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AE-Manual der Endoprothetik pp 255–270Cite as

Revisionsendoprothetik im Kniegelenksbereich

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Zusammenfassung

Der Wechsel einer Knieendoprothese bringt eine Vielzahl von Problemen mit sich. So sind von Fall zu Fall das Primärimplantat, die Integrität der Weichteile und das vorhandene Knochenlager unterschiedlich (Suarez et al. 2008). Um Fehler, die zum Scheitern des Primärimplantates geführt haben zu vermeiden, müssen die hierfür verantwortlichen Ursachen eruiert werden. Grundvoraussetzung für alle Patienten mit gelockerten Primärimplantaten ist das Überprüfen des Vorliegens einer Gelenkinfektion (BSG, CRP, Knochenszintigraphie, Funktion des Gelenks). Eine nicht schmerzhafte, schleichend verlaufende Entzündung manifestiert sich häufig nur in Form einer Implantatlockerung. Einen nicht unwesentlichen Einfluss auf das Ergebnis einer Revisionsoperation hat das Design des Primärimplantats.

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie Universitätsklinikum Greifswald der Ernst-Moritz-Arndt-Universität Greifswald (AöR), 17475, Greifswald, Ferdinand-Sauerbruch-Straße, Deutschland

    H. R. Merk

Authors
  1. H. R. Merk
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  2. H. Spank
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Corresponding author

Correspondence to H. R. Merk .

Editor information

Editors and Affiliations

  1. , Klinik für Orthopädie u. Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, Bonn, 53105, Germany

    Dieter C. Wirtz

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© 2011 Arbeitsgemeinschaft Endoprothetik

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Merk, H.R., Spank, H. (2011). Revisionsendoprothetik im Kniegelenksbereich. In: Wirtz, D. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12889-9_16

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  • DOI: https://doi.org/10.1007/978-3-642-12889-9_16

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12888-2

  • Online ISBN: 978-3-642-12889-9

  • eBook Packages: Medicine (German Language)

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