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Kompendium Orthopädische Bildgebung pp 41–71Cite as

Bildgebung der Endoprothetik

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Zusammenfassung

Die Knie- und Hüftgelenkarthrose stellt bei Erwachsenen die häufigste Erkrankung des Knie- und Hüftgelenkes mit hohen sozioökonomischen Auswirkungen dar. Die konventionelle Röntgenbildgebung ist für die Diagnostik der Gon- und Coxarthrose, die Indikationsstellung zur endoprothetischen Versorgung und die Verlaufskontrolle nach Endoprothesenimplantation die Methode der Wahl. Die Magnetresonanztomographie kann frühe Veränderungen des Gelenkknorpels und Aktivitätszeichen der Arthrose darstellen und vermag die Operationsindikation bei Diskrepanz zwischen Klinik und röntgenologischer Arthroseausprägung zu erhärten. Mittels Computertomographie wird die Knochensubstanz vor endoprothetischer Versorgung sowie in der Revisionssituation im Einzelfall beurteilt. In diesem Kapitel wird die bildgebende Diagnostik des Knie- und Hüftgelenkes vor und nach endoprothetischen Eingriffen und in der Revisionssituation vorgestellt. Es werden die Modalitäten Projektionsradiographie, Computertomographie und Magnetresonanztomographie diskutiert.

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Authors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg

    PD Dr. med. T. Gotterbarm & PD Dr. med. C. Merle

  2. Radiologie Löbau, Poststraße 20, 02708, Löbau

    Dr. med. J. K. Kloth

  3. Arcus Sportklinik, Rastatter Straße 17–19, 75179, Pforzheim

    PD Dr. med. S. Kinkel

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  1. PD Dr. med. T. Gotterbarm
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  2. PD Dr. med. C. Merle
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Editors and Affiliations

  1. Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Marc-André Weber M.Sc

  2. SPORTHOPAEDIE Heidelberg, Heidelberg, Deutschland

    Nikolaus Streich

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Gotterbarm, T., Merle, C., Kloth, J., Kinkel, S. (2017). Bildgebung der Endoprothetik. In: Weber, MA., Streich, N. (eds) Kompendium Orthopädische Bildgebung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50525-0_2

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