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L’artroprotesi totale di ginocchio: indicazioni e alternative

  • Chapter
La protesi di ginocchio di primo impianto

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Estratto

La moderna chirurgia protesica di ginocchio è nata negli anni settanta. Gliinizi non furono entusiasmanti; i primi modelli protesici (emiartroprotesi, praticamente le attuali protesi monocompartimentali; protesi totali a scivolamento; protesi vincolate a cerniera) dopo una iniziale euforia dovuta ai brillanti risultati a breve termine, hanno evidenziato numerosi ed importanti difetti che hanno portato in breve al fallimento in una alta percentuale di casi [1–3]. Evidentemente i tempi non erano maturi e oggi sappiamo che sarebbero occorsi diversi anni e lo sviluppo di studi in diverse direzioni (materiali, disegno, anatomia e biomeccanica articolare) che avrebbero costituito le basi per lo sviluppo definitivo di questa importante branca della chirurgia ortopedica [4–6]. L’evoluzione successiva ha portato a modelli protesici sempre più perfezionati in termini di design, di materiali e di tecniche di impianto, tanto che attualmente l’intervento di sostituzione protesica del ginocchio è uno dei più eseguiti in campo ortopedico.

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  1. Clinica Ortopedica e Traumatologica, Università di Udine, Udine

    A. Causero & A. Beltrame

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Causero, A., Beltrame, A. (2005). L’artroprotesi totale di ginocchio: indicazioni e alternative. In: La protesi di ginocchio di primo impianto. Springer, Milano. https://doi.org/10.1007/88-470-0379-2_1

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  • DOI: https://doi.org/10.1007/88-470-0379-2_1

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