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Periprothetische Frakturen nach Hüft- und Knietotalendoprothesenimplantation

Risikofaktoren, epidemiologische Aspekte, Diagnostik und Klassifikationssysteme

Periprosthetic fractures following total hip and knee arthroplasty

Risk factors, epidemiological aspects, diagnostics and classification systems

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An Erratum to this article was published on 23 May 2016

Zusammenfassung

Periprothetische Frakturen nach Hüft- und Knietotalendoprothesenimplantation sind potenziell schwerwiegende Komplikationen. Um eine individuell optimale Versorgung dieser teils komplexen Frakturen zu gewährleisten, sind spezifische Einteilungssysteme als diagnostische und therapeutische Grundlage notwendig. Dieser Übersichtsartikel befasst sich mit den epidemiologischen Aspekten und Risikofaktoren, der Diagnostik sowie den Einteilungssystemen zur periprothetischen Frakturklassifikation nach Hüft- und Knietotalendoprothesenimplantationen. Ergänzend zu den in der klinischen Routine am häufigsten verwendeten lokalisationsbezogenen Klassifikationen wird mit dem Unified Classification System (UCS) ein neues Einteilungssystem mit Anwendbarkeit auf das gesamte Spektrum der periprothetischen Frakturen vorgestellt. Erste Studien zur Evaluation dieser neuen Klassifikation berichten über gute Ergebnisse und eine zuverlässige Anwendbarkeit.

Abstract

Periprosthetic fractures following hip and knee arthroplasty are potentially severe complications. As a fundament in diagnostic and therapeutic procedures, specific classification systems are necessary to ensure an optimal individualized treatment of these sometimes complicated fractures. This review article summarizes the epidemiological aspects, risk factors and diagnostics of periprosthetic hip and knee fractures. The most frequently used location related fracture classifications systems are explained. In addition, the recently introduced unified classification system (UCS), which is applicable to any location of periprosthetic fractures, is described in detail. Initial studies have shown a reliable applicability of the UCS to periprosthetic hip and knee fractures.

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  1. Centrum für Muskuloskeletale Chirurgie, Klinik für Orthopädie, Klinik für Unfall- und Wiederherstellungschirurgie, Charité – Universitätsmedizin Berlin, Chariteplatz 1, 10117, Berlin, Deutschland

    M. Fuchs,  C. Perka &  P. von Roth

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Fuchs, M., Perka, C. & von Roth, P. Periprothetische Frakturen nach Hüft- und Knietotalendoprothesenimplantation. Unfallchirurg 119, 185–193 (2016). https://doi.org/10.1007/s00113-016-0144-x

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