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Zemententfernung in der Femurschaftrevision mit dem ROBODOC-System

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Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie

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Zusammenfassung

Ist aufgrund einer septischen oder aseptischen Lockerung eines zementierten Femurschafts der Wechsel der Prothese indiziert, so muss zunächst der Schaft inklusive des alten Zements entfernt werden [5]. Nach Entfernung der Prothese, die meist problemlos gelingt, verbleiben im Femur zwei unterschiedliche Zementanteile (Abb. 19.1). Im Bereich des Prothesenlagers liegt meist ein relativ dünner Zementmantel. Unterhalb der Prothesenspitze findet sich ein Zementpfropfen unterschiedlicher Länge. Die Entfernung des proximalen Mantelanteils gelingt üblicherweise mit einfachen Werkzeugen, wogegen die Entfernung distaler Mantelanteile und des Zementpfropfens häufig eine komplexe Aufgabe ist.

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Authors
  1. M. Nogler
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  2. M. Krismer
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Editors and Affiliations

  1. Klinik für Orthopädie und Traumatologie Am Mühlenberg, D-37235, Hessisch-Lichtenau, Deutschland

    Werner Konermann

  2. Klinik für Orthopädie und Rheumatologie, St. Vincenz-Hospital, Danziger Str. 17, D-33034, Brakel, Deutschland

    Rolf Haaker

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© 2003 Springer-Verlag Berlin Heidelberg

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Nogler, M., Krismer, M. (2003). Zemententfernung in der Femurschaftrevision mit dem ROBODOC-System . In: Konermann, W., Haaker, R. (eds) Navigation und Robotic in der Gelenk- und Wirbelsäulenchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55784-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-55784-2_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62799-6

  • Online ISBN: 978-3-642-55784-2

  • eBook Packages: Springer Book Archive

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