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Ergebnisse der Knieendoprothetik

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Endoprothetik des Kniegelenkes

Zusammenfassung

Die Verbesserung von Lebensqualität, Gelenkfunktion und Schmerzreduktion bei einer möglichst langen Standzeit der Endoprothese ist das Ziel jeder Implantation eines künstlichen Kniegelenkes. Die multifaktoriellen Einflüsse sowohl intrinsischer Faktoren, wie z. B. BMI, Alter und Komorbiditäten der Patienten, als auch extrinsischer Faktoren, wie z. B. Prothesendesign, Fixationsart und Implantatalignment, beeinflussen das klinische Outcome und die Überlebenszeit der implantierten Knieendoprothese. Weiterhin spielen ebenso die Herstellung einer günstigen Kinematik, gutes Weichteilmanagement und die verbesserten Material- und Implantationstechniken der Neuzeit eine entscheidende Rolle für ein effizientes Behandlungsergebnis. Die in der Vergangenheit eher mechanistisch geprägte Betrachtungsweise wird in Zukunft beispielsweise durch neue Einflüsse der Psychologie, des präoperativen Patientenmanagementes, wie auch der klinischen Qualitäts- und Prozessoptimierung verändert. Neue Technologien werden die künftige Knieendoprothetik wahrscheinlich weiter vorantreiben und neue Impulse in ihrer Entwicklung versetzen.

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Stärke, C., Klutzny, M., Lohmann, C.H. (2023). Ergebnisse der Knieendoprothetik. 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_22

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