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Komplikationen und Management

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AE-Manual der Endoprothetik

Zusammenfassung

Periprothetische Infekte nach Ellenbogengelenkersatz stellen eine schwere Komplikation dar und sind eine therapeutische Herausforderung. Die Erfahrungen in der Behandlung von Ellenbogenprotheseninfekten beruhen auf Fallserien mit relativ begrenzten Fallzahlen. Daher gibt es bisher auch kein definiertes Behandlungskonzept.

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Literatur

Infektionen nach Ellenbogenarthroplastik

  • Achermann Y, Vogt M, Leunig M, Wüst J, Trampuz A (2010) Improved diagnosis of periprosthetic joint infection by multiplex PCR of sonication fluid from removed implants. J Clin Microbiol 48:1208–1214

    Article  PubMed  Google Scholar 

  • Achermann Y, Vogt M, Spormann C, Kolling C, Remschmidt C, Wüst J, Simmen B, Trampuz A (2011) Characteristics and outcome of 27 elbow periprosthetic joint infections: results from a 14-year cohort study of 358 elbow prostheses. Clin Microbiol Infect 17:432–438

    Article  PubMed  CAS  Google Scholar 

  • Atkins BL, Athanasou N, Deeks JJ, Crook DWM, Simpson H, Peto TEA, McLardy-Smith P, Berendt AR, and the Osiris Collaborative Study Group (1998) Prospective evaluation of criteria for microbiological diagnosis of prosthetic-joint infection at revision arthroplasty. J Clin Microbiol 36:2932–2939

    Google Scholar 

  • Berbari EF, Marculescu C, Sia I, Lahr BD, Hanssen AD, Steckelberg JM, Gullerud R, Osmon DR (2007) Culture-negative prosthetic joint infection. Clin Infect Dis 45:1113–1119

    Article  PubMed  Google Scholar 

  • Brandt CM, Duffy MC, Berbari EF, Hanssen AD, Steckelberg JM, Osmon DR (1999) Staphylococcus aureus prosthetic joint infection treated with prosthesis removal and delayed reimplantation arthroplasty. Mayo Clin Proc 74:553–558

    Article  PubMed  CAS  Google Scholar 

  • Cheung EV, Adams RA, Morrey BF (2008) Reimplantation of a total elbow prosthesis following resection arthroplasty for infection. J Bone Joint Surg Am 90-A:589–594

    Article  Google Scholar 

  • Curtis JR, Patkar N, Xie A, Martin C, Allison JJ, Saag M, Shatin D, Saag KG (2007) Risk of serious bacterial infections among rheumatoid arthritis patients exposed to tumor necrosis factor alpha antagonists. Arthritis Rheum 56:1125–1133

    Article  PubMed  CAS  Google Scholar 

  • Figgie MP, Gerwin M, Weiland AJ (1994) Revision total elbow replacement. Hand Clin 10:507–520

    PubMed  CAS  Google Scholar 

  • Gille J, Ince A, Gonzalez O, Katzer A, Loehr JF (2006) Single-stage revision of peri-prosthetic infection following total elbow replacement. J Bone Joint Surg 88-B:1341–1346

    Article  Google Scholar 

  • Gschwend N (1980) Ellbogenarthroplastik. Orthopäde 9:158–168

    PubMed  CAS  Google Scholar 

  • Gschwend N, Loehr J, Ivosevic-Radovanovic D, Scheier H, Munzinger U (1988) Semi-constrained elbow prosthesis with special reference to the GSB III prosthesis. Clin Orthop 232:104–111

    PubMed  Google Scholar 

  • Gschwend N, Scheier NH, Baehler A (1999) Long term results of the GSB III elbow arthroplasty. J Bone Joint Surg 81-B:1005–1012

    Article  Google Scholar 

  • Hildebrand KA, Patterson SD, Regan WD, MacDermid JC, King GJW (2000) Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint Surg 82-A:1379–1386

    PubMed  CAS  Google Scholar 

  • Mansat P, Adams RA, Morrey BF (2004) Allograft-prosthesis composite for revision of catastrophic failure of total elbow arthroplasty. J Bone Joint Surg Am 86-A:724–735

    PubMed  Google Scholar 

  • Marculescu CE, Berbari EF, Hanssen AD, Steckelberg JM, Harmsen SW, Mandrekar JN, Osmon DR (2006) Outcome of prosthetic joint infections treated with debridement and retention of components. Clin Infect Dis 42:471–478

    Article  PubMed  CAS  Google Scholar 

  • Mont MA, Waldman BJ, Hungerford DS (2000) Evaluation of preoperative cultures before second-stage reimplantation of a total knee prosthesis complicated by infection. J Bone Joint Surg Am 82-A:1552–1557

