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Knieendoprothetik: Operation der bi/trikondylären Oberflächenersatzprothese

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Endoprothetik des Kniegelenkes

Part of the book series: AE-Manual der Endoprothetik ((AEME))

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Zusammenfassung

Im folgenden Kapitel wird die Technik der Primärimplantation eines bikondylären Oberflächenersatzes beschrieben. Dies beinhaltet die Lagerung und Abdeckung, den operativen Zugang und die konventionelle Instrumentation. Es werden die unterschiedlichen Techniken der Implantatpositionierung unter Berücksichtigung von posteriorem Offset und Gelenklinie gegenübergestellt. Die Releasetechniken für das Varus- und Valgusknie werden dargestellt. Abschließend werden die verschiedenen Optionen des Patellamanagements beleuchtet.

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Literatur

  • Akagi M et al (2004) An anteroposterior axis of the tibia for total knee arthroplasty. Clin Orthop Relat Res 420:213–219

    Google Scholar 

  • Arima J, Whiteside LA, McCarthy DS, White SE (1995) Femoral rotational alignment, based on the anteroposterior axis, in total knee arthroplasty in a valgus knee. A technical note. J Bone Joint Surg 77:1331–1334

    CAS  PubMed  Google Scholar 

  • Attfield SF, Wilton TJ, Pratt DJ, Sambatakakis A (1996) Soft-tissue balance and recovery of proprioception after total knee replacement. J Bone Joint Surg Br 78:540–545

    CAS  PubMed  Google Scholar 

  • Aurich M, Lenz M, Best N (2017) A modified lateral approach for total knee replacement in type 2 valgus deformity. Orthopedics 40:313–316

    PubMed  Google Scholar 

  • Baldini A, Scuderi G, Aglietti P, Chalnick D, Insall J (2010) Flexion – extension gap changes during total knee arthroplasty – effect of posterior cruciate ligament and posterior osteophytes removal. J Knee Surg 17:69–72

    Google Scholar 

  • Barrack RL, Wolfe MW (2000) Patellar resurfacing in total knee arthroplasty. J Am Acad Orthop Surg 8:75–82

    CAS  PubMed  Google Scholar 

  • Beight JL, Yao B, Hozack WJ, Hearn SL, Booth RE (1994) The patellar ‚clunk‘ syndrome after posterior stabilized total knee arthroplasty. Clin Orthop Relat Res 299:139–142

    Google Scholar 

  • Bellemans J, Ries MD, Victor J (2005) Total knee arthroplasty a guide to get better performance. Springer, Berlin/Heidelberg

    Google Scholar 

  • Bonutti PM, Neal DJ, Kester MA (2003) Minimal incision total knee arthroplasty using the suspended leg technique. Orthopedics 26:899–903

    PubMed  Google Scholar 

  • Bourne RB et al (1995) Resurfacing versus not resurfacing the patella during total knee replacement. Clin Orthop Relat Res 321:156–161

    Google Scholar 

  • Boyd AD, Ewald FC, Thomas WH, Poss R, Sledge CB (1993) Long-term complications after total knee arthroplasty with or without resurfacing of the patella. J Bone Joint Surg Am 75:674–681

    PubMed  Google Scholar 

  • Bremer D, Orth BC, Fitzek JG, Knutsen A (2012) Die sagittale Gleitosteotomie des lateralen Kondylus nach Briard beim Oberflächenersatz des kontrakten Valgusknies. Oper Orthop Traumatol 24:95–108

    CAS  PubMed  Google Scholar 

  • Brick GW, Scott RD (1988) The patellofemoral component of total knee arthroplasty. Clin Orthop Relat Res 231:163–178

    Google Scholar 

  • Burnett RS, Bourne RB (2004) Indications for patellar resurfacing in total knee arthroplasty. Instr Course Lect 53:167–186

    PubMed  Google Scholar 

  • Castro FP et al (1997) An analysis of Food and Drug Administration medical device reports relating to total joint components. J Arthroplast 12:765–771

    Google Scholar 

  • Clayton ML, Thirupathi R (1982) Patellar complications after total condylar arthroplasty. Clin Orthop Relat Res 170:152–155

    Google Scholar 

  • Conjeski JM, Scuderi GR (2018) Lateral femoral epicondylar osteotomy for correction of fixed valgus deformity in total knee arthroplasty: a technical note. J Arthroplast 33:386–390

