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Knieendoprothetik: Revisionsendoprothetik in der septischen Situation

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Endoprothetik des Kniegelenkes

Part of the book series: AE-Manual der Endoprothetik ((AEME))

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Zusammenfassung

Periprothetische Infektionen nach Knieprothesenimplantationen stellen schwerwiegende Komplikationen nach künstlichem Gelenkersatz dar und sind mit einer deutlich erhöhten Morbiditäts- und Mortalitätsrate als auch sozioökonomischen Kosten vergesellschaftet. Die erfolgreiche Behandlung der periprothetischen Infektion erfordert ein komplexes Therapieregime, in dem fall- und patientenspezifisch verschiedene chirurgische als auch medizinische Konzepte angewendet werden müssen. Das vorliegende Kapitel stellt ein für den betroffenen Patienten individualisiertes, auf der Grundlage evidenzbasierter Erkenntnisse und Leitlinien beruhendes Gesamtkonzept zur Behandlung periprothetischer Kniegelenkinfektionen dar. Dabei wird im Detail neben der präoperativen Vorbereitung auf prothesenerhaltende Eingriffe (DAIR), auf prothesenersetzende, aber die Kniegelenkfunktion erhaltende Verfahren (einzeitiger, zwei- und mehrzeitiger Wechsel), sowie auf operative Verfahren ohne Prothesenwiedereinbau eingegangen.

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Author information

Authors and Affiliations

  1. Krankenhaus Tabea Hamburg, Hamburg, Deutschland

    Christian Friesecke

  2. Orthopädisch-Unfallchirurgisches Zentrum, UMM Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim, Deutschland

    Sascha Gravius

  3. Klinik für Unfall-, Hand- und Orthopädische Chirurgie, St. Antonius Hospital, Köln, Deutschland

    Hendrik Kohlhof

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

    Dieter Christian Wirtz

Authors
  1. Christian Friesecke
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  2. Sascha Gravius
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  3. Hendrik Kohlhof
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  4. Dieter Christian Wirtz
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Correspondence to Dieter Christian Wirtz .

Editor information

Editors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie Universitätsklinikum Bonn, Bonn, Deutschland

    Dieter Christian Wirtz

  2. Universitätsklinikum Ulm, Orthopädische Universitätsklinik am RKU, Ulm, Deutschland

    Heiko Reichel

  3. Professur für Orthopädie am Universitätsklinikum Jena, Campus Eisenberg, Eisenberg, Deutschland

    Georg Matziolis

  4. Vivantes – Netzwerk für Gesundheit Berlin, Klinik für Endoprothetik, Knie- und Hüftchirurgie Klinikum Spandau und Humboldt Klinikum, Berlin, Deutschland

    Tilman Pfitzner

Section Editor information

  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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Friesecke, C., Gravius, S., Kohlhof, H., Wirtz, D.C. (2023). Knieendoprothetik: Revisionsendoprothetik in der septischen Situation. In: Wirtz, D.C., Reichel, H., Matziolis, G., Pfitzner, T. (eds) Endoprothetik des Kniegelenkes. AE-Manual der Endoprothetik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65175-9_19

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  • DOI: https://doi.org/10.1007/978-3-662-65175-9_19

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