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Arthroskopie

, Volume 25, Issue 3, pp 170–176 | Cite as

Stellenwert der Arthroskopie bei Gonarthrose

  • P. Niemeyer
  • T. Zantop
  • N.P. Südkamp
  • H.O. Mayr
Leitthema

Zusammenfassung

Der Stellenwert der Arthroskopie bei manifester Gonarthrose stellt ein komplexes Thema dar, welches in den letzten Jahren Gegenstand kontroverser Debatten war. Auch wenn die ursprüngliche Idee durch eine Spülung des Gelenks ohne gezieltes Adressieren einer spezifischen Pathologie heute auf Basis der vorhanden Literatur kritisch zu sehen ist und nicht mehr empfohlen werden kann, existieren relevante Begleitpathologien, die auch heute bei manifester Arthrose des Kniegelenks ein arthroskopisches Vorgehen rechtfertigen. Der vorliegende Artikel soll einen Überblick über die therapeutischen Ansätze arthroskopischer Chirurgie bei manifester Arthrose des Kniegelenks geben.

Schlüsselwörter

Gonarthrose Arthroskopie Kniegelenk Gelenkverschleiß Meniskus 

Importance of arthoscopy for gonarthritis

Abstract

The relevance of arthroscopic surgery in patients with advanced osteoarthritis of the knee has been discussed controversially in recent years. Even though the idea of joint lavage in order to reduce the inflammatory component of the affected joint has not been proven to provide sufficient long-term effects, there are a variety of copathologies that can efficiently be addressed by arthroscopic surgery. The present article summarizes the indications for arthroscopic surgery in patients with osteoarthritis of the knee joint and discusses the scientific literature available on this controversial topic.

Keywords

Gonarthritis Arthroscopy Knee Joint degeneration Meniscus 

Notes

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • P. Niemeyer
    • 1
  • T. Zantop
    • 2
  • N.P. Südkamp
    • 1
  • H.O. Mayr
    • 1
    • 3
  1. 1.Department Orthopädie und TraumatologieUniversitätsklinikum FreiburgFreiburg i. Br.Deutschland
  2. 2.Sporthopaedicum StraubingStraubingDeutschland
  3. 3.Orthopädische Chirurgie München (OCM), MünchenMünchenDeutschland

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