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Perioperative Schmerztherapie bei Eingriffen wegen Ellenbogengelenksteife

Perioperative pain therapy in interventions for elbow stiffness

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Zusammenfassung

Eingriffe am Ellenbogen sind mit starken postoperativen Schmerzen vergesellschaftet. Je nach Art des Eingriffs muss ein individuelles Schmerztherapiekonzept für jeden einzelnen Patienten präoperativ festgelegt werden. Dieses sollte neben der systemischen Applikation von Opioiden und Nichtopioiden auch die Anlage regionaler Anästhesieverfahren beinhalten. Insgesamt besteht jedoch noch ein großer Bedarf an prospektiv randomisierten Studien, um das optimale schmerztherapeutische Konzept nach Operationen bei Ellenbogengelenksteife zu entwickeln.

Abstract

Conservative treatment and surgical release of a stiff elbow requires correct pain management which should be oriented to the individual needs of the patient. Regional anesthesia in combination with opioids is necessary postoperatively to obtain sufficient pain relief. There is a need for prospective randomized studies to develop an optimal pain therapy concept following operations for elbow stiffness.

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  1. Orthopädische Klinik König-Ludwig-Haus, Universitätsklinikum Würzburg, Brettreichstr. 11, 97074, Würzburg, Deutschland

    S. Goebel & J. Broscheit

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  1. S. Goebel
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  2. J. Broscheit
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Correspondence to S. Goebel.

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Goebel, S., Broscheit, J. Perioperative Schmerztherapie bei Eingriffen wegen Ellenbogengelenksteife. Orthopäde 40, 291–295 (2011). https://doi.org/10.1007/s00132-010-1663-8

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  • DOI: https://doi.org/10.1007/s00132-010-1663-8

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