Zusammenfassung
Um die Zeiträume zu minimieren, die nach einem endoprothetischen Gelenkersatz zur Regeneration des Patienten nötig sind, und eine möglichst schnelle und weitestgehende Wiederherstellung der Funktion während der Rehabilitation zu ermöglichen, ist ein gewisses Verständnis der mechanischen Bedingungen nötig. Wissen um die mechanischen Bedingungen ist insbesondere deshalb von Bedeutung, weil zum einen die Endoprothese die makroskopischen Bedingungen für das Gelenk grundlegend ändert. Zum anderen bestimmt das chirurgische Vorgehen – beim Kniegelenk besonders die Balance und Aktivität der Weichteile – die mechanischen Rahmenbedingungen, unter denen die knöcherne Integration des Implantats stattfindet. Somit sind die biomechanischen Bedingungen nicht nur für die Funktion, sondern auch für die Dauerhaftigkeit des Gelenkersatzes in dem sich mit dem Alter ändernden biologischen Umfeld entscheidend.
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© 2011 Arbeitsgemeinschaft Endoprothetik
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Duda, G.N., Heller, M.O., Pfitzner, T., Taylor, W.R., König, C., Bergmann, G. (2011). Biomechanik des Kniegelenks. In: Wirtz, D. (eds) AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12889-9_2
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