    PubMed  CAS  Google Scholar 

  • Morrey BF, Bryan RS (1982) Complications of total elbow arthroplasty. Clin Orthop Relat Res 170:204–212

    PubMed  Google Scholar 

  • Morrey BF, Bryan RS (1983) Infection after total elbow arthroplasty. J Bone Joint Surg 65-A:330–338

    Google Scholar 

  • Piper KE, Jacobson MJ, Cofield RH, Sperling JW, Sanchez-Sotélo J, Osmon DR, Steckelberg JM, Mandrekar JN, Fernandez SM, Patel R (2009) Microbiologic diagnosis of prosthetic shoulder infection using implant sonication. J Clin Microbiol 47:1878–1884

    Article  PubMed  Google Scholar 

  • Rand JA, Morrey B, Bryan RS (1984) Management of the infected total joint arthroplasty. Orthop Clin North Am 15:491–504

    PubMed  CAS  Google Scholar 

  • Tattevin P, Crémieux AC, Pottier P, Huten D, Carbon C (1999) Prosthetic joint infection: when can prosthesis salvage be considered? Clin Infect Dis 29:292–295

    Article  PubMed  CAS  Google Scholar 

  • Throckmorton T, Zarkadas P, Sanchez-Sotelo J, Morrey B (2010) Failure patterns after linked semiconstrained total elbow arthroplasty for posttraumatic arthritis. J Bone Joint Surg Am 92:1432–1441

    Article  PubMed  Google Scholar 

  • Trampuz A, Steckelberg JM, Osmon DR, Cockerill FR, Hanssen AD, Patel R (2003) Advances in the laboratory diagnosis of prosthetic joint infection. Rev Med Microbiol 14:1–14

    Article  Google Scholar 

  • Trampuz A, Hanssen AD, Osmon DR, Mandrekar J, Steckelberg JM, Patel R (2004) Synovial fluid leukocyte count and differential for the diagnosis of prosthetic knee infection. Am J Med 117:556–562

    Article  PubMed  Google Scholar 

  • Trampuz A, Piper KE, Jacobson MJ, Hanssen AD, Unni KK, Osmon DR, Mandrekar JN, Cockerill FR, Steckelberg JM, Greenleaf JF, Patel R (2007) Sonication of removed hip and knee prostheses for diagnosis of infection. N Engl J Med 357:654–663

    Article  PubMed  CAS  Google Scholar 

  • Trebse R, Pisot V, Trampuz A (2005) Treatment of infected retained implants. J Bone Joint Surg Br 87:249–256

    PubMed  CAS  Google Scholar 

  • Ure KJ, Amstutz HC, Nasser S, Schmalzried TP (1998) Direct-exchange arthroplasty for the treatment of infection after total hip replacement. An average ten-year follow-up. J Bone Joint Surg Am 80:961–968

    PubMed  CAS  Google Scholar 

  • Volin SJ, Hinrichs SA, Garvin KL (2004) Two-stage reimplantation of total joint infections. Clin Orthop Relat Res 427:94–100

    Article  PubMed  Google Scholar 

  • Widmer AF, Gaechter A, Ochsner PE, Zimmerli W (1992) Antimicrobial treatment of orthopaedic implant-related infections with rifampin combinations. Clin Infect Dis 14:1251–1253

    Article  PubMed  CAS  Google Scholar 

  • Wolfe SW, Figgie MP, Inglis AE, Bohn WW, Ranawat CS (1990) Management of infection about elbow prostheses. J Bone Joint Surg 72-A:198–212

    Google Scholar 

  • Yamaguchi K, Adams RA, Morrey BF (1998) Infection after total elbow arthroplasty. J. Bone Joint Surg 80-A:481–491

    Google Scholar 

  • Zimmerli W, Ochsner PE (2003) Management of infections associated with prosthetic joints. Infection 31:99–108

    Article  PubMed  CAS  Google Scholar 

  • Zimmerli W, Widmer AF, Blatter M, Frei R, Ochsner PE (1998) Role of rifampin for treatment of orthopedic implant-related staphylococcal infections. JAMA 279:1537–1541

    Article  PubMed  CAS  Google Scholar 

  • Zimmerli W, Trampuz A, Ochsner PE (2004) Prosthetic joint infections. N Engl J Med 351:1645–1654

    Article  PubMed  CAS  Google Scholar 

Periprothetische Frakturen nach Ellenbogenarthroplastik

  • Berry DJ (1999) Epidemiology of periprosthetic fractures after major joint replacements: hip an knee. Orthop Clin North Am 30:183–190

