neustadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"ref1","first-page":"2212","article-title":"Indikation und Technik der HG-Arthrodese","volume":"27","author":"K J Prommersberger","year":"1997","journal-title":"Akt Traumatologie"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1007\/s00064-009-1905-2","article-title":"Die vollst\u00e4ndige Versteifung des Handgelenks mit der AO-Handgelenk-Arthrodesenplatte","volume":"21","author":"K Kalb","year":"2009","journal-title":"Oper Orthop Traumatol"},{"key":"ref3","first-page":"R39","article-title":"Motor considerations in the forearm and hand","volume":"144","author":"P Hahn","year":"2006","journal-title":"Z Orthop Ihre Grenzgeb"},{"key":"ref4","first-page":"172","article-title":"Indikation und Ergebnisse der Handgelenksarthrodesen","volume":"14","author":"H Lohmann","year":"1982","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/S0266-7681(96)80039-8","article-title":"Total wrist fusion. 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