Zusammenfassung
Der Erfolg einer Kniegelenksersatzoperation hängt von verschiedenen Faktoren ab, unter anderem von einer sachgerechten Auswahl des Patienten, einer passenden Implantatgestaltung, dem korrekten Operationsverfahren und einer wirksamen perioperativen Betreuung. Ergebnisse von Kniegelenksersatzoperationen sind besonders empfindlich in Bezug auf Änderungen des Operationsverfahrens [1, 2, 8, 12, 13, 16, 17, 18, 19, 35, 43, 45]. Falsche Positionierung oder Orientierung von Implantaten sowie unsachgemäße Achsausrichtung der Gliedmaßen können zu schnellerem Verschleißen des Implantats, zum Lockern und zu nicht optimalen Funktionseigenschaften führen. Eine Reihe von Untersuchungen legt nahe, dass Ausrichtungsfehler von mehr als drei Grad mit einem schnelleren Ausfall und weniger zufrieden stellenden Funktionsergebnissen von Kniearthroplastiken einhergehen [2, 3, 8, 9, 11, 14, 20, 24, 27, 30, 31, 36, 37, 38, 44, 46].
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Stulberg, S.D. (2003). Bildfreie Navigationssysteme. In: Konermann, W., Haaker, R. (eds) Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55784-2_3
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