    Article  PubMed  CAS  Google Scholar 

  • Hanyu T, Nakazono K, Ischikawa H (1998) Humeral shaft fracture after a total elbow arthroplasty. J Shoulder Elbow Surg 7:541–544

    Article  PubMed  CAS  Google Scholar 

  • Kamineni S, Morrey BF (2004a) Proximal ulnar reconstruction with strut allograft in revision total elbow arthroplasty. J Bone Joint Surg Am 86:1223–1229

    Google Scholar 

  • Loebenberg MI, Adams R, O’Driscoll SW, Morrey BF (2005) Impaction grafting in total elbow arthroplasty. J Bone Joint Surg Am 87:99–106

    Article  PubMed  Google Scholar 

  • Mansat P, Adams RA, Morrey BF (2004) Allograft prothesis composite for revision of catastrophic failure of total elbow arthroplasty. J Bone Joint Surg Am 86-A:724–735

    PubMed  Google Scholar 

  • O’Driscoll SW, Morrey BF (1999) Periprosthetic fractures about the elbow. Orthop Clin North Am 30:319–325

    Article  PubMed  Google Scholar 

  • Preiss R, Wigderowitz C (2011) Vascularized fibular graft arthrodesis as salvage for severe bone loss following failed revsion total elbow replacement. Europ J Orthop Surg Traumatol 21:189

    Article  Google Scholar 

  • Sanchez-Sotelo J, O’Driscoll S, Morrey BF (2002) Periprosthetic humeral fractures after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation. J Bone Joint Surg Am 84:1651–1658

    Article  Google Scholar 

  • Schmidt K, Hilker A, Miehlke RK (2007) Vergleichende Endoprothetik des rheumatischen Ellenbogengelenks. Orthopäde 36:714–722

    Article  PubMed  CAS  Google Scholar 

  • Thillemann TM, Olsen BS Johansen HV, Sojbjerg JO (2006) Long-term results with the Kudo type 3 total elbow arthroplasty. J Shoulder Elbow Surg 15:495–499

    Article  PubMed  Google Scholar 

  • Tokunaga D, Hojo T, Ohashi S, Hirata M, Tokumoto Y, Nagashima S, Kubo T (2006) Periprosthetic ulnar fracture after loosening of total elbow arthroplasty treated by two stage implant revision: a case report. J Shoulder Elbow Surg 15:649–792

    Article  Google Scholar 

  • Zarkadas PC, Cass B, Throckmorton T, Adams R, Sanchez-Sotelo J, Morrey BF (2010) Long-term outcome of resection arthroplasty for the failed total elbow arthroplasty. J Bone Joint Surg Am 92:2576–2582

    Article  PubMed  Google Scholar 

Aseptische Lockerung und Revision nach Ellbogenarthroplastik

  • Gerwin M, Hotchkiss RN, Weiland AJ (1996) Alternative operative exposures of the posterior aspect of the humeral diaphysis with reference to the radial nerve. J Bone Joint Surg Am 78:1690–1695

    PubMed  CAS  Google Scholar 

  • Gschwend N, Scheier NH, Baehler AR (1999) Long-term results of the GSB III elbow arthroplasty. J Bone Joint Surg Br 81:1005–1012

    Article  PubMed  CAS  Google Scholar 

  • Hildebrand KA, Patterson SD, Regan WD, MacDermid JC, King GJ (2000) Functional outcome of semiconstrained total elbow arthroplasty. J Bone Joint Surg Am 82-A:1379–1386

    PubMed  CAS  Google Scholar 

  • Kamineni S, Morrey BF (2004b) Proximal ulnar reconstruction with strut allograft in revision total elbow arthroplasty. J Bone Joint Surg Am 86-A:1223–1229

    CAS  Google Scholar 

  • King GJ, Adams RA, Morrey BF (1997) Total elbow arthroplasty: revision with use of a non-custom semiconstrained prosthesis. J Bone Joint Surg Am 79:394–400

    Article  PubMed  CAS  Google Scholar 

  • Loebenberg MI, Adams R, O’Driscoll SW, Morrey BF (2005) Impaction grafting in revision total elbow arthroplasty. J Bone Joint Surg Am 87:99–106

    Article  PubMed  Google Scholar 

  • Mansat P, Adams RA, Morrey BF (2004) Allograft-prosthesis composite for revision of catastrophic failure of total elbow arthroplasty. J Bone Joint Surg Am 86-A:724–735

