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Teilgelenkersatz am Kniegelenk

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Endoprothetik des Kniegelenkes

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

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Zusammenfassung

Der Teilgelenkersatz am Kniegelenk blickt auf eine lange Geschichte zurück. Bereits 1952 berichteten Elliot und McKeever sowie Macintos über die Entwicklung von Teilgelenkprothesen. Erste Publikationen zum klinischen Einsatz gingen in den 70er-Jahren auf Engelbrecht und Marmor zurück. Aufgrund verbesserter Resultate der Totalendoprothetik hatte der Teilgelenkersatz zwischenzeitlich an Bedeutung verloren. Insbesondere die höheren frühzeitigen Revisionsraten waren abschreckend für diese Verfahren. Die Verfügbarkeit neuerer Implantate mit einer besseren Reproduktion der natürlichen anatomischen Geometrie und Biomechanik sowie aktuelle Ergebnisse haben nicht erst in letzter Zeit neues Interesse für die Anwendung der Teilendoprothetik am Kniegelenk geweckt. Es bestehen klare Indikationen, bei denen mit guten klinischen Ergebnissen gerechnet werden kann. Im Vergleich zur Totalendoprothetik ist von einer schnelleren Rehabilitation mit kürzerer Krankenhausdauer und reduzierter Morbidität, einem besseren Bewegungsausmaß, besserer Funktion und höherem Aktivitätslevel sowie weniger perioperativen Komplikationen auszugehen. Demgegenüber steht weiterhin eine erhöhte Revisionsrate in den ersten Jahren nach der Implantation. Dieses Kapitel gibt einen Überblick über Indikationen, operative Techniken und Ergebnisse nach Teilgelenkersatz am Kniegelenk.

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Authors and Affiliations

  1. Orthopädische Klinik, König-Ludwig-Haus, Würzburg, Deutschland

    Stephan Reppenhagen, Manuel Weißenberger & Maximilian Rudert

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  1. Stephan Reppenhagen
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  2. Manuel Weißenberger
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  3. Maximilian Rudert
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Correspondence to Maximilian Rudert .

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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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Reppenhagen, S., Weißenberger, M., Rudert, M. (2023). Teilgelenkersatz am Kniegelenk. 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_9

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