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Strategien für die Pfannenrevision

Strategies for cup revision

Zusammenfassung

Die Hüftpfannenrevision kann von einfachen Eingriffen mit Verwendung von Standardimplantaten bis hin zu komplexen Versorgungen mit Nutzung von Kombinationen aus Spezialpfannen, metallischen Augmenten, Knochentransplantaten und Abstützschalen reichen. Die suffiziente Wiederherstellung von Biomechanik und Funktion des Hüftgelenks mit dem Ziel der Rekonstruktion des originären Drehzentrums sowie die stabile Implantatverankerung stellt dabei nicht selten eine Herausforderung dar. Diese Arbeit soll eine Übersicht verschiedener zur Verfügung stehender Techniken mit den dazugehörigen Implantat- und Verankerungsstrategien sowie den jeweiligen klinischen Ergebnissen in Abhängigkeit von der azetabulären Defektsituation geben.

Abstract

Hip arthroplasty revision management can range from simple procedures using standard implants to complex surgical interventions requiring the combined use of revision cups, metal augments, bone grafts, and antiprotrusio cages. The adequate restoration of biomechanics and function of the hip joint with reconstruction of the original center of rotation can be challenging. We present an overview of various available techniques with the associated implant and anchoring strategies and the respective clinical results depending on the acetabular defect situation.

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Abbreviations

IBG:

„Impaction bone grafting“

PE :

Polyethylen

TM :

Trabekuläres Metall

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Correspondence to Maik Stiehler.

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M. Stiehler, K.-P. Günther und J. Goronzy geben an, dass kein Interessenkonflikt besteht.

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Stiehler, M., Günther, KP. & Goronzy, J. Strategien für die Pfannenrevision. Orthopädie (2022). https://doi.org/10.1007/s00132-022-04271-4

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Schlüsselwörter

  • Implantatfixierung
  • Hüftgelenk
  • Revisionschirurgie
  • Knochendefekt
  • Hüfttotalendoprothese

Keywords

  • Implant fixation
  • Hip joint
  • Revision surgery
  • Bone defect
  • Total hip arthroplasty