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Zusammenfassung

Bis in die Mitte des 20. Jahrhunderts war Orthopädie nicht zuletzt die Behandlung der Skelettmanifestationen der Tuberkulose. Durch die Entdeckung der Chemotherapeutika sind die Manifestationen der postprimären Tuberkulose im Bereich des Bewegungsapparates zurückgegangen. Andererseits hat gerade der medizinische Fortschritt neue infektiologische Probleme im Bereich des Skelettsystems aufgeworfen. Angesichts steigender Operationsfrequenzen haben postoperative Infektionen nach wie vor eine erhebliche Bedeutung. Die Besiedelung alloarthroplastischer Materialien mit Biofilm-bildenden Bakterien stellt eine besondere infektiologische Herausforderung dar. Durch teilweise ungezielten Antibiotikaeinsatz werden auch im Skelettbereich zunehmend Problemkeime gefunden. Hinzu kommt die kontinuierlich steigende Nachfrage einer alternden Bevölkerung nach chirurgischer Behandlung des Bewegungsapparates. Die Gesellschaft verlangt nicht zuletzt auch unter Kostenaspekten eine immer weitere Reduktion der Komplikationsraten.

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Hendrich, C., Walther, M., Frommelt, L. (2004). Epidemiologie. In: Hendrich, C., Frommelt, L., Eulert, J. (eds) Septische Knochen-und Gelenkchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59302-4_1

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  • DOI: https://doi.org/10.1007/978-3-642-59302-4_1

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