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Prinzipien der Arthroplastik im Fingerbereich

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Handchirurgie

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Zusammenfassung

Die Greiffunktion unsere Hände wird maßgeblich durch die Funktion der Grundgelenke (metakarpophalangeale Gelenke , MCP) und Mittelgelenke (proximale interphalangeale Gelenke , PIP) bestimmt. Die Endgelenke (distale interphalangeale Gelenke, DIP) nehmen dagegen nur eine untergeordnete Rolle in der Greiffunktion der Hand ein. Ein Verlust der Beweglichkeit der MCP- und PIP-Gelenke an den ulnaren Strahlen (Ring- und Kleinfinger) bedeutet ein Verlust für das Greifen von kleinen Gegenständen und auch einen erheblichen Verlust für die Kraft beim Greifen von Gegenständen aller Größen. An den radialen Strahlen ist der Verlust der Beweglichkeit weniger einschränkend, da hier die Stabilität für den Spitz-und Schlüsselgriff zum Daumen eine weitaus wichtigere Rolle spielt.

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Author information

Authors and Affiliations

  1. Abteilung für obere Extremität und Handchirurgie, Schulthess Klinik, Lengghalde 2, 8008, Zürich

    PD Dr. med. Stephan F. Schindele & Dr. med. Beat R. Simmen

Authors
  1. PD Dr. med. Stephan F. Schindele
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  2. Dr. med. Beat R. Simmen
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Editor information

Editors and Affiliations

  1. Abteilung für Handchirurgie, Mikrochirurgie und Plastische Wiederherstellungschirurgie, St.-Barbara-Klinik Hamm, Heessener Wald 1, 59073, Hamm

    Hossein Towfigh

  2. Plastische, Rekonstruktive, Ästhetische und Handchirurgie Zentrum für Interdisziplinäre Rekonstruktive Chirurgie Referenzzentrum für periphere Nerven und Plexus brachialis Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstraße 55, 45147, Essen

    Robert Hierner

  3. Klinik- und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Westfälische Wilhelms-Universität Münster, Waldeyerstraße 1, 48149, Münster

    Martin Langer

  4. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07747, Jena

    Reinhard Friedel

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Schindele, S.F., Simmen, B.R. (2011). Prinzipien der Arthroplastik im Fingerbereich. In: Towfigh, H., Hierner, R., Langer, M., Friedel, R. (eds) Handchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11758-9_11

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  • DOI: https://doi.org/10.1007/978-3-642-11758-9_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-11757-2

  • Online ISBN: 978-3-642-11758-9

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