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Knieendoprothetik beim Unterschenkelamputierten

Technische Besonderheiten der Referenzierung und Lösungsoptionen

Total knee replacement in a below-knee amputee

Technical reference points and possible solutions

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Zusammenfassung

Wir präsentieren den Fall eines 62-jährigen Patienten, der unter einer posttraumatischen Gonarthrose litt, weshalb eine Oberflächenprothese des Kniegelenks implantiert wurde. Am selben Bein war 13 Monate zuvor eine Unterschenkelamputation bei diabetogenem Ulcus cruris durchgeführt worden. 2 Jahre nach Knieprothesenimplantation zeigt sich ein sehr gutes funktionelles Ergebnis. Es wird diskutiert, wie das Problem der fehlenden anatomischen Referenzen bei Unterschenkelamputierten für die Implantation der tibialen Prothesenkomponente adressiert werden kann und ob Navigationsmodule hierfür hilfreich sein können.

Abstract

We present the case of a 62-year-old man with posttraumatic osteoarthritis after a tibial head fracture. A below-knee amputation of the same limb had been performed years ago because of a chronic diabetic foot ulcus. The patient underwent total knee replacement, and the 2-year postoperative clinical outcome was very good. The problem of how to address missing anatomic reference points for the implantation of the tibial component in below-knee amputees and the question whether navigation offers a potential benefit in this situation are discused.

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Authors and Affiliations

  1. Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland

    N. Vanin, J. Zeichen, C. Krettek &  S. Hankemeier

  2. Praxisklinik Uelzen, Uelzen, Deutschland

    J. Brand

Authors
  1. N. Vanin
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  2. J. Zeichen
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  3. J. Brand
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  4. C. Krettek
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  5. S. Hankemeier
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Correspondence to S. Hankemeier.

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Vanin, N., Zeichen, J., Brand, J. et al. Knieendoprothetik beim Unterschenkelamputierten. Unfallchirurg 111, 633–636 (2008). https://doi.org/10.1007/s00113-007-1366-8

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  • DOI: https://doi.org/10.1007/s00113-007-1366-8

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