{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T00:54:33Z","timestamp":1773708873508,"version":"3.50.1"},"reference-count":97,"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>Obwohl die Endoprothetik des distalen Radioulnargelenks (DRUG) auf mehr als f\u00fcnf Jahrzehnte klinischer Erfahrung zur\u00fcckblickt und moderne Implantate sowohl kurz- als auch langfristig verl\u00e4ssliche Ergebnisse in der Behandlung der DRUG-Arthrose sowie bei der Wiederherstellung einer schmerzhaften Instabilit\u00e4t nach resezierenden Verfahren der Ulna zeigen, bleibt ihre Verbreitung im Vergleich zu anderen Endoprothesen gering. Diese narrative \u00dcbersichtsarbeit fasst die historische Entwicklung und biomechanischen Grundlagen der DRUG-Endoprothetik zusammen und vergleicht aktuelle Implantatkonzepte \u2013 vom partiellen Oberfl\u00e4chenersatz \u00fcber Ulnakopfprothesen bis hin zu teilgekoppelten und ungekoppelten Totalendoprothesen \u2013 im Hinblick auf ihre Indikationen, Vor- und Nachteile sowie klinischen Ergebnisse. Abschlie\u00dfend wird ein praxisorientierter, algorithmusbasierter Ansatz zur Auswahl des geeigneten Implantats bei DRUG-Arthrose oder schmerzhafter Instabilit\u00e4t des Handgelenk-Unterarmgef\u00fcges vorgestellt.<\/jats:p>","DOI":"10.1055\/a-2808-4127","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T23:30:24Z","timestamp":1773703824000},"page":"48-59","source":"Crossref","is-referenced-by-count":0,"title":["Endoprothetik des distalen Radioulnargelenks: historische Meilensteine und aktuelle Implantatkonzepte"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6440-2679","authenticated-orcid":false,"given":"Lukas Viktor","family":"Dirschedl","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie \u2013 Schwerbrandverletztenzentrum, BG Klinik Ludwigshafen, Ludwigshafen, Germany"},{"name":"Klinik f\u00fcr Handchirurgie, RH\u00d6N-KLINIKUM Campus Bad Neustadt, Bad Neustadt an der Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, RH\u00d6N-KLINIKUM Campus Bad Neustadt, Bad Neustadt an der Saale, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"key":"ref1","first-page":"5","article-title":"Evolution of the distal radioulnar joint","author":"E E Almquist","year":"1992","journal-title":"Clin Orthop Relat Res"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.2106\/00004623-197254080-00003","article-title":"Traumatic instability of the wrist. 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