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Knieendoprothetik: Revisionsendoprothetik in der aseptischen Situation

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Endoprothetik des Kniegelenkes

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

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Zusammenfassung

Die aseptische Revisionsendoprothetik macht einen Großteil der Knie-TEP-Revisionen aus. Bei Osteolysen und festsitzendem Implantat ist die Evidenzlage gering, sodass hier die Entscheidung zur Revision manchmal schwierig ist. In den häufigsten Fällen bestehen die Herausforderungen in der Behandlung von Instabilitäten (Rekonstruktion der Gelenkebene und Wahl eines korrekten Kopplungsgrades), der Rekonstruktion von Knochendefekten (Art der Defektfüllung und Verankerung) und Behandlung von Läsionen des Streckapparates (Quadrizepssehne, Patella und Patellarsehne). Mit einer systematischen Herangehensweise lassen sich mithilfe der beschriebenen Techniken und Implantatsysteme jedoch viele der Herausforderungen suffizient lösen.

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Authors and Affiliations

  1. Klinik für Endoprothetik, Knie- und Hüftchirurgie; Department für Bewegungschirurgie, Vivantes Klinikum Spandau, Berlin, Deutschland

    Tilman Pfitzner

  2. Centrum für Muskuloskeletale Chirurgie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland

    Stephanie Kirschbaum & Carsten Perka

  3. Universitätsklinik für Orthopädie, RKU Universitäts-und Rehabilitationskliniken Ulm, Ulm, Deutschland

    Michael Fuchs

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  3. Michael Fuchs
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  4. Carsten Perka
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Correspondence to Tilman Pfitzner .

Editor information

Editors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie Universitätsklinikum Bonn, Bonn, Deutschland

    Dieter Christian Wirtz

  2. Universitätsklinikum Ulm, Orthopädische Universitätsklinik am RKU, Ulm, Deutschland

    Heiko Reichel

  3. Professur für Orthopädie am Universitätsklinikum Jena, Campus Eisenberg, Eisenberg, Deutschland

    Georg Matziolis

  4. Vivantes – Netzwerk für Gesundheit Berlin, Klinik für Endoprothetik, Knie- und Hüftchirurgie Klinikum Spandau und Humboldt Klinikum, Berlin, Deutschland

    Tilman Pfitzner

Section Editor information

  1. Waldkliniken Eisenberg, Eisenberg, Deutschland

    Georg Matziolis

  2. Klinik für Endoprothetik, Knie- und Hüftchirurgie; Department für Bewegungschirurgie, Vivantes Klinikum Spandau, Berlin, Deutschland

    Tilman Pfitzner

  3. Orthopädische Universitätsklinik Ulm am RKU, Ulm, Deutschland

    Heiko Reichel

  4. Universitätsklinikum Bonn, Direktor der Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Bonn, Deutschland

    Dieter Wirtz

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Pfitzner, T., Kirschbaum, S., Fuchs, M., Perka, C. (2023). Knieendoprothetik: Revisionsendoprothetik in der aseptischen Situation. 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_18

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  • DOI: https://doi.org/10.1007/978-3-662-65175-9_18

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  • Online ISBN: 978-3-662-65175-9

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