Knie-TEP-Verankerung bei Revision und schlechten Knochenverhältnissen. Knochen, Zement, Schaft, Sleeve, Konus?

Zusammenfassung

Nach aktuellen Registerdaten muss von einer erheblichen Steigerung von Revisionsoperationen in der Kniegelenksendoprothetik ausgegangen werden. Diese gehen häufig mit ausgeprägten knöchernen Defekten einher. Die stabile und korrekte Implantatverankerung ist und bleibt eine Herausforderung. Voraussetzung für langfristige und reproduzierbare Ergebnisse ist die Auswahl der korrekten Rekonstruktions- und Verankerungsstrategie unter Beachtung des vorliegenden Knochendefekts sowie der patientenspezifischen Anatomie.

Abstract

Recent registry data predict a significant increase in revision surgery in TKA, which is often associated with severe bony defects. Stable and correct implant fixation remains a challenge. The prerequisite for long-term and reproducible results is the selection of the correct reconstruction and fixation strategy, taking into account the existing bone defect as well as the patient-specific anatomy.

Schlüsselwörter

Knieendoprothetik - Revisionsendoprothetik - Knochendefektrekonstruktion - Verankerungsstrategien

Key words

TKA - revision TKA - bone defect reconstruction - fixation strategies

• Literatur

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