Zusammenfassung
Die Bedeutung von Implantaten zur Wiederherstellung von Körperfunktionen, die durch Krankheit, natürliche Abnutzung oder Unfall verlorengegangen sind, nimmt stetig zu und läßt sich am einfachsten anhand des großen Bedarfs ermessen. Jährlich werden mehr als 1 500 000 Personen mit Gefäßprothesen versorgt, in 100 000 Fällen werden künstliche Herzklappen eingesetzt, etwa 220 000 Patienten erhalten einen implantierbaren Herzschrittmacher. Für die extrakorporale Zirkulation bei Operationen am Herzen werden jährlich etwa 600 000 Oxygenatoren benötigt. Der Jahresbedarf an künstlichen Nieren nähert sich der Zahl 1 000 000. Beim Gelenkersatz steht die Hüftprothese mit ca. 350 000 Implantationen an erster Stelle vor dem Ersatz des Finger-, Knie-, Schulter- und Ellenbogengelenks. Implantierbare Materialien für die rekonstruktive Chirurgie haben den Umfang vieler Tonnen erreicht. Einen Eindruck von den vielfältigen Einsatzgebieten moderner Kunststoffe vermittelt Tabelle 1.
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Schaldach, M. (1992). Verträglichkeit implantatgeeigneter alloplastischer Werkstoffe im Organismus. In: Herberhold, C. (eds) Teil I: Referate. Verhandlungsbericht der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie, vol 1992 / 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84669-4_2
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