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Erschienen in: Die Unfallchirurgie 3/2022

18.01.2022 | Arthrosen | Leitthema

Konservative Optionen zur Therapie der Sprunggelenkarthrose

Was gibt es und was bringt es?

verfasst von: Prof. Dr. Dr. h.c. Jörg Jerosch

Erschienen in: Die Unfallchirurgie | Ausgabe 3/2022

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Zusammenfassung

Im vorliegenden Beitrag werden einleitend die Ursachen der Arthrose im Bereich des Sprunggelenks dargestellt. Es erfolgen eine ausführliche Darstellung und Diskussion der konservativen Therapieoptionen. Detailliert werden die Risiken der Therapie mit Nichtopiodanalgetika (NOPA) dargestellt. Eine topische Anwendung von nichtsteroidalen Antirheumatika (NSAR) sollte im klinischen Alltag immer Berücksichtigung finden. Bei Kontraindikationen gegen orale NSAR stellt die intraartikuläre Therapie eine sinnvolle Option dar. Die höchste Evidenz liegt zurzeit für die Viscosupplementation vor. Für die Anwendung von „platelet-rich plasma“ (PRP) ist die Studienlage noch nicht so umfangreich, und zur Injektion von mesenchymalen Stammzellen gibt es nur wenige Fallberichte.
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Metadaten
Titel
Konservative Optionen zur Therapie der Sprunggelenkarthrose
Was gibt es und was bringt es?
verfasst von
Prof. Dr. Dr. h.c. Jörg Jerosch
Publikationsdatum
18.01.2022
Verlag
Springer Medizin
Erschienen in
Die Unfallchirurgie / Ausgabe 3/2022
Print ISSN: 2731-7021
Elektronische ISSN: 2731-703X
DOI
https://doi.org/10.1007/s00113-021-01122-3

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