Katthagen J C, Jensen G, Hennecke D, Lill H, Voigt C
Klinik für Unfall- und Wiederherstellungschirurgie, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, Hannover, Germany.
Unfallchirurg. 2012 Jan;115(1):47-54. doi: 10.1007/s00113-011-1953-6.
Implant removal is necessary in up to 25% of patients with plate osteosynthesis after proximal humeral fracture. Our new technique of arthroscopic implant removal offers all the advantages of minimally invasive surgery. This study outlines the first results after arthroscopic implant removal in comparison with those of open implant removal.
Twenty patients [median age 64 (30-82) years] had arthroscopic and nine patients [median age 53 (34-76) years] had open implant removal. Median 9.5 months after implant removal subjective patient satisfaction, Constant-Murley Score (CMS) and Simple Shoulder Test (SST) were determined.
Arthroscopic implant removal showed first results comparable to open implant removal. The SST outlined advantages for the arthroscopic technique. In 85% of arthroscopically treated patients concomitant intra-articular lesions were observed.
Arthroscopic implant removal offers all the advantages of minimally invasive surgery and first results comparable to open implant removal. The subjective and objective satisfaction of the patients is high. The technique can be applied and established by all skilled arthroscopic shoulder surgeons.
在肱骨近端骨折钢板内固定术后，高达25%的患者需要取出植入物。我们的关节镜下植入物取出新技术具有微创手术的所有优点。本研究概述了关节镜下植入物取出与开放植入物取出相比的初步结果。
20例患者[中位年龄64（30 - 82）岁]接受了关节镜下植入物取出，9例患者[中位年龄53（34 - 76）岁]接受了开放植入物取出。在植入物取出后中位9.5个月时，测定患者主观满意度、Constant-Murley评分（CMS）和简易肩关节测试（SST）。
关节镜下植入物取出的初步结果与开放植入物取出相当。SST显示了关节镜技术的优势。在85%接受关节镜治疗的患者中观察到合并的关节内病变。
关节镜下植入物取出具有微创手术的所有优点，初步结果与开放植入物取出相当。患者的主观和客观满意度较高。该技术可供所有熟练的关节镜肩外科医生应用和推广。