    Google Scholar 

  • Cushner FD, Scott N, Suderi GR (2005) Surgical techniques for the knee. Thieme, Noida

    Google Scholar 

  • Dalury DF, Jiranek WA (1999) A comparison of the midvastus and paramedian approaches for total knee arthroplasty. J Arthroplast 14:33–37

    CAS  Google Scholar 

  • Dennis DA (2006) The role of patellar resurfacing in TKA. Point. Orthopedics 29(832):834–835

    Google Scholar 

  • Freeman MA et al (1989) The patellofemoral joint in total knee prostheses. Design considerations. J Arthroplast 4(Suppl):S69–S74

    Google Scholar 

  • Gomes LS, Bechtold JE, Gustilo RB (1988) Patellar prosthesis positioning in total knee arthroplasty. A roentgenographic study. Clin Orthop Relat Res 236:72–81

    Google Scholar 

  • Gupta S et al (2010) Electrocautery of the patellar rim in primary total knee replacement: beneficial or unnecessary? J Bone Joint Surg Br 92:1259–1261

    CAS  PubMed  Google Scholar 

  • Healy WL, Wasilewski SA, Takei R, Oberlander M (1995) Patellofemoral complications following total knee arthroplasty. Correlation with implant design and patient risk factors. J Arthroplast 10:197–201

    CAS  Google Scholar 

  • Hozack WJ, Goll SR, Lotke PA, Rothman RH, Booth RE (1988) The treatment of patellar fractures after total knee arthroplasty. Clin Orthop Relat Res 236:123–127

    Google Scholar 

  • Hozack WJ, Rothman RH, Booth RE, Balderston RA (1989) The patellar clunk syndrome. A complication of posterior stabilized total knee arthroplasty. Clin Orthop Relat Res 241:203–208

    Google Scholar 

  • Jerosch J (2015) Knieendoprothetik: Indikationen, Operationstechnik, Nachbehandlung, Begutachtung. Springer, Berlin/Heidelberg

    Google Scholar 

  • Jerosch J, Peuker E, Philipps B, Filler T (2002) Interindividual reproducibility in perioperative rotational alignment of femoral components in knee prosthetic surgery using the transepicondylar axis. Knee Surg Sports Traumatol Arthrosc 10:194–197

    CAS  PubMed  Google Scholar 

  • Jonbergen HPW van, Scholtes V a B, van Kampen A, Poolman RW (2011) A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing. J Bone Joint Surg Br 93:1054–1059

    Google Scholar 

  • Jonbergen HPW van, Scholtes V a B, Poolman RW (2014) A randomised, controlled trial of circumpatellar electrocautery in total knee replacement without patellar resurfacing: a concise follow-up at a mean of 3.7 years. Bone Joint J 96-B:473–478

    Google Scholar 

  • Kajino A, Yoshino S, Kameyama S, Kohda M, Nagashima S (1997) Comparison of the results of bilateral total knee arthroplasty with and without patellar replacement for rheumatoid arthritis. A follow-up note. J Bone Joint Surg Am 79:570–574

    CAS  PubMed  Google Scholar 

  • Lakstein D et al (2014) Partial lateral patellar facetectomy as an alternative to lateral release in Total Knee Arthroplasty (TKA). J Arthroplast 29:2146–2149

    Google Scholar 

  • Lange J, Haas SB (2017) Correcting severe valgus deformity: taking out the knock. Bone Joint J 99-B:60–64

    CAS  PubMed  Google Scholar 

  • Laskin RS et al (2004) Minimally invasive total knee replacement through a mini-midvastus incision: an outcome study. Clin Orthop Relat Res:74–81. https://doi.org/10.1097/01.blo.0000148582.86102.47

  • Leblanc JM (1989) Patellar complications in total knee arthroplasty. A literature review. Orthop Rev 18:296–304

    CAS  PubMed  Google Scholar 

  • Lüring C et al (2005) Beeinflusst der Zugangsweg die intraoperativ gemessene Beinachse in der Knieendoprothetik?: Eine navigationsgestützte Studie am Kadaverknie. Unfallchirurg 108:274–278

    PubMed  Google Scholar 

  • Lynch AF, Rorabeck CH, Bourne RB (1987) Extensor mechanism complications following total knee arthroplasty. J Arthroplast 2:135–140

