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Ergebnisse der Knieendoprothetik

  • Living reference work entry
  • First Online:
AE-Manual der Endoprothetik

Part of the book series: Springer Reference Medizin ((SRM))

  • 142 Accesses

Zusammenfassung

Die Verbesserung von Lebensqualität, Gelenkfunktion und Schmerzreduktion bei einer möglichst langen Standzeit der Endoprothese ist das Ziel jeder Implantation eines künstlichen Kniegelenkes. Die multifaktoriellen Einflüsse sowohl intrinsischer Faktoren, wie z. B. BMI, Alter und Komorbiditäten der Patienten, als auch extrinsischer Faktoren, wie z. B. Prothesendesign, Fixationsart und Implantatalignment, beeinflussen das klinische Outcome und die Überlebenszeit der implantierten Knieendoprothese. Weiterhin spielen ebenso die Herstellung einer günstigen Kinematik, gutes Weichteilmanagement und die verbesserten Material- und Implantationstechniken der Neuzeit eine entscheidende Rolle für ein effizientes Behandlungsergebnis. Die in der Vergangenheit eher mechanistisch geprägte Betrachtungsweise wird in Zukunft beispielsweise durch neue Einflüsse der Psychologie, des präoperativen Patientenmanagementes, wie auch der klinischen Qualitäts- und Prozessoptimierung verändert. Neue Technologien werden die künftige Knieendoprothetik wahrscheinlich weiter vorantreiben und neue Impulse in ihrer Entwicklung versetzen.

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  1. Orthopädische Universitätsklinik Magdeburg, Magdeburg, Deutschland

    Christian Stärke, Marcus Klutzny & Christoph Hubertus Lohmann

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    Karl-Dieter Heller

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  1. Waldkliniken Eisenberg, Eisenberg, Deutschland

    Georg Matziolis

  2. Klinik für Endoprothetik, Knie- und Hüftchirurgie; Department für Bewegungschirurgie, Vivantes Klinikum Spandau, Berlin, Deutschland

    Tilman Pfitzner

  3. Orthopädische Universitätsklinik Ulm am RKU, Ulm, Deutschland

    Heiko Reichel

  4. Universitätsklinikum Bonn, Direktor der Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Bonn, Deutschland

    Dieter Christian Wirtz

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Stärke, C., Klutzny, M., Lohmann, C.H. (2022). Ergebnisse der Knieendoprothetik. In: Perka, C., Heller, KD. (eds) AE-Manual der Endoprothetik. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55485-2_46-1

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