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Spätfolgen – Diagnose und Therapie

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AE-Manual der Endoprothetik

Zusammenfassung

In Deutschland werden pro Jahr ca. 190.000 Primärhüftendoprothesen implantiert (Veit C Qualität sichtbar machen. BQS-Qualitätsreport 2006. BQS Bundesgesellschaft Qualitätssicherung gGmbH, Düsseldorf, 2007). Wenngleich durch die Verbesserung der Operationstechniken, die Weiterentwicklung der Implantate und die Optimierung der operativen Ausbildung die prozentuale Lockerungsrate abnimmt, resultiert aus der quantitativen Ausdehnung eine zahlenmäßige Zunahme der Lockerungen. Gegenwärtig wird in der Literatur eine Wechselrate von 0,5–5 % der Prothesen pro Jahr angegeben (J Bone Joint Surg Am 84-A:1788–1792, 2002; Clin Orthop Relat Res 429:188–192, 2004; Clin Orthop Relat Res 447:76–78, 2006; Ortop Traumatol Rehabil 3:34–37, 2001; Veit C Qualität sichtbar machen. BQS-Qualitätsreport 2006. BQS Bundesgesellschaft Qualitätssicherung gGmbH, Düsseldorf, 2007). Diese Lockerungsrate liegt in den ersten Jahren an der unteren Grenze dieser Spanne, um dann nach 10–15 Jahren anzusteigen. Einschränkend ist dazu auszusagen, dass diese Zahlen weit überwiegend anhand der Lockerung zementierter Prothesen bzw. heute kaum noch gebräuchlicher zementfreier Prothesen der ersten Generation ermittelt wurde (Clin Orthop Relat Res 447:76–78, 2006). Für die meisten aktuellen Implantate liegen diese Daten noch nicht vor.

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Authors and Affiliations

  1. Klinik für Orthopädie, Centrum für Muskulo-Skeletale Chirurgie, Charité – Universitätsmedizin Berlin, Campus Charité Mitte (CCM), Charitéplatz 1, 10117, Berlin, Deutschland

    Prof. Dr. Carsten Perka & Dr. med. Kathi Thiele

  2. Klinik für Orthopädie, Centrum für Muskulo-Skeletale Chirurgie, Charité – Universitätsmedizin Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Deutschland

    Priv.-Doz. Dr. med. Georg Matziolis

  3. ENDO-Klinik Hamburg GmbH, Holstenstraße 2, 22767, Hamburg, Deutschland

    Prof. Dr. med. Thorsten Gehrke

Authors
  1. Prof. Dr. Carsten Perka
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  2. Dr. med. Kathi Thiele
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  3. Priv.-Doz. Dr. med. Georg Matziolis
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  4. Prof. Dr. med. Thorsten Gehrke
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Corresponding author

Correspondence to Carsten Perka .

Editor information

Editors and Affiliations

  1. Forschung und Biomechanik, Universität Ulm / Inst. für Unfallchir., Helmholtzstraße 14, Ulm, 89081, Germany

    Lutz Claes

  2. St. Vinzenz- und Elisabeth-Hospital, Katholisches Klinikum Mainz, An der Goldgrube 11, Mainz, 55131, Germany

    Peter Kirschner

  3. Campus Charité Mitte (CCM), Centrum f. Muskuloskeletale Chirurgie, Charitéplatz 1, Berlin, 10117, Germany

    Carsten Perka

  4. Orthopädische Klinik, König Ludwig Haus, Universität Würzburg, Brettreichstraße 11, Würzburg, 97074, Germany

    Maximilian Rudert

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© 2012 Arbeitsgemeinschaft Endoprothetik

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Perka, C., Thiele, K., Matziolis, G., Gehrke, T. (2012). Spätfolgen – Diagnose und Therapie. In: Claes, L., Kirschner, P., Perka, C., Rudert, M. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14646-6_10

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  • DOI: https://doi.org/10.1007/978-3-642-14646-6_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-14645-9

  • Online ISBN: 978-3-642-14646-6

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