    CAS  Google Scholar 

  • Maralcan G et al (2005) The innervation of patella: anatomical and clinical study. Surg Radiol Anat 27:331–335

    CAS  PubMed  Google Scholar 

  • Matziolis G, Perka C (2010) Primary resection of the posterior cruciate ligament does not produce a gap mismatch in the navigated gap technique. Orthopedics 33:68–70

    PubMed  Google Scholar 

  • Mochizuki RM, Schurman DJ (1979) Patellar complications following total knee arthroplasty. J Bone Joint Surg Am 61:879–883

    CAS  PubMed  Google Scholar 

  • Mockford BJ, Beverland DE (2005) Secondary resurfacing of the patella in mobile-bearing total knee arthroplasty. J Arthroplast 20:898–902

    Google Scholar 

  • Muoneke HE, Khan AM, Giannikas KA, Hägglund E, Dunningham TH (2003) Secondary resurfacing of the patella for persistent anterior knee pain after primary knee arthroplasty. J Bone Joint Surg Br 85:675–678

    CAS  PubMed  Google Scholar 

  • Nizard RS et al (2005) A meta-analysis of patellar replacement in total knee arthroplasty. Clin Orthop Relat Res:196–203. https://doi.org/10.1097/01.blo.0000150348.17123.7f

  • Pagenstert G et al (2014) Lateral patellar facetectomy and medial reefing in patients with lateral facet syndrome after patellar-retaining total knee arthroplasty. J Arthroplast 29:2156–2162

    Google Scholar 

  • Parentis MA et al (1999) A comparison of the vastus splitting and median parapatellar approaches in total knee arthroplasty. Clin Orthop Relat Res 367:107–116

    Google Scholar 

  • Rand JA (1990) Patellar resurfacing in total knee arthroplasty. Clin Orthop Relat Res 260:110–117

    Google Scholar 

  • Rand JA, Gustilo B (1996) Comparison of inset and resurfacing patellar prostheses in total knee arthroplasty. Acta Orthop Belg 62(Suppl 1):154–163

    PubMed  Google Scholar 

  • Röhrig H (2011) Operation der Kniegelenksendoprothese. In: Wirtz D (Hrsg) AE-Manual der Endoprothetik. Springer, Berlin/Heidelberg. https://doi.org/10.1007/978-3-642-12889-9_9

  • Rosenstein AD, Postak PD, Greenwald AS (2007) Fixation strength comparison of onlay and inset patellar implants. Knee 14:194–197

    PubMed  Google Scholar 

  • Schroeder-Boersch H (1998) Patellar resurfacing in total knee arthroplasty, current state of the controversy. Orthopade 27:600–611

    Google Scholar 

  • Soudry M, Mestriner LA, Binazzi R, Insall JN (1986) Total knee arthroplasty without patellar resurfacing. Clin Orthop Relat Res 205:166–170

    Google Scholar 

  • Stehlík J, Musil D, Held M, Stárek M (2006) Z-plasty for valgus deformity in total knee arthroplasty. Acta Chir Orthop Traumatol Cechoslov 73:169–175

    Google Scholar 

  • Tanzer M, McLean CA, Laxer E, Casey J, Ahmed AM (2001) Effect of femoral component designs on the contact and tracking characteristics of the unresurfaced patella in total knee arthroplasty. Can J Surg 44:127–133

    CAS  PubMed  PubMed Central  Google Scholar 

  • White RE, Allman JK, Trauger JA, Dales BH (1999) Clinical comparison of the midvastus and medial parapatellar surgical approaches. Clin Orthop Relat Res 367:117–122

    Google Scholar 

  • Whiteside LA (2004) Ligament balancing in total knee arthroplasty an instructional manual. Springer, Berlin/Heidelberg

    Google Scholar 

  • Zhang L-Z et al (2012) Lateral patellar facetectomy had improved clinical results in patients with patellar-retaining total knee arthroplasty. J Arthroplast 27:1442–1447

    Google Scholar 

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Correspondence to Georg Matziolis .

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© 2023 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Heller, KD., Matziolis, G., Röhrig, H. (2023). Knieendoprothetik: Operation der bi/trikondylären Oberflächenersatzprothese. In: Wirtz, D.C., Reichel, H., Matziolis, G., Pfitzner, T. (eds) Endoprothetik des Kniegelenkes. AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65175-9_10

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  • DOI: https://doi.org/10.1007/978-3-662-65175-9_10

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