Skip to main content
Log in

Duokopfprothesenimplantation bei Schenkelhalspseudarthrose und liegendem Kunstherz

Wie weit darf man gehen?

Nonunion of the femoral neck and artificial heart

How far may we go?

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Im Zuge des medizinischen Fortschritts werden operative Disziplinen immer häufiger mit seltenen, schweren Komorbiditäten konfrontiert, die noch vor wenigen Jahren als inoperabel eingestuft worden wären. Wir berichten über die operative Behandlung eines Patienten mit Schenkelhalspseudarthrose nach Osteosynthese und dem Vorliegen eines implantierten Linksherzunterstützungssystems bei dilatativer Kardiomyopathie.

Abstract

Due to medical improvements surgeons are increasingly confronted with conditions associated with severe medical comorbidities. Fracture or nonunion of the femoral neck would have been classified as“inoperable” in the past. We report the successful operative treatment of a patient with femoral neck nonunion after screw osteosynthesis and associated existence of a left ventricular assist device for dilated cardiomyopathy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Frerichmann U, Raschke MJ, Stöckle U et al (2007) Proximale Femurfrakturen im Alter – Auswertung von Krankenkassendaten von über 23 Mio. Versicherten – Teil 2. Unfallchirurg 110:610–616

    Article  PubMed  CAS  Google Scholar 

  2. Müller CA, Bayer J, Szarzynski E, Südkamp NP (2008) Duokopfprothesenimplantation bei medialer Schenkelhalsfraktur im hohen Lebensalter – klinische und radiologische Ergebnisse. Zentralbl Chir 133:590–596

    Article  PubMed  Google Scholar 

  3. Raunest J, Engelmann R, Jonas M, Derra E (2001) Morbidität und Letalität bei hüftgelenknahen Femurfrakturen im höheren Lebensalter Ergebnisse einer prospektiven Studie. Unfallchirurg 104:325–332

    Article  PubMed  CAS  Google Scholar 

  4. Sandner SE et al (2009) Age and outcome after continuous-flow left ventricular assist device implantation as bridge to transplantation. J Heart Lung Transplant 28(4):367–372

    Article  PubMed  Google Scholar 

  5. Goldstein DJ, Mullis SL, Delphin ES et al (1995) Noncardiac surgery in long-term implantable left ventricular assist-device recipients. Ann Surg 222:203–207

    Article  PubMed  CAS  Google Scholar 

  6. Eckhauser AE, Melvin WV, Sharp KW (2006) Management of general surgical problems in patients with left ventricular assist devices. Am Surg 72:158–161

    PubMed  CAS  Google Scholar 

  7. Votapka TV, Pennington DG, McBride LR et al (1994) Noncardiac operations in patients supported with mechanical circulatory support devices. J Am Coll Surg 179:318–320

    PubMed  CAS  Google Scholar 

  8. Schmid C, Wilhelm M, Dietl KH et al (2001) Noncardiac surgery in patients with left ventricular assist devices. Surgery 129:440–444

    PubMed  CAS  Google Scholar 

  9. Garatti A et al (2009) Noncardiac surgical procedures in patient supported with long-term implantable left ventricular assist device Am J Surg 197(6):710–714

    Google Scholar 

  10. (o A) (1963) American Society of Anesthesiologists. New classification of physical status. Anesthesiology 24:111

  11. Levin HR, Oz MC, Cantanese KA et al (1996) Transient normalisation of systolic and diastolic function after support with a left ventricular assist device in a patient with dialled cardiomyopathy. J Heart Lung Transplant 15:840–842

    PubMed  CAS  Google Scholar 

  12. Frazier OH, Myers TJ (1999) Left ventricular assist system as a bridge to myocardial recovery. Ann Thorac Surg 68(2):734–741

    Article  PubMed  CAS  Google Scholar 

  13. Farrar DJ, Holman WR, McBride LR et al (2002) Long-term follow-up of Thoratec ventricular assist device bridge-torecovery patients successfully removed from support after recovery of ventricular function. J Heart Lung Transplant 21(5):516–521

    Article  PubMed  Google Scholar 

  14. Maybaum S, Mancini D, Xydas S et al (2007) Cardiac improvement duringmechanical circulatory support a prospective multicentre study of the LVAD Working Group. Circulation 115:2497–2505

    Article  PubMed  Google Scholar 

  15. Birks EJ (2010) Myocardial recovery in patients with chronic heart failure: is it real? J Card Surg 25:472–477

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C. Kösters.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kösters, C., Boschin, M., Wieskötter, B. et al. Duokopfprothesenimplantation bei Schenkelhalspseudarthrose und liegendem Kunstherz. Unfallchirurg 115, 926–929 (2012). https://doi.org/10.1007/s00113-011-2063-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-011-2063-1

Schlüsselwörter

Keywords

Navigation