    PubMed  Google Scholar 

  • Moro JK, King GJ (2000) Total elbow arthroplasty in the treatment of posttraumatic conditions of the elbow. Clin Orthop Relat Res 370:102–114

    Article  PubMed  Google Scholar 

  • Morrey BF, Bryan RS, Dobyns JH, Linscheid RL (1981) Total elbow arthroplasty. A five-year experience at the Mayo Clinic. J Bone Joint Surg Am 63:1050–1063

    PubMed  CAS  Google Scholar 

  • Shi LL, Zurakowski D, Jones DG, Koris MJ, Thornhill TS (2007) Semiconstrained primary and revision total elbow arthroplasty with use of the Coonrad-Morrey prosthesis. J Bone Joint Surg Am 89:1467–1475

    Article  PubMed  Google Scholar 

Revisionsarthroplastik des Ellbogengelenks bei Knochendefekten

  • Amiss AA, Dowson D, Wright V (1980) Elbow joint force predictions for some strenuous isometric actions. J Biomech 13:765–775

    Article  Google Scholar 

  • Anmin A, Suresh S, Sanghrajka A, Cannon SR, Briggs TW, Unwin P (2008) Custom-made endoprosthetic reconstruction of the distal humerus for non-tumorous pathology. Acta Orthop Belg 74:446–450

    PubMed  Google Scholar 

  • Cheung EV, O’Driscoll SW (2007) Total elbow prosthesis loosening caused by ulnar component pistoning. J Bone Joint Surg Am 89-A:1269–1274

    Article  Google Scholar 

  • Dean GS, Holliger EH, Urbaniak JR (1997) Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results. Clin Orthop Relat Res 341:12–22

    Article  PubMed  Google Scholar 

  • Eldridge JD, Smith EJ, Hubble MJ, Whitehouse SL, Learmonth ID (1997) Massive early subsidence following femoral impaction grafting. J Arthroplasty 12:535–540

    Article  PubMed  CAS  Google Scholar 

  • Figgie HE, Inglis AE, Mow C (1986) Total elbow arthroplasty in the face of significant bone stock or soft tissue losses: preliminary results of custom-fit arthroplasty. J Artroplasty 1:71–81

    Article  Google Scholar 

  • Gie GA, Linder L, Ling RS, Simon JP, Slooff TJ, Timperley AJ (1993) Impacted cancellous allografts and cement for revision total hip arthroplasty. J Bone Joint Surg Br 75:14–21

    PubMed  CAS  Google Scholar 

  • Gross AE, Silverstein EA, Falk J, Falk R, Langer F (1975) The allotransplantation of partial joints in the treatment of osteoarthritis of the knee. Clin Orthop 108:7–14

    Article  PubMed  Google Scholar 

  • Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn (Stockh) 18:481–491

    CAS  Google Scholar 

  • Lexer E (1925) Joint transplantations and arthroplasty. Surg Gynecol Obstet 60:782–809

    Google Scholar 

  • Loebenberg MI, Adams RA, O’Driscoll SW, Morrey BF (2005) Impaction grafting in revision total elbow arthroplasty. J Bone Joint Surg Am 87-A:99–106

    Article  Google Scholar 

  • Mankin HJ, Doppelt SH, Sullivan TR, Tomford WW (1982) Osteoarticular and intercalary allograft transplantation in the management of malignant tumours of bone. Cancer 50:613–630

    Article  PubMed  CAS  Google Scholar 

  • Mansat P, Adams RA, Morrey BF (2004) Allograft-prosthesis composite for revision of catastrophic failure of total elbow arthroplasty. J Bone Joint Surg 86A:724–735

    Google Scholar 

  • Morrey BF, Sanchez-Sotelo J (2009) Revision of failed total elbow arthroplasty with osseous deficiency. In: Morrey BF, Sanchez-Sotelo J (Hrsg) The elbow and its disorders. Saunders, Philadelphia, S 899–910

    Chapter  Google Scholar 

  • Shahane SA, Stanley D (1999) A posterior approach to the elbow joint. J Bone Joint Surg 81B:1020–1022

    Article  Google Scholar 

  • Steiger JU, Gschwend N, Bell S (1985) GSB elbow arthroplasty: a new concept and six years experience. In: Kashiwagi D (Hrsg) Elbow joint. Elsevier Science, Amsterdam, S 285–294

    Google Scholar 

  • Urbaniak JR, Black KE (1985) Cadaveric elbow allografts. Clin Orthop 197:131–140

    PubMed  Google Scholar 

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Correspondence to Rouin Amirfeyz MD .

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Amirfeyz, R. et al. (2013). Komplikationen und Management. In: Rüther, W., Simmen, B. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34672-9_9

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