Zusammenfassung
Die Arthrodese des oberen Sprunggelenks ist nach wie vor eine ausgezeichnete Alternative zum Gelenkersatz bei der fortgeschrittenen Arthrose. Die Resultate sind auch im Langzeitverlauf hervorragend, und das bei über 24-jährigen Verläufen. Gerade bei jungen Patienten ist gemäß dem schwedischen Register die Revisionsrate deutlich höher gegenüber den älteren Patienten und vor allem gegenüber den Arthrodesen. Die unterschiedlich großen Osteolysen und der niedrige „forgotten-joint score“ sind nach wie vor langzeitlich ungelöste Probleme bei der prothetischen Versorgung. Im Gegensatz dazu sind diese wichtigen Faktoren bei der Arthrodese inexistent. Mit der arthroskopischen Arthrodese ist für den Patienten der Komfort nochmals viel höher geworden und kann auch bei reduzierter Perfusion angewendet werden.
Abstract
Arthrodesis of the ankle joint is still an excellent alternative to joint replacement for treatment of advanced arthritis. The long-term results are also excellent even over time periods of more than 24 years. According to the Swedish registry the revision rate is much higher in younger patients compared to older patients and particularly in comparison to arthrodesis. The different extents of osteolysis and a low forgotten joint score are still long-term unsolved problems in prosthetic treatment of the ankle. In contrast, these important factors do not play any role in arthrodesis. The comfort of arthroscopic arthrodesis has become much higher for the patients and can even be used under conditions of reduced perfusion.
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C. Lampert und T. Buchhorn geben an, dass kein Interessenkonflikt besteht.
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Lampert, C., Buchhorn, T. Arthroskopische Arthrodese des Sprunggelenks. Arthroskopie 33, 195–198 (2020). https://doi.org/10.1007/s00142-020-00350-w
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DOI: https://doi.org/10.1007/s00142-020-